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frank arko

@farkomd • 11,775 subscribers

Vascular surgery reimagined. Aortas, PAD, veins & vision. Trained @TAMU + @Stanford reshaping what’s possible @atriumSHVI. Mentor. Operator. Innovator. 🏃🚴🏌️

Shorts

How to place a side bitting clamp on the descending aorta for Thoraco Femoral Bypass. Keeping the thoracotomy rather small. Take down inferior pulmonary ligament. Expose aorta, loop it with umbilical tape, pull up on tape in order to get good purchase of Aorta #AortaEd

How to place a side bitting clamp on the descending aorta for Thoraco Femoral Bypass. Keeping the thoracotomy rather small. Take down inferior pulmonary ligament. Expose aorta, loop it with umbilical tape, pull up on tape in order to get good purchase of Aorta #AortaEd

59,009 Aufrufe

The CTA with the legs. #AortaEd what do you see? What would you do? Westley Ohman Adam W. Beck James H Black, MD Sabalbal MD Timo T Soderlund Halim Yammine John Houghton

The CTA with the legs. #AortaEd what do you see? What would you do? Westley Ohman Adam W. Beck James H Black, MD Sabalbal MD Timo T Soderlund Halim Yammine John Houghton

39,132 Aufrufe

It clamps and gets out of my way

It clamps and gets out of my way

45,147 Aufrufe

What is this sorcery?

What is this sorcery?

12,932 Aufrufe

This individual unfortunately was given a bad operation. Why? Anyone who has trained with me knows this isn’t my work. I would’ve rather they had received kissing stents/CERAB whatever ENDO could’ve been done than this. How will I fix? How would you fix? Age, too young. #AortaEd

This individual unfortunately was given a bad operation. Why? Anyone who has trained with me knows this isn’t my work. I would’ve rather they had received kissing stents/CERAB whatever ENDO could’ve been done than this. How will I fix? How would you fix? Age, too young. #AortaEd

25,392 Aufrufe

I prefer complete division of the proximal aortic neck for proximal anastomosis when performing aortic work. This was a large AAA with occluded iliacs in a 💁‍♀️Other anatomical criteria included severe neck angulation, small distal aorta and calcified small EIA. #AortaEd for women

I prefer complete division of the proximal aortic neck for proximal anastomosis when performing aortic work. This was a large AAA with occluded iliacs in a 💁‍♀️Other anatomical criteria included severe neck angulation, small distal aorta and calcified small EIA. #AortaEd for women

18,125 Aufrufe

The carotid carotid left subclavian bypass for arch debranching. #AortaEd retroesophageal, end to side to left carotid(divided) and LSA. Do you stage or do as a single procedure with Arch #TEVAR

The carotid carotid left subclavian bypass for arch debranching. #AortaEd retroesophageal, end to side to left carotid(divided) and LSA. Do you stage or do as a single procedure with Arch #TEVAR

18,904 Aufrufe

A lot of discussion of #DVT (blood clots) in the shoulder of athletes. It’s not that uncommon.Associated with repetitive over head movement (throwing, swimming, tennis, volleyball, basketball, lacrosse) Early Dx & Rx leads to excellent outcomes. Clot & Rib need to be removed

A lot of discussion of #DVT (blood clots) in the shoulder of athletes. It’s not that uncommon.Associated with repetitive over head movement (throwing, swimming, tennis, volleyball, basketball, lacrosse) Early Dx & Rx leads to excellent outcomes. Clot & Rib need to be removed

14,736 Aufrufe

Was Aorta/PA fistula. Repaired with TEVAR. 10 cm CTAG from Gore which was perfect fit, and the ctag was able to be conformed nicely to the curve. #AortaEd

Was Aorta/PA fistula. Repaired with TEVAR. 10 cm CTAG from Gore which was perfect fit, and the ctag was able to be conformed nicely to the curve. #AortaEd

15,512 Aufrufe

A positive PET. AortaEd. Multiple prior operations at outside institution. Recurrent UTI. Look for distal aorta and right limb to see what a positive scan looks like. #AortaEd

A positive PET. AortaEd. Multiple prior operations at outside institution. Recurrent UTI. Look for distal aorta and right limb to see what a positive scan looks like. #AortaEd

10,954 Aufrufe

Now walking well. #AortaEd Femoral Artery Reconstruction with jump graft to SFA on R. IMA reimplanted.

