Cassra N. Arbabi MD
@AortophilicMD
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Cassra Arbabi,MD,FSVS,RPVI-Assistant Professor of Surgery,Division of Vascular Surgery @CedarsSinai . Regional Director of @AorticTrauma Foundation Tweets=My own
Los Angeles, CA
Joined May 2020
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Pinned Tweet
Throwback to my 1st day of
#vascularsurgery
#fellowship
...Open repair of an Extent 3 Thoracoabdominal aortic
#aneurysm
w L Heart bypass & distal aortic perfusion
#cardiacsurgery
#SoMe4Surgery
#AcademicTwitter
#MedEd
#MedTwitter
@DrAliAzizzadeh
@aamirshah_csmc
7
6
117
@kiswanson
@twittersecurity
needs to block this account for blatant spread of misinformation. This person is straight up telling lies, anyone who’s worked in an ICU knows patients on a vent are often awake and often write messages to communicate with physicians, nursing and family. SMH
10
51
741
Hey
#VascTwitter
a quick poll of the audience…when doing a
#CEA
, how do you get control and occlude the ICA, CCA and ECA? Vessel loops Potts technique or clamps? If clamps what kind for each vessel?
#VascularSurgery
@DrAliAzizzadeh
27
18
140
14yrs ago I quit my job as a mortgage broker & began my pursuit of happiness studying medicine. Today is my last day of
#vascularsurgery
#fellowship
I truly believe this is the best job in the 🌎 Thank you to
@CedarsSinai
@DrAliAzizzadeh
@VascSurgLA
@DonaldBaril
@NavyashGupta
20
3
131
86M w
#ruptured
10cm juxtarenal
#AAA
>permissive hypotension>ED to OR STAT>prep/drape/induce>laparotomy>supraceliac clamp>open AAA>move clamp distal>sew proximal/distal>close>get out of Dodge. major credit to
#Anesthesia
#SoMe4Surgery
#vascular
#MedEd
@DrAliAzizzadeh
@VascSurgLA
9
13
120
47M s/p resection of a large lower extremity venous
#aneurysm
...A nice example of
#whatsinside
(organized thrombus)
@FutureVascSurgn
#vascularsurgery
#MedTwitter
#MedEd
#AcademicTwitter
#SoMe4Surgery
@NavyashGupta
5
10
113
#CLTI
pt was told no other options and needed BKA…treated w BK pop to AT w rGSV, tunneled interosseous. Palpable DP in foot, TMA healed.
#limbsalvage
#vascular
#surgery
6
11
113
59M smoker w FHx of rupture AAA and enlarging 5.3cm juxtarenal
#AAA
treated with open repair using 30mm Gelweave tube graft.
#vascular
#surgery
#AcademicTwitter
#MedEd
#SoMe4Surgery
#casesduringcovid
@DrAliAzizzadeh
5
8
91
Young professional athlete (post w permission) w acute LUE edema. Dx w Paget-Schroetter Syndrome. Tx w paraclavicular
#TOS
decompression (1st rib rsxn, ant/mid scalenectomy, br plexus neurolysis), endovenectomy, GSV patch venoplasty.
#vasctwitter
@DanielMilesMD
@DrAliAzizzadeh
7
10
76
Acute limb ischemia w popliteal/TPT occlusion after
#TEVAR
, look what came out w the Fogarty😳. I’ll give you a clue, its not a huge piece intima from the leg. Anyone seen this before? Credit to our fellow
@DonnaBahroloomi
for fishing it out 💪🏻
@FutureVascSurgn
#vascular
#surgery
14
5
71
Fractured stent inside saphenous vein bypass now floating in a 6cm pseudo. Im thinking its not the best idea to place a large metal object inside a delicate vein conduit🤔Pt told me she had all this work done because her legs got tired after walking 3 miles
#firstdonoharm
#MedEd
8
6
72
Young woman w non vascular EDS, aberrant RSCAA & large Kommerell’s diverticulum w dysphagia lusoria.Tx w staged LSCA-CCA transposition followed by
#TEVAR
& RSCA-CCA transposition.
