Volume 8 - Issue 11 - November 2011
Case Files with Dr. George »
Hybrid Endovascular and Surgical Approach to Management of Complex Iliofemoral Disease
Jon C. George, MD, Riyaz Bashir, MD, Andrew B. Roberts, MD
Abstract
Current guidelines favor a surgical approach for treatment of complex peripheral arterial disease that is diffuse and severe in nature. However, standard open surgical therapies, although durable, are associated with increased perioperative morbidity. Hybrid procedures allow patients, who are poor candidates for surgery, to undergo a limited surgical endarterectomy combined with endovascular treatment under conscious sedation for complete revascularization with significantly lower risk. Herein, we present a successful hