Amandeep Juneja MD

@BabliakD Very nice! Have you used this for GSV harvest?

🔍 Endoscopic Radial Artery Harvesting (ERAH). Here’s how it looks through the endoscopic view. Video sped up to 4x. Full video at normal speed available on Orchid Cloud—send your email for access! #ERAH #MICS #OrchidSurgical

@canuc_57 @djb6226 @roblookstein @MountSinaiIR @Kuldeep1926 @TedGiffordMD I’m not trying to spark a controversy our practise is also >50% open; we do arm veins/spliced but we also have non operative candidates that we do complex endo. I should rephrase “vascular surgeons” do complex endo in addition to complex open for CLTI

@AngioPod @djb6226 @roblookstein @MountSinaiIR @Kuldeep1926 @TedGiffordMD Careful about that “new generation”, I’ve been in practice over 30 yrs and do every one of those procedures you’re describing. Potential operative candidates should be vein mapped as part of their workup.My CLI patients, 60% open, 40% endo.

Live @MountSinaiIR Rutherford 5/6 HTN/DM/ESRD pt with non-healing wounds (forefoot and hind foot) before and after…(wanna guess what was used? 😉) now the real work begins re: Wound Care.

@canuc_57 @djb6226 @roblookstein @MountSinaiIR Agree! Do what’s best for your patient… there are plenty of new generation vascular surgeons with amazing endo and open skills that’s don’t shy away for pedal loop interventions 😃 myself included along with the likes of @Kuldeep1926 @TedGiffordMD amongst others

@djb6226 @roblookstein @MountSinaiIR What’s best for the patient is the goal.

@roblookstein @MountSinaiIR Excellent result! Serranator?

@sheikhlatif14 If I were a patient and saw that I wouldn’t let anyone do a TFCAS on me…. So probably not

@MrBeauregard @AlanLumsdenMD @farkomd @VascularSVS “Saphenous is KING” that I agree with 💯

@AngioPod @AlanLumsdenMD @farkomd @VascularSVS Saphenous is king. Robots are flashing signs to an empty theater. Endo is a means to accomplish a finite goal.

Creative suggestions, thanks. Answer: single port robot, AK incision, SFA exposure to PFA, stent graft flush with origin. Subsartorial fem pop. NO evil groin incision, working on it!! Robotics move to extremities!!!!!!!!!!

@sheikhlatif14 Your hidden points are hidden from the patients for them a stent is a stent.The approval from CMS is a go ahead for interventionalist to do tfcas if they have patients with carotid stenosis- no follow up no discussion on other options

@sheikhlatif14 @VascularSVS The problem is the “cardiac clearance” TCAR doesn’t need a risk assessment from cardiology. If pts are too sick for CEA I do a TCAR under cervical block without risk assessment. The whole point of the TCAR is that it’s for high risk patients

@MrBeauregard @AlanLumsdenMD @farkomd @VascularSVS I wish I could say your point is well taken but I can do that without a robot (less cost less time) . Also, not every pt will have a saphenous/arm vein

@AngioPod @AlanLumsdenMD @farkomd @VascularSVS The future of vascular surgery in the extremity has and always will be the saphenous vein and respecting the profunda. If robotics can accomplish that, I’ll get on board. Endovascular therapies are not the future.

@AlanLumsdenMD @farkomd @VascularSVS Not to forget the vascular trainee is already learning 2 skill set and now will have to learn a 3rd. That means less time spent on each with no clear benefit IMHO @VasculSVS @SCVS1969 @FutureVascSurgn

@AlanLumsdenMD I’ll be the devils advocate here but the future of vascular surgery esp in the extremities is to push the endo envelope. NO incision. If we don’t do it someone else will @farkomd @VascularSVS the cost of what you mentioned is extremely high to avoid a groin incision

@farkomd @AlanLumsdenMD Looking forward to it

A future debate with @AlanLumsdenMD is in the works #robotics

@MauricioGour Welcome to the club!

I came from the other side of the world to train as a vascular surgeon at one of the best centers in Latin America. Today was the last day of my fellowship. I’m officially a Vascular Surgeon- a dream come true Forever grateful with my mentors.

LFG …All gas no brakes.. America 🇺🇸 It’s time for a WOMAN!

@ZJBD_MD @SIRspecialists @VascularSVS Reversed or in-situ GSV (since you asked @VascularSVS ) 😊

60’s female h/o tobacco/alcohol use, HTN, PVD w/ R CLI Rutherford class 5 wound and long segment R SFA CTO - successful revascularizaruon and treatment with laser atherectomy, balloon predilatation, and drug-eluting stents. @SIRspecialists @VascularSVS thoughts on vessel prep?

@kerecis @Kuldeep1926 @VascularSVS @FutureVascSurgn @AmputationSuck @AMPSymposium @TedGiffordMD 5 weeks follow up! Endo full metal jacket is open and the wound is doing well. #cltifighters @TedGiffordMD @VascularSVS @Kuldeep1926 @AmputationSuck it’s not about endo or open it’s about doing the best for the patient

@kerecis @Kuldeep1926 @VascularSVS @FutureVascSurgn @AmputationSuck @AMPSymposium @TedGiffordMD Follow up - 5 days after second Kerecis Application #CLTIfighters @VascularSVS @FutureVascSurgn @Kuldeep1926 @TedGiffordMD possible SSG in the near future

#CLTIfighters <60y.o male DM, failed CABG, ef 30% with RLE wound. Cannot get PTFE because of the wound location and risk of infection. ABI .27 angio below

@drcostantino1 @drmoinlala @GAEscobarMD @VIR_Li @hauer_tomas @farkomd You are reading it correct for PRIMARY patency.

@AngioPod @drmoinlala @GAEscobarMD @VIR_Li @hauer_tomas @farkomd If I’m reading this correctly, 65% patency at 5 years for a below the knee bypass? (Assuming this is classified as ‘below the knee’?)

PT with resting pain and toe ulcer, CTO of the popliteal artery. Successfully crossed and stented. #supera #clifighter

@drmoinlala @GAEscobarMD @VIR_Li @hauer_tomas jvascsurg.org/article/S0741-… @farkomd this stent has burned a few bridges and if it thromboses acutely it will burn a lot more. There are endo cases and open cases. It’s okay after diagnostic angio to abort and refer to a surgeon and should be in the algorithm

@GAEscobarMD @VIR_Li @hauer_tomas What is the potency of below knee bypass?

Wheelchair assistance at Helsinki airport flying business class left my elderly Indian parents stranded at the airport instead of taking them to the gate. Discriminatory and unacceptable. @HelsinkiAirport @VisitHelsinki @Finnair

Thank you all the speakers, attendees, and industry supporters of our 4th @HHC_vascular symposium - really highlighted so many ways we interact with patients and how we can continue to improve care!