May 2014


In this Issue

Comprehensive CLI Therapy

Clinical experience drives limb salvage decision making.



Guest Chief Medical Editors’ Page

Collaborative, Comprehensive CLI Treatment

By Jihad A. Mustapha, MD, and Prof. Thomas Zeller, MD


Cost-Benefit Analysis of Critical Limb Ischemia in the Era of the Affordable Care Act

Is it fiscally responsible to perform primary amputation as treatment?

By Mary L. Yost, MBA

A Team-Based Strategy for Optimal CLI Care

This fast-track, collaborative approach has made our practice the national benchmark in Italy for achieving low major amputation rates.

By Francesco Liistro, MD; Italo Porto, MD, PhD; Paolo Angioli, MD; Kenneth Ducci, MD; Giovanni Falsini, MD; Simone Grotti, MD; Lucia Ricci, MD; Giorgio Ventoruzzo, MD; Filippo Turini, MD; Guido Bellandi, MD; and Leonardo Bolognese, MD

Tibioperoneal CTOs in Patients With Critical Limb Ischemia

Using cap analysis to design and implement crossing strategies.

By Jihad A. Mustapha, MD; Larry J. Diaz-Sandoval, MD; and Fadi Saab, MD

The Retrograde Approach for BTK Chronic Total Occlusions

Tools and techniques for achieving access in even the most complex cases.

By Miguel Montero-Baker, MD

Angiosome-Directed Therapy for the CLI Patient

Case studies and the literature show the benefits of direct and indirect flow revascularization.

By Jihad A. Mustapha, MD; Larry J. Diaz-Sandoval, MD; and Fadi Saab, MD

Distal Embolization During Percutaneous Lower Limb Interventions

Identifying specific patients and lesion types that are at high risk of distal embolization could result in improved limb salvage rates and reduced morbidity and mortality.

By Leonardo Marques, MD; Michael Preiss, MD; Stephanie Lehrke, MD; Silke Hopf-Jensen, MD; Joana Carvalho, MD; and Prof. Stefan Müller-Hülsbeck, MD

Assessing Patency After Endovascular Treatment of Patients With CLI

Surveillance strategies and decision making processes.

By R. Kevin Rogers, MD, MSc, RPVI, and Arash Aghel, MD

Wound Healing After Endovascular Procedures

Revascularization is the first step on a long road to recovery, but sustained healing requires customized treatments for each patient.


A Case-Based Review of Pedal Intervention

Pedal Arch Revascularization

The rationale behind this procedure and tips from preprocedure planning to intervention.

By Arthur C. Lee, MD, and Matheen A. Khuddus, MD

Retrograde Transmetatarsal Artery Access

Below-the-ankle angioplasty for foot preservation in CLI patients.

By Luis Mariano Palena, MD, and Marco Manzi, MD

Transpedal Balloon Angioplasty

Using interventional techniques and devices to successfully restore inflow and outflow in patients with CLI.

By O Jesse Mendes, BA, and George L. Adams, MD, MHS


Sponsored by Cordis Corporation

Novel Use of Pillows and Grooves: The Chocolate® PTA Balloon Catheter

Reducing trauma and improving outcomes in complex lower extremity interventions.

By Charisse Ward, MD, MPH, and Carlos Mena-Hurtado, MD, FACC, FSCAI


Sponsored by Penumbra, Inc.

Indigo™ Percutaneous Mechanical Thrombectomy System

Experts discuss the effectiveness of this system in the rapid removal of emboli and thrombi from vessels of the peripheral vasculature.

By James F. Benenati, MD; Richard R. Saxon, MD, FSIR; Claudio Schönholz, MD; Joshua Adams, MD; George Adams, MD; Stephen Lalka, MD; Frank Arko, MD; and Jaafer Golzar, MD



A preview of today’s new products.

An Interview with Martin Werner, MD

The Vienna-based vascular medicine specialist discusses endovascular training, partnering with allied health professionals, and the challenges of developing a new vascular center.


Contact Info

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Craig McChesney

Stephen Hoerst

Charles Philip

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.