Clinical cases in vascular techniques

This section provides a selection of clinical cases provided by experts in vascular techniques.

Endovascular repair of post-dissection thoraco-abdominal aortic aneurysms is often challenged by significant compression of the true lumen at the paravisceral segment...

How to tackle narrow paravisceral true lumen during post-dissection thoraco-abdomimal aortic aneurysm endovascular repair
University of Padua, Italy
University of Padua, Italy
University of Padua, Italy

Watch this case to assess the most appropriate treatment, taking into account the presentation of two acute arterial pathologies at the same time: ischemia of both legs and symptomatic aortic aneurysm with distal embolization.

Acute leg ischemia and huge AAA diagnosed during inguinal hernia surgery
Gregorio Marañón Hospital, Madrid, Spain

How about delving into the fascinating case of abdominal aortic stenosis in a 72-year-old male patient, exploring various treatment options and device choices?

Sub occluding aortic thrombosis with claudication pain
Hospital: Paris Saint-Joseph, France

Considering the clinical evaluation and medical history of this 87-year-old patient with symptomatic AAA, suggest a treatment plan prior to uncovering the subsequent course of this case!

SYMPTOMATIC AAA post EVAR: Homemade FEVAR?
Hospital Pellegrin - Bordeaux, France
Professor of vascular surgery, PVI Editor-in-Chief

Professor of vascular surgery
Head of unit of vascular surgery CHU Bordeaux - France

Conflicts of interest:

Honoraria from: COOK Médical, Térumo-Vascutek, Siemens, GORE

Would you be able to determine the most effective treatment plan for a 73-year-old patient whose aneurysm sac has enlarged after two years of stability post-endovascular repair of an abdominal aortic aneurysm?

Transprosthetic embolization
Hospital Pellegrin - Bordeaux, France
Professor of vascular surgery, PVI Editor-in-Chief

Professor of vascular surgery
Head of unit of vascular surgery CHU Bordeaux - France

Conflicts of interest:

Honoraria from: COOK Médical, Térumo-Vascutek, Siemens, GORE

Following a motorbike accident, a 52-year-old man presented with lower limb ischemia with motor and sensory deficits, right tibial fracture and a related popliteal dissection, left hand luxation, and short popliteal occlusion with remaining blood flow in BTK vessels.

Right tibial fracture & vascular lesion

Analyze the CT angiography of this 85 year-old claudicant male patient with HTA, PAD, bilateral common iliac and right CFA lesions, and tell us how you would treat!

Approach: puncture of stented femoral artery
Hospital: Paris Saint-Joseph, France

Professor of Vascular Surgery 
President of the association of the french university hospitals for clinical research 

Conflicts of interest:

Research funding from Predisurge, Biotronik, WL Gore, GE Healthcare 
Honoraria from Abbott, BD, Bentely, Biotronik, Boston Scientific, Cook, Eclevar Medtech, GE Healthcare, Ivascular, Medtronic, Penumbra, Sensome, Shockwave medical, WL Gore (consulting, medical advisory board, educational course, speaking)

Hospital: Paris Saint-Joseph, France

Immerse yourself in the complete medical history of this 71-year-old man with a multitude of health problems, including hypertension, diabetes, dyslipidaemia, a significant cardiac history and a history of carotid artery problems. Have your say and share your ideas!

A real-life carotid artery stenosis case
Clinica Universidad de Navarra, Madrid, Spain

This case report considers a 49-year-old women which presented a progressive large aneurysm of the type IV thoraco-abdominal aorta in a context of abdominal aortic agenesis.

 Branched stent-graft used for type IV thoracoabdominal aortic aneurysm repair of a patient with abdominal aortic agenesis
Hospital Pellegrin - Bordeaux, France
Professor of vascular surgery, PVI Editor-in-Chief

Professor of vascular surgery
Head of unit of vascular surgery CHU Bordeaux - France

Conflicts of interest:

Honoraria from: COOK Médical, Térumo-Vascutek, Siemens, GORE

Investigate this 57-year-old patient's medical history and CT scan, and indicate what you feel is the best option for treating his case.

Superior Vena Cava Syndrome in patient with ESRD
Hospital: Paris Saint-Joseph, France