How you think about an activity, will influence how you do the activity!
Stay flexible, my friends.
It is worth all the time you put into it!
Healthy food for a healthy body and a happy planet.
The secret is to be a Jack of All Trades, but master of one. One that will earn you a living if the grants don't come in.
on Keep Your Feet With Peripheral Artery Disease (PAD) or Diabetes: “Thanks Kevin for helpful advice on avoiding numb feet.” Feb 24, 13:11
on Wake Up Your Feet In The Pool For Peripheral Arterial Disease Therapy: “Hi Steven, sorry for the delay, I tend to have too many irons in the fire. You can find better…” Feb 2, 11:35 on Information Links: “Hi Dr. Hogan, sorry for the delay, been a bit distracted of late. Here’s the link: https://www.amazon.com/Fight-Crippling-Peripheral-Arterial-Disease-ebook/dp/B0BPDP4NLZ/ I really appreciate…” Feb 2, 11:27
on Information Links: “Hi Kevin, I read your book How to Fight The Crippling Pain of Peripheral Arterial Disease and very much enjoyed…” Jan 21, 11:37
on 80 Year Old Triathlete Represents America In The 2023 World Half-Ironman Championships: “way to keep going, Kevin!” Nov 21, 07:12
Hi Kevin,
I think you said you knocked your stent loose in a bicycle accident. Then the doctors had to repair it. I wonder if that is similar to what a slippage would be. My CT Scan, I believe, showed my stent is slipping and may need to be repaired. Check the underlined part.
Impression
1. Postsurgical changes from abdominal aortic aneurysm endograft repair using a Gore excluder device, with subsequent liquid embolization of a type II endoleak. The aneurysm sac size is stable measuring 5.4 x 4.8 cm with no evidence of endoleak. There
is, however, progressive inferior migration of the upper margin of the endograft. Additional endovascular intervention may be needed.
2. There is progressive enlargement of a left common iliac artery aneurysm, now measuring 3.0 cm. Stable left internal iliac artery aneurysm measuring 2.0 cm.
3. Other chronic findings as outlined above in the body of the report.
1. Is this intervention similar to what they did for you?
2. Is that a risky operation do you think, to go in and repair the problem?
Thanks,
Jim Kehoe
Hi Jim,
1. I knocked the iliac branch back into the aneurysm, in that bike wreck – it flipped back, causing the aneurysm to start growing, again. Took them 3.5 hours to fix it, with a stabilizing extension from Australia!.
2. Your stent is somewhat different to mine (Cook Zenith), especially the proximal attachment, by your kidneys. Mine has spikes, and yours seems to have triangular ‘crampon-like’ structures.
3. Posterior migration of the anterior rim must be fixed. It’s dangerous, as it could fold and occlude the aorta, by the looks of it.
4. One approach would be to put another stent, one like mine, inside the one you have. If they mess around with the anterior end, I imagine that could be tricky/dangerous – but I’m not a vascular surgeon. Another option would be a graft, replacing what you have.
It’s essential that you fully understand your options. That’s my approach, anyway.
Slippage is dangerous, so don’t apply any excessive impact stresses or lower abdominal pressure, until it’s fixed.
Sorry you’re going through this. I’m having fun with a mediastinal mass (cancer?), found during my latest routine AAA scan. I’m lucky they spotted it.
Aging is a challenge.
Kind regards,
kev