@canuc_57@djb6226@roblookstein@MountSinaiIR@Kuldeep1926@TedGiffordMD I’m not trying to spark a controversy our practise is also >50% open; we do arm veins/spliced but we also have non operative candidates that we do complex endo. I should rephrase “vascular surgeons” do complex endo in addition to complex open for CLTI
@canuc_57@djb6226@roblookstein@MountSinaiIR Agree! Do what’s best for your patient… there are plenty of new generation vascular surgeons with amazing endo and open skills that’s don’t shy away for pedal loop interventions 😃 myself included along with the likes of @Kuldeep1926@TedGiffordMD amongst others
@sheikhlatif14 Your hidden points are hidden from the patients for them a stent is a stent.The approval from CMS is a go ahead for interventionalist to do tfcas if they have patients with carotid stenosis- no follow up no discussion on other options
@sheikhlatif14 @VascularSVS The problem is the “cardiac clearance” TCAR doesn’t need a risk assessment from cardiology. If pts are too sick for CEA I do a TCAR under cervical block without risk assessment. The whole point of the TCAR is that it’s for high risk patients
@AlanLumsdenMD I’ll be the devils advocate here but the future of vascular surgery esp in the extremities is to push the endo envelope. NO incision. If we don’t do it someone else will @farkomd@VascularSVS the cost of what you mentioned is extremely high to avoid a groin incision
#CLTIfighters <60y.o male DM, failed CABG, ef 30% with RLE wound. Cannot get PTFE because of the wound location and risk of infection. ABI .27 angio below
@drmoinlala@GAEscobarMD@VIR_Li@hauer_tomas https://t.co/yVJDYTm6RU
@farkomd this stent has burned a few bridges and if it thromboses acutely it will burn a lot more. There are endo cases and open cases. It’s okay after diagnostic angio to abort and refer to a surgeon and should be in the algorithm
Wheelchair assistance at Helsinki airport flying business class left my elderly Indian parents stranded at the airport instead of taking them to the gate. Discriminatory and unacceptable. @HelsinkiAirport@VisitHelsinki@Finnair
Thank you all the speakers, attendees, and industry supporters of our 4th @HHC_vascular symposium - really highlighted so many ways we interact with patients and how we can continue to improve care!