Carlos Timaran

21 posts

Carlos Timaran

Carlos Timaran

@ch_timaran

Chief of Endovascular Surgery at UT Southwestern Medical Center at Dallas

Dallas, Texas Katılım Ocak 2024
154 Takip Edilen335 Takipçiler
Carlos Timaran
Carlos Timaran@ch_timaran·
Pt with a complex thoracoabdominal aortic aneurysm involving the arch. We performed a totally percutaneous 3-vessel arch repair using a branched patient-specific endograft. Planned for a 2nd stage FB-EVAR. @AorticC @AortaEd @UTSWVascular
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Carlos Timaran
Carlos Timaran@ch_timaran·
Patient with a 61 mm complex aortic aneurysm. Accessory RRA originating slightly below the main RRA w/ same clock position. Incorporating upward-facing branches into the patient-specific graft design can offer an effective solution in certain cases. @AorticC @UTSWVascular
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Carlos Timaran
Carlos Timaran@ch_timaran·
Great podium presentation at the 2023 VEITH Symposium about Transcatheter Electrosurgical Septotomy is now published on @JVascSurg . Great abstract about an effective adjunctive endovascular procedure for a challenging and complex aorta disease. doi.org/10.1016/j.jvs.…
Carlos Timaran tweet media
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Carlos Timaran
Carlos Timaran@ch_timaran·
Complex AAA with previous TEVAR and EVAR. Treated with a patient-specific 3-vessel branched EVAR (no celiac). All cannulations using FORS technology, which allow us to decrease in 30 to 40% the amount of radiation exposure. #AortaEd #vascularsurgery @UTSWNews @UTSWVascular
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Carlos Timaran
Carlos Timaran@ch_timaran·
@lucasfr30978269 Tks for your question @lucasfr30978269. Yes, in this case for a 5 mm IMA we have embolized it intra operatively. Depending on the circumstances, we can use CMD, IBE or ZBIS.
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lucas freire
lucas freire@lucasfr30978269·
@ch_timaran Great job @ch_timaran, as always! Did you preoperatively embolized the IMA? Why did you prefer a CMD fenestrated iliac limb over a ZBIS in this case?
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Carlos Timaran
Carlos Timaran@ch_timaran·
Pt w/ type B aortic dissection developing degenerative post-dissection aortic and left CIA aneurysms measuring 51 and 44 mm, respectively. Complex EVAR planned with patient-specific, company-manufactured endografts, including a fenestrated iliac limb for the left CIA aneurysm.
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Carlos Timaran
Carlos Timaran@ch_timaran·
@neotenorioMD Thanks for your question @neotenorioMD. We perform adjunctive septotomy in most cases. However, in this one we had good false lumen-free landing zones and CTA and IVUS showed that there was some thrombus in the false lumen at the distal aorta that could potentially embolize.
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Emanuel R. Tenório, MD, PhD
Emanuel R. Tenório, MD, PhD@neotenorioMD·
@ch_timaran Why not septotomy, in this case, as an adjunctive maneuver? The true lumen is very narrow. Great case… Great results… the FORS technology is impressive 👏👏👏 CAK < 1Gy? Thank you 👏👏👏
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Joost van Herwaarden
Joost van Herwaarden@jvherwaarden·
@ch_timaran @AorticC Great case, congrats!! And beautifull FORS images 💪🏼. How big was Adamkiewicz artery? Saved it because of iliac occlusion? Makes sense to me, thnx for sharing!!
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Carlos Timaran
Carlos Timaran@ch_timaran·
Complex AAA case. Endovascular repair w/ a 5 vessel custom made device, including an upward facing branch to Adamkiewicz artery and a fenestration to the replaced R hepatic artery. Landing in healthy aorta required proximal sealing in supraceliac zone.
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Carlos Timaran
Carlos Timaran@ch_timaran·
TAAA with arch involvement and previous aorto bi-femoral bypass (left limb occluded): First stage Endovascular total arch repair with physician-modified endograft with a TEVAR extension. Scheduled for a second stage FEVAR.
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