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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.
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).
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.
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 presentation gives you a brief overview of how we treat femoropopliteal disease. Which type of treatment is best for which type of SFA lesion?
This case shows step by step the treatment of a severely calcified lesion in the SFA. The video includes the recanalization of the lesion with use of different support catheters and wires, solutions for the subintimal course of the wire, intraoperative AV fistula, vessel preparation and the use of a balloon-expandable stent with a Supera stent for lumen gain.
This presentation provides an overview of the interim analysis of the CRITISCH registry comparing the endovascular therapy and the bypass surgery as first-line treatments in CLI patients. Original publication: Bisdas et al. JACC Cardiovasc Interv. 2016 Dec 26;9(24):2557-2565.
CTOs and severe calcification challenge the results of endovascular therapy. In this case endovascular lithotripsy was used for the vessel preparation prior to DCB angioplasty for a severely calcified CTO of the distal SFA.
A case of a short popliteal artery occlusion in a patient with rest pain of the right limb treated by directional atherectomy with anti-restenotic therapy (DAART) and a detailed presentation of our algorithm for the treatment of isolated popliteal atherosclerosis.
In this case, the patient is a poor candidate for an open surgical endarterectomy of the common femoral artery (CFA) due to a post radiation hostile groin. The lesion was treated by performing a directional atherectomy with antirestenotic therapy. Check all the steps of the procedure and important technical tips for this challenging lesion.
A very challenging case of postradiogenic occlusion of the infrarenal aorta and the iliac arteries. A step by step analysis of the procedural steps in order to maintain the perfusion of both legs and to avoid any open surgical reconstruction.
A challenging case of an occlusion of a aorto-biiliac Y graft leading to critical limb-threatening ischemia: a step by step decision making between redo laparotomy, total endovascular repair and hybrid approach. At the end follows the final treatment strategy with an analysis of all procedural steps
