dr_bowser

10/06/2025

04/17/2024

I consider myself lucky to get one chief for a case and I got two for this one. AND Gabriela the best vascular OR nurse and scrub anyone could have. Dr. David Roberge and Dr. Ben Dixson are going into Trauma and Vascular, respectively, in the summer, trying to pad their open experience before graduation.

08/21/2023

Hibiscus

08/16/2023

Transverse arteriotomy sewn closed with interrupted horizontal mattress Prolene sutures. Common femoral artery is depicted in the image - foot side is screen left. Transverse arteriotomies can be closed primarily without narrowing the vessel. Longitudinal arteriotomies require patching usually. For thrombectomy we can commonly use transverse arteriotomy to pass the Fogarty catheter to retrieve clot.

04/18/2023

Springtime flowers 🌷

01/30/2023

Carotid thrombus and carotid web, high lesion in a symptomatic patient. A carotid web is shelf of intima usually opposite the external carotid artery at the bulb where thrombus can form. This is an uncommon cause of stroke. First is a ct scan saggital view of the thrombus. Second is a review of exposure of high carotid lesions. Third is the intra operative photo of the thrombus inside the opened carotid artery. 4th is with structures labeled and 5th is after the thrombus was removed demonstrating the thickened intimal shelf or web. This was wedge resected from the artery and sent to pathology. The artery was repaired with a bovine pericardial patch for the resected area and a patch for the arteriotomy. Images shared with patient permission for educational purposes.

01/14/2023

Chief resident, Dr. Hernandez finishing a beautiful closure - no wonder she is a future cosmetic surgeon.

12/10/2022

Hibiscus blooming indoors

12/07/2022

Pruit Inahara shunt from Lemaitre. While not my first choice for carotid shunting (usually argyle is my go to) - Helpful for the rare case you may need to shunt during a carotid subclavian bypass. Such a clever design. What have you used it for?

07/18/2022

Wildflower