Joseph Luka MD

@farkomd Why is that? This was known type II leak that had been monitored for over a year with slight increase in sac diameter. Unclear as to whether it was IMA or lumbar, until I percutaneously accessed the sac and injected contrast.

I suspect a type I.

Type II endoleak embolization of IMA using Canon hybrid angio-CT and Lava liquid @SirtexMedical @SIRspecialists @JeffCVIR @CanonMedical

Subfilter thrombosis from IVC filter placed ~20 yrs ago. Lysis with Bashir, thrombectomy with Inari, and filter removal with forceps 😅 @SIRspecialists @JeffCVIR @InariMedical @ThrombolexTM

@farkomd You’re totally right-initially I thought the stent would cover the hypogastric so I coiled it. And yes the patient did develop gluteal claudication.

I’d be concerned about the right leg as well. Left stent looks high. Preprocedure no issues .Post procedure, when I walk my left hip and ass hurts, I can’t get an erection, and my right leg gets tired quickly. Aneurysm surgery is risk reduction surgery. Do it if only necessary

Why coil the IIA on the left when the orifice is still filling and your stent graft lands proximal to it?

Traumatic renal pseudo aneurysm/AV fistula treated with <2cc LAVA liquid embolic. No coils! @SirtexMedical @SIRspecialists @JeffCVIR @JeffersonRads

Second aneurysm coiled after patient underwent aorto-hepatic bypass! @PenVascular @JeffCVIR @SIRspecialists @JeffersonRads

Young patient with PDA aneurysms in the setting of celiac occlusion. Embolized 1 PDA aneurysm. Options for treating 2nd aneurysm? Celiac revasc and then coil pda? or stent assisted coiling and preserve pda? @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516

@ChengaziMD @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516

@ChengaziMD @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516 Yes young female with a celiac stenosis/occlusion. Possibly, MALS but no symptoms of abdominal pain. Congenital hypoplasia of celiac axis? Planning to attempt celiac stent, but if that fails a bypass surgery, then coil the aneurysm.

Prostate artery with obturator origin @JeffCVIR @JeffersonRads @SIRspecialists Patient self-referred and chose PAE instead of Aquablation 🙌

Young healthy male with Paget-Schroetter treated with 16F Lightning Flash via left brachial vein access @PenVascular @mccollum_robert @JeffersonRads @JeffCVIR

@bvanasseldonk @drochohan @SMaratto @JeffCVIR @SIRRFS @SIRspecialists No. That was our concern too. CFA was patent after embo. Descending and abdominal aorta perfused by collaterals.

@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

@smbracewell @SMaratto @JeffCVIR @SIRRFS @SIRspecialists Yes I think that may have worked too

@jluka9 @SMaratto @JeffCVIR @SIRRFS @SIRspecialists Any thoughts on a direct stick here ?

Another successful PE thrombectomy with @InariMedical Flowtriever. Minimal blood loss using FlowSaver. 24F venotomy closed with FlowStasis. Mean PA pressure 30 -> 18 mmHg @JeffersonRads @SIRspecialists

IVC filter in for 10 years presents with caval thrombosis! Great result with Inari Flowtriever and Flowsaver to minimize blood loss @InariMedical @SIRspecialists @JeffersonRads @RonaldWinokurMD @SMaratto @mccollum_robert

Type 2 endoleak embolization with Trufill n-bca glue! US guided anterior access of the aneurysm sac @SIRspecialists @SIRRFS @JeffersonRads

May-Thurner! Iliac vein stenting with Abre @Medtronic @SIRspecialists @JeffersonRads

@laronecampbell @PenVascular @SIRspecialists @SIRRFS @JeffersonRads Did not use the separator

@jluka9 @PenVascular @SIRspecialists @SIRRFS @JeffersonRads Did you use the separator here? Great result!

Mechanical thrombectomy using Lightning 12 @PenVascular. PA pressure 30. No tPA/ICU. D/C 48 hours later. @SIRspecialists @SIRRFS @JeffersonRads