Aortic Endovascular Surgery
1. Celebrating The Silver Jubilee of the First Successful Irish EVAR
Prof Greg Shanik, Mr Dermot Moore, Dr Martin Molloy with Young Energetic TEAM Program Director Mr Sherif Sultan were Performing the First Successful Irish EVAR, 15 years ago, at St James’s Hospital, Dublin. That day had changed the Way AAA is managed in Ireland.
2. Multi-Layer Stent in Managing Crawford Type II Thoraco-Abdominal Aortic Aneurysm
Multilayer Flow Modulator or Multi-Layer Stent is a Disruptive Technology that guarantees an easy global dissemination of Endovascular Technology for Thoraco-abdominal Aneurysm and Aortic Dissection without the need for complex setup. Our early results from the Global registry are promising with encouraging results that will change the global platform in the manufacturing and marketing of Covered, Fenestrated and branched Grafts.
3. Sultan Technique to Cure Symptomatic Type II Endoleak after EVAR
Trans- aortic Sac transfixing the lumbar arteries and Inferior mesenteric artery and double breasting of the aortic sac will eliminate Type II endoleak and abolish any chance of the need of further intervention
4. The Sultan Solution for a difficult EVAR “ Sultan DRESS Technique
The Sultan DRESS technique (Design Reconfigure Elongate Straighten Stiffen) is used in extremely angulated cases, whereby up to five Lunderquivst wires were in patient’s aorta at any one time to straighten out the aneurysm tortuosity and allow for accurate Endograft deployment.
This DRESS intra-operative maneuver is to correct for tortuosity and severe proximal neck angulations. More Over a giant Palmaz stent that is deployed at the level of the SMA and Renal arteries is to Fix the future deployed Endograft in place . This has ensured that severe neck angulation is not a contraindication to EVAR, unlike it has been for other authors
5. REVAR for Rupture Abdominal Aortic Aneurysm
I Repaired a Rupture Abdominal Aortic Aneurysm with Bilateral Common Iliac Artery Aneurysms and Bilateral Internal Iliac Artery Aneurysm with Bi modular Stent Graft in 45 minutes. Patient was discharger 48 hours later
6. TEVAR WITH Chimney and EVAR in the same patient
Patient had an EVAR and later on had a TEVAR WITH Chimney for acute Aortic thoracic Syndrome
7. Sultan Technique in Managing Aortic Infantile Coarcetatation
We managed a young 33 patients with adult infantile coarcetation with CPS stent. Five years follow up she is completely asymptomatic and was able to conceive of a lovely twins.
8. Renal Chimney for HIV Spontaneous rupture
60 years of age HIV SYPHILIS positive patient presented with spontaneous supra-renal rupture. He was managed by renal chimney and excluding of the aortic rupture.
9. Esinophilic syndrome post adrenaline addiction with iliac artery rupture and Celiac artery aneurysm
68 years old lady who was addicted for daily adrenaline injection. She presented with iliac aneurysm rupture and celiac artery aneurysm and she was managed by total endovascular intervention.
