Innovating to Address Unmet Needs

By Patrick Muck, MD

Carotid Artery Revascularization in 2026 and Beyond: Opportunities and Obstacles

Experts discuss the evolving roles of CEA, TF-CAS, and TCAR, the evidence still needed, and the technologies poised to shape the future of carotid intervention.

With D. Chris Metzger, MD, and Nicolas J. Mouawad, MD, MPH, MBA, DFSVS, FACS, FRCS, RPVI

Unmet Needs in Neurovascular Intervention

Guilherme Dabus, MD, FAHA, discusses the future of neurovascular intervention, from expanding treatment indications and improving patient access to emerging technologies and the next generation of specialists.

By Guilherme Dabus, MD, FAHA

Aortic Repair: Greatest Current Needs and Opportunities

Addressing unmet needs, factors driving reintervention, gaps in decision-making, how to individualize treatment, and innovations with potential to transform complex aortic repair.

With Niten Singh, MD, and Frank R. Arko, III, MD

PE in the Real World: Addressing Gaps in Everyday Care

Examining how recent trial data are informing patient selection, treatment pathways, and multidisciplinary care.

With Robert A. Lookstein, MD, MHCDL, FSIR, FAHA, FSVM

Enhancing Recognition of Embolotherapy in the Wider Medical Audience

Addressing misconceptions, engaging referring physicians, fostering clinical ownership, and advancing embolotherapy into the mainstream.

With Parag J. Patel, MD, MS, FSIR; Constantino S. Peña, MD; and Amy Taylor, MD, MBA

Key Questions in Chronic Venous Occlusion and Iliocaval Reconstruction

Insights on improving CVO diagnosis, intervention, and long-term patient outcomes.

With Stephen A. Black, MD, FRCS(Ed), FEBVS

Improving PAD Awareness, Access, and Amputation Prevention

The role of health care access, early diagnosis, multidisciplinary care, and innovation in improving limb outcomes in peripheral artery disease.

With Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Developing a pAVF Program: Translating the Updated SIR Guidance Into Practice

A discussion highlighting the importance of setting expectations around maturation, multidisciplinary communication, dialysis center engagement, and coordinated follow-up to support long-term access functionality.

With Bart L. Dolmatch, MD, FSIR; Andrew J. Gunn, MD; and Luke R. Wilkins, MD

Three Keys to Creating and Maturing pAVFs for Successful Cannulation Safety

Beyond access creation alone, favorable pAVF outcomes hinge on optimized inflow, flow redirection, and development of a cannulation-ready vein.

By Rishi Razdan, MD

The Dos and Don’ts of AV Access Thrombectomy

Practical approaches to a thrombosed arteriovenous dialysis access, from systematic evaluation and patient selection to procedural judgment and complication management.

By Vandana Dua Niyyar, MD, FASN, FNKF, FASDIN

ALARA+: Making “Less and Lower” Work in the Cath Lab

Insights into a collaborative, multisociety approach to reducing radiation exposure with an emphasis on ensuring musculoskeletal health, and how to make it feasible in the everyday setting.

With Amit N. Vora, MD, MPH, FACC, FSCAI

Interview With Gloria M. Martinez Salazar, MD, FSIR, FCIRSE

Dr. Salazar discusses academic IR as a driver of innovation, peer referral for the EMBOLIZE trial, creating pathways for underrepresented groups, and the role of mentorship and sponsorship in career development.