Open MALS release in a 17 yo female; Miserable since the age of 7. Complete relief of multiple symptoms post release. Anyone else favor open versus laparoscopic or robotic?
So pround of you Rukshana for graduating with a Masters in Healthcare Administration! Can't wait to see how you continue to change the world for the better as you start your career at Northwestern Memorial Hospital! 😀
Large fungating left arm Sarcoma resected with part of the humerus. Brachial artery injury required patch repair of the vessel. Lots of work but worth it if we can save this 59 yo man’s arm!
Isolated profunda femoral occlusion in a young, avid cyclist with thigh claudication; treated with thromboendarterectomy and patch closure. No evidence of embolism and External Iliac artery is normal. Has anyone seen this?
21 yo man with several year h/o L calf tightness/soreness with biking, running. Duplex showed no evidence of Popliteal A. entrapment, but Popliteal V. was severely compressed, confirmed on MRV. Operative release of muscle band. Pt is 6 months out and running without discomfort!
Could not be more proud of our Cedars Sinai General Surgery Residents
@bondacci
@eileenlumd
@GenSurg_CS
@VascularSurgCS
Doing amazing work treating venous disease and doing hemodialysis access on our medical mission in Olanchito, Honduras!
35 yo F with failed robotic MALS release at an OSH & then failed Celiac PTA at another. Presents with occluded Celiac, severe symptoms, N/V, abd pain. Did aorta-hepatic bypass. Later, stenosis of Hepatic artery post aorto-hep bypass successfully treated with short covered stent!
Sharing our TCAR experience with Dr Nobuyuki Sakai, highly accomplished Neurosurgeon from Kobe City, Japan. And honored to have Dr Wesley Moore Join us for dinner!
It was truly an honor to host Dr Raj Pandey, premier Venous specialist and surgeon from Kathmandu, Nepal at Cedars Sinai Medical Group and have him observe our venous procedures!
@Drlaabka
SFA to bk pop bypass with saphenous vein conduit for a 4.2 cm popliteal artery aneurysm in a patient who is s/p heart transplant in November and doing well. Severe calcified disease with multiple stenoses in the entire SFA. Medial approach - bypass and exclusion of the aneurysm
@RKTvascular
@KDellNP
Very nice case and images! I’ve done a handful over the years - always satisfying to make the diagnosis and treat this disease process!
We love and will miss our R5 class!
Jaewon Lee - Surg onc (UNC)
Lauren Evans - peds crit care, peds colorectal (Colorado Children's)
Jesse Chen - plastics (UCSF)
Ray Huang - ACS/crit care (U Arizona)
Dan Delgadillo - vascular (UC Irvine)
Dezzie Huynh - MIS (UMich)
@martinpschranz
@ayousaf23
@hospital_kerry
This is wrong on so many levels. You did nothing wrong and the hospital should have responded by apologizing and giving everyone a bottle of water!
@sternvascular
@BAulivolaMD
@WellsFargo
Jordan, seems like the bank should be responsible. When I try to make a transfer of any significant amount I get notifications from my bank and a second step verification before it can happen - which i am grateful for!
@LFischer224103
If you’re able to get a complete neurolysis with the lap approach, that’s great. But I’ve seen a few that don’t get better after the lap approach and the redo open approach fixes the problem
@ReneLizola
Would definitely treat and ablate the incompetent GSV to begin with. I would ablate any underlying perforator and foam sclero for the tributary veins if needed.
@mattsmeds
We rely on the dialysis units or Nephrologists to alert us early of any issue with the access and then we see them back with Duplex and intervene as needed
@drmcumming
@AortophilicMD
@TobyRichardsUWA
Week is going well. Lots of pathology and a lot of very grateful patients. Hope your week is going well. Look forward to meeting when we get back to La Cieba on Friday!
@ReneLizola
@VascularForum
@jmills1955
Depends on how much stenosis the plaque is causing and how heavily calcified the plaque is (which can make the anastomosis harder). If lumen is adequate, I'd leave it alone. Love the parachute technique!
@LuisNav23662880
I used a bovine pericardial patch for the angioplasty. Works well and durable. Agree with the repetitive injury and we have seen it in the external iliac artery but seems unusual in the profunda femoral artery.
@drmcumming
@AortophilicMD
@TobyRichardsUWA
I’m in Olanchito, Honduras on the Vein medical mission. We are treating anywhere from 120-150 patients a day and most of it is with US guided foam sclerotherapy since it’s cheap and requires minimal set up. Seeing a lot of return patients with healed ulcers!