6 pack aorta?! Omentum gone from prior colonic resection after ischemic colitis…referred for an infected ABFB. Bilateral rectus abdominis flaps used to assist in coverage of rifampin soaked graft. @uazphxsurgery
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When “on label” technology falls short, creative solutions from the back table are necessary. Other options in this high risk patient with challenging anatomy?@uazphxsurgery@AortaEd@TerumoAortic
One-hundred Consecutive Physician-modified Fenestrated Endovascular Aneurysm Repair of Pararenal and Thoracoabdominal Aortic Aneurysms using the Terumo TREO Stent-Graft - Annals of Vascular Surgery #AortaEd https://t.co/3IMOG4iTCo
@AWBeckMD@farkomd@RKTvascular@westleyohman@AortaSurg@canuc_57 Treat it. To large and already proven to be symptomatic. Celiotomy with open control of all viscerals at their origin and the aortic bifurcation. Open infrarenal aortotomy and a large compliant aortic ‘fogarty’ balloon? Just a thought. Avoids the thoracoabdominal exposure.
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The more gray hairs I get, the more I regress back to my training some 20 years ago @MayoVascSurgery. The value of total abdominal aortic endarterectomy cannot be overlooked @uazphxsurgery .
@farkomd Take out as much as you can in the area you are working (providing its all incorporated) and if reasonable health, I’ve found thoracofemoral bypass and long term anticoagulation the best alternative in these challenging patients. Fix the inflow and you’re likely good.
@natedroz Too high risk for open TAAA, very aneurysmal paravisceral aorta which makes fenestrating often times challenging, and I have limited experience in back tabling to create branched grafts