#vascular
#surgery
#MedTwitter
#AcademicTwitter
#MedEd
@DrAliAzizzadeh
@dgmiles
@CedarsSinai
7
9
69
25M w post prandial abd pain,wt loss,& CT evidence of
#MALS
. Dx confirmed w celiac plex blk(temp relief of symptoms)Tx w open median arcuate lig release,truly the best way to release every fiber,stay right on the aorta. Symptoms gone!
#VascTwitter
@SallySchonefeld
@NavyashGupta
3
10
69
68M w severe aortoiliac occlusive disease. tx w aortobifem (end2end). Note on 3D recon, both legs perfused via Winslow pathway (IMA>sup epigastric>inf epigastric>Ext iliac).
#vascularsurgery
#MedTwitter
#SoMe4Surgery
#MedEd
#vascTwitter
#surgery
@DrAliAzizzadeh
@DanielMilesMD
3
6
68
Finally, all settled in to my new office! If you squint really hard, you can see the
#Hollywood
sign in the distance 👀
@CedarsSinai
@VascularSurgCS
#Vascular
#Surgery
10
1
65
53M p/w
#MRSA
MV endocarditis,CVA & acute limb ischemia 2/2 septic emboli. Diagnosed and taken to OR based on physical exam. One of the largest (intact) clots I’ve seen,nearly 3ft! Note the large cardiac vegetations on the left
#Vascular
#surgery
#MedTwitter
@SallySchonefeld
2
6
63
Young male, stab wound to R neck (Zone 2) with hard signs of vascular injury. Thru n thru the distal CCA, repaired with interposition vein bypass using ipsilateral internal jugular. Neuro intact postop. Great case!
#trauma
#vascular
#surgery
#casesduringCOVID
@aamirshah_csmc
7
13
62
@kipsDS2010
There’s no such thing as “cardiac clearance” for any case, emergent or elective. What we are asking for is cardiac “risk stratification” and we as surgeons make the decision along with the patient/family to proceed with whatever intervention based on the overall risk/benefit
6
2
60
Right Carotid-Subclavian bypass
#vascular
#surgery
#MedEd
#MedStudentTwitter
#SoMe4Surgery
#MedTwitter
@VascSurgLA
1
3
60
40F w venous
#TOS
also known as Paget-Schroetter Syndrome or effort thrombosis tx with paraclavicular 1st rib resection, ant/mid scalene, brachial plexus neurolysis
#AcademicTwitter
@selfadvocat
#vascularsurgery
@DrAliAzizzadeh
5
2
59
Octogenarian F w5.4 cm
#AAA
, unfavorable anatomy for Endo repair, multiple abdominal operations, good operative risk, treated w open retroperitoneal repair using Dacron tube graft. DCd POD7 doing well…
#aortaed
#MedStudentTwitter
@FutureVascSurgn
@LiliSadri
@NavyashGupta
1
4
58
Octogenarian w chronic mesenteric ischemia p/w post prandial abd pain,food fear,wt loss->tx w SMA balloon expandable stent graft. Symptoms resolved by next meal. One of the most gratifying&life changing operations IMO
#LoveMyJob
#vascular
#surgery
#MedStudentTwitter
@LiliSadri
5
7
55
58F w dizziness,LUE weakness,pain/cyanosis of L 5th digit.non palp L rad,BP gradient 40mmHg.Dx made w H&P,confirm wCTA=Subclavian steal w hand ischemia. Tx w L brachial cutdown,cross&
#stent
wVBX
#vascular
#surgery
#endovascular
#MedTwitter
#MedEd
#MedStudentTwitter
@NavyashGupta
3
9
54
@primal_body
@BradleyMartyn
This is the problem with social media. This is not new news. Its a fairly common thing been happening forever. Hypertrophic obstructive cardiomyopathy. A genetic condition, young athletes “drop dead” during practice. It’s due to a heart arrhythmia. Bronny thankfully survived
2
7
53
63F w DM, CAD, & LE gangrene, failed multiple endo interventions. Treated w above knee pop to AT bypass w contralateral rGSV (endoscopic harvest), interosseous tunnel. Time to start healing!
