UP PGH Vascular

27/07/2026

60 y/o male presenting with hematemesis associated with hypotension and anemia. CT revealed thoracic aortic aneurysm with disssection for which an aortoesphageal fistula is considered.

This was urgently treated with TEVAR

27/05/2026

PMEG... Physician Modified EndoGraft

Simply put, an endovascular stent graft is customized to tailor specifically for a patient’s anatomy so an aortic disease can be repaired with a minimally invasive procedure. Although technically very complex, it has the advantage of a smaller incision, faster recovery and less blood loss.

Here, we successfully treated an elderly gentleman with aortic dissection using this technique.

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27/05/2026

27/05/2026

Aortic Dissection with aneurysmal degeneration, treated with TEVAR
, dissection

05/02/2026

A ruptured abdominal aortic aneurysm (RAAA) is a life-threatening emergency that happens when the main blood vessel in the abdomen suddenly bursts. It often strikes without warning and can cause severe internal bleeding.
The traditional treatment for RAAA is urgent laparotomy. This however is associated with high morbidity and mortality rates even in the best medical centers abroad. Endovascular repair, on the other hand, has emerged as the treatment of choice for treatment of an intact aneurysm. Here we report of a successful treatment by our team in a 63 y/o male with multiple co-morbidities presenting with severe back pain which on CT revealed an AAA with contained rupture.

12/10/2025

Cephalic Arch Stenosis is one of the more common causes of fistula (AVF) dysfunction, especially fistulas created at the elbow (antecubital, brachiocephalic). The mainstay of treatment is balloon angioplasty.

The vascular surgeons at the Philippine General Hospital have extensive experience in the management of various problems associated with your access.

19/09/2025

Juxta-anastomotic (JA) stenosis refers to a narrowing of the outflow vein proximal to the arteriovenous fistula (AVF) anastomosis. This is a major cause of AVF dysfunction and hence should be diagnosed and treated early.
In our institution, this is often treated with balloon angioplasty. Patient gets to go home right after the procedure and the AVF can be cannulated for hemodialysis right away.

08/05/2025

Publish or Perish?

Well maybe not but aside from clinical work, research forms an integral part of our practice. As you know, the field of vascular surgery is always evolving so new techniques or findings can directly impact patient care. This are some of our humble contributions to the vast body of knowledge in vascular surgery.

07/04/2024

CERAB (Covered Endovascular Reconstruction of the Aortic Bifurcation) is now increasingly being done (at least in 1st world countries) in the treatment of aortoiliac occlusive disease. We present a 94 y/o F who presented with non-healing wound on the L foot associated with severe aortoiliac occlusive disease treated by modified CERAB. To our knowledge, this is the 1st report of the procedure being done in the Philippines