May 2009


In this Issue

Ready for a Challenge?

Expert advice on handling a variety of difficult scenarios in peripheral vascular intervention.



Progress Continues, But Challenges Remain

By Takao Ohki, MD, PhD, Chief Medical Editor


Sponsored by AccessClosure, Inc.

The Mynx® Vascular Closure Device

Adopting extravascular closure technology in the catheterization lab.

By Ameer Kabour, MD, FACC, FSCAI, and E. Dean Nukta, MD, FACP, FACC, FSCAI


CTA and the Circle of Willis

Early use of multislice CTA to evaluate the distal internal carotid artery and the Circle of Willis and their correlation with stroke.

By Michael Wholey, MD, MBA; Albert Wu, BA; Ian Nowak, RT (CT); and William C. L. Wu, MD, FACC


Surgical Approaches to Chronic Limb Ischemia

Although endovascular advances provide a new array of options in appropriately selected patients, surgical techniques also continue to see innovation.

By Richard F. Neville, MD; Joseph Babrowicz, MD; and David H. Deaton, MD


Giant Visceral Artery Aneurysm

Endovascular and surgical options in complex visceral aneurysm treatment.

By Vikram S. Kashyap, MD, FACS

Embolotherapy for an Acute Lower GI Bleed

In the proper clinical setting, a rapid, minimally invasive treatment for life-threatening diverticular hemorrhage can be provided.

By Robert Worthington-Kirsch, MD

Fenestrated Thoracic Endograft

Left subclavian artery revascularization in the management of thoracic aortic aneurysms.

By Frank R. Arko, MD

Retrograde Recanalization of the Celiac Trunk

Treatment of a type A aortic dissection and a discussion of the available options.

By Rafael Trunfio, MD; Francesco Siclari, MD; and Jos C. van den Berg, MD, PhD

Treating a Type III Endoleak

An aorto-uni-iliac stent graft placement successfully repairs an endoleak secondary to fabric tear.

By Saher S. Sabri, MD; Nancy L. Harthun, MD; Lleowell M. Garcia, MD; Ulku C. Turba, MD; John F. Angle, MD; and Alan H. Matsumoto, MD

Recanalization of a Central Venous Occlusion

After failed conventional guidewire crossing, RF guidewire passage is attempted in a dialysis patient.

By James F. McGuckin, MD

Endovascular Management of Endograft Migration and Aneurysm Rupture

Why a percutaneous approach with redo endografting should be considered for patients with distal endograft migration and acute abdominal aortic aneurysm rupture.

By Zvonimir Krajcer, MD, FACC

Fungal Aortic Endograft Infection

Increasing application of EVAR and adjunctive procedures for endoleak repair may increase the incidence of this complication.

By Rashad G. Choudry, MD; Kathleen M. Lamb, BS; John Blebea, MD; Tejwant Datta, MD; and H. Hank Simms, MD

Approaches to Treating Challenging Iliofemoral Lesions

Interventionists must be prepared to handle access difficulties and procedural complications.

By Aravinda Nanjundappa, MD, RVT; Steven C. Powell, MD; Michael Stoner, MD; Sangeeta Mandapaka, MD; Jeffrey H. Freihage, MD; and Robert S. Dieter, MD, RVT

An Interview With Patrick Peeters, MD

With several drug-eluting stent trials underway, Dr. Peeters shares his involvement in two clinical studies and his opinion on the promise for future devices, from their use in various vascular beds to the potential cost benefit.

By Patrick Peeters, MD

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About Endovascular Today

Endovascular Today is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field. Our Editorial Advisory Board is composed of the top endovascular specialists, including interventional cardiologists, interventional radiologists, vascular surgeons, neurologists, and vascular medicine practitioners, and our publication is read by an audience of more than 22,000 members of the endovascular community.