Entrusting a patient to a "chef de clinique - assistant hospitalier" (assistant surgeon) can work miracles! He can show patience and perseverance when you've given up long ago. In France, a chef de clinique-assistant (CCA) is a non-tenured medical staff member with a triple mission of care, teaching and research at university hospitals. Here: 👏👏👏👏👏Sébastien Multon and Chourouk Ghannem performing revascularisation of a "TASC - Z!" long SFA then BTK occlusion inside a small aneurysm popliteal aneurysm in a 76 Y-O Rutherford 5 patient definitely not eligible for bypass because of medical history. Step 1: Antegrade recanalization - stenting of the long SFA occlusion Step 2: SAFARI technique through the distal posterior tibial artery and re-opening of P3 Step 3: Kissing - balloon in the tibio-fibular bifurcation
Good job !
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2moIncredible teamwork and skill! What inspired this innovative approach?