Vascular and Endovascular Review

M Yunus

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

Erin Saricilar, Raleene Gatmaitan, Kiraati Patel, Mark Yang Abstract Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 […]

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Acute Complicated Type B Aortic Dissection: Do Alternative Strategies Versus Central Aortic Repair Make Sense?

Yasaman Kavousi, Caitlin W Hicks Abstract Current guidelines dictate emergency repair for an acute complicated type B aortic dissection (TBAD). Surgical approaches for the treatment of acute complicated TBAD can be divided into open and endovascular. The endovascular approach is further divided into central aortic repair and alternative endovascular techniques. Central repair includes endoluminal aortic

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Is There a Difference in Patency Between Patients Undergoing Venous Stenting for Acute Deep Venous Thrombosis Following Thrombus Removal Versus Post-thrombotic Syndrome Stenoses?

Louis Rucker, Audrey Muck, Mark Broering, Patrick Muck Abstract Venous stenting was introduced in the 1990s and has continued to evolve to become the first-line therapy for symptomatic iliofemoral venous outflow pathology. There are several dedicated venous stents available in addition to Boston Scientific’s Wallstent and Cook’s Z-Stent. Numerous studies from tertiary referral centres, as

Is There a Difference in Patency Between Patients Undergoing Venous Stenting for Acute Deep Venous Thrombosis Following Thrombus Removal Versus Post-thrombotic Syndrome Stenoses? Read More »

Endovascular Management of Juxtarenal and Pararenal Abdominal Aortic Aneurysms: Role of Chimney Technique

Stefano Fazzini, Valerio Turriziani, Federico Francisco Pennetta, Simona Vona, Fabio Massimo Oddi, Andrea Ascoli Marchetti, Konstantinos P Donas, Arnaldo Ippoliti Abstract The use of chimney technique in endovascular repair of abdominal aortic aneurysms (ChEVAR) has had a secondary role. Although it was first developed in an emergent/urgent setting, the publication of various important studies has

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Novel Scaffolds for the Treatment of Below-the-Knee Peripheral Arterial Disease with Chronic Limb-threatening Ischaemia: A Review

Robert S Zilinyi, Marissa Alsaloum, Aishwarya Raja, Matthew Finn, Sanjum S Sethi, Sahil Parikh Abstract Below-the-knee (BTK) peripheral arterial disease (PAD) is a significant source of cardiovascular morbidity and mortality. Patients with chronic limbthreatening ischaemia in BTK PAD represent one of the highest-risk cohorts of PAD patients, with little progress having been made regarding long-term

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The Role of Renal Artery Embolisation in the Management of Blunt Renal Injuries: A Review

Rosemary Denning Ho, Vivek Shrivastava, Amir Mokhtari, Raghuram Lakshminarayan Abstract Renal injuries are the most common urinary tract injury secondary to external abdominal trauma. They are caused by blunt, penetrating and iatrogenic mechanisms. Despite the high number of blunt renal injuries, little evidence is available to guide management, especially with the evolution of embolisation as

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New Technology Focus: Smart Polymer in Vascular Surgery

Ross Milner Abstract A new smart polymer technology developed by Shape Memory Medical is available to endovascular specialists. The shape memory polymer is incorporated into vascular plugs and coils. Dr Ross Milner, a vascular surgeon at University of Chicago Medicine, gives his perspective on the properties of the shape memory polymer and how smart polymer

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Paclitaxel Exposure and Dosage of Drug-coated Devices for the Treatment of Femoropopliteal Peripheral Artery Disease

Ceazón T Edwards, Peter A Schneider, Cindy Huynh Abstract The role of paclitaxel in the treatment of femoropopliteal peripheral arterial disease is currently ambiguous. A summary-level meta-analysis of randomised trials published in 2018 demonstrated that paclitaxel-coated devices were associated with an increased all-cause mortality in those who underwent treatment at 2 years and 5 years.

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Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle Following Pelvic Vein Embolisation

Luca Scott, Jack Cullen Abstract Pelvic vein embolisation (PVE) with metallic coils is an effective treatment for pelvic venous congestion. The migration of coils following the procedure has been well-reported; however, the most effective approach to management is still unclear. In the present case, the authors describe the delayed identification of a migrated coil to

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Paclitaxel- and Sirolimus-coated Balloons in Peripheral Artery Disease Treatment: Current Perspectives and Concerns

Masayuki Mori, Atsushi Sakamoto, Rika Kawakam, Yu Sato, Hiroyuki Jinnouchi, Kenji Kawai, Anne Cornelissen, Renu Virmani, Aloke V Finn Abstract Drug-coated balloons (DCBs) have become an established therapy for the treatment of above-the-knee peripheral artery disease. The paclitaxel DCB has shown clinical benefit in terms of patency and freedom from re-intervention in multiple randomised trials.

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