Shadowing Practice: Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy - Learn English Speaking with Video
Creando lección...
1
Dr. Davos, thank you to be here sharing with us all your knowledge with the faculty,
2
giving solutions for the treatment of complex cases,
3
how to use the different tools in the management of complex cases.
4
So how do you think about the evolution of the newest tools and techniques for treating complex cases?
5
I mean, I think, you know,
6
if you think about their field for the last 30 years,
7
I mean, I've been in practice for almost 20 years,
8
and you see the evolution just doesn't stop,
9
which is a great thing.
10
I mean, you see the device that we have now to treat,
11
for example, brain aneurysms or acute stroke from large vasococlusions,
12
and also like other areas like the liquid embolix carotid stents
13
which also has evolved i mean it's it's just has been an unbelievable journey
14
and i think it's been great
15
because it really is benefiting the patients i mean it makes our life easier too you know
16
which is great but in
17
that you know we need to always to think about what is being the best for the patient
18
and i think these new tools are really increasing the chance of those patients having a good outcome
19
which in the end it's really what we care for.
20
Yes.
21
How do you feel about the...
22
or what do you think about the.. using flower diverters in bifurcation aneurysms?
23
Also, as a young neurosurgeon,
24
I am afraid about that.
25
Yeah, I mean, I think that's still a topic of debate.
26
We don't have a clear answer for that.
27
I think the most important thing,
28
and I tell this to my fellows,
29
and I think when I have conferences like this where there's people that have not had a lot of experience yet,
30
right like we had it's important to understand that those are tools
31
and again you need to look into the aneurysm
32
and understand what is going to be the best tool to treat the aneurysm what
33
so what's going to be the most effications or effective tool to treat
34
that aneurysm in a ratio
35
that is also like the safest procedure for the device right for
36
that patient right so i think that's the important thing
37
that we need to always think about there is a bifurcation aneurysm are are there potentially other options?
38
Yeah.
39
I mean, is this patient young?
40
Is this patient someone that can benefit from other endovascular or even surgical strategy?
41
Or there's no other option,
42
and maybe putting in flow diverter is the best option.
43
We don't have a lot of the clear answer for that.
44
I mean, I think we may have some better idea with some further on studies looking to specifically flow diverter into bifurcation,
45
but at this point, we don't have actually that answer.
46
So I think we need to see those as tools
47
that could be used to improve the patient outcome to treat the aneurysm.
48
But we don't have the clear answer for that,
49
so we need to understand where all the tools are,
50
all the possible strategies, and really decide what's going to be the best for that patient.
51
So in the case that you are using the cloud diverters in bifurcations,
52
what do you think are the key points to avoid the thrombosis of the side branch?
53
Yeah, I think, you know,
54
again, first of all, you need to see if that's the best strategy for that patient.
55
In our practice, we try to refrain from that.
56
So we do maybe a stent assisted co-embolization.
57
Now, if you can't because of whatever,
58
it's a fusiform aneurysm that may be better suited for a flutiver,
59
then we would do it.
60
And basically in terms like,
61
you know,
62
side branches usually in our experience what we can do is
63
increase a little bit the blood pressure make sure they remain
64
patent we usually do delayed angiogram after the flow diver display to make sure
65
that branch is still feeling in a normal time
66
if not you can use you know different strategies you can give uh glucopoing 2b3 inhibitors for example you know
67
that can improve because could be a clot
68
that is forming the surface of the stent
69
so there are things you can do also like try to put your flow diver on the dominant branch of
70
that bifurcation right so you decrease the risk of of having like an important schemic symptom.
71
So I think those are important things.
72
But again, I guess the key message here is that understanding the bifurcation endos,
73
see if there's other possible alternatives to that.
74
And if they're not, because of fusiform and you think the flow divert is the best treatment,
75
make sure you have a good execution of that
76
and make sure you do maybe a 15 minute delayed angiogram
77
to make sure the flow is completely along on to the side branches.
78
I think that's very helpful.