Now walking well. #AortaEd Femoral Artery Reconstruction with jump graft to SFA on R. IMA reimplanted.

14,972 Aufrufe

Enjoy this pure #ENDO approach to a heavily calcified occluded #CFA treated with #IVL and #DCB Stephen M. Bracewell Don Garbett Saher Sabri Jay Mathews MD, MS, FACC, FSCAI Sabeen Dhand 👊🏾👍🏾BT Fisher Sr., MD bring the hate Greg Hayes

Enjoy this pure #ENDO approach to a heavily calcified occluded #CFA treated with #IVL and #DCB Stephen M. Bracewell Don Garbett Saher Sabri Jay Mathews MD, MS, FACC, FSCAI Sabeen Dhand 👊🏾👍🏾BT Fisher Sr., MD bring the hate Greg Hayes

15,263 Aufrufe

Practicing #BEST #CLI bypass was done first. This is an in situ bypass done 6 months prior. Goes to peroneal artery. Wound healing has stopped. No vein on contralateral leg. 2 months prior this segment was treated with DCB. What would be your plan moving forward?

Practicing #BEST #CLI bypass was done first. This is an in situ bypass done 6 months prior. Goes to peroneal artery. Wound healing has stopped. No vein on contralateral leg. 2 months prior this segment was treated with DCB. What would be your plan moving forward?

10,003 Aufrufe

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A 3cm splenic artery aneurysm. Would you manage conservatively, intervene surgically or endo? Can vote below. Comments welcome

A 3cm splenic artery aneurysm. Would you manage conservatively, intervene surgically or endo? Can vote below. Comments welcome

37,106 Aufrufe • vor 1 Jahr

How to parachute. It’s really an important technique to learn. The most important things to have. Long suture. 48 inch 4-0 BB for proximal anastomosis. I put 4-5 stitches in, then bring down graft. Especially useful in deep holes. 1st year fellow doing end to end to beveled aorta

How to parachute. It’s really an important technique to learn. The most important things to have. Long suture. 48 inch 4-0 BB for proximal anastomosis. I put 4-5 stitches in, then bring down graft. Especially useful in deep holes. 1st year fellow doing end to end to beveled aorta

59,947 Aufrufe • vor 2 Jahren

Dependent rubor and elevation pallor. What’s the name of the test and what’s the diagnosis. Permission for video granted for education

Dependent rubor and elevation pallor. What’s the name of the test and what’s the diagnosis. Permission for video granted for education

59,187 Aufrufe • vor 2 Jahren

Demonstration of parachute technique for the carotid LSA bypass. Everything is clearly able to be seen. Half the anastomosis by the fellow in 1 minute. #AortaEd keep tension on everything graft and suture to clearly visualize the artery. No need to even grab it

Demonstration of parachute technique for the carotid LSA bypass. Everything is clearly able to be seen. Half the anastomosis by the fellow in 1 minute. #AortaEd keep tension on everything graft and suture to clearly visualize the artery. No need to even grab it

36,544 Aufrufe • vor 2 Jahren

Repair of arteriotomy of the aorta. Vessel loops around celiac and SMA. #AortaEd fellow witb good technique with reloading of needle as he pushes it through the aorta

Repair of arteriotomy of the aorta. Vessel loops around celiac and SMA. #AortaEd fellow witb good technique with reloading of needle as he pushes it through the aorta

31,021 Aufrufe • vor 2 Jahren

Steps I did. 1. I upsized my sheath from 22F to 26F 2. Used a long gore sheath (65 cm) 3. Plan was to snare the very proximal portion. 4. If snare didn’t work felt could grab with endoforceps 5. Wanted to get to groin to remove, but was able to completely bring into sheath

Steps I did. 1. I upsized my sheath from 22F to 26F 2. Used a long gore sheath (65 cm) 3. Plan was to snare the very proximal portion. 4. If snare didn’t work felt could grab with endoforceps 5. Wanted to get to groin to remove, but was able to completely bring into sheath

25,436 Aufrufe • vor 1 Jahr

4 vessel FEVAR. 2 years out. Left flank pain for 8 hours that persists. Slight increase of creatinine 1.4 from 1.2. Tried to capture pertinent info on CTA. Size of both kidneys measured on CT. Intervene or Leave alone? #AortaEd

