Vascular surgeon
Romania, Bucharest
Joined August 2009
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- Following893
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Andrei Parnia retweeted
Bless me Father,
It has been 10 years since my last great saphenous vein stripping.
I have done 5000 lasers.
Today I did a strip because I had to.
It went well.
It will be another decade I am sure.
Andrei Parnia retweeted
When in Florence and aortic surgery is on your mind… Good positioning, type IV, stay lateral to the rectus. @EmoryVascSurg @EmorySurgery @AortaEd
Andrei Parnia retweeted
Distal Bypass: A Must-Learn Skill for Young Vascular Surgeons to Save Limbs in the Endovascular Era #distalbypass #CLTI
Andrei Parnia retweeted
Omentum, the No.1 anti-infection material in treating infected AAA or vascular graft infection. #AortaEd – at Shanghai, People's Republic of China
Andrei Parnia retweeted
Do harder things , force a step up your acumen . It makes medicine better for you and your patients .
Andrei Parnia retweeted
Which is a key difference between ischemic and venous ulcers?
A. Ischemic: toes; Venous: medial malleolus
B. Ischemic: medial malleolus; Venous: toes
C. Both occur on the toes
D. Both occur on the medial malleolus
Andrei Parnia retweeted
RICA aneursym , divided digastric, stylohyoid, pterygoids. 5mm below foramen.
Andrei Parnia retweeted
Vascular ligation with silk suture 🩸🪡
One of the most essential lifesaving surgical skills in the operating room.
Identify the vessel ➝ carefully isolate it ➝ pass the silk ➝ secure the knot with proper tension to achieve hemostasis. Precision matters, because one small mistake can mean uncontrolled bleeding. ⚠️
Simple skill… but it carries huge responsibility in surgery. 👨⚕️🔬
#Surgery #VascularLigation
Andrei Parnia retweeted
Vascular surgeons reading the CT report like 👀
@NextGenVascular for more! 🌐
#VascSurg #NextGenVascular #VascularConsult #Meme
Andrei Parnia retweeted
Power is not duty!!! What seems easier,turns into a real tragedy after 5-10 years. The most worrying thing is the change in medical training that these devices have left behind. Several generations without proper training are left open. The bill will be much more expensive.
🚨 16 years after TEVAR's approval in Japan (2009), the bill is coming due.
Our center's data (2003–2025, n=8,690):
Stent-graft explantations are surging.
→ 32–35 cases/year since 2022.
Post-approval trend: +2.3/year (p<0.001)
🔴 Paraplegia: 4.1% vs 1.0% — 4× higher (p=0.003)
🔴 In-hospital mortality: 6.4% vs 3.6% — 1.8×
🔴 OR time: 386 vs 307 min (p<0.001)
Late TEVAR complications start emerging at ~5 years.
A wave of salvage surgery hits at ~15 years.
TEVAR is not a panacea. Patient selection is everything.
#AorticSurgery #TEVAR #EVAR #Aorta
Andrei Parnia retweeted
Much needed device. The question still remains. Do we need to remove suprarenal fixation component? Or just cut and leave them.
Andrei Parnia retweeted
It takes years in the trenches to notice things. Noticing things makes patient care much safer.
And so many many other!
When the urologist remove a renal tumor and postoperatively, the legs swell… the cava…
When GYN puts a Trocar through the iliac vein…
When Gen surgery puts a trocar through the iliac artery…
When the trocsr car goes to the aorta…
When the Critical Care physician sees Frank blood coming out of the chest tube…
When the postop Dialysis counter placed in the neck – portable x-ray reveals it is in the carotid artery…
When the upper arm swells up like a tomato from my Radio Art heart Cath…
On the groin smells up like a grapefruit after E. P. S…
When the Radial artery swells up like a plum after a Radial access…
When no one else in the hospital can get access…
…….
Who gets the call… The vascular surgeon
Andrei Parnia retweeted
Dr. FInnesgard: Residual aneurysm behavior is associated with aortic outcomes after FEVAR. Sac expansion, even when occurring later in follow-up, was associated with increased hazards of both aortic events and nonaortic death.... sciencedirect.com/science/ar…
