Medtronic Endurant II stent graft deployment for a 5.5cm Abdominal Aortic Aneurysm. Performed by Dr. Rob Williams on a 3D systems endovascular simulator
I am a general surgery resident in university of Gonder ,Ethiopia. I never understood about endograft bc of u now clear. i would appreciate if you come Ethiopia and start journey of opening the surgeons eye.
Had open surgery for this is 2017. Now I have to have it done again. This time, this procedure is being done.....that's if it doesn't keep getting postponed due to covid.
Having just been diagnosed with a 69 mm large intrarenal abdominal aortic aneurysm and am wondering what to expect if my consultant says I can opt for an EVAR procedure. For those that have had this procedure, how long did it take until you were fully recovered?
but he didnt do the sealing at the tip of the graft. did he? How the graft seals in its place? that is also necessary to prevent endoleaks if I understand correctly. please tell me if I am missing something.
They will usually use a biocompatible glue or use coils to 'block' the collateral vessels that are feeding your aneurysm sac. Usually its either lumbar arteries (most common) or possible an Inferior Mesenteric Artery backfeeding. Hope you got it handled since this is from months ago!
@@KR-fb1xp No I haven't had it repaired yet, the surgent want to see me in a year. Which will be in October, to see if the leak is still there. I am going insane waiting waiting for them to get around to seeing me
Go see a vascular surgeon. They will give you various options, most common is either open surgical repair or endovascular. Younger patients usually get open repairs because they are more durable, it's a longer hospital stay but normally good long term. Older patients usually get endovascular. Sometimes its neither and you get medical management (blood thinners, things to manage the plaque in your arteries, and just general advice) without any other treatment. Your doctor will decide.
@@KR-fb1xp @S F Infact we encountered with five unknown mysteries there . 1. Why did he reject the most safe advice of his own another cardiologist who recommended the stent grafting of Abdominal Aerotic Aneurysm then and Bypass a month later ? 2. why did he recommend the most fatal double open surgeries of abdominal aortic aneurysm and Bypass together with lots of high promises without discussing any word of risk ?? 3.Why didn't he mention the fatal recommendations in his prescription??? 4. Why did you call me alone to tell me about only 20 percent risk when payment was already made, signatures and blood almost arranged just a few hours before Operations leaving a very little options to come out of the hospital at that critical moment ??? 5. On the day of operation his assistant told me that operation was successful, but just next morning he told that yet another operation Cholestomy will have to be done as my father had gangrene in the intestine. But in their own multiple test reports there was no trace of gangrene . During 22 days in the ventilation two other operations totalling 5 were done besides blood infection and septicemia. Sir, yes we had one fault that my innocent father trusted him more than the previous doctor who was guiding us in correct and safe directions. I think no surgeon on earth will recommend the double open surgeries of abdominal aortic aneurysm and Bypass without discussing its complications. Please respond, if possible.
You will be shocked to know how the so called highest ranking cardiologist of India cheated my father . He did the double open surgeries of abdominal aortic aneurysm and bypass together without discussing the risk factors . The result was tragic death . My father had regarded him God, but he came to know on the death bed that the cardiologist is more insensibe than a butcher. For his wrong decisions he also did Cholestomy, tracheostomy and thoracentesis and then happened blood infection and sepsis . Is it not the blatant case of medical negligence ??
@@Putz9 Infact we encountered with five unknown mysteries there . 1. Why did he reject the most safe advice of his own another cardiologist who recommended the stent grafting of Abdominal Aerotic Aneurysm then and Bypass a month later ? 2. why did he recommend the most fatal double open surgeries of abdominal aortic aneurysm and Bypass together with lots of high promises without discussing any word of risk ?? 3.Why didn't he mention the fatal recommendations in his prescription??? 4. Why did you call me alone to tell me about only 20 percent risk when payment was already made, signatures and blood almost arranged just a few hours before Operations leaving a very little options to come out of the hospital at that critical moment ??? 5. On the day of operation his assistant told me that operation was successful, but just next morning he told that yet another operation Cholestomy will have to be done as my father had gangrene in the intestine. But in their own multiple test reports there was no trace of gangrene . During 22 days in the ventilation two other operations totalling 5 were done besides blood infection and septicemia. Sir, yes we had one fault that my innocent father trusted him more than the previous doctor who was guiding us in correct and safe directions. I think no surgeon on earth will recommend the double open surgeries of abdominal aortic aneurysm and Bypass without discussing its complications. Please respond, if possible.
Well, I have had an EVAR 15 months ago and seeing this, I must give my Doctor a great thank you. Well done!!!
Excellent discussions and explanations on the topics. Thanks.
Had EVAR 2019, at Duke, no problems
Thank you. Nice 3D simulator
I’m having this procedure done a week and day after my 54 birthday.
Very helpful , thank you so much.
Thank You. I have an EVAR scheduled on 9 Sept '19. This gives insight into the procedure. :-)
if you please tell me how to register
very nice presentation, thanks
Awesome 👍👍👍
I am a general surgery resident in university of Gonder ,Ethiopia. I never understood about endograft bc of u now clear. i would appreciate if you come Ethiopia and start journey of opening the surgeons eye.
Thanks!!
Thank you 🙏
Very interesting thanks a lot.
