KareteVijiTeja
New
Can anyone help me with this procedure ?
1) Right upper arm AV graft thromboembolectomy,
2) Angiogram,
3) DCB balloon angioplasty using 4 x 40 INPACT balloon
4) Stenting of the distal anastomosis using 7 x 40 Everflex stent,
Primary closure.
The patient was brought to the operating room identified. Under general endotracheal
anesthesia suitable monitoring lines were placed. Patient was prepped and draped in
standard sterile fashion a transverse incision was made over the right upper arm AV
graft the skin subcutaneous tissue was divided and a graft was isolated. Proximal distal
control was obtained. The transverse arteriotomy was made over the graft and using a 5
Fogarty catheter thromboembolectomy was done with excellent results. An angiogram
was done that showed a high- grade stenosis of the distal anastomosis using a 6 sheath
and a regular Glidewire the distal anastomotic stenosis was crossed and it was
complimented with a DCB balloon angioplasty using 4 x 40 INPACT balloon. Following
which I used Everflex 7 X 40 stent and this was complimented by a 7 x 60 balloon.
Completion angiogram showed excellent results. Following which antegrade
thromboembolectomy was carried out with excellent results. An angiogram was done
that showed an excellent flow and a patent proximal anastomosis. Following which the
arteriotomy of the graft was closed primarily and the flow was resumed. Complete
hemostasis was obtained. And the wound was closed in layers. The patient received
total of 7000 units of heparin for the procedure. Protamine was not given to reverse the
effects of the heparin. Following extubation the patient was transferred to the recovery
area with stable vitals and no complications.
1) Right upper arm AV graft thromboembolectomy,
2) Angiogram,
3) DCB balloon angioplasty using 4 x 40 INPACT balloon
4) Stenting of the distal anastomosis using 7 x 40 Everflex stent,
Primary closure.
The patient was brought to the operating room identified. Under general endotracheal
anesthesia suitable monitoring lines were placed. Patient was prepped and draped in
standard sterile fashion a transverse incision was made over the right upper arm AV
graft the skin subcutaneous tissue was divided and a graft was isolated. Proximal distal
control was obtained. The transverse arteriotomy was made over the graft and using a 5
Fogarty catheter thromboembolectomy was done with excellent results. An angiogram
was done that showed a high- grade stenosis of the distal anastomosis using a 6 sheath
and a regular Glidewire the distal anastomotic stenosis was crossed and it was
complimented with a DCB balloon angioplasty using 4 x 40 INPACT balloon. Following
which I used Everflex 7 X 40 stent and this was complimented by a 7 x 60 balloon.
Completion angiogram showed excellent results. Following which antegrade
thromboembolectomy was carried out with excellent results. An angiogram was done
that showed an excellent flow and a patent proximal anastomosis. Following which the
arteriotomy of the graft was closed primarily and the flow was resumed. Complete
hemostasis was obtained. And the wound was closed in layers. The patient received
total of 7000 units of heparin for the procedure. Protamine was not given to reverse the
effects of the heparin. Following extubation the patient was transferred to the recovery
area with stable vitals and no complications.