Fernando Ruiz Grande

Vascular Surgeon, mainly OR, banderillero a la contra, pirotécnico confeso, lector raro, Fangio diletante, viajero de la vida… y de Horche (Guada)

[Fernando Ruiz Grande @FRuizGrande]

Carlos Ruiz Diez en el boletín de Entreculturas. Lo tengo que compartir

[Fernando Ruiz Grande @FRuizGrande]

Partial dacron explantation + aortouniiliac EVAR + fem-fem for aortoenteric fistula?

…perhaps not a good idea.

Recurrence after 2 years.

Explantation of residual Dacron & endograft +Aortic closure + duodenum repair + axilo fem. #aortaEd #SoMe4Surgery #EVAR #vascsurg

[Fernando Ruiz Grande @FRuizGrande]

@harryelsocio Alberto Closas

[Fernando Ruiz Grande @FRuizGrande]

@NisaFrancisca @WomenSurgeons Mil gracias a ti por poner en valor una patología que está sufriendo un cambio radical en su planteamiento asistencial en nuestro ámbito. Siempre es un placer colaborar con buenos compañeros y amigos. Hoy ha tocado un tratamiento endovascular.

[Tato Vázquez Lima @tvazlim]

"Fue 3 veces a urgencias y…"

Una pequeña reflexión. Abro hilo.👇👇

[Fernando Ruiz Grande @FRuizGrande]

@tvazlim Enhorabuena. Un hilo excelente que debería ser expuesto en la sala de espera de todos los servicios de urgencia del mundo.

[Fernando Ruiz Grande @FRuizGrande]

@farkomd Nice case. Congrats. Thanks for sharing.

[Fernando Ruiz Grande @FRuizGrande]

@Elburgui Partidazo

[Fernando Ruiz Grande @FRuizGrande]

@majazkashmiri Thank you for your question. A lazy S and retroperitoneal route releasing Treitz ligament for facilitating the graft to reach the area of dissection of SMA from above. No video, sorry. Hope this low quality picture helps you.

[Fernando Ruiz Grande @FRuizGrande]

Saving centimeters of bowel is essential when General Surgeon calls urgently to the operating room. Unstable patient, 40 cm bowel resection and retrograde bypass from right iliac artery to middle SMA (first segment occluded) @

[Fernando Ruiz Grande @FRuizGrande]

@yuejianing 2/ Reconstruction of digestive tract and closure of laparotomy after 48 h. No symptoms or signs of infection. Patient is doing well.

[Fernando Ruiz Grande @FRuizGrande]

@yuejianing Good point. Our first option: distal reimplant of SMA in infrarenal aorta. In this case not possible (heavily calcified and not a good moment to add a bifurcated bypass). We tried to minimize infection risk using 8 mm silver dacron.

[Fernando Ruiz Grande @FRuizGrande]

@ReneLizola Fortunately never lived that. 😱

[Fernando Ruiz Grande @FRuizGrande]

@guadaque @ClmFeministas Pepa Grande. Ni Muela, ni Bueno

[Fernando Ruiz Grande @FRuizGrande]

@MCWVascSurg For me: If patient’s life expectancy is higher than ten years, and no hostile abdomen, always open. Seven explantation s in six months. Four for iterative endo leaks and two for infected

[Kristina Giles @KGvascsurg]

@mattsmeds I nicknamed this one Gumby but I like wavy inflatable arm flailing tube man too

[Fernando Ruiz Grande @FRuizGrande]

EVAR (aorto uni + fem-fem) for AAA in 2012. No endoleaks, excluded. Gradual growth of right iliac aneurysm. Now 57mm, 79yo. Time for open repair. Partial explantation and 14 mm Dacron. Proximal to the endograft and distal to de iliac bifurcation. #inthebucket #aortaed #vascsurg

[Fernando Ruiz Grande @FRuizGrande]

@haleeemooo @farkomd @IR_Doctor @BenColvard @ReidRavin @Watts_IR @RKTvascular @TobyRichardsUWA Cycling? How did you treat? Thanks for sharing. Nice picture.

[Fernando Ruiz Grande @FRuizGrande]

@farkomd The best medical image I have seen in a long time. My congratulations.