Welcome to the Library of Vascupedia. Use our filters on the left side of the page to quickly find the content of your interest. You may select an area of interest and the respective indication or the media type.
This is a case report of a custom iliac branch device for the treatment of an aortoiliac aneurysm. In this video, you will learn the features of the device, the most relevant steps of the procedure and how to recognize the markers of the endograft.
This is a recorded case of bilateral hypogastric artery aneurysm treated by coil embolization on the one side and an iliac-side branch device on the other side. In this video, you will learn about access vessels, decision making, how to embolize the aneurysm of the hypogastric artery, how to implant the iliac-side branch device as well as further relevant technical aspects and features of the device.
This presentation provides a short overview of the most important features and advantages of the hybrid atherectomy, the main indications as well as important technical tips and tricks.
This case presents a 68-year old dialysis patient with an ischemic diabetic foot. In this video, you will learn about:
(1) the anatomic challenges of diabetic foot syndrome
(2) the decision making in dialysis patients
(3) tips and tricks to cross chronic total occlusions (CTOs)
(4) how to treat the infrapoppliteal vessels and finally
(5) how to interpret the intraoperative angiographic images.
The WIfI classification system was initially published by Dr. Mills in January 2014 at JVS. The aim of this classification is to stratify the risk of limb amputation (very low, low, moderate and high risk) based on three factors: wound, ischemia and foot infection. The following presentation represents a validation of this classification in a well-defined cohort (nondiabetic patients treated by endovascular means for critical limb ischemia).
The presented case illustrates a successful endovascular approach in a patient with new onset of claudication intermittent after 50m walking distance and angiographic evidence of an occluded drug-eluting stent in the superficial femoral artery.
This presentation was presented by Dr. Marc Bosiers at the LINC 2017 Congress.
Preliminary 12-month results on 180 out of 220 patients & preliminary 24-month results on 110 out of 220 patients suggest at least a non-inferiority of Zilver PTX stenting versus prosthetic Above-The-Knee bypass surgery, with similar patency results and less complications.
We describe the surgical management of bilateral common femoral aneurysms. When should they be operated? What is your preferred method?
A primary ''leave-nothing-behind'' approach is favored by many physicians in the treatment of femoropopliteal PAD. It remains, however, unclear which is the best treatment option when we have to leave ''something'' behind. In this case the Eluvia DES was used to treat a flow limiting dissection after POBA of a long femoropopliteal CTO.
This is a challenging case of a patient with severe claudication due to multi-level disease expanding from the common iliac up to the popliteal artery. The treatment includes the use of directional atherectomy for vessel preparation and DCB as antiproliferative therapy. The whole procedure is performed with CO2-angiography instead of contrast agent in order to avoid acute kidney injury. Learn also the best approach to treat patients with a multi-level disease, i.e. which lesion first.
Although the measurement of Ankle-brachial-Index (ABI) is considered a fundamental skill in the diagnosis and assessment of peripheral arterial disease as well as predictive tool for cardiovascular events, real-world practice shows that current teaching and practice in undergraduate medical curricula is far from ideal. this article provides twelve easy-to-follow useful tips to enhance the comprehension and teaching of ABI and favors the simultaneous teaching of Dopler waveform examination.
Chronic kidney disease (CKD) limits the outcomes of endovascular therapy in patients with PAD, while the use of contrast agent can lead to a further deterioration of the renal function. CO2 angiography and endovascular lithotripsy were used in this case in order to limit the need for nephrotoxic contrast agent in a patient with CLI and CKD.
This recorded video case from CICE 2018, presents an endovascular treatment of the SFA and the infrapopliteal arteries in a patient with chronic limb-threatening ischemia (CLTI) by using CO2-angiography (Angiodroid).
This is an overview of the literature about the revascularization of the hypogastric artery (HA) in patients with aortoiliac aortic aneurysms. Should we preserve the HA? If yes, how? If not, which is the best method to avoid complications? Which are the current IBD devices?
Transfemoral access remains the gold standard for the vast majority of peripheral interventions. In selected cases however a transbrachial approach can serve as a viable alternative.
Remote endarterectomy has been suggested as a minimally invasive alternative to other established surgical approaches. In this case remote endarterectomy was performed in a patient with severe claudication of the left limb because of a CTO of the external iliac artery.
This presentation was presented by Dr. Marc Bosiers at the LINC 2018, Leipzig conference.
This presentation gives a brief overview on the literature of Drug-Coated Balloons for femoropopliteal arterial disease. What is already proven, and what are the open questions & limitations.
This study determines whether CLTI patients with heel wounds are at higher risk of mortality, major amputation, or failure to heal their wounds compared to patients with forefoot wounds undergoing revascularization for infrapopliteal arterial disease.
