March 2012


In this Issue


New device options offer solutions for more AAA patients, but questions regarding ideal applications remain.



Chief Medical Editor's Page

More EVAR Options, But Also More Questions

By Ronald M. Fairman, MD, and Edward Y. Woo, MD

Cover Stories

Infrarenal EVAR Technology Review

Steady evolution in device design and delivery has expanded endovascular repair to more patients, but further advancements are integral to this technology’s future.

By Eanas S. Yassa, MD, and Joseph V. Lombardi, MD

Infrarenal Fixation Is All That Is Necessary

Essential factors determining EVAR durability at the proximal sealing zone.

By Robert Y. Rhee, MD

Suprarenal Fixation Is Required for EVAR

The advantages afforded with suprarenal fixation when treating abdominal aortic aneurysms.

By Benjamin M. Jackson, MD, and Ronald M. Fairman, MD

Type IV Thoracoabdominal Aneurysms: What’s Next?

Advanced endovascular techniques and specialized devices in the pipeline are making fenestrated EVAR a viable option in this challenging anatomic site.

By Nikolaos Tsilimparis, MD, and Joseph J. Ricotta II, MD, MS

The Role of Debranching in Endovascular Repair of TAAs

Hybrid repair is an alternative in patients who are not candidates for open surgery or total endovascular approaches.

By Gustavo S. Oderich, MD

Off-the-Shelf Devices Should Be Used

Standardized technology allows interventionists to treat patients on an individual basis with the most appropriate device indicated for aneurysm presentations.

By Samir K. Shah, MD; Timothy Resch, MD, PhD; and Daniel G. Clair, MD

Custom Devices Can’t Be Abandoned

Long-term data for off-the-shelf devices remain uncertain, and their durability for challenging anatomy should be considered.

By Tara M. Mastracci, MD, and Roy K. Greenberg, MD

Endovascular Management of Common and Internal Iliac Artery Aneurysms

How iliac branch grafting may become a first-line treatment option.

By Erin H. Murphy, MD, and Edward Y. Woo, MD

Does Difficult Iliac Access Still Exist?

EVAR device profiles are getting smaller, and access techniques are becoming more refined, but are we there yet?

By Yiu Che Chan, MB BS, BSc, MD, FRCS (Eng), FRCS (Gen Surg) FCSHK, and Stephen W. K. Cheng, MB BS, MS, FRCS (Eng), FRCS (Edin), FCSHK, FHKAM


Treating a Type Ia Endoleak Using EndoAnchors

Successful endoleak resolution after endovascular abdominal aortic aneurysm repair.

By Ripal T. Gandhi, MD, and Barry T. Katzen, MD, FACC, FACR, FSIR


Candidacy for Endovenous Ablation

What makes a patient a good candidate or a noncandidate, how we know, and whether that has changed in the past 5 years.

By Jose I. Almeida, MD, FACS, RPVI, RVT, and Cristal Boatright, MMS, PA-C

Treating Varicose Veins in Patients With DVT

Vein closure in patients with a history of deep vein thrombosis is achievable and may lead to beneficial results, but further research is needed.

By Rafi Jarjous, BS; Angelica Reihmer, BS; Farah Jarjous, BS; and George T. Nahhas, MD, FACC, RPVI



An Interview With Alan T. Hirsch, MD

The Director of the Vascular Medicine Program at the University of Minnesota shares his thoughts on the role of exercise therapy in treating PAD, as well as spreading PAD awareness to the public, specifically, the underserved population of women.


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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.