❤fantastic keep on❤
Very nice.
Had open surgery for this is 2017. Now I have to have it done again. This time, this procedure is being done.....that's if it doesn't keep getting postponed due to covid.
Having just been diagnosed with a 69 mm large intrarenal abdominal aortic aneurysm and am wondering what to expect if my consultant says I can opt for an EVAR procedure. For those that have had this procedure, how long did it take until you were fully recovered?
I did this procedure 6 months ago. Now I see how it works..
Hrs
Nice
but he didnt do the sealing at the tip of the graft. did he? How the graft seals in its place? that is also necessary to prevent endoleaks if I understand correctly. please tell me if I am missing something.
Is lower back pain after evar or chevar normal? 1 week post op and the pain is almost unbearable without painkillers.. is it normal?
what is the French size of the Main Body delivery system? Outer Diameter please.
I had this done two years ago. Now I have a type 2 endoleak
Are you ok now? I’m 29 years old and unfortunately I may get AAA. How was a type 2 endoleak? Do you need to get repair again?
They will usually use a biocompatible glue or use coils to 'block' the collateral vessels that are feeding your aneurysm sac. Usually its either lumbar arteries (most common) or possible an Inferior Mesenteric Artery backfeeding. Hope you got it handled since this is from months ago!
@@KR-fb1xp No I haven't had it repaired yet, the surgent want to see me in a year. Which will be in October, to see if the leak is still there. I am going insane waiting waiting for them to get around to seeing me
I am still waiting
No I haven't had the leak repaired yet, the surgeon want to see me in October, which seems to be a long wait. I hope that I am still around then
Just have a question why are gloves not worn? I had a5.3 done 6 weeks ago cool to see how this is done thanks
you are a fool
@raymond rogers...because he is not in the actual operation theater. That's just the simulator. :)
ass
Amazing video! Would you give me permission to I use it in my Medicine Classes? Obviously, I will mention your deserved credits.
Hoo eostradinario
I.d.k what 2 do. I have abdominal aorta anuerism and aortoiliac atherosclerotic disease also. What is my options??
Go see a vascular surgeon. They will give you various options, most common is either open surgical repair or endovascular. Younger patients usually get open repairs because they are more durable, it's a longer hospital stay but normally good long term. Older patients usually get endovascular. Sometimes its neither and you get medical management (blood thinners, things to manage the plaque in your arteries, and just general advice) without any other treatment. Your doctor will decide.
@@KR-fb1xp @S F
Infact we encountered with five unknown mysteries there .
1. Why did he reject the most safe advice of his own another cardiologist who recommended the stent grafting of Abdominal Aerotic Aneurysm then and Bypass a month later ?
2. why did he recommend the most fatal double open surgeries of abdominal aortic aneurysm and Bypass together with lots of high promises without discussing any word of risk ??
3.Why didn't he mention the fatal recommendations in his prescription???
4. Why did you call me alone to tell me about only 20 percent risk when payment was already made, signatures and blood almost arranged just a few hours before Operations leaving a very little options to come out of the hospital at that critical moment ???
5. On the day of operation his assistant told me that operation was successful, but just next morning he told that yet another operation Cholestomy will have to be done as my father had gangrene in the intestine. But in their own multiple test reports there was no trace of gangrene .
During 22 days in the ventilation two other operations totalling 5 were done besides blood infection and septicemia.
Sir, yes we had one fault that my innocent father trusted him more than the previous doctor who was guiding us in correct and safe directions.
I think no surgeon on earth will recommend the double open surgeries of abdominal aortic aneurysm and Bypass without discussing its complications.
Please respond, if possible.
You will be shocked to know how the so called highest ranking cardiologist of India cheated my father . He did the double open surgeries of abdominal aortic aneurysm and bypass together without discussing the risk factors . The result was tragic death . My father had regarded him God, but he came to know on the death bed that the cardiologist is more insensibe than a butcher. For his wrong decisions he also did Cholestomy, tracheostomy and thoracentesis and then happened blood infection and sepsis . Is it not the blatant case of medical negligence ??
@@Putz9
Infact we encountered with five unknown mysteries there .
1. Why did he reject the most safe advice of his own another cardiologist who recommended the stent grafting of Abdominal Aerotic Aneurysm then and Bypass a month later ?
2. why did he recommend the most fatal double open surgeries of abdominal aortic aneurysm and Bypass together with lots of high promises without discussing any word of risk ??
3.Why didn't he mention the fatal recommendations in his prescription???
4. Why did you call me alone to tell me about only 20 percent risk when payment was already made, signatures and blood almost arranged just a few hours before Operations leaving a very little options to come out of the hospital at that critical moment ???
5. On the day of operation his assistant told me that operation was successful, but just next morning he told that yet another operation Cholestomy will have to be done as my father had gangrene in the intestine. But in their own multiple test reports there was no trace of gangrene .
During 22 days in the ventilation two other operations totalling 5 were done besides blood infection and septicemia.
Sir, yes we had one fault that my innocent father trusted him more than the previous doctor who was guiding us in correct and safe directions.
I think no surgeon on earth will recommend the double open surgeries of abdominal aortic aneurysm and Bypass without discussing its complications.
Please respond, if possible.
I think SO.LIKE BUTCHER