Devaraj S

2 patients successfully randomised to PLACEMENT RCT this week , vascular surgery University Hospitals Coventry and Warwickshire . Proud to be site PI and help vascular research @davebosanquet @a_saratzis #PLACEMENT RCT @nhsuhcw @UHCW_RandD

Nice to receive such lovely feedback! chatgpt.com/s/m_69b86e7bef…

@DrDeepakKrishn1 @sidd_sharma01 🤣

@sidd_sharma01 TMH

You posted it - Don’t have the guts to share the reason!!! Doctors like you probably put an incense stick in front of God for the Patients to recover and get fine!!! Jhola Chhap Doctor

Was so nice to get this before and after ( RFA and phlebotomy under LA) photos from a happy client.

@Emanjaved01 Thanks. 2 weeks history of progressive worsening symptoms

@devaraj_vasc This is a very interesting case of PAES in a young athlete excellent surgical exposure and timely intervention. What was the duration of the ischemic window before reperfusion?

#vasctwitter 17 yrs old male, keen football player.sudden onset pain in right leg and foot. Absent foot pulses and pale foot. CTA below. What is the diagnosis? Look at cross sectional image?! How would you treat?

@RukminiVasantFP Looks like an interesting book!

@parthaskar Is that a real reindeer!!! Wow amazing Santa

Are you all absolutely sure you don’t want anything from..Santa 😊

@docpark Although described for prosthetic distal anastomosis as alternative to vein cuff,can be used in many different scenarios

Taylor patch

@docpark I love it, have used this technique to rescue anastomotic failure when vein is small ( for prophylactic patch plasty), when vein length short distally onto tibial target.

@DrDeepakKrishn1 Something related to running?!

Happy happy happy #SmallWins #BigChallenges

@DrThawaba @DraboAssi This was about Vivien Thomas - the gifted heart/lung surgeon who was not a medic, very interesting movie

@DraboAssi DeBakey" (Documentary): An inspiring documentary about the life of the renowned heart surgeon, available on Prime Video. "Something the Lord Made" (2004 TV Movie)

كولي وديباكي عاشا في عصر ذهبي من الشغف المستمر، آلاف العمليات دون رقيب أو حسيب أو قوانين طبية و"Quality control" والورق الممل الذي يجب أن تملأه قبل التقدم لخطوة واحدة للأمام. وصلوا مرحلة التحدي على تشخيص الحالة وفي مرة كان على المخطيء أن "يأكل" قطعة من جدار الشريان المتوسع وحين ثبت خطأ كولي بكل بساطة طلب بوضع القطعة في الكحول لحفظها وطلب طاقم تصوير وأكل القطعة، واستمرت حياة التحدي. لا يوجد عملية في جراحة الأوعية والقلب لا يطلب فيها Cooley clamp or DeBakey clamp.

@farkomd Wow!

@Matt_Pinner 17

It's not 8. How many birds are there? 🤔🤔

@ChengaziMD @t_intheleadcoat @SDhandMD @farkomd @kmadass @keithppereira @AmputationSuck @ReneLizola @drochohan @pparikhxr @TheRealDoctorOs Yes very much possible ., can’t expect ideal outcome after every endo approach. When things don’t go to plan, you will have an option of open surgery . Early involvement is preferable

Could you consider it definitive if the pseudo remained closed and there was no rebleeding or no recanalization? For 48h? 1 week? Discharged ambulating patient and closed on outpatient follow up 2 weeks out? Resolved hematoma and symptoms 1 month out? Could the best care not be avoiding a potentially morbid surgery and solving the problem minimally invasively?

Bilobed pseudoaneurysm from the profunda, just below the confluence. How would you manage?

@TL_Forbes @docpark Iam beginning to believe that carotid disease is a medical problem and not a surgical issue. I predict that in about 5- 10yrs, medical therapy will outperform carotid interventions even for symptomatic stenosis. Call it controversial but could be true!

Wasn’t expecting these results … tons more discussion coming to all journal clubs, symposiums, debates & editorials near you …

Original Article: Medical Management and Revascularization for Asymptomatic Carotid Stenosis (CREST-2) nej.md/3LK9kst Editorial: Managing Asymptomatic Carotid Stenosis nej.md/482XjG1 #SVIN25 | @svinsociety

@cfbechara Great work and fantastic results. These infected grafts have a very high mortality risk and experience and skill matter a lot in these cases. And a great team. Well done.

Luckily the patient was young and healthy. We excised both grafts, generous I/D, rifampin soaked graft, omentla flap, and retrograde sma stent! He had a rough post-op course but he’s home.

Not good!!! S/p ABF with SMA retrograde bypass, all PTFE, 4 years ago. #aorticgraftinfection whats the M&M for such a catastrophic problem?