Background: Information is limited on contemporary use and outcomes of embolic protection devices (EPDs) in saphenous vein graft interventions.
Objective: Beyond traditional indications, subclavian revascularization is increasingly performed to allow for aortic arch debranching in the setting of thoracic endovascular aortic repair (TEVAR). Endovascular treatment options for subclavian disease have emerged, perhaps altering the patient population undergoing open revascularization. We leveraged prospectively collected American College of Surgeons (ACS)-National Surgical Quality Improvement Program (NSQIP) data to delineate evolving stroke and mortality rates after carotid-subclavian bypass (CSB) and subclavian-carotid transposition (SCT) in this dynamic context.
Purpose: To compare the acute outcomes of orbital atherectomy treatment in diabetic vs. non-diabetic patients with peripheral artery disease (PAD).
Objectives: In situ fenestration of endovascular stent grafts is a technique that is becoming more common, as it has the advantages of decreased cost, increased availability, and more anatomic configuration than other methods of branch revascularization. However, a significant concern is the short- and long-term durability of the stent graft fabric during and after fenestration.
Patients with colorectal liver metastases (CRLM) represent an underserved population who may benefit from liver-directed therapy. Although the classic paradigm of liver-directed therapies is to apply treatments with curative intent, the body of evidence has matured, suggesting that noncurative intent may be beneficial. Liver-directed therapies in the palliative setting may also improve patient quality of life as well as survival. This article provides insight and perspective on the role of ablation and embolization strategies in the context of contemporary management of CRLM.
Stephen Goode, MBChB, MRCS, FRCR, PhD, explains how ease of use and ultra-low profile benefit his patients and his practice.
Introduction A wide variety of stents for the superficial femoral artery (SFA) are currently available, including drug-eluting stents, interwoven stents, and covered stents. In using these stents, reduction of restenosis and stent thrombosis are the major concerns. Pathological studies have indicated that an uncovered coronary stent strut is the best morphometric predictor of late stent thrombosis (1). Optical frequency domain imaging (OFDI) provides detailed information on stent strut coverage, similar to that from scanning electron microscopy. We report on OFDI performed 5 months after implantation of 3 different SFA stents.
Abstract Background: The optimal revascularization strategy for acute limb ischemia (ALI) remains unclear, and contemporary comparative effectiveness data on endovascular versus surgical revascularization are lacking.
Abstract Background: The long-term benefit of revascularization for intermittent claudication is poorly understood. The aim of this study was to investigate the long-term effectiveness and cost-effectiveness compared with a noninvasive approach.
Abstract Background: To compare mortality after treatment of superficial femoral-popliteal artery disease with paclitaxel and nonpaclitaxel devices using a multicenter vascular registry.
Abstract Background: Contemporary patterns in management and outcomes of critical limb ischemia among United States veterans are unknown.
Abstract Background: Contemporary, nationally representative 30-day readmissions data after carotid artery stenting (CAS) and carotid endarterectomy (CEA) are lacking.
Preamble Since publication of its first Core Cardiovascular Training Statement (COCATS) in 1995,1 the American College of Cardiology (ACC) has defined the knowledge, experiences, skills, and behaviors expected of clinical cardiologists. Subsequent revisions have moved toward competency-based training based on the 6-domain competency structure promulgated by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties and endorsed by the American Board of Internal Medicine (ABIM). The ACC has taken a similar approach to describe the aligned general cardiology lifelong learning competencies that practicing cardiologists are expected to maintain. Many hospital systems now use the 6-domain structure as part of medical staff privileging, peer review, and professional competence assessments.
Background: Angioplasty with stent placement is a therapeutic option for patients with acute thrombotic, postthrombotic, and nonthrombotic obstruction of the iliofemoral veins or inferior vena cava. Previous studies of steel-alloy stents described variable patency rate across indications.
Background: Despite current guidelines suggesting a benefit for dual antiplatelet therapy (DAPT) following peripheral vascular intervention (PVI), there are limited data on antiplatelet prescribing patterns post-procedure. We attempted to determine variables associated with DAPT prescription following lower extremity PVI.
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