Dr RAMON VARCOE Sydney, Australia Endovascular vs. Open Surgery ! - - PowerPoint PPT Presentation

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Dr RAMON VARCOE Sydney, Australia Endovascular vs. Open Surgery ! - - PowerPoint PPT Presentation

May 06, 2023 276 likes •831 views

Dr RAMON VARCOE Sydney, Australia Endovascular vs. Open Surgery ! Varcoe RL. J Cardiovasc Surg 2012;53:313-23 TASC A, B & C A B C GENTLE PRE-DILATATION RISK OF RUPTURE HIGHEST IN: 1. Small EIA 2. Ca+++ 3. LOL TASC D

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Dr RAMON VARCOE

Sydney, Australia

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Endovascular vs. Open Surgery

Varcoe RL. J Cardiovasc Surg 2012;53:313-23

≈ !

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TASC A, B & C

A B C

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GENTLE PRE-DILATATION

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RISK OF RUPTURE HIGHEST IN:

  • 1. Small EIA
  • 2. Ca+++
  • 3. LOL
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TASC D

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SUB-INTIMAL WIRE PASSAGE IS COMMON…

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ANTEGRADE OPTION 1

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ANTEGRADE OPTION 1

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ANTEGRADE OPTION 1

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ANTEGRADE OPTION 2

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ANTEGRADE OPTION 2

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OR

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DOUBLE-BARRELL SELF –EXPANDING STENTS

  • 1. Long
  • 2. Flexible
  • 3. Forgiving for sizing
  • 4. Remodelling
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Double Barrel

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COBEST Trial: Mwipatayi B.P. etal . J Vasc Surg 2011;54:1561-70 TASC C&D

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CERAB

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CERAB Technique

Dr P. Goverde

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  • 1. EVT has become the first option

for Aorto-iliac disease

  • 2. Driven by technology and

technique; combined with high morbidity of open surgery

  • 3. Durability of TASC C&D lesions

require further evaluation

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