November 2018 Issue - Endovascular Today

Table of Contents

Issue

November 2018

TEVAR Considerations

Supplement

Extending Expectations for Long SFA Lesions

Sponsored by Medtronic

View Supplement

In This Issue

Guest Chief Medical Editors' Page

TEVAR: Myriad Considerations

By Edward Y. Woo, MD, and Ian M. Loftus, MD, FRCS

Cover Stories

Treatment Paradigms for Type B Aortic Dissection–Related Malperfusion and Rupture

Assessing the pathophysiology and endovascular treatments for complicated type B aortic dissection with malperfusion or rupture.

By Grace J. Wang, MD, MSCE, FACS

Repair of Aortic Coarctation

New and emerging techniques in coarctation of the thoracic aorta.

By Andrew W. Shaffer, MD; Rochus Voeller, MD; and Amy B. Reed, MD, FACS

Techniques for Optimizing Seal in a Compromised Neck

An overview of the etiology of suboptimal necks and the techniques and technologies that aim to maximize seal.

By Misaki M. Kiguchi, MD, and Edward Y. Woo, MD

Intentional False Lumen Thrombosis After Aortic Dissection

The best strategies for thrombosing the false lumen, how to execute various techniques, and intervention timing.

By Konstantinos Spanos, MD, MSc, PhD; Fiona Rohlffs, MD; Nikolaos Tsilimparis, MD, PhD; and Tilo Kölbel, MD, PhD

Ask the Experts: Does Significant Oversizing Matter in the Distal Descending Thoracic Aorta?

Experts discuss considerations for oversizing seal zones such as aortic pathology, distal and proximal landing zone diameters, and the use of tapered devices.

With Melissa L. Kirkwood, MD, FACS; Santi Trimarchi, MD, PhD; and Brant W. Ullery, MD, FACS

Current Status of Arch Branch Technology

Initial experience with arch branch device technology and considerations for optimizing operator technique and future iterations of these devices.

By Stéphan Haulon, MD, PhD; Jarin Kratzberg, PhD; Julien Guihaire, MD, PhD; and Dominique Fabre, MD, PhD

Hybrid Techniques for Surgical Repair of Acute Type A Aortic Dissection

Hybrid repair of type A aortic dissection is a versatile approach that facilitates reconstruction at the level of the aortic arch and descending thoracic aorta.

By Roland Assi, MD, MMS; Prashanth Vallabhajosyula, MD, MS; and Wilson Y. Szeto, MD

Performance of Chimney Grafts in Aortic Arch Pathologies

Lessons from the PERICLES study and considerations on potential utility.

By Konstantinos P. Donas, MD, and Gergana T. Taneva, MD

Connective Tissue Disorders: Aortic Considerations

Identifying factors, unique risks, and therapeutic options for Marfan syndrome and other connective tissue disorders.

By Germano Melissano, MD

Managing Infected Thoracic Endografts

A review of presentation and diagnosis, medical and surgical management and explantation, and outcomes after explantation.

By Oliver Lyons, PhD, MRCS; Morad Sallam, MSc, MD, FRCS; Rachel Bell, MS, FRCS; and Bijan Modarai, PhD, FRCS

Ask the Experts: Aortoenteric/Aortobronchial Fistulas: Is TEVAR Acceptable?

Experts share their strategies for first-line treatment in these very challenging and often morbid presentations.

With Ali Azizzadeh, MD, FACS; Timur P. Sarac, MD; Venita Chandra, MD; and Raghuveer Vallabhaneni, MD, FACS

Radial Access

Predictions for Transradial Access Capabilities in the Near Future

A discussion of available technology for transradial access in patients with aortoiliac and infrainguinal disease, current limitations, and opportunities for the future.

By Young Joon (Fred) Kwon, MSE; Raghuram Posham, MD, MPA; Rahul S. Patel, MD, FSIR; and Aaron Fischman, MD, FSIR, FCIRSE

Optimal Room Setup for Transradial Access

Tips for patient and equipment positioning to allow safe, successful, and efficient TRA-based interventions.

By Ricardo Yamada, MD, and Marcelo Guimaraes, MD, FSIR

Training for Proficiency in Transradial Access for Lower Extremity Interventions

A stepwise approach to utilizing transradial access for iliac and femoropopliteal interventions.

By Andrew M. T. L. Choong, MBBS, FRCS (Gen Surg), FEBVS (Hons), MFSTEd, FAMS (Gen Surg); Ian J. Y. Wee; Nicholas L. Syn; and Stanley E. K. Loh, MBChB, MRCS, FRCR

Ten Common (and Uncommon) Reasons for Unsuccessful Transradial Procedures

Understanding the limitations of radial access is key to optimal application.

By Hema Krishna, MD, and Adhir Shroff, MD, MPH

What Data Are Needed to Support Transradial Access in Peripheral Interventions?

Christoph A. Binkert, MD, FCIRSE, FSIR, discusses the potential of a radial approach to lower extremity interventions, as well as the available data and the level of evidence required to further expand this technique.

Featured Technology

Sponsored by Medtronic

Rethinking EVAR: Is Longer Seal Zone the Only Answer for Enhancing Durability?

Mimicking an interrupted anastomosis via an endovascular approach.

By Ross Milner, MD, FACS

Sponsored by Medtronic

Big Data: Making a Difference in Clinical Practice

By Mehdi H. Shishehbor, DO, MPH, PhD

Departments

Innovations

An Interview With Prof. Alun H. Davies

Prof. Davies shares his thoughts on how the recent EVRA trial results will impact patient care and provides a look into how national guidelines are created.