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Clinical investigation

24-month outcomes in the EVOLUTION study: Investigating the iVolution stent in femoropopliteal lesions

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.

January 28, 2019 No Comments
Clinical investigation

Final 12-month results of the ZILVERPASS-RCT of ZILVER PTX vs. bypass

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.

January 28, 2019 No Comments
Awareness

VRTD 2: Association between PTX-coated devices and overall mortality

This is an exclusive interview with the first three authors (Dr. Katsanos, Dr. Spiliopoulos, Dr. Kitrou) of the paper entitled 'Risk of Death Following Application of Paclitaxel-Coated Balloons and Stents in the Femoropopliteal Artery of the Leg: A Systematic Review and Meta-Analysis of Randomized Controlled Trials' (J Am Heart Assoc. 2018 Dec 18;7(24):e011245). The authors answered relevant questions about the impact of their findings and the future of PTX-eluting devices.

January 11, 2019 6 Comments
Review of the literature

When to use a self-expandable covered stent in the SFA in PAD patients?

In this presentation, we demonstrate three interesting and debatable PAD cases, where a self-expandable covered stent was used to treat different types of SFA disease. The decision making about the use of a self-expandable stent is supported by a current overview of the literature.

December 18, 2018 1 Comment
Case report

Decision making by a complex case of iatrogenically created A-V fistula with concomitant AAA and fem-pop bypass occlusion

This is a complex case of a 74-year-old female with an acute onset of rest pain of the right limb. Previous Rx: primary stenting of both renal arteries, endovascular repair of both CIA in CERAB technique and fem-pop 1 bypass right limb.
During her current readmission, the CT-scan revealed a high-flow AV fistula of the right CFA, an abdominal aortic aneurysm (4.7 cm), an occluded stent in the right renal artery as well as an occluded fem-pop bypass. What would you do in this case?

November 29, 2018 No Comments
Live case

Two different techniques for retrograde infrainguinal CTO recanalization

This live case demonstrates two different techniques of retrograde recanalization: through collaterals of the CTO and through a retrograde tibial puncture. Moreover, you will see tips and tricks about the snaring of the wire and the further steps of such a procedure. Finally, the intervention was performed with CO2 angiography due to the chronic kidney disease of this patient suffering from chronic limb-threatening ischemia (CLTI).

November 26, 2018 No Comments
Review of the literature

Decision-making in intermediate femoropopliteal lesions

Professor Katsanos (Interventional Radiology, Patras, Greece) provides an evidence-based overview of different techniques and devices for the treatment of intermediate (<15cm) femoropopliteal lesions. Which should be your first treatment strategy? Which is the role of drug-eluting stents? Do we have enough evidence about atherectomy? What is vessel prep and how important is for the durability of the treatment strategy? Is there still space for the use of stent-grafts in the SFA?

October 8, 2018 No Comments
Poll 01/10/2018 – 31/10/2018

Critical limb-threatening ischemia – CLI Global Society

Patient’s characteristics

 

Gender: Male

Age: 79 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, chronic kidney disease (GFR: 53 ml/min/1,73m²), NYHA II, Coronary artery disease, previous CABG

Symptoms:  Toe ulceration of the left limb

Previous operations: None

ABI: incompressible, Toe pressure: 32 mmHg

Vascular Imaging – Duplex ultrasound: Isolated tibial vessel disease

Case report

Retrograde tibial anterior approach for challenging popliteal occlusion in CLI patient

This case report describes the endovascular treatment of a challenging popliteal occlusion in a CLTI patient. The lesion couldn’t be crossed via antegrade approach. The retrograde approach by puncture the mid section of the anterior tibial artery is safe and allowed us to recanalize the lesion easily.

August 29, 2018 3 Comments
Recorded video case

Paving and cracking technique for severely calcified SFA lesions

This is a recorded case about the treatment of a severely calcified chronic total occlusion (CTO) of the SFA in a patient with critical limb ischemia. In this video, you will see all the important steps of such an intervention: 1. puncture 2. cross-over sheath advancement 3. crossing of the lesion 4. vessel preparation 5. paving and cracking and 6. final treatment.

July 17, 2018 3 Comments
Case report

Endovascular options for the treatment of AIOD and popliteal artery thrombosis in a case of acute limb ischemia

Surgical thrombectomy is considered the first line strategy for the treatment of acute iliac axis and femoro-popliteal thrombosis, but in some cases it can be inconclusive and lead to controlateral and/or distal embolization and dissection.
This is a case report describing the endovascular options for the treatment of aorto-iliac obstructive disease complicated by popliteal artery thrombosis after failure of surgical trans-femoral iliac thrombectomy in a patient with acute limb ischemia.

July 14, 2018 No Comments

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