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Introduction: Vascular Limb Salvage Academy (VaLSA)
Gracilis Muscle Flap
Posterior Popliteal Approach
VaLSA is a novel educational initiative designed to compliment and enhance the formal training of vascular surgical trainees/ new consultants in the field of lower limb surgical and endovascular arterial revascularisation.
Aims for candidates are to:
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- Understand the surgical anatomy of lower limb bypass surgery
- Practise techniques for exposing lower limb arteries including:
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Anteromedial and medial approaches to profunda femoris
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Posterior approach to popliteal
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Medial, lateral & posterior apporaches to peroneal artery
- Practise 'on- & off-piste' techniques for bypass surgery including:
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Composite sequential bypass
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Fem-ultra distal bypass
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Redo fem-distal bypass
- Practise adjunctive procedures of bypass surgery including:
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Gracilis, Rectus femoris and Sartorius muscle flaps
- Understand the concepts of endovascular surgery including:
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Subintimal angioplasty
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Hybrid procedures
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CERAB procedures
- Practise lower limb angioplasty and stent deployment
- Understand the evidence base for our practice