79
Okay.
80
So, there were any particular case that you consider particularly educational for young neurosurgeons?
81
I think, you know, to be quite honest,
82
all the cases are very educational.
83
Even for people to understand that maybe
84
that should not be what they should try if they're not experienced with a specific device.
85
Some of the cases here are difficult and some of the cases are done with people that have a really,
86
like, probably some of the maximal level of expertise with a certain device.
87
So I think it's very important the person needs to see,
88
okay, what is my limitation to do a case like this?
89
There are other strategies.
90
There's always other strategies.
91
So I think if you look into all the kids that were presented,
92
I think that's a key lesson to be learned.
93
You know, understand what's your strengths and what can you do that actually will help the patient achieve a good outcome.
94
But understanding that you have limitations and if you don't have a great expertise of specific device,
95
you shouldn't try them difficult case.
96
Okay.
97
And what's your opinion about the Latin American community in this meeting?
98
I mean, the Latin community,
99
like when you have like Link Americas, is always great.
100
There's always a lot of people from Central and South America.
101
There's a lot of people that come from the meeting that live in the U.S and practice here who are,
102
you know, South American or Central American.
103
So I think that's really enriches a lot like the discussion.
104
I think we have different realities that we all learn to live with.
105
And, you know, it's great to have discussions and debate about those cases.
106
And if you look into the cases and the case that people present,
107
I mean, you know, great work is done all over the world.
108
So I think that's important that we recognize that as well.
109
Yes.
110
Thank you, Dr. Davos, to be here.
111
You're very welcome.
112
My pleasure.
113
Thank you very much.
📺 Mismo canal
C11
Evidence and challenges in MeVO and distal occlusions, what do we know in 2026?
IELTS PrepTOEFL PrepUniversity Students
C12
Latest advances in AVM treatment - Uday LIMAYE
IELTS PrepTOEFL PrepUniversity Students
C28
How can we make AVM endovascular treatment great again?
Business EnglishUniversity StudentsWorking Adults
C11
How important is the Aruba Study for you today?
University StudentsWorking Adults
C22
Treatment of side wall aneurysms, IV thrombolysis for stroke
University StudentsWorking Adults
C23
Experience with the pEGASUS for rescue stenting and treatment of ICAD
University StudentsWorking Adults
C259
A pediatric cerebrovascular approach: techniques and challenges
Kids
C1Thrombectomy in 2036, what I learned from my trip to the future
Business EnglishUniversity StudentsWorking Adults
✨ Recomendar Video
C22
36 oraciones
Aneurysm Flow Diversion
University StudentsWorking Adults
C11
635 oraciones
Decision-Making and Entrepreneurial Performance: Evidence from a Field Experiment
Business EnglishUniversity StudentsWorking Adults
C11
368 oraciones
Leaders of Neurosurgery: Jacques Morcos, MD, FAANS, FACS interviewed by Gregory Zipfel, MD, FAANS
Business EnglishUniversity StudentsWorking Adults
C14
131 oraciones
The medicine myth | Denis Noble, Nessa Carey, Guy Brown
IELTS PrepTOEFL PrepUniversity Students
C21
148 oraciones
Accurately Diagnosing the Soft Tissue Sarcoma
University StudentsWorking Adults
C12
119 oraciones
Femoral access: step-by-step and troubleshooting - Mazen Abu-Fadel, MD
Business EnglishUniversity StudentsWorking Adults
C13
41 oraciones
Awards submission: DuraShield from SurGenTec
Business EnglishUniversity StudentsWorking Adults
C24
186 oraciones
Embolization of AV Malformations: Tips and Tricks
Business EnglishUniversity StudentsWorking Adults
C2323
7 oraciones
What Happens After a Stroke
Daily ConversationUniversity StudentsWorking Adults
C13
30 oraciones
Identifying and treating large vessel occlusion stroke due to intracranial atherosclerotic disease
IELTS PrepTOEFL PrepUniversity Students
C12
254 oraciones
Meet the Masters: 2026 Spine Endoscopy Masterclass Talk
Business EnglishUniversity StudentsWorking Adults
Vocabulario y notas de pronunciación para esta lección
Esta lección de conversación de nivel C2 se basa en el vídeo “Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy”. Las palabras que más se repiten: patient, aneurysm, tool, bifurcation, flow. Este vídeo tiene 113 frases y 1164 palabras para practicar shadowing. La parte hablada dura 5:59. El hablante habla rápido, unas 195 palabras por minuto, así que espera sonidos enlazados y reducidos. El 86 % de las palabras está entre las 3.000 más comunes del inglés; conviene repasar el resto antes de empezar.
