
Dr Luis Felipe Cabrera Vargas MD FACS
@PipeCabreraV • 24,074 subscribers
Invenit et Fecit General Vascular and Endovasc Surgeon @FSFB_Salud @futuroscirascol Founder @MediUniandes Prof @SurgJournal @AmJSurgery Ass Edit @AISMedicalNet
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The I-C-E clamping order during Carotid Artery Endarterectomy! 1I – Internal Carotid Artery (ICA): Clamped first. This isolates the cerebral circulation, preventing loose emboli or plaque fragments from traveling to the brain while the other vessels are handled. This is typically done using a small, gentle bulldog clamp or temporary aneurysm clip. 2C – Common Carotid Artery (CCA): Clamped second. This stops the main high-pressure blood flow coming up from the heart. Surgeons often use a larger, angled vascular clamp (such as a DeBakey clamp) for this wider vessel. 3E – External Carotid Artery (ECA): Clamped third. This stops backward blood flow (back-bleeding) entering the surgical field from the face and scalp vessels. The Reversal Sequence (E-C-I) Once the plaque removal (endarterectomy) and arterial patching are complete, the clamps are removed in the reverse order (E-C-I) to safely flush out any air bubbles or debris before restoring direct blood flow to the brain: •External Carotid clamp is released first. •Common Carotid clamp is released second. Blood from the heart is purposefully directed into the external carotid artery first to flush out any debris into the facial circulation. •Internal Carotid clamp is released last, safely restoring clean, uncompromised blood flow back to the brain. Paula Ferrada MD FACS FCCM MAMSE Steven D Wexner MD, PhD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy RedCiruAndes
Dr Luis Felipe Cabrera Vargas MD FACS370,718 次观看 • 6 天前
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The Right and the wrong way to mount the silk suture in a Halsted Mosquito clamp or Kelly clamp to perform a vessel ligation 🩸⤵️💥🔪! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 RedCiruAndes BJS Academy
Dr Luis Felipe Cabrera Vargas MD FACS57,159 次观看 • 7 天前
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Infrarenal AAA hostile short neck! Tips for improving exposure and aortic neck vascular control: traction of the left renal vein with section of the left gonadal vein 🆚 section of the left renal vein preserving the left gonadal vein! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy Julio Mayol RedCiruAndes AmJSurgery
Dr Luis Felipe Cabrera Vargas MD FACS143,904 次观看 • 20 天前
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The gatekeeper of the carotid arteries! The Facial vein! A key anatomical concept for vascular trauma neck exploration, carotid body tumor resection and carotid endarterectomy ! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy Julio Mayol RedCiruAndes
Dr Luis Felipe Cabrera Vargas MD FACS163,773 次观看 • 25 天前

The gatekeeper of the brachiocephalic trunk or innominate artery is the left innominate vein! You can ligate it or traction it to partial or full approach to the brachiocephalic trunk! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE RedCiruAndes BJS Academy Julio Mayol Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸
Dr Luis Felipe Cabrera Vargas MD FACS129,854 次观看 • 22 天前
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Inferior vena cava exposure! The Kocher plus the Cattell-Braasch maneuver, also known as a right medial visceral rotation ⤵️📕💥🩸! How to do it! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 AmJSurgery RedCiruAndes BJS Academy
Dr Luis Felipe Cabrera Vargas MD FACS120,941 次观看 • 27 天前
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The gatekeeper of the abdominal aorta! The left renal vein! A key anatomical concept for retroperitoneal zone I injuries, open AAA and aortoiliac occlusive disease repairs! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy Julio Mayol RedCiruAndes
Dr Luis Felipe Cabrera Vargas MD FACS104,323 次观看 • 26 天前
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How to pull and apply tension to the suture during a vascular suture to avoid tears or rupture of the vessel wall ⤵️🩸🔪💥! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Julio Mayol BJS Academy RedCiruAndes
Dr Luis Felipe Cabrera Vargas MD FACS26,994 次观看 • 12 天前
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How to repair iliac veins injuries! Lateral or medial retraction of the iliac arteries 🆚 Section of the common iliac artery in some extreme injuries of the right common iliac vein ⤵️🩸🔪💥! Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy RedCiruAndes Julio Mayol
Dr Luis Felipe Cabrera Vargas MD FACS32,578 次观看 • 24 天前
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