August 2011


In this Issue

Intervention vs Amputation

Striving for success in CLI cases previously deemed impossible.


Chief Medical Editor's Page

Progress in Amputation Prevention

By Jihad A. Mustapha, MD, FACC, FSCAI, Guest Chief Medical Editor

Cover Stories

The Costs of Critical Limb Ischemia

Patient prognoses and the economic impact of CLI on vascular practices and the national health care system.

By Alvaro Alonso, MD, and Lawrence A. Garcia, MD

Amputation as a Last Resort

A look at critical limb ischemia and the treatment options available before amputation is the only remaining option.

By Steve J. Gardner, BA; Chenchen Huang, BS; Hardy Singh, MD; and George Adams, MD, MHS, FACC

Establishing a CLI Referral Program for Your Hospital

One center’s successful experience developing a PAD referral program to ensure patients are identified and treated early enough to prevent amputation.

By Jihad A. Mustapha, MD, FACC, FSCAI; Carmen M. Heaney, RN, BSN, CCRC; Fadi A. Saab, MD; and Marilyn Devries, BSN

A Multidisciplinary Approach to CLI Management

Why your hospital should support the development of a dedicated limb salvage team.

By James F. McKinsey, MD, FACS; Thomas P. Davis, MD; and Gautam V. Shrikhande, MD

Endovascular Versus Open Revascularization for Peripheral Arterial Disease

A review of 12-year data revealing changes in amputation and limb salvage rates associated with a shift in revascularization modalities.

By Nilesh N. Balar, MD; Ranjith Dodla, MD; Parind Oza, MD; Parth N. Patel; and Mayank Patel, MD

Below-the-Knee Drug-Eluting Stents

Is there a role for this readily available device in treating critical limb ischemia?

By Andrew J. Feiring, MD, FACC, FSCAI

The Role of Gene Therapy for Critical Limb Ischemia

Angiogenesis may offer a means of treatment for patients with CLI who are not candidates for surgery or endovascular therapy, but further study is still needed.

By Catalina Sánchez-Álverez; Carlos Mena-Hurtado, MD, FACC, FSCAI; Robert S. Dieter, MD, RVT; Jihad A. Mustapha, MD, FACC, FSCAI; and Aravinda Nanjundappa, MD, RVT, MBA

Treating BTK CLI With Balloon-Expandable DES After Retrograde Tibial-Popliteal Recanalization

By Andrew J. Feiring, MD, FACC, FSCAI; Andrew McGown, MD; Jason Boudreau, DPM; and Lori Nelson, NP

Complex BTK CTO Recanalization

By Tony S. Das, MD, FACC


Percutaneous Removal of an IVC Filter From the Right Atrium

New-onset heart murmur leads to the discovery of a retrievable inferior vena cava filter that migrated to the heart.

By Pooya Heiraty, BS; Marc Casasanta, MD; Mojtaba Gashti, DO, FACOS; and John Wang, MD


The Use of IVUS for Renal Artery Fibromuscular Dysplasia

This imaging modality may play a key role in the endovascular treatment of patients with RAFMD.

By Albeir Y. Mousa, MD; Aravinda Nanjundappa, MD, RVT, MBA; Patrick A. Stone, MD; and John E. Campbell, MD



An Interview With Kenneth R. Thomson, MD

A discussion on key differences between radiology in Australia and the United States, as well as new developments in training and reducing radiation exposure.


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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.