48. The Shocking Risk Surgeons Aren’t Talking About: How to Prevent Catastrophic Failures

Life of Flow

In today's episode of Life of Flow, vascular surgeons Miguel and Lucas dive into a complex case that highlights a critical but under-discussed aspect of vascular surgery: the challenges and nuances of deep venous arterialization (DVA).

With their unique blend of expertise and real-world experience, they unpack a patient's journey from a severe heel wound to remarkable healing progress through innovative techniques.

00:00 – Introduction: Overview of today's case and why DVA matters.

01:41 – Case discussion: Patient history and challenges of managing an orphan heel wound.

03:24 – Understanding conversion vs. maturation: Key terms explained in vascular surgery outcomes.

07:26 – Procedure setup: Managing patient positioning challenges and access considerations.

14:42 – Navigating complications: Addressing clot removal and neo-intimal hyperplasia in arterialized veins.

17:58 – Tool talk: Discussion on the Rotarex system, stents, and other procedural innovations.

24:23 – Avoiding pitfalls: Managing stent collapse and ensuring safe clot removal.

30:50 – Final approach: Decision-making in addressing calcified segments and achieving flow restoration.

32:30 – Closure techniques: Using the CELT closure device with ultrasound guidance for optimal results.

38:07 – Post-procedure reflection: Evaluating outcomes, future follow-ups, and lessons learned.

💡 If you're a healthcare professional or simply curious about the intricacies of modern vascular surgery, this episode is a must-listen! Gain valuable insights into the evolving field of wound management and arterialization techniques.

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