Carlos Timaran

Check out this great discussion about Transcatheter Electrosurgical Septotomy on this episode of the @JVascSurgCIT Audible Bleeding Podcast! Our recent publication about this useful technique: jvscit.org/article/S2468-… @JVascSurg @UTSWVascular @AorticC @AortaEd @vascularsurgery

@dr_joseeduardo @MiraTanenbaumMD @avfigueroamd @marilisasotog @ncoronel50

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

Exciting Opportunity in Vascular Surgery Research! Our department is currently seeking a post-doctoral clinical research fellow for a 1-2 year term. For more information, please visit: vascular.org/trainees-stude… @UTSW_Surgery @VascularSVS

@vascularsurgery @UTSW_Surgery @ThinkAorta @AortaEd @ThinkAortaUS @dr_joseeduardo @avfigueroamd @MiraTanenbaumMD @marilisasotog @ncoronel50

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

@UTSWVascular @UTSW_Surgery @ThinkAorta @AortaEd @AorticC @UTSWNews

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.…

@AorticC @ThinkAorta @UTSW_Surgery #EVAR

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

Another outstanding publication just released in @JVascSurgVI , about Intra op Adjuncts and Techniques to Minimize Radiation during Complex EVAR. Always a great topic!! @UTSWVascular @UTSW_Surgery @AorticC @vascularsurgery @ThinkAorta #EVAR #AortaEd jvsvi.org/article/S2949-…

@marilisasotog @ncoronel50

Our latest publication available in @JVascSurg ! #vascularsurgery #EVAR #AortaEd @UTSWVascular @UTSW_Surgery @ThinkAorta @AorticC sciencedirect.com/science/articl…

@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.

@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?

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.

@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.

@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 👏👏👏

@jvherwaarden @AorticC Thanks for your question @jvherwaarden. AKA was 4mm in this case.

@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!!

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.

@UTSWVascular @ThinkAorta

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.