Brandon Van Asseldonk

@ReneLizola Must be an AAA

🚨Bilateral popliteal aneurysms.

Vascular surgeon in setting with ++ CKD and DM and no ability to get TBI as inpatient. Abi frequently incompressible. Any literature to state TBI standard of care in this setting? So I can push for change @jmills1955 @ahmedkayssi @JillSommerset

@MaherSabalbal Cannulation mishap during initial EVAR?

Nothing to see here....🫢

@yuejianing Fibulectomy for the distal peroneal bypass?

Not a single lead apron needed this week! Great teamwork! 2 AAA stentgraft explantations (1 for endoleak, 1 for infection), 4 distal bypasses(1 TPT, 1 PTA, 1 distal PerA), 1 iliac vein replacement — the rest were varicose RFs and CEAs.

@MaherSabalbal @VascularSVS How long do you wait after VenaSeal before coming back with foam for the residual varicosities?

Before and after VenaSeal ablation and concomitant foam sclerotherapy. Vascular surgery is also about treating venous conditions, a challenging, but extremely rewarding aspect of our specialty (if done properly and with goos intentions for the patients). @VascularSVS

@ReneLizola What access did you use? Femoral or popliteal?

🔵Iliofemoral deep vein thrombosis - malignant etiology/extrinsic compression. 🔵Trombosis venosa profunda iliofemoral - etiología maligna/compresión extrínseca.

@monteromiguel @VascularSVS @VEITHsymposium @Vascupedia_com @hendolat @SIRspecialists PAT!?

See these two monophasic signals of patients with CLTI? They seem alike, but they’re not. One will likely heal, the other one won’t. Any idea why? Share your thoughts. @VascularSVS @VEITHsymposium @Vascupedia_com @hendolat @SIRspecialists

All good things must come to an end! These PGY5s @TorontoVascular are officially signing off! @UofTVascular … its been a blast! Thanks for the memories! 💪🏼

Our graduating residents: Monica, Sultan, @bvanasseldonk, and @ShaidahDeghan with speeches given by Drs. Kayssi, Lindsay, Azoubel, and Oreopoulos @ahmedkayssi @oreopoulos @UofTVascular @UofTSurgery

@limbsalvagedr @jmills1955 @a_saratzis So is @ahmedkayssi

@bvanasseldonk @jmills1955 @a_saratzis i'm allergic to prosthetic grafts

#VASCtwitter How would u classify a pt w/a fem-pop for CLTI & tissue loss years ago, now presents with disabling IC and hemodynamically threatened bypass? is a pt with CLTI always a CLTI pt in remission or are they now IC with requirement of angio to maintain patency? @jmills1955

@jmills1955 @a_saratzis @limbsalvagedr If this was a prosthetic graft would that change your willingness to intervene in this scenario?

@a_saratzis @limbsalvagedr It’s CLTI but in remission. Without rest pain or tissue loss and only claudication it’s not active CLTI at the time of the current presentation. I would intervene to prevent graft occlusion since patient is symptomatic and graft was said to be hemodynamic ally threatened

@ReneLizola @academicaorta @RishiKundiMD @limbsalvagedr @VascularSVS @RachelChoron @topknife @leith_erica @trasmussen_md @MHGenSurgery @ahmedkayssi @Sunnybrook I second that! Especially under the mentorship of @ahmedkayssi

@academicaorta @RishiKundiMD @limbsalvagedr @VascularSVS @RachelChoron @topknife @leith_erica @trasmussen_md @MHGenSurgery Agree. Fellowship in a busy trauma center doesn't hurt @ahmedkayssi @Sunnybrook

Last question of the night! Q4: What is the ideal way to train a surgeon for vascular trauma? @RachelChoron @topknife @RishiKundiMD @leith_erica @trasmussen_md #SVSTweetChat #vascsurg

@AortophilicMD @FutureVascSurgn Central venous stenosis -> venogram

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

GAME OVER! Golden in Halifax. 🇨🇦🥇 📊 hc.hockey/WJCStats0105 #WorldJuniors

Fogarty catheter anyone?

Totally agree @ReneLizola come to @UofTVascular !!

@jluka9 @drochohan @SMaratto @JeffCVIR @SIRRFS @SIRspecialists Has this resulted in any LE ischemia?

Pt with thoracic aortic occlusion and massive abdominal wall hematoma from winslow pathway inferior epigastric pseudoaneurysm. Failed attempt to embolize via brachial by @jluka9 Coil embolized via retrograde inf epigastric access by @SMaratto @JeffCVIR @SIRRFS @SIRspecialists

@ReneLizola Awesome! Would love to try this in the new hybrid room at @Sunnybrook @ahmedkayssi

Becoming a fan of bolus tracking 💯

@thetoedoctor @ZSP_MD @monteromiguel @DGArmstrong Amazing work, how are you offloading post operatively? @ahmedkayssi

3 weeks ago Ortho and Plastics said all they could do for this patient was offer a BKA. Debridement, partial calanectomy, NPWT and a little TLC. Today…#ActAgainstAmputation #ToeFlowandGo @ZSP_MD @monteromiguel @DGArmstrong