April 2007 Issue - Endovascular Today

Table of Contents

Issue

April 2007

In This Issue

Chief Medical Editor's Page

Meeting the Challenge

By Barry T. Katzen, MD, Chief Medical Editor

Varicose Vein Update

Fellows Training in Venous Disease

The importance of exposing fellows to all aspects of venous disease.

By Steve Elias, MD

Cardiologists and Endovenous Ablation Procedures

How a cardiology practice turned a small investment in a new procedural offering into a lucrative and satisfying outpatient business model.

By Ariel D. Soffer, MD, FACC

Thermal Endovenous Ablation of the Saphenous Vein

The histological findings of endovenous ablation show that it is a successful treatment option.

By Ronald Bush, MD, FACS

Techniques

A Novel Aortic Wrap Technique

Reinforcing the aorta with an external aortic band can prevent type I endoleak after EVAR.

By Zvonimir Krajcer, MD, and Igor D. Gregoric, MD

Cover Story

Challenging Vertebrobasilar Revascularization

Irregular atherosclerotic disease made crossing the lesion difficult.

By Lee R. Guterman, PhD, MD

The Mother of All Carotids

A complex carotid intervention in a patient with a bicarotid trunk and anomalous origin of the right subclavian artery.

By James D. Joye, DO; Omar Wani, MD; and Samir Bhatt, MD

Endovascular Repair of an Ascending Aortic Pseudoaneurysm

Technical considerations of a common carotid artery approach in treating a challenging problem.

By Peter H. Lin, MD, and Joseph S. Coselli, MD

Repairing a Challenging Aortic Arch Aneurysm

Concomitant endovascular exclusion of a contained ruptured aortic arch aneurysm with an Endofit cartridge-loaded stent graft and supra-aortic debranching.

By Lefeng Qu, MD, PhD, and Dieter Raithel, MD, PhD

Facing Complications After Endovascular Thoracic Aneurysm Repair

Use of emergent intra-arterial thrombolysis and middle cerebral artery angioplasty to treat ischemic stroke after TEVAR.

By Manish Mehta, MD, Mph; John B. Taggert, md; Yaron Sternbach, MD; Paul B. Kreienberg, md; Sean P. Roddy, MD; Stephanie Saltzberg, MD; Kathleen J. Ozsvath, MD; Philip S.K. Paty, MD; Benjamin B. Chang, MD; Dhiraj Shah, MD; and R. Clement Darling III, MD

Endoluminal Repair of an Aortoesophageal Fistula

With every procedure attempted, another complication arose.

By Joost A. van Herwaarden, MD, PhD; Ommid Kodadade Jahrome, MD; Richard van Hillegersberg, MD, PhD; Frans L. Moll, MD, PhD; and Hence J.M. Verhagen, MD, PhD

Treating a Mycotic Ascending Aortic Aneurysm

Isolated endovascular therapy can be performed successfully in appropriate anatomy.

By Ross Milner, MD

Chronic Aneurysmal Aortic Dissection

A staged hybrid procedure and a fenestrated endograft were used to treat this challenging presentation.

By R. M. Walkden, MRCS, FRCR; Rob A. Morgan, MRCP, FRCR; Ian Loftus, MD, FRCS; and Matt Thompson, MB, FRCS

Confronting Aneurysms In the Setting of Gastrointestinal Hemorrhage

Consideration and options.

By Kate Pfaff, BS; Qingsheng Lu, MD; and Roy K. Greenberg, MD

Challenging Stent Placement in the Renal Artery

Analyzing red flags for treating renal artery stenosis.

By James A. M. Smith, DO

In-Stent Restenosis of the SFA

Two case studies using a retrograde approach with a combination of different devices to treat recurrent lower-extremity ischemia.

By Soo Rhee, MD, and James F. McKinsey, MD

Difficult Access for a CTO in the SFA

Alternative options for accessing and treating this challenging but common indication.

By Tony S. Das, MD, FACC

Challenging Acute Iliofemoral and IVC Thrombosis

Catheter-directed therapy in the presence of an inferior vena cava filter.

By Bulent Arslan, MD, and Alan H. Matsumoto, MD

Featured Technology

Using a Virtual Reality Trainer to Prepare for Difficult Cases

With a difficult MI case, you might have a few minutes to save a life. That is a few minutes to choose and navigate a guidewire and catheter, take arteriograms, find the lesion, dilate, and place a stent. Practicing on a simulator before you are actually faced with a life-threatening case is an ideal way to help you become prepared.

By Theodore A. Bass, MD, and Kevin J. Kunkler, MD

Innovations

An Interview with Ziv J. Haskal, MD

At the forefront of radiology research, Dr. Haskal discusses stent graft use in dialysis, embolotherapy by IRs, and why 2007 is the year of DVT.

By Ziv J. Haskal, MD