#limbsalvage
#Vascular
#surgery
#AcademicTwitter
#MedTwitter
#MedEd
@DanielMilesMD
1
3
52
75F w severe symptomatic LICA stenosis tx w CEA & patch angioplasty. One of the most elegant & satisfying operations in
#vascular
#surgery
. Here’s a nice example of an ulcerated soft plaque
#MedEd
#SoMe4Surgery
#MedTwitter
#casesduringCOVID
#AcademicTwitter
@DrAliAzizzadeh
3
8
49
(Throwback)Mycotic SMA
#pseudoaneurysm
in a young patient with bacterial endocarditis, initially treated with coil embolization and subsequent open resection and reconstruction
#vascular
#surgery
#MedStudentTwitter
#MedEd
#SoMe4Surgery
#medtwitter
#AcademicSurgery
@DrAliAzizzadeh
3
6
49
60M w
#CLTI
was told he had non salvageable foot. Excellent combined effort w
#vascular
and
#podiatry
, pt is now back on his feet. This is exactly why we do what we do…
@VascularSurgCS
@SallySchonefeld
@LiliSadri
@FutureVascSurgn
#MedTwitter
#surgery
#MedStudentTwitter
4
6
46
34F p/w RUE ALI. CXR wBL cervical ribs
#IRAD
angio showed RSCA aneurysm&brach a occlusion>tx w lysis >good response>sp R paraclavicular TOS decomp w rsxn of RSCA aneurysm,rGSV interposition bypass
#vascular
#surgery
#medtwitter
#vasctwitter
#MedEd
@DrAliAzizzadeh
@DanielMilesMD
7
4
47
Trauma, dragged by a car several blocks w arm stuck in the window. P/w cold pulseless LUE 2/2 transection of L axillary artery, severe motor deficits (BP injury), tx w emergent placement of stent graft via brachial artery cut down
#trauma
#surgery
#vasctwitter
#MedTwitter
#MedEd
6
5
46
55F w acute abd pain radiating to back, WBC 15k. CTA with classic
#mycotic
DTAA…Tx w
#TEVAR
for temporizing w plans for definitive open repair.
#AortaEd
#vasctwitter
#AcademicTwitter
#MedTwitter
@DrAliAzizzadeh
3
3
44
Small AAA and L CIAA and 4+cm R CIAA, anatomy not suitable for IBE. Treated w good old fashioned coil and cover using
@penumbrainc
coils and
@WLGore
Excluder limb. Pt doing great in fu no symptoms whatsoever and no bridges burned for future repair. WWYD?
#vasctwitter
#MedEd
6
1
45
63M p/w fever,abd pain,air on CT. Intraop aortoduo fistula w pus in sac->SupraCeliac clamp,
#EVAR
explant,debride,Rifampin soaked Dacron,duo repair,omental flap,JP.Extubated in OR &off pressors thx to Anes
@MSharifpourMD
#aortaEd
#vasctwitter
#meded
@SallySchonefeld
@NavyashGupta
1
9
43
Symptomatic carotid (vision loss), CTA & Duplex read as occluded ICA (axial cuts w possible tiny channel of flow)->confirmatory angio with string sign and slow antegrade filling of ICA. Taken for CEA->ruptured ulcerated plaque removed. Pt did very well.
#vascular
@LiliSadri
7
3
42
No hook, no problem…10 years in the belly, it’s time to
#GTFO
(Get the filter out 😜)
@DonnaBahroloomi
#FilterOutFriday
0
2
41
85F wHTN,CAD/MI, high grade carotid stenosis (Ratio >6), severely calcified focal lesion. Treated w
#Shockwave
IVL and
#TCAR
w excellent results. Our small series has shown very promising outcomes, more to come.
#MedTwitter
#MedEd
#vasctwitter
#VascularSurgery
@SallySchonefeld
9
7
42
78F w R Carotid Body Tumor, Shamblin 2 s/p open resection. Great outcome,DC on POD
#1
.
#vascular
#surgery
#vasculartwitter
#MedEd
#medtwitter
@VascSurgLA
3
2
41
Im honored to be a part of The
@AorticTrauma
Foundation,& so excited to continue contributing to our mission! If youre on the west coast and would like to join the cause,DM and we can discuss how your institution can start enrolling in our international multicenter
#BTAI
registry
Congratulations to Dr Cassra Arbabi
@AortophilicMD
on becoming Regional Director of The Aortic Trauma Foundation
@AorticTrauma
Pacific Region!
