EXTREME "No Touch" EVH (Endoscopic Vessel Harvesting) training and support
FROM YOUR FIRST CASE TO YOUR LAST
EXTREME "No Touch" EVH (Endoscopic Vessel Harvesting) training and support
FROM YOUR FIRST CASE TO YOUR LAST
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FROM YOUR FIRST CASE TO YOUR LAST
FROM YOUR FIRST CASE TO YOUR LAST
"Keys To Success" Course
Entry level for harvesters just starting EVH, to approximately 200 cases. Very extensive training of technique, ultrasound, tower mechanics and instrument design. Courses are four hours online performed weekly.
"Quest for Quality" Course
Very advanced training for the established harvester.
We are a team
Please click below for more information.
Part #: 331-000-400
Full cases and video clips of various parts of the procedure, tips and techniques
Witness the course results. Paula, a recent new grad and new harvester performing at an extreme level. Totally awesome.....
Never get fooled again
Fully evaluating the "coronary" you are harvesting
Calipers to match the vein to the target vessel
Learn not to be mistaken
Domingos Ramos de Souza MD PHD, Örebro University Hospital.
Michael Dashwood PHD, University College London
Adipocyte-derived relaxing factors
NO, NOS, Leptin, Adiponectin
Prostaglandin, Adenosine, Stem Cells
Densely innervated mainly by unmyelinated sympathetic nerves along with several layers of smooth muscle cells
Vessels of the VV actively regulate their own tone
Vital for cellular survival
The strong outer covering of arteries and veins. It is composed of connective tissue as well as interlocking collagen and elastic fibers allowing stretch but preventing over-expansion when the vein is exposed to arterial pressure maintaining luminal flow.
On the surface of the adventitia, feeding arteries branched into longitudinally oriented stems termed second order arteries (A2). These arteries then branched into perpendicularly oriented short stems of precapillary arterioles (A3), continuing into the deeper-located 3D capillary network
If preserved during harvest, these fill retrograde maintaining cellular survival and reducing ischemia and inflammatory response.
If preserved, will fill retrograde after transplantation helping increase post implant patency
We must preserve
Heavy PVAT
What used to be difficult....just another fun day in Vasoview Land
Can't really get more "No Touch" than this....But will keep trying!
Perfect Results Every Time...For Sure!!
Just following a simple few rules from the courses
Check it out, high level quality and fun
Of course there are different levels of "No Touch"
Just another day of providing the best surgical procedure
So much easier with some advanced tricks
https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.121.055525
https://europepmc.org/article/PMC/PMC5407140#r12
https://academic.oup.com/bjs/article/88/9/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731844/
https://anatomypubs.onlinelibrary.wiley.com/doi/full/10.1002/ar.a.20098
https://europepmc.org/article/MED/17264517
http://www.jtcvs.org/article/S0022522315012386/pdf
https://europepmc.org/article/PMC/PMC5407140#free-full-text
http://europepmc.org/article/MED/15258684
https://cardiab.biomedcentral.com/articles/10.1186/s12933-018-0777-x
https://www.ahajournals.org/doi/10.1161/circulationaha.111.039842
file:///Users/jpkeuler/INTERVASC-new/Clinical/Papers%20to%20send/Keuler%20research%201/Pathogenesis%20of%20Atherosclerosis.webarchive
https://www.annalsthoracicsurgery.org/article/S0003-4975(05)00400-5/fulltext
https://www.sciencedirect.com/science/article/abs/pii/S0022522319323578
https://www.sciencedirect.com/science/article/pii/S0022522315012386
https://www.sciencedirect.com/science/article/abs/pii/S0003497513005985
https://www.annalsthoracicsurgery.org/article/0003-4975(96)00538-3/pdf
Similar articles for PMID: 31985987 - Search Results - PubMed
Saphenous vein graft longevity: open or endoscopic, with VEST or without?
Endoscopic Vein Harvesting - StatPearls - NCBI Bookshelf
Endoscopic vein harvesting: technique, outcomes, concerns & controversies - PubMed
Is endoscopic harvesting bad for saphenous vein graft patency in coronary surgery? - PubMed
Saphenous Vein Vasa Vasorum as a Potential Target for Perivascular Fat-Derived Factors - PMC
https-//pubmed.ncbi...ov/38637419/
Files coming soon.
The new "TIP SEARCH"
How could we not figure this out earlier??
New tricks continually
Comprehensive ERAH with tourniquet
ERAH performed without a tourniquet
Founder and President
INTERVASC, LLC: International Vascular Consultants October 1997 – Present
-Provide training and support for endoscopic vein and radial artery harvesting locally, nationally and internationally.
-Consultant for businesses and practices to expand minimally invasive surgical programs and maintain staff stability.
-Integral in the early development and design of EVH products and developed the standard technique used for the Vasoview harvesting system.
-Developed the ‘GENTTL’ Technique for vessel harvesting, 2009. A new technique of harvesting emphasizing exceptional conduit quality, quickly becoming the standard technique in the world
-Developed an international training program including 25 Canadian trips, 12 European trips involving six countries, 13 Asian trips involving six countries and 1 South American trip establishing EVH programs and maintaining contacts in all continents.
-Presented and performed live cases at numerous major national and international meetings on Minimally Invasive Surgery
-Performed the first endoscopic radial artery harvesting in the United States, Europe and Asia utilizing the Vasoview vessel harvesting system and subsequently developed the surgical protocol for this procedure.
-Developed a training center for EVH in Milwaukee, WI establishing a world renowned center of excellence for endoscopic vessel surgery.
-Assisted in designing and performing the Vasoview endoscopic transthoracic sympathectomy program in Milwaukee,WI.
-Helped develop the PA surgical assistance profession in Seoul, South Korea.
-Provided sales marketing and clinical training to various international distributors.
-Integrated sales and marketing with surgical training resulting in significant surgical growth for EVH in multiple international centers.
-Developed Industry Training programs for educating field representatives for numerous medical industry corporations.
Currently providing online EVH Training for the US, Europe, Middle East, South Africa, South America, Canada and Australia.
Founder and President
INTERVASC Productions January 2003 – Present .
Video production of endoscopic procedures used in marketing and training in US and international medical centers.
Co-founder and Partner
ENDOVATIONS, LLP March 2005 -2012
Co-developed a MD/PA team approach for training multiple endoscopic cardiovascular surgical procedures to increase practice marketability.
Founder and Partner, Director of Marketing
Hearthside Care, LLP 1999 – 2003
Community Based Residential Facility (CBRF) group home for the elderly providing residence and care in a home-like setting. State of Wisconsin licensed.
Founder and Director
Wisconsin Cardiovascular Tissue Procurement Agency 1989 – 1994 Harvesting human heart valves and saphenous veins for cryopreservationin the state of Wisconsin, supplying implants throughout the world.
A multidiscipline, highly skilled medical clinician with broad experience providing quality focused care for comprehensive and complex cardiac surgery. Involved in an aggressive and busy Cardiovascular Surgical practice in Milwaukee, WI. Diverse background in developing and incorporating new technologies in medical practices throughout the world, performing both sales and clinical specialist support. Created a widely-adopted teaching program focusing on quality conduits that facilitates reduction in learning curves and improved outcomes for participants and their patients. Extensive expertise in high quality harvesting and training for Endoscopic Vein Harvesting (EVH).
This site contains surgical footage designed solely for medical and surgical training and is intended only for medical affiliated persons. Any copying or redistribution of this material is strictly prohibited and is limited for education.
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New section added for "Keys Course" members. Under construction still, so much new content to come. Many more videos under video clips above. Recent additions under new 2024 page. Check out the new history page...
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