Vocabulario clave de este vídeo
Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:
| Palabra | Pronunciación | Significado |
|---|---|---|
| aneurysm sustantivo | /ˈæn.jəɹ.ɪz.əm/ | aneurisma, neurisma |
| bifurcation sustantivo | /ˌbaɪfɚˈkeɪʃən/ | bifurcación |
| stent sustantivo | /stɛnt/ | estent |
| angiogram sustantivo | angiograma | |
| diver sustantivo | /ˈdaɪ̯və(ɹ)/ | buzo, submarinista |
| fusiform adjetivo | fusiforme | |
| neurosurgeon sustantivo | neurocirujano, neurocirujana | |
| limitation sustantivo | /lɪmɪˈteɪʃən/ | limitación |
| expertise sustantivo | /ˌɛkspɜːˈtiːz/ | pericia, expertise |
| carotid sustantivo | /kəˈɹɑt.ɪd/ | carótida |
| divert verbo | /daɪˈvɝt/ | distraer, desviar |
| embolization sustantivo | embolización | |
| endovascular adjetivo | endovascular | |
| enrich verbo | /ɪnˈɹɪt͡ʃ/ | enriquecer |
| inhibitor sustantivo | /ɪnˈhɪbɪtɚ/ | inhibidor |
Frases que vale la pena repetir
Frases cortas y completas del vídeo que puedes reutilizar en la conversación diaria:
- We don't have a clear answer for that.
- I mean, is this patient young?
- I think that's very helpful.
- I think that's a key lesson to be learned.
Gramática en este vídeo
Las estructuras que más usa el hablante, con las palabras exactas del vídeo:
| Estructura | En el vídeo |
|---|---|
| Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace | are done · were presented · be learned |
| Present perfect have/has + participio pasado — una acción pasada que sigue importando ahora | I've been · has evolved |
Pronunciación a tener en cuenta
El hablante usa 12 contracciones y formas reducidas, como don't, they're, can't. Dilas en su forma corta, tal como las oyes.
- Los sonidos de “sh” y “zh”: bifurcation /ˌbaɪfɚˈkeɪʃən/, limitation /lɪmɪˈteɪʃən/
- Palabras largas — cuida el acento: aneurysm /ˈæn.jəɹ.ɪz.əm/, bifurcation /ˌbaɪfɚˈkeɪʃən/, limitation /lɪmɪˈteɪʃən/, inhibitor /ɪnˈhɪbɪtɚ/, unbelievable /ˌʌnbɪˈliːvəbl̩/
Sonidos difíciles para hispanohablantes:
- /v/ — no es /b/: los dientes tocan el labio inferior: diver /ˈdaɪ̯və(ɹ)/, divert /daɪˈvɝt/, evolve /ɪˈvɑlv/, unbelievable /ˌʌnbɪˈliːvəbl̩/
- /z/ — sonora, no /s/: aneurysm /ˈæn.jəɹ.ɪz.əm/, expertise /ˌɛkspɜːˈtiːz/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Empieza a velocidad 0,75×, haz shadowing frase por frase y vuelve a la velocidad normal cuando te resulte fácil.
- Grábate y compara con el original, prestando atención a palabras como aneurysm, bifurcation, stent.
¿Qué es la Técnica de Shadowing?
Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.