1
1
50
0
3
37
71F w 2.5cm L renal artery aneurysm,saccular w wide neck and tortuous vessel...tx w coil embolization & self expanding stent graft. Excellent outcome from an
#endovascular
approach
#vascular
#surgery
#medtwitter
#MedEd
#SoMe4Surgery
@DrAliAzizzadeh
@DonaldBaril
@DanielMilesMD
2
5
39
Physical exam is always king…hey
@FutureVascSurgn
what’s the diagnosis here? What’s the next step in the work up?
#vascular
#surgery
#vasctwitter
#MedStudentTwitter
13
5
36
55M w cirrhosis, had Type A repair (root/ascending) years ago at OSH. Now presenting w chest/back pain and this CT. What would you do?
#vasctwitter
#aortaed
#MedEd
9
1
34
Congratulations to Dr Lili Sadri on another great presentation discussing the stepwise approach to TCAR in pts w tracheostomy at the Southern California Vascular Surgical Society.
#SCVSS2023
@VascularSocal
@VascularSurgCS
@SmidtHeart
@DeptSurgeryCS
@CedarsSinai
@LiliSadri
1
5
35
Hadn’t seen one of these in a while…
#covid
thrombectomy for cold arm, thrombosed brach/rad/ulnar arteries. Cut down on bifurcation, Fogarty up/down, flow restored.
#vascular
#surgery
@SallySchonefeld
@LiliSadri
3
0
37
Honored to be selected as one of the
#Superdoctors
Southern California Rising Stars Edition 2023 👨🏻⚕️🩺 Its a privilege and a pleasure taking care of patients with
#vascular
disease and I want to thank
@CedarsSinai
and
@VascularSurgCS
for the opportunity to do so 🙏🏻
2
2
37
Climbing the ranks! I am truly honored to be a part of the
@CedarsSinai
team, now recognized as the
@usnews
#2
Best Hospitals Honor Roll!
@VascularSurgCS
@DeptSurgeryCS
2
1
35
Just when I thought I was out…they pull me back in! Redo redo redo L fem-BK pop bypass, jumping off combined hood of previous Aortobifem+old Fem-AK pop bypass, tunneled anatomic.Great case for
@FutureVascSurgn
@LiliSadri
@SallySchonefeld
#VascTwitter
#MedTwitter
#surgery
#MedEd
0
4
34
Young pt w dysphagia lusoria. Can you name all the aberrant
#vascular
anatomy? What’s your treatment plan?
#vasctwitter
#MedStudentTwitter
@FutureVascSurgn
@DrAliAzizzadeh
2
6
35
68Msp Aortic rt rplcmnt,c/b mycotic RSCA pseudoaneurysm @ cannula site,tx w stent graft x2 &pec flap(OSH)->TF to
@CedarsSinai
4 chr stent infxn (GNR)>tx w explnt of RSCA stent graft + RSCA-Ax bypass w fem vein
#Vascular
#surgery
#MedTwitter
#MedEd
@DrAliAzizzadeh
@aamirshah_csmc
2
7
34
(Throwback)49F w
#MarfanSyndrome
BMI 45,Hx of Aortic root replacement,open
#AAA
, pw symptomatic 6.8cm extent 3
#TAAA
tx w 4 branch Coselli graft, CPB w distal aortic perfusion
#vascularsurgery
#cardiacsurgery
#medtwitter
#MedEd
#casesduringCOVID
@DrAliAzizzadeh
@aamirshah_csmc
0
5
34
Thx to all who have contributed to the
#AorticTraumaFoundation
Global Registry on
#BTAI
❤️W/your help we continue to advance our research&improve the mgmt&outcomes of these pts. Excited to share this data!
#ThinkAorta
#Trauma
@AorticTrauma
@VascularSVS
👉🏻
2
7
33
When ultrasound guided thrombin injection goes wrong.😳Curious to hear from
#irad
and
#vasctwitter
, what’s your approach to treatment of femoral pseudoaneurysms?When is it safe to proceed w thrombin injections and when do you proceed w
#surgery
?
@FutureVascSurgn
@NavyashGupta
9
2
31
ESRD on HD via RUE AVG…Severe central (Innominate vein) stenosis tx w DCB,recurrent stenosis the short term. I never like to leave a stent but in this case was necessary&worked very well.