4 vessel FEVAR. 2 years out. Left flank pain for 8 hours that persists. Slight increase of creatinine 1.4 from 1.2. Tried to capture pertinent info on CTA. Size of both kidneys measured on CT. Intervene or Leave alone? #AortaEd

23,108 Aufrufe • vor 1 Jahr

Can you identify the issues? There is no May Thurner

Can you identify the issues? There is no May Thurner

25,784 Aufrufe • vor 2 Jahren

Here you go Stephen M. Bracewell 👊🏾👍🏾BT Fisher Sr., MD and anyone else looking for this disease process. Claudication turned to acute ALI in a young person. Should honestly be in a text book

Here you go Stephen M. Bracewell 👊🏾👍🏾BT Fisher Sr., MD and anyone else looking for this disease process. Claudication turned to acute ALI in a young person. Should honestly be in a text book

28,119 Aufrufe • vor 2 Jahren

My most typical setup for perfusion and reconstruction during #TAAA repair. Distal aortic perfusion with 17 arterial cannula. 21 venous cannula placed under TEE into the SVC. Visceral cannulas with blood and renal cannulas with cold LR/mannitol/steroids. #AortaEd

My most typical setup for perfusion and reconstruction during #TAAA repair. Distal aortic perfusion with 17 arterial cannula. 21 venous cannula placed under TEE into the SVC. Visceral cannulas with blood and renal cannulas with cold LR/mannitol/steroids. #AortaEd

15,931 Aufrufe • vor 1 Jahr

An Aorta Some Dacron And a Touch of PTFE. #AortaEd #Redo #Surgery

An Aorta Some Dacron And a Touch of PTFE. #AortaEd #Redo #Surgery

14,666 Aufrufe • vor 2 Jahren

Aortic Surgery of the 21st century. #AortaEd

Aortic Surgery of the 21st century. #AortaEd

13,159 Aufrufe • vor 2 Jahren

Went back to college this weekend. Handed a Fender telecaster and an LAGUNITAS BREWING CO to play slide Jace Arko Sam Atallah, MD Eli EK MD Music 🎵 Medicine ⚕️ B. Bobby Chiong, MD Dan Brown leils ليلى Christian de Virgilio MD FACS Zach Arko Patrick Geraghty Aorta guy Necio Lizola MD 👊🏾👍🏾BT Fisher Sr., MD #ZachBryan

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Went back to college this weekend. Handed a Fender telecaster and an LAGUNITAS BREWING CO to play slide Jace Arko Sam Atallah, MD Eli EK MD Music 🎵 Medicine ⚕️ B. Bobby Chiong, MD Dan Brown leils ليلى Christian de Virgilio MD FACS Zach Arko Patrick Geraghty Aorta guy Necio Lizola MD 👊🏾👍🏾BT Fisher Sr., MD #ZachBryan

16,749 Aufrufe • vor 3 Jahren

These are a few of my favorite things. #AortaEd. How would you manage? Attempts at #ENDO failed (#cardiology) referred for Chronic Mesenteric Ischemia. #coronary #CTA clean. Recovered smoker(10 years). Early 60s. On maximum medical therapy.

These are a few of my favorite things. #AortaEd. How would you manage? Attempts at #ENDO failed (#cardiology) referred for Chronic Mesenteric Ischemia. #coronary #CTA clean. Recovered smoker(10 years). Early 60s. On maximum medical therapy.

12,975 Aufrufe • vor 2 Jahren

PTFE removed. Reoperative AFB to renal arteries. Bilateral profunda reconstructions with profunda endarterectomy. MCW Vascular and Endovascular Surgery Xavier Berard Adam W. Beck Gert Frahm-Jensen Christian de Virgilio MD FACS no more need to see the hematologist for the unknown hypercoagulable syndrome also known as #VBO

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PTFE removed. Reoperative AFB to renal arteries. Bilateral profunda reconstructions with profunda endarterectomy. MCW Vascular and Endovascular Surgery Xavier Berard Adam W. Beck Gert Frahm-Jensen Christian de Virgilio MD FACS no more need to see the hematologist for the unknown hypercoagulable syndrome also known as #VBO

10,882 Aufrufe • vor 3 Jahren

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