Cristóbal Vascular Surgeon
Hi
I am a Spanish Vascular Surgeon working at San Pedro Hospital in Logroño, Spain.
I am focused on peripheral endovascular surgery for the CTLI treatment
In this profile I'll update my surgeries so you can ask questions, share the techniques and the results.
You can also find me on linkedin, Orcid and X
Cristóbal Vascular Surgeon
Here I share a challenging but highly rewarding endovascular procedure on a 79-year-old male with an extensive medical history including:
* Cardiac amyloidosis (TTR wild-type) with heart failure and preserved ejection fraction
* Atrial fibrillation/flutter on ACOD
* Prior ischemic heart disease (NSTE-ACS 2020) and right MCA stroke (2020)
* Type 2 diabetes, dyslipidemia, hyperuricemia
* Stage 3b chronic kidney disease (baseline creatinine 2.3–2.6 mg/dL)
* Previous failed attempt at popliteal recanalization (Dec 2025) and upper extremity embolism
The patient was admitted for planned recanalization of a chronic occlusion in the third portion of the left popliteal artery, with bypass to the anterior tibial artery as backup.
Soon the complete solution.
What would have you done?
3 days ago | [YT] | 0
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Cristóbal Vascular Surgeon
💥 New case!
64-year-old male patient with CLTI — R4/5 — in the right lower limb.
👀 Previously treated twice at another center
In 2019: bilateral common iliac artery stenting + iliac stent with BeGraft
In 2025: new intervention for right-sided axis thrombosis → bilateral femoral endarterectomy + kissing stent technique using 7 mm VBX (flared to 10 mm) and 7mm Viabahn.
🙈 Unfortunately, only 6 months later, he presents again with re-thrombosis of the right axis.
❗ Attached is the pre-operative angio-CT reconstruction showing the current anatomy.
Clinical context:
Active working male, <65 years old
High functional demand
Recurrent failure of endovascular reconstruction
What would be 🫵 treatment strategy in this re-do case?
Open surgery? Hybrid approach? Advanced endovascular techniques (new device selection, atherectomy, drug-eluting tech, etc.)? Different kissing configuration?
The chosen strategy and the procedure outcome in upcoming posts.
Stay tunned
#VascularSurgery #CLTI #PeripheralArteryDisease #Endovascular
2 weeks ago | [YT] | 1
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Cristóbal Vascular Surgeon
Drama after SFA angioplasty! Whole case upload.
Hope you like
1 month ago | [YT] | 1
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Cristóbal Vascular Surgeon
👏 Case of the week!
🧑🦼➡️ 👀 Take a look at this nonagenarian's male arteriography.
Complete popliteal CTO with a CTLI, Rutherford V ischemia.
🫵 What would you have done? 🙄
🟢 Simple PTA
🟡 POBA + DEB
🔴 Non-compliant PTA/Scoring balloon + DEB
🔵 Surgical bypass
The surgical video will be updated soon
1 month ago | [YT] | 0
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Cristóbal Vascular Surgeon
Hi everybody, in my next video I show another BTK revascularization.
It was needed a retrograde access. Due to high calcification, US distal puncture was not easy, so I performed it by angiographic guidance.
As you can see through my other videos, I think that drug eluting balloons are also applicable for BTK and BTA vessels so in this case, after PTA with non compliant JADE balloon, Selution SLR (cordis) was used as DEB in ATA and Peroneal artery.
Hope you enjoy!
This surgery was performed in my prreious workcenter, Txagorritxu in Vitoria, with Dr Ms Riedemann!
1 month ago | [YT] | 0
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