@FutureVascSurgn
note the difference of collaterals pre/post tx
#vasctwitter
#irad
#MedEd
5
2
30
Ulcerated
#carotid
plaque with intraluminal thrombus. 50% lesion on duplex and CTA. Symptomatic,sent home 2x from OSH after TIA. Seen in clinic and booked right away for CEA. % of stenosis is not the only important finding, eval plaque morphology as well.
#callvascular
#MedEd
3
0
28
58M w bad DM,
#CLTI
(toe ulcers x 6mo) failed multiple endo interventions.Tx w Pop-PT rGSV bypass.Wound still not healing. Repeat angio 2mo later w very poor outflow/small vessel dz, including chr occluded AT/DP. Able to PTA PT/plantar& recan AT/DP. Cant get much better than this
2
2
28
#MotivationMonday
🙌🏻 85Mw/severe CHF p/w symptomatic severe carotid stenosis. High bifurcation/severely calcified. Treated w
#Shockwave
IVL and
#TCAR
w great result! 1 month post op Duplex w no stenosis normal velocity
#vasctwitter
#VascularSurgery
@DanielMilesMD
@DrAliAzizzadeh
3
3
28
85M with Hx of DVT/PE, s/p bilateral IVC filters for duplicate IVC. Now s/p bilateral IVC filter retrieval via RIJ approach.
#filterout
#vascular
#endovascular
#surgery
#MedTwitter
@DrAliAzizzadeh
@DonaldBaril
2
3
29
(Throwback) 65 active F, former smoker w 7cm juxtarenal
#AAA
treated w open repair 16mm Dacron tube graft. Extubated in OR, no transfusions, 1 night in ICU. Good patient selection can lead to great outcomes!
#vascular
#surgery
#SoMe4Surgery
#MedEd
#AcademicTwitter
@NavyashGupta
2
3
26
87M w recurrent high grade stenosis of RICA, 14 months after R CEA (OSH)...a perfect indication for TCAR. Patient did well, excellent results!
#vascularsurgery
#vasctwitter
#MedTwitter
#MedEd
#withandwithoutascalpel
#SoMe4Surgery
@DrAliAzizzadeh
@DanielMilesMD
@CedarsSinai
1
3
28
Coronary DES in the AT for CLTI…opinions on this? Attempted POBA but lesion wouldn’t budge…Octogenarian w gangrenous toes, no vein
#vasctwitter
10
3
29
Hot off the press!A big thanks again to all the collaborators in The
#AorticTraumaFoundation
!W your help we continue to publish our research on
#BTAI
,including this paper on outcomes of
#TEVAR
in pts w concomitant
#TBI
+
#BTAI
@AorticTrauma
@VascularSVS
👉🏻
1
3
27
69M w complicated TypeB Dissection wRLE malperfusion &retrograde extension of IMH to ascending.Preop CSF drain.Single access R fem,IVUS confirmation of TL,Tx wZone 3-5 TEVAR, R Ex iliac stent on the way out
#vascular
#surgery
#MedTwitter
#SoMe4Surgery
@DrAliAzizzadeh
@DonaldBaril
0
4
26
So excited
@SallySchonefeld
is joining the team! She is absolutely amazing and we are so lucky to keep her 💪🏻
Congratulations to Dr
@SallySchonefeld
on completing vascular surgery fellowship
@CedarsSinai
! We are so honored & excited that she will be joining us as the newest member of our growing faculty!
@DrAliAzizzadeh
@DonaldBaril
@AortophilicMD
@NavyashGupta
@LizChou
@jackgiraffe1
2
8
55
0
0
24
Endovascular treatment of a popliteal artery aneurysm. In a patient with no vein, and 3v runoff, what’s the better approach…endo with viabahn or exclusion and bypass w PTFE?
