10y boy with mandibular AVM presented with bleeding. Onyx embolization with local absolute alcohol injection into the nidus. Discharged on 2nd postoperative day with no bleeding.
#vascular#AVM#embolization@VascularForum
Extending a NAIS to get the requested length and the proper diameter
Tapered tubulized bovine pericardium (20 to 10 ml Syringe as mandrel) combined to the 2 femoral veins.
@RKTvascular 😉I don’t have the 2009 CTA at time of EVAR, so hard to answer if neck was safe. Nowadays we do 80% ruptures Endo. It’s a great change for our patient but we must keep in mind that sizing is often done in permissive hypoT, poor oversizing and too short distal sealing can happen
2 aortic ruptures survivor. Always a special moment when this now 90 yo still very active gentleman visit you!
6 years follow-up control this week.
THM : to avoid a 2nd rupture surveillance program is essential
Vessel loop on CT and SMA
Ruptured Suprarenal AAA. ThoracoPhrenoLaparotomy. Supra CT clamp, 4°C Ringer by 9F Pruitt L &R RAs
Beveled anastomosis including CT, SMA and RRA. While LRA was reattached using side Satinsky clamping, both limbs perfused by 12F Pruitt. 📽️captured before R then L iliac anastomosis