From the Journal

Benefits and Drawbacks of Vascular Closure Devices

Craig Walker, MD

Dr. Walker discusses the pros and cons of using vascular closure devices after interventional procedures.

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Key words: vascular intervention, arterial closure devices, endovascular therapy

Diagnosis and Treatment of May-Thurner Syndrome

Manu Rajachandran, MD, FSVM; Robert M. Schainfeld, DO
From Memorial Hospital, York, Pennsylvania, and Massachusetts General Hospital, Boston, Massachusetts.

Left iliac vein compression from the contralateral right common iliac artery, against the posterior fifth lumbar vertebral body, is estimated to comprise 49% to 62% of cases of left lower extremity disease. This is known as May-Thurner syndrome and those with the condition who experience DVT are at high risk of developing recurrent DVT and post-thrombotic syndrome. Herein we describe the presentation, diagnosis, and management techniques for May-Thurner syndrome.

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Key words: thrombectomy, endovascular therapy

Serial CT Imaging of Rapid Progression and Spontaneous Regression of Multiple Arterial Abnormalities in a Patient With Vascular Ehlers-Danlos Syndrome

Danielle M. Chan, MD1; Thomas Casciani, MD2; Sabah Butty, MD2, From the 1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana, and 2Interventional Radiology Section, Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana.

This case illustrates the rapid progression of multiple arterial abnormalities in a patient with vascular Ehlers-Danlos syndrome, through serial imaging with computed tomography over a 2-week time period. 

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Key words: computed tomography, aneurysm repair

Vascular Closure Devices: Point-Counterpoint

Oliver G. Abela, MD1, Jimmy Diep, MD2, Chowdhury H. Ahsan, MD3, From 1University of Cincinnati College of Medicine, Cincinnati, Ohio; 2University of Nevada School of Medicine, Las Vegas, Nevada; 3Nevada Heart and Vascular Center, Las Vegas, Nevada; 

Ehrin J. Armstrong, MD, MSc, From University of Colorado School of Medicine and Denver VA Medical Center, Denver, Colorado.

Vascular closure devices have enabled earlier ambulation after interventional procedures and have even allowed operators to perform some procedures percutaneously that once were performed surgically. But are there cases in which they aren’t appropriate? The authors argue for and against the use of vascular closure devices in this point-counterpoint article.

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Key words: vascular intervention, endovascular therapy, arterial closure devices

VDM Highlights

Successful Endovascular Treatment of Common Femoral Artery Thrombosis Occurring 2 Months After Catheterization and Angioseal Closure

Monday 02/06/12 | 9,691 reads

Abstract

A patient presented for coronary angiography that was followed by ad hoc percutaneous coronary intervention.  Upon completion of the procedure, angiogram of the left common femoral artery revealed minimal disease, and an Angioseal vascular closure device was successfully deployed for hemostasis. Two months later, the patient presented with acute thrombosis of the femoral artery at the site of Angioseal deployment requiring successful percutaneous revascularization using rheolytic thrombectomy, laser atherectomy, and balloon angioplasty.

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Key words: arterial closure devices

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From the Journal

Benefits and Drawbacks of Vascular Closure Devices

Craig Walker, MD

Dr. Walker discusses the pros and cons of using vascular closure devices after interventional procedures.

continue reading
Key words: vascular intervention, arterial closure devices, endovascular therapy

Diagnosis and Treatment of May-Thurner Syndrome

Manu Rajachandran, MD, FSVM; Robert M. Schainfeld, DO
From Memorial Hospital, York, Pennsylvania, and Massachusetts General Hospital, Boston, Massachusetts.

Left iliac vein compression from the contralateral right common iliac artery, against the posterior fifth lumbar vertebral body, is estimated to comprise 49% to 62% of cases of left lower extremity disease. This is known as May-Thurner syndrome and those with the condition who experience DVT are at high risk of developing recurrent DVT and post-thrombotic syndrome. Herein we describe the presentation, diagnosis, and management techniques for May-Thurner syndrome.

continue reading
Key words: thrombectomy, endovascular therapy

Serial CT Imaging of Rapid Progression and Spontaneous Regression of Multiple Arterial Abnormalities in a Patient With Vascular Ehlers-Danlos Syndrome

Danielle M. Chan, MD1; Thomas Casciani, MD2; Sabah Butty, MD2, From the 1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana, and 2Interventional Radiology Section, Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana.

This case illustrates the rapid progression of multiple arterial abnormalities in a patient with vascular Ehlers-Danlos syndrome, through serial imaging with computed tomography over a 2-week time period. 

continue reading
Key words: computed tomography, aneurysm repair

Vascular Closure Devices: Point-Counterpoint

Oliver G. Abela, MD1, Jimmy Diep, MD2, Chowdhury H. Ahsan, MD3, From 1University of Cincinnati College of Medicine, Cincinnati, Ohio; 2University of Nevada School of Medicine, Las Vegas, Nevada; 3Nevada Heart and Vascular Center, Las Vegas, Nevada; 

Ehrin J. Armstrong, MD, MSc, From University of Colorado School of Medicine and Denver VA Medical Center, Denver, Colorado.

Vascular closure devices have enabled earlier ambulation after interventional procedures and have even allowed operators to perform some procedures percutaneously that once were performed surgically. But are there cases in which they aren’t appropriate? The authors argue for and against the use of vascular closure devices in this point-counterpoint article.

continue reading
Key words: vascular intervention, endovascular therapy, arterial closure devices

VDM Highlights

Successful Endovascular Treatment of Common Femoral Artery Thrombosis Occurring 2 Months After Catheterization and Angioseal Closure

Monday 02/06/12 | 9,691 reads

Abstract

A patient presented for coronary angiography that was followed by ad hoc percutaneous coronary intervention.  Upon completion of the procedure, angiogram of the left common femoral artery revealed minimal disease, and an Angioseal vascular closure device was successfully deployed for hemostasis. Two months later, the patient presented with acute thrombosis of the femoral artery at the site of Angioseal deployment requiring successful percutaneous revascularization using rheolytic thrombectomy, laser atherectomy, and balloon angioplasty.

continue reading
Key words: arterial closure devices
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