#vascular
#surgery
@LiliSadri
5
4
21
63M w Hx of
#EVAR
, p/w rupture
#AAA
secondary to (AneuRx) L iliac component separation. Bridged and relined with iliac limb followed by PTA w good result, confirmed w
#IVUS
D/C on POD2
#Vascular
#Surgery
#MedTwitter
#MeEd
#AortaEd
@FutureVascSurgn
@DrAliAzizzadeh
@DonaldBaril
1
2
25
Young F w BMI >60, Mitral valve endocarditis embolized to left common femoral bifurcation. Note the difference between thrombus and valvular vegetations. Also good reason why open 🔪 is the only way to get this out
#vascular
#surgery
#SoMe4Surgery
@LiliSadri
@FutureVascSurgn
3
2
23
Thoracic aortic PAU treated w TEVAR.
#vascTwitter
what’s your criteria for repair in an asymptomatic patient? Size? Growth rate? Ugliness factor?
#thinkAorta
#AortaEd
1
2
21
Acute IVC/BL iliofem
#DVT
. Has non retrievable IVCF for 30+ yrs. Not on AC. Treated w both flowtriever+clottriever, followed by kissing stents, massive clot burden removed. Doing well several months post op. Tiny chronic residual clot in IVCF, now on AC.
#vascular
@kevinsealsmd
0
1
22
@CaitlinWHicks
@nytimes
@VascularSVS
@JudithLin4
Non medical friend texted me this today…agree there is rampant spread of unnecessary/ harmful tx of PAD.Although from this article sounds like this pt had“festering wounds”which sounds like CLTI and weve all had that pt that required multiple interventions & still ended up w amp
3
0
24
60M wESRD s/p R pelvic DDKT, prev IR
#AAA
sp EVAR w AUI and Ext IV TAAA. Tx w CHEVAR, Celiac/SMA parallel stent grafts via 8mm L ax conduit
#vascularsurgery
#aortaed
#MedTwitter
#SoMe4Surgery
#MedEd
#vasctwitter
@DrAliAzizzadeh
@DonaldBaril
@DanielMilesMD
2
3
22
Excellent paper, should be referenced/ followed by anyone who diagnoses/treats pts w PAD….this isnt “see lesion, treat lesion” this is “see patient, thoroughly assess clinical problem, treat patient accordingly making sure benefits outweigh risks”
Appropriateness of Care: the term refers to doing the right procedure in the right patient at the right time and is a timely
#PAD
topic
2
33
106
2
0
23
In goes
#VenoValve
#38
for the
#SAVVE
pivotal study,
#3
@CedarsSinai
So honored to be a part of this potentially life changing procedure! 64M wCVI CEAP 4c,doing well,Sx improving,🚫reflux on post op duplex
#vasctwitter
@enVVenoMedical
@VascularSurgCS
@SallySchonefeld
@NavyashGupta
0
3
21
✅out the new TEVAR mortality risk calculator on QxCalc. So honored to be a part of this special project! Amazing job
@INaazie
(A Superstar and top candidate
@FutureVascSurgn
) & team!
@DrAliAzizzadeh
@malas_mahmoud
@JaideepDasGupt3
@DevinZarkowsky
@JVascSurg
@VascularSVS
#VAM21
0
1
22
Wanted to share a pretty incredible story. 87F seen as consult for thrombosed LEIA, CFA/PFA/SFA/L>RFem-fem bypass. Impressive CT scan. Initially treated w heparin. And next day pain resolved. up walking by day 2 w/o claudication, DC on day 3 on Eliquis. Elected to forgo surgery..
1
3
22
81M w 4cm R CIA
#aneurysm
& small
#AAA
,Tx w R hypogastric coil embolization &
#EVAR
...challenging narrow distal aorta but great result! What’s going on with that balloon in the 4th pic?
#IVUS
confirmed no compression...
#vascular
#surgery
#MedTwitter
#SoMe4Surgery
@DrAliAzizzadeh
2
3
22
What’s going on here? Diagnosis? Possible symptoms? How would you proceed?
#vascularsurgery
#MedTwitter
#MedStudentTwitter
#medschooltwitter
#surgery
#meded
@DrAliAzizzadeh
3
2
21
@scotter
I was a general surgery resident not too long ago...I always treated everyone (students, residents, nurses, etc) with kindness and respect. Most of my fellow residents were similar. Yes there are some bad apples out there, but the culture has changed a lot...don’t generalize plz
2
0
20
@Priceman33
@docpark
😂 Dying field? U must be confusing us with someone else. Where are you getting your info? Probably one of the most needed specialties in the health care system.
