Dr Junjie Ng

@bearcat_sherman @vascularsrgn @MAHENDR28691423 @VascularClinics @VarenyamVasc @PShivanesandr Why one stage? Evidence suggest one stage and two stage have similar outcomes. We must have a flexible approach. It really depends on vein quality.

@vascularsrgn @MAHENDR28691423 @VascularClinics @VarenyamVasc @PShivanesandr Why not do just one stage? I always do one stage. A little longer, but harvest and excellent tunnel and you don't have to do anything else.

😄 #BasilicOfTheMonth This month’s star performer — the basilic vein! After 4 weeks of stage 1 ... staged basilic fan here.. @MAHENDR28691423 @VascularClinics @VarenyamVasc @PShivanesandr #VascularSurgery #AVF #Dialysis

@mohamedvivi Retrograde i usuually use command18 or v18. More pushability

@drjunjieng Is there specific wires ,,or the usual we used before for pedal stuff like command 14 / P2 ??

Distal DP retrograde puncture to cross a calcific mid DP occlusion. #Abbott #Command18 does the trick. Soooo satisfying when the wire knuckles through. Palpable DP pulse post-op! #limbsalvage #vascular #endovascular #IRad #CLTI #CLTIfighters

@mohamedvivi U are right!. Right before it turns and gives off metartarsal branches

@drjunjieng Is it still same sheath less technique ? And i assume it is before dipping down to the loop ?

@kengsianglee @RCSnews Congrats bro! Best time to do it is as a HO! Dont need to study much

Dr Keng Siang Lee MBChB (Dist.), MRes (Dist.), AFHEA, MRCS (Eng)! Officially a Member of the Royal College of Surgeons of England, as an F1 house officer!

@VarenyamVasc @VascularSVS @FutureVascSurgn @EJVES_ESVS @JVascSurgVI @vascularsrgn Sizing with ivus?

One of those days when you stent across knee joint . @VascularSVS @FutureVascSurgn @EJVES_ESVS @JVascSurgVI @vascularsrgn

@ReneLizola @thetoedoctor VAC and possibly Kerecis or dernal matrix and STSG!

Fibrotic tissue & extent of 🦴 infection unfortunately prevented us from attempting full primary closure on this one. Will require VAC system and some time to heal... Suggestions? How would you manage? @thetoedoctor #CLTIFighters

@PlayBookTrades Hey dude do u have a telegram group with trade ideas?

$CRKN $0.107s NHOD. ❣️❣️

The rendezvous retrograde inner pierce technique is an effective modality for disrupting calcium in a situation where the wire could pass but no balloons/catheters could cross. #vascular #limbsalvage #IRad #endovascular #CLTIfighter

Endoscopic single stage brachiobasilic AVF creation negates the need for a long incision and potentially reduces wound complications #dialysisaccess #vascular #vascularsurgery #iRAD #surgery

@Vardhanreddymd @ReneLizola I disagree. If properly selected and well done, snuff box RC AVFs can last a long time.. they mature well and are totally adequate for dialysis

@ReneLizola Technically satisfying operation. But most of them don’t mature to satisfy the Rule of 6 ( >6mm diameter, >600 ml flow, < 6mm depth), because of poor inflow from distal radial artery after the wrist branches

🔴🔵Snuffbox Arterio-Venous Fistula. // 🔴🔵Fístula Arterio-Venosa para hemodiálisis - tabaquera anatómica.

@VarenyamVasc @VascularForum @VascularSVS @EJVES_ESVS @Kuldeep1926 @vascularsrgn Nice! I typically try to rotate the sheath downwards after iliac treatment

CFA done , now ready for iliac, SFA and tibials😜......

@YoushaBarca @VascularForum Its not the size of the incision that matters, as long as u do a good job. In your case, you prob did a brachial artery to antecubital vein AVF.

Brachiobasilic fistula creation with a 2.5cm incision @VascularForum #surgery #vascular #fistula #dialysis #vascsurgery #avfistula #SoMe4Surgery #access

@NAngle007 @VascularForum US guided

@VascularForum Access with ultrasound or digital subtraction roadmapping?

@AshokHandaOx1 It just needs to last until the wound heals..

Excellent initial result: is it durable?

@DrOmamo Yeah pls dm me, or you can reach out to me on email

@drjunjieng Hi Dr. Great work. Would like to have exposure to this techniques. Do you allow DMs. Thanks

Distal medial plantar artery retrograde access for recanalization of a PT and proximal medial plantar artery CTO. DP non-existent with only collaterals to foot. Planned for TMA. #vascular #IRad #endovascular #limbsalvage #vascularsurgery #CLTI #CLTIfighters

@CpsSravan Command14!

@drjunjieng 👌work as always JJ. What’s your wire of choice after taking access in such cases?

@baijazvascular However i do usually reverse treat my retrograde punctures.. for haemostatic effect and to ensure that the puncture did not cause a plaque shift/dissection.

@drjunjieng Good work opening up the PT. Do you “reverse treat” the access site at the end?

@baijazvascular I didnt, it was so small that i was afraid of damaging it. On completion angio ypu could see the puncture site was not opacifying, likely spasm, but flow down PT was brisk so i left it alone