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.

Experts opinion
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IVUS vs Angio – Introduction to Intravascular Ultrasound

Dr Lichtenberg and Dr Stavroulakis discuss the IVUS technical characteristics and the rationale for using IVUS to complement angiography in PAD intervention.
Experts opinion
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LINC 2020: Prestige Pilot study — IVUS guided atherectomy and DCB therapy Dr Michael Lichtenberg

Dr Michael Lichtenberg (Vascular Centre Clinic Arnsberg, Arnsberg, DE) discusses the latest findings from the Prestige Pilot study. Prestige Pilot investigates if a lesion preparation strategy with Phoenix® atherectomy before DCB (drug coated balloon) usage in patients with PAD (peripheral artery disease) Rutherford Stage 4-5 and mild/moderate/severe calcium can improve outcomes including patency and limb salvage and evaluate safety and performance of the combination therapy.
Experts opinion
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IVUS vs Angiography in patients with peripheral vascular disease

Dr Konstantinos Stavroulakis (St. Franziskus Hospital, Münster, DE) discusses Angiography alone in the lower limb - First results comparing IVUS and angiography in the leg. Questions : 1.What was the need for comparing IVUS and angiography in the leg? 2.What are your findings to date and what conclusions (if any) can be made? 3.What further data should be anticipated from the trial? 4.What further research, in your opinion, is needed? Source: https://www.radcliffevascular.com
Case report

Spontaneous Rupture of SFA

This is an 81-Year-old patient presented with a spontaneous rupture of the superficial femoral artery of the left leg and on arrival to hospital he developed DVT in the same leg with pulmonary emboli which makes the anticoagulation policy to be quiet interesting, IVC filter has been deployed and covered stent has been implanted in his ruptured artery with endoleak type 1 B which settled conservatively, I hope you enjoy watching this case and looking forward to all your great comments

Mr. Mohamed Omar Elfarok M.Sc, FRCSEng, FRCSEd, IME

Consultant Vascular Surgeon

Royal College of Surgeons of England Examiner

 

 

 

 

December 17, 2019 9 Comments
Poll 04/10/2019 – 31/10/2019

Choice of antiplatelet therapy around complex revascularisation

A 79-year-old diabetic male patient with no history of coronary disease is referred to you to undergo angioplasty for tissue loss on the tips of the hallux and second toe. He is taking Aspirin 75mg. From preoperative imaging he needs a 20cm SFA occlusion stopping before the adductor hiatus recanalizing as well as multilevel tibial disease which appears to be a combination of short occlusions and stenoses. The dorsal pedal is seen in the foot and is in continuity with the arch. The PT artery appears occluded through it’s whole length.

Recorded video case

Retrograde femoropopliteal recanalization through the dorsal pedal artery

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.

July 14, 2019 No Comments