夏天來了
討厭ㄋㄟ
減重尚未成功
2013年5月8日 星期三
NTUH 2013 Advanced Complex Aortic Surgery (Observer)
May 7th dear, do you get my point
AAA stenting
supra-inguinal incision, above inguinal skin fold, parallel up 1 cm
make sure explore CFA, do not show bifurcation of CFA
purse-string the puncture hole
snare CFA both proximal and distal end
cook long sheath at contralateral leg to help cannulation/engage
side-puncture the cook long sheath, help engage
contrast injection ( 35/15 , 35/20 ) (generally 15/20)
magnify critical point of landing (renal, internal iliac)
retain contrast in sheath, then push heparin saline instead of contrast
this will decrease contrast amount used
favor 3 piece configuration
make sure every vessel is fine by doppler (Hu Hu Jao)
completion angiogram: show the empty zone b/w the legs
May 8th dear, do you get my point / water deep
TEVAR with CCS bypass
right neck longitudinal incision
left neck horizontal incision
TAG via right CFA (skin vertical incision)
diagnostic sheath via left CVA puncture
CC bypass first then CS bypass
SCA bypass use graft (not transposition)
graft end to SCA side anastomosis
graft end to LCCA end anastomosis (transection LCCA, suture ligation proximal stump)
diagnostic sheath and pigtail via RCCA
to protect innominate aretry ostium in case covered by TAG
deploy 2 piece TAG overlapping each other
vascular plug via left brachial artery sheath, (conter-clockwise rotation GW to disconnect)
dissection of right CIA with flow limitation
saved with cross-over stenting Medtronic complete SE iliac stent (bare metal stent)
resume of right leg flow
AAA stenting
supra-inguinal incision, above inguinal skin fold, parallel up 1 cm
make sure explore CFA, do not show bifurcation of CFA
purse-string the puncture hole
snare CFA both proximal and distal end
cook long sheath at contralateral leg to help cannulation/engage
side-puncture the cook long sheath, help engage
contrast injection ( 35/15 , 35/20 ) (generally 15/20)
magnify critical point of landing (renal, internal iliac)
retain contrast in sheath, then push heparin saline instead of contrast
this will decrease contrast amount used
favor 3 piece configuration
make sure every vessel is fine by doppler (Hu Hu Jao)
completion angiogram: show the empty zone b/w the legs
May 8th dear, do you get my point / water deep
TEVAR with CCS bypass
right neck longitudinal incision
left neck horizontal incision
TAG via right CFA (skin vertical incision)
diagnostic sheath via left CVA puncture
CC bypass first then CS bypass
SCA bypass use graft (not transposition)
graft end to SCA side anastomosis
graft end to LCCA end anastomosis (transection LCCA, suture ligation proximal stump)
diagnostic sheath and pigtail via RCCA
to protect innominate aretry ostium in case covered by TAG
deploy 2 piece TAG overlapping each other
vascular plug via left brachial artery sheath, (conter-clockwise rotation GW to disconnect)
dissection of right CIA with flow limitation
saved with cross-over stenting Medtronic complete SE iliac stent (bare metal stent)
resume of right leg flow
2013年3月19日 星期二
LINC AP 2013
1. Regal 的淋浴間沒有 handy shower
若一定要住機場還是 Marriot 吧
也省了搭一站捷運到會場
2. data roaming company "3" (在出境大廳)
3 day 不是指由開始使用算 72 hr
若你今天晚上才開通,用到晚上 12 點就算第一天了
所以若晚上買卡, 隔天一大早開始開通才對
3. 還是有一些新的 device 出來了
期待能早點引進台灣 (這點好像也適用於衣服品牌)
4. 可參考 tripadvisor 先看一下旅館評價
5. 機場捷運 airport express 以開會會議證明買另有優惠 ?
若一定要住機場還是 Marriot 吧
也省了搭一站捷運到會場
2. data roaming company "3" (在出境大廳)
3 day 不是指由開始使用算 72 hr
若你今天晚上才開通,用到晚上 12 點就算第一天了
所以若晚上買卡, 隔天一大早開始開通才對
3. 還是有一些新的 device 出來了
期待能早點引進台灣 (這點好像也適用於衣服品牌)
4. 可參考 tripadvisor 先看一下旅館評價
5. 機場捷運 airport express 以開會會議證明買另有優惠 ?
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