Background: Endovenous recanalization of iliofemoral stenosis or occlusion with angioplasty and stent placement has been increasingly used to maintain long-term venous patency in patients with iliofemoral venous outflow obstruction. The purpose of this systematic review and meta-analysis was to determine safety and effectiveness of venous stent placement in patients with iliofemoral venous outflow obstruction.
Subacute lower limb ischemia is defined as occurring more than 14 days and less than 3 months from symptom onset (1). Despite tremendous advancements in the treatment of vascular disease, no treatment strategy has been established for subacute lower limb ischemia. A 67-year-old man with a history of intermittent claudication in the left lower limb experienced a sudden worsening of claudication and pain at rest 3 weeks previously. The patient was referred to our vascular team for diagnosis and treatment.
Background: Critical limb ischemia (CLI) is increasing in prevalence, and remains a significant source of mortality and limb loss. The decision to recommend surgical or endovascular revascularization for patients who are candidates for both varies significantly among providers and is driven more by individual preference than scientific evidence.
Background: Intracranial aneurysms (IAs), abdominal aortic aneurysms (AAAs), and thoracic aortic aneurysms (TAAs) all have a familial predisposition. Given that aneurysm types are known to co‐occur, we hypothesized that there may be shared genetic risk factors for IAs, AAAs, and TAAs.
Background End: stage renal disease is accompanied by functional and structural vascular abnormalities. The objective of this study was to characterize vascular function in a large cohort of patients with end‐stage renal disease, using noninvasive physiological measurements, and to correlate function with demographic and clinical factors.
Background: The clinical implications of ankle‐brachial index (ABI) cutpoints are not well defined in patients with chronic kidney disease (CKD) despite increased prevalence of high ABI attributed to arterial stiffness. We examined the relationship of ABI with cardiovascular disease (CVD) and all‐cause mortality among CKD patients.
Background Drug: eluting stents are replacing bare‐metal stents, but in‐stent restenosis (ISR) remains a problem. Reactive hyperemia index (RHI) assessed by peripheral arterial tonometry evaluates endothelial function noninvasively. We prospectively assessed the prognostic value of RHI in predicting ISR after percutaneous coronary intervention.
A 42-year-old man presented to his local hospital with sepsis. He was cyanotic and had finger clubbing with oxygen saturation of 85% to 90%. A computed tomographic pulmonary angiogram led to an initial diagnosis of left-sided superior vena cava and partial anomalous pulmonary venous drainage. He had been generally well but always had limited exercise capacity (New York Heart Association class 2) and mild cyanosis and finger clubbing had been noted previously but had never been investigated.
Abstract: Aortic wall complications can occur in unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. This review summarizes the available literature and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on acute and follow-up AWI after endovascular treatment.
Objectives: This study sought to investigate the 3-year follow-up results of OLIVE registry patients.
Even though endovascular aortic aneurysm repair (EVAR) has been embraced and widely adopted for being minimally invasive compared to open surgery, it has a number of shortcomings, as does open surgery. Both of these imperfect solutions may be appropriate to treat select abdominal aortic aneurysms (AAAs) and thoracic aortic aneurysms (TAAs).
HOW DID YOU BEGIN USING ENDOANCHORS? I began using the EndoAnchor as part of the ANCHOR registry in early 2012. I then realized early on that EndoAnchors had the ability to secure the endograft in a similar fashion to a standard open surgical repair. I felt that this could be beneficial in those with normal anatomy, and younger presentation, as well as older patients with severely angulated and short necks.
Endovascular aneurysm repair (EVAR) has evolved significantly since 1991 when Dr. Juan Parodi detailed in his pioneering report the treatment of five abdominal aortic aneurysm (AAA) patients with knitted Dacron tube endografts.1 High failure rates of the first generation of endografts were due largely to stent migration and associated seal failure. Modern endografts are more advanced structurally to achieve greater fixation and sealing than their progenitor devices.
New techniques for superficial venous disease offer advantages, but reimbursement issues raise challenges for adoption.
Key elements in recanalization and stenting in the chronically occluded IVC and iliac vein systems.
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