Dr RAMON VARCOE Sydney, Australia Endovascular vs. Open Surgery ! - PowerPoint PPT Presentation

Dr RAMON VARCOE Sydney, Australia

Endovascular vs. Open Surgery ≈ ! Varcoe RL. J Cardiovasc Surg 2012;53:313-23

TASC A, B & C A B C

GENTLE PRE-DILATATION

RISK OF RUPTURE HIGHEST IN: 1. Small EIA 2. Ca+++ 3. LOL

TASC D

SUB-INTIMAL WIRE PASSAGE IS COMMON…

ANTEGRADE OPTION 1

ANTEGRADE OPTION 1

ANTEGRADE OPTION 1

ANTEGRADE OPTION 2

ANTEGRADE OPTION 2

OR

DOUBLE-BARRELL SELF – EXPANDING STENTS 1. Long 2. Flexible 3. Forgiving for sizing 4. Remodelling

Double Barrel

TASC C&D COBEST Trial: Mwipatayi B.P. etal . J Vasc Surg 2011;54:1561-70

CERAB

CERAB Technique Dr P. Goverde

1. EVT has become the first option for Aorto-iliac disease 2. Driven by technology and technique; combined with high morbidity of open surgery 3. Durability of TASC C&D lesions require further evaluation