0
3
20
Dr Ronald Dalman
@stanfordvasc
giving his SVS Presidential Address at
@VascularSVS
#VAM21
Incredible lifetime achievements and contributions to our field. Inspiration for myself and many young vascular surgeons 👏🏻
#Vascular
#surgery
#AcademicTwitter
0
0
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Hey
#vasctwitter
, when doing a femoral endarterectomy and ipsilateral iliac stent, which do you do first? (More details/comments on your approach welcomed)
#vascular
#surgery
Endart first then stent
248
Stent first then endart
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Anyone seen pressors have this profound an effect? 88yo in ICU on 2 max pressors,w acute pop occl,no flow below the knee.This is completion angio after Penumbra. I was convinced everything was trashed & leg was toast.After pressors weaned,foot turned pink& now normal exam.
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ECMO pt w hemorrhagic shock, bleeding fr SFA. BMI 40, post OHT on immunosuppression. Severely edematous LE. Had existing 8F sheath in the contralateral groin (IABP). High risk for wound complications w open, perfect set up for endo intervention.
#vasctwitter
#surgery
#MedEd
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Young M pt presented w large RP and mediastinal tumor w invasion into spine and thoracic aorta->contained rupture->
#TEVAR
as temporizing life saving measure.
@SallySchonefeld
#MedTwitter
#MedStudentTwitter
#aortaed
#vascular
#surgery
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Hey
#vasctwitter
, how would you treat this focal SFA lesion (symptomatic pt w disabling claudication,post 6 mo conservative therapy) POBA?Atherectomy? DCB? Stent?
@LiliSadri
@SallySchonefeld
@FutureVascSurgn
#vascular
#surgery
#MedEd
#medtwitter
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Proud to be a part of
@DeptSurgeryCS
@CedarsSinai
and very privileged to be trained by
@DrAliAzizzadeh
@VascSurgLA
@NavyashGupta
#vascularsurgery
#fellowship
#MedTwitter
#MedEd
#SoMe4Surgery
The spotlight🌟 is on our
#VascularSurgery
program! Under
@DrAliAzizzadeh
leadership, the program has been recognized for innovative treatments, research and education. Check out our Dept of
#Surgery
#sutures
2020 spring edition here 👉🏻
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88F p/wCVA wR hemiparesis.CTA showing ~99% stenosis.Tx w L CEA w patch angioplasty,intraop EEG. One of the most elegant operations IMO!How do you do your CEAs?Patch v Eversion?Routine v Selective Shunt?EEG v awake v TCD?
#vasctwitter
#vascular
#surgery
@DonaldBaril
@DanielMilesMD
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F/u on the previous case...started w shockwave lithoplasty w 7mm balloon BL CIA/EIA, followed by zone 3-5 TEVAR up the L side to treat the 5.7cm DTAA.Will continue to monitor the arch and IR AAA
#vascular
#cardiac
#endovascular
#MedEd
#vasctwitter
@DrAliAzizzadeh
@aamirshah_csmc
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@MujeebZubair
Don’t forget 3,979 vascular surgery educational YouTube videos…congratulations Mujeeb! One of the most competitive fellowships and what an amazing career so far! You will shine bright my friend 😊
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(Throwback) 58M w chronic mesenteric ischemia & L CIA stent occlusion,malnutrition+weight loss+disabling claudication. S/P failed attempt SMA stent. Tx w aorto-L EIA bypass w 14x7mm Dacron,Retrograde jump graft to SMA w 6mm ePTFE
#vascularsurgery
#casesduringCOVID
@NavyashGupta
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I would draft my mentor and now boss
@DrAliAzizzadeh
to lead the open team and
@GustavoOderich
to lead the endo team…
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@NishithChandra
@Hragy
@mmamas1973
@ShariqShamimMD
@PCRonline
@dr_benoy_n_shah
@CMichaelGibson
@AbhasKhurana24
@purviparwani
@mirvatalasnag
Love how all the surgeons on this thread recommend no surgery, I totally agree…medical management with AC. Not all lesions warrant treatment, no data to support going after this thrombus. I would however do a thorough embolic work up, TEE,CTA chest/abd/pelvis if not already done
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