Andrei Parnia

Vascular surgeon

[Andrei Parnia @aparnia]

@Giam00 @JCoselli_MD @OPreventzaMD @crtorrealba Congratulations! Great procedure! Carell patch technique for visceral vessels?

[Andrei Parnia @aparnia]

@albertoortegana Good GSV both sides!

[MTD 🩺 @MTDMED]

What is the diagnosis or syndrome?

[Andrei Parnia @aparnia]

@GAEscobarMD @LeonardoRandial @PipeCabreraV @jmills1955 @docpark @AmputationSuck @monteromiguel Same here!

[Andrei Parnia @aparnia]

@yuejianing Very useful technical tip!

[Andrei Parnia @aparnia]

@LeonardoRandial @PipeCabreraV @jmills1955 @GAEscobarMD @docpark @AmputationSuck @monteromiguel Yes. Distal anastomosis on DP. Inflow AK popliteal artery. In situ GSV.

[Andrei Parnia @aparnia]

@LeonardoRandial @PipeCabreraV @jmills1955 @GAEscobarMD @docpark @AmputationSuck @monteromiguel I found it very useful. No wound skin necrosis!

[Andrei Parnia @aparnia]

@LeonardoRandial @PipeCabreraV @jmills1955 @GAEscobarMD @docpark @AmputationSuck @monteromiguel 💪 great tip! I used to do the custard pie skin incisions!

[Dr. N @DrN588382456367]

Vascular ligation with silk suture 🩸🪡
One of the most essential lifesaving surgical skills in the operating room.

Identify the vessel ➝ carefully isolate it ➝ pass the silk ➝ secure the knot with proper tension to achieve hemostasis. Precision matters, because one small mistake can mean uncontrolled bleeding. ⚠️

Simple skill… but it carries huge responsibility in surgery. 👨‍⚕️🔬

#Surgery #VascularLigation

[Andrei Parnia @aparnia]

@modernHealthMe Check for pulsation! May be an anastomotic false aneurysm. Also ask for previous vascular interventions!

[Mark Lewis, MD, FASCO @marklewismd]

Ok so when I called this place a hellsite …

[NextGen. Vascular @NextGenVascular]

Vascular surgeons reading the CT report like 👀

@NextGenVascular for more! 🌐

#VascSurg #NextGenVascular #VascularConsult #Meme

[Ricardo Bernardo da Silva @VasculonR]

Power is not duty!!! What seems easier,turns into a real tragedy after 5-10 years. The most worrying thing is the change in medical training that these devices have left behind. Several generations without proper training are left open. The bill will be much more expensive.

[Trey Rogers @rtrogersmd]

@EVToday @VasculonR Much needed device. The question still remains. Do we need to remove suprarenal fixation component? Or just cut and leave them.

[Joseph L. Mills MD @jmills1955]

@rbarbosa91 It takes years in the trenches to notice things. Noticing things makes patient care much safer.

[Andrei Parnia @aparnia]

@yuejianing @AmputationSuck This is one of the worst parts of surgery. Everything is good surgically speaking, but the outcome is a nightmare.
I had encountered situations with uncontrollable coagulopathy with patients with HIT or AT III deficiency unapparent before the surgery!

[Andrei Parnia @aparnia]

And so many many other!

[Johnny @Johnnyapp3l]

When the urologist remove a renal tumor and postoperatively, the legs swell… the cava…
When GYN puts a Trocar through the iliac vein…
When Gen surgery puts a trocar through the iliac artery…
When the trocsr car goes to the aorta…
When the Critical Care physician sees Frank blood coming out of the chest tube…
When the postop Dialysis counter placed in the neck – portable x-ray reveals it is in the carotid artery…
When the upper arm swells up like a tomato from my Radio Art heart Cath…
On the groin smells up like a grapefruit after E. P. S…
When the Radial artery swells up like a plum after a Radial access…
When no one else in the hospital can get access…
…….
Who gets the call… The vascular surgeon

[UMassVascular @UMassVascSurg]

Dr. FInnesgard: Residual aneurysm behavior is associated with aortic outcomes after FEVAR. Sac expansion, even when occurring later in follow-up, was associated with increased hazards of both aortic events and nonaortic death.... https://t.co/ipWGAw5s6h

[Isabella Ferlini Cieri, MD @isabella_cieri]

Complex coagulation disorders in vascular surgery go beyond what standard tests can capture. TEG has proven to be a major advance, providing rapid and comprehensive hemostatic assessment. Dr. Dua’s Coagulation Lab🩸. It’s now available online. @AnahitaDua , @MGBResearchNews , @MGHAusten, @MGHVascular , @harvardmed .

[Elyse Klemchuk @kchuk07]

@OGdukeneurosurg Vascular