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Xavier Berard

@XavierBerardMD • 4,955 subscribers

Professor of Vascular Surgery, MD, PhD, FEBVS Bordeaux University Hospital, France

Shorts

Guess what is the aortic problem? It’s not an aortic aneurysm. Preop CTA attached in the thread. Yellow loop for ureters, blue for LRV, reds for left common iliac and Right external & internal iliac arteries. #aortaEd

Guess what is the aortic problem? It’s not an aortic aneurysm. Preop CTA attached in the thread. Yellow loop for ureters, blue for LRV, reds for left common iliac and Right external & internal iliac arteries. #aortaEd

75,640 просмотров

85 y.o active until recent admission. 1 year ago, had elsewhere for AAA EVAR with Right Chimney, then multiple 1a embolization months after. Last weeks abdominal pain, readmitted for fever. CTA shows massive gas collection inside 15 cm sac, duodenal fistula is suspected. #aortaEd

85 y.o active until recent admission. 1 year ago, had elsewhere for AAA EVAR with Right Chimney, then multiple 1a embolization months after. Last weeks abdominal pain, readmitted for fever. CTA shows massive gas collection inside 15 cm sac, duodenal fistula is suspected. #aortaEd

41,850 просмотров

Well, The BEVAR looks great but something went wrong below! Tertiary referral for a late seventies patient lost from follow-up after BEVAR in EVAR, dramatic evolution of infrarenal sac, suspected type 2 EL. EVAR 2014 (92mm), BEVAR 2019 (102mm), now AAA diameter is 170mm #aortaEd

Well, The BEVAR looks great but something went wrong below! Tertiary referral for a late seventies patient lost from follow-up after BEVAR in EVAR, dramatic evolution of infrarenal sac, suspected type 2 EL. EVAR 2014 (92mm), BEVAR 2019 (102mm), now AAA diameter is 170mm #aortaEd

23,982 просмотров

The sub diaphragmatic aorta totally exposed by left visceral rotation. #aortaEd Left kidney is fully mobilized to allow kidney up or down aortic endarterectomy. Aortic coral reef: Hypertension, Chronic Mesenteric Ischemia and CLI

The sub diaphragmatic aorta totally exposed by left visceral rotation. #aortaEd Left kidney is fully mobilized to allow kidney up or down aortic endarterectomy. Aortic coral reef: Hypertension, Chronic Mesenteric Ischemia and CLI

17,517 просмотров

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2 minutes edited video of SupraRenal aorta endarterectomy and ABI graft by 10th rib thoraco-miniphreno-laparotomy. preop CTA in the tweet quoted Discharged home POD8, asymptomatic with improved renal function. #aortaEd

2 minutes edited video of SupraRenal aorta endarterectomy and ABI graft by 10th rib thoraco-miniphreno-laparotomy. preop CTA in the tweet quoted Discharged home POD8, asymptomatic with improved renal function. #aortaEd

61,878 просмотров • 2 лет назад

Retro pancreatic route for antegrade aorto-SMA bypass for chronic mesenteric ischemia Bi subcostal minilap, proximal anastomosis on supra celiac aorta through lesser omentum, thin wall heparin bonded ePTFE ring graft #vascsurg

Retro pancreatic route for antegrade aorto-SMA bypass for chronic mesenteric ischemia Bi subcostal minilap, proximal anastomosis on supra celiac aorta through lesser omentum, thin wall heparin bonded ePTFE ring graft #vascsurg

51,129 просмотров • 2 лет назад

Mini Retroperitoneal approach for infrarenal AAA facilitated by a favorable anatomy.

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Mini Retroperitoneal approach for infrarenal AAA facilitated by a favorable anatomy.

53,146 просмотров • 3 лет назад

2 minutes edited video of duodenal fistula and infected Chimney EVAR. TP approach, explantation with 20mL syringe, in situ repair by antimicrobial graft with renal side branch. PreopCTA in the quoted tweet. #aortaEd

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2 minutes edited video of duodenal fistula and infected Chimney EVAR. TP approach, explantation with 20mL syringe, in situ repair by antimicrobial graft with renal side branch. PreopCTA in the quoted tweet. #aortaEd

35,568 просмотров • 2 лет назад

Today this 4fen infected FEVAR patient is discharged home, safe & fit. What a great birthday gift, thank you to my team (shoutout for anaesthesiology & infectiology dept.) for turning clinical nightmares into successful surgeries Thoracophreno laparotomy kidney up&down. #aortaEd

Today this 4fen infected FEVAR patient is discharged home, safe & fit. What a great birthday gift, thank you to my team (shoutout for anaesthesiology & infectiology dept.) for turning clinical nightmares into successful surgeries Thoracophreno laparotomy kidney up&down. #aortaEd

27,435 просмотров • 1 год назад

Type 2 endoleak : surgical treatment for a 17cm aneurysm (BEVAR in EVAR) Midline laparotomy, IMA and multiple lumbar arteries ligation, bacteriology from intraop samples was negative. Patient returned home POD5 Preop CTA in quoted tweet

Type 2 endoleak : surgical treatment for a 17cm aneurysm (BEVAR in EVAR) Midline laparotomy, IMA and multiple lumbar arteries ligation, bacteriology from intraop samples was negative. Patient returned home POD5 Preop CTA in quoted tweet

14,254 просмотров • 1 год назад

Removing off pump an infected 4fen (featuring a CT distal stentgraft false aneurysm) to end up with a 3 vessels repair thanks to the gastroduodenal artery. 3.5 months routine postop CTA, patient returned to work intraop pictures and preop full CTA in quoted tweets #aortaEd

Removing off pump an infected 4fen (featuring a CT distal stentgraft false aneurysm) to end up with a 3 vessels repair thanks to the gastroduodenal artery. 3.5 months routine postop CTA, patient returned to work intraop pictures and preop full CTA in quoted tweets #aortaEd

13,763 просмотров • 1 год назад

2 secondary (graft or stengraft) aorto-enteric fistula cases in 48 hours. We have reached a new milestone of 100 aorto-enteric fistula cases over a 18 years period. Interestingly a subgroup of some 20 primary (native aorta) cases in our series. 💪team work CHU de Bordeaux #aortaEd

2 secondary (graft or stengraft) aorto-enteric fistula cases in 48 hours. We have reached a new milestone of 100 aorto-enteric fistula cases over a 18 years period. Interestingly a subgroup of some 20 primary (native aorta) cases in our series. 💪team work CHU de Bordeaux #aortaEd

15,415 просмотров • 2 лет назад

Occluded SMA, occluded hypogastric arteries, post IMA aorto iliac occlusion up to profunda arteries. Bilateral CLTI with ulcers, chronic mesenteric ischemia. #aortaEd

Occluded SMA, occluded hypogastric arteries, post IMA aorto iliac occlusion up to profunda arteries. Bilateral CLTI with ulcers, chronic mesenteric ischemia. #aortaEd

12,254 просмотров • 1 год назад

MiniRetroperitoneal approach for aortobifemoral bypass. Mid fifties, Aorto-iliac thrombosis, rest pain, unemployed. Aorta endarterectomy, aortic end-to-end anastomosis. At 3 months walk 7 kms per day and found a new job. #aortaEd post with patient permission.

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MiniRetroperitoneal approach for aortobifemoral bypass. Mid fifties, Aorto-iliac thrombosis, rest pain, unemployed. Aorta endarterectomy, aortic end-to-end anastomosis. At 3 months walk 7 kms per day and found a new job. #aortaEd post with patient permission.

10,813 просмотров • 3 лет назад

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