Library

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.

Recorded video case

Endovascular treatment of bilateral hypogastric artery aneurysms

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.

June 18, 2018 No Comments
Recorded video case

Endovascular treatment of a complex case of ischemic diabetic foot syndrome in a chronic kidney disease patient

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.

June 11, 2018 3 Comments
Clinical investigation

Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia

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).

June 10, 2018 2 Comments
Clinical investigation

The ZILVERPASS study : comparing endovascular Zilver PTX DES treatment versus bypass surgery for femoral TASC C&D lesions

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.

June 8, 2018 No Comments
Case report

What should we leave behind, if we cannot leave nothing behind?

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.

June 3, 2018 2 Comments
Recorded video case

Zero contrast atherectomy and endovascular treatment of multi-level femoropopliteal disease

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.

June 1, 2018 No Comments
Review of the literature

TIPS AND TRICKS FOR FACILITATING TEACHING OF DOPPLER WAVEFORMS AND ANKLE-BRACHIAL-INDEX IN UNDERGRADUATE LEVEL: A PRACTICAL GUIDE

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.

May 31, 2018 No Comments
Case report

Endovascular lithotripsy and CO2 angiography could be valuable tools in the treatment of patients with PAD and chronic kidney disease

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.

May 31, 2018 No Comments
Review of the literature

Iliac-side branch devices: What does the data teach us?

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?

May 30, 2018 No Comments
Review of the literature

Drug-Coated Balloons from a clinical perspective

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.

May 29, 2018 No Comments
Clinical investigation

Heel Wounds Predict Poor Outcomes After Infrapopliteal Revascularization

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.

May 28, 2018 No Comments

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