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The peroneal artery often represents the last arterial supply to the foot. The retrograde puncture of this vessel is often avoided because of its deep location and its small diameter. In this video all the tricks to succeed are presented with a step by step approach and a mix of procedural and fluoroscopical imaging to better understand the procedure
Vascupedia Round Table broadcasted on September 2nd through the Vascupedia Live App about the use of PTX coated devices in everyday clinical practice following the late mortality signal
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A call for awareness from the CLI Global society to safe limbs and lives.
Presented by Professor Zeller at the 1st CLI Congress Germany (www.cli-Kongress.de).
This case demonstrates the recanalization of the femoropopliteal artery in a patient with CLTI. The reason for the solely retrograde approach was a Y-graft for AAA having the anastomoses at both common femoral arteries, the above-knee amputation of the contralateral limb and the extent of the disease. Primary stent implantation was performed by using the Pulsar-18 (Biotronik) bare-metal stent, which has a 4Fr profile and a proven efficacy according to the 4EVER trial.
In this step by step video you can see the treatment of a vascular injury after arthroscopy and the performing of a fasciotomy.
Although we favor a more distal location of the AVF to circumvent the need to use covered stent extensions to destroy the valves and avoid bleeding off venous flow via collaterals, sometimes (e.g. due to extreme vessel calcification) it is unavoidable to have to look for a more proximal inflow. The versatility of the VAST maneuver allows to perform a proximal DVA at the origin of the PT artery with conventional off-the-shelf devices.”
JEVT 2019 Apr;26(2):213-218
JEVT 2019 Jun;26(3):427-428
Patient’s characteristics:
Gender: Female
Age: 79 years old
Comorbidity: Arterial hypertension, Dyslipidemia,
Implantation of a bare metal stent right SFA 4 years ago, Debulking and DCB angioplasty for ISR 2 years ago
Symptoms: Calf claudication after 50 meters
DUS: SFA stent Occlusion
Why an interwoven nitinol stent is the ideal device for SFA/popliteal lesions.
Correlation between vessels dynamics and mechanical properties of the stent.
This presentation aims to highlight the usefulness of surgical drawing in practice. It sums up experiences, planning and real cases of the past 5 years of practice in vascular surgery. As I got tremendous positive feedback from patients, colleagues, GP’s, relatives and artists, I decided to share this experience with the vascular community.
Despite the continuous development of endovascular modalities we still base our therapy in conventional angiographic imaging. IVUS might help us, however, to better understand the characteristics of the disease and guide our treatment. This presentation summarizes the value of peripheral arterial IVUS in our decision making process.
Update on occupational radiation exposure including non cancer health effects and ways to reduce exposure.
Dr. Pierre Sarradon (Monaco) demonstrates his unique technique of the total percutaneous bypass. Check out all the steps of the technique and the first results of his preliminary experience in 10 patients.
Patient’s characteristics
Gender: Female
Age: 65 years old
Comorbidity: Arterial hypertension, Dyslipidemia
Symptoms: Acute onset of claudication (<2 weeks), Rutherford class 3 of the left limb
Previous operations: None
ABI: 0.5
DUS: Occlusion of the left popliteal artery
How does calcium influence your treatment strategy? A short presentation regarding the impact of calcium in the treatment of femoropopliteal disease and a proposed algorithm for the use of scaffolds or ‘leave-nothing-behind’ strategies for severely calcified lesions.
This presentations gives a critical overview of the Drug-coated balloons in the BTK-area. Where do we stand and what are the open questions. Review of all available studies and the literature.
6-month results of the Legflow DCB in real-world TASC C&D femoropopliteal lesions, first presented at LINC 2019.
Investigating the iVolution 3rd generation nitinol stent in TASC A&B femoropopliteal lesions : 24-month outcomes in the EVOLUTION study, first presented at LINC 2019.
ZILVER PTX treatment versus bypass surgery for the treatment of TASC C&D fempop lesions.
Final 12-month results of the ZILVERPASS study, first presented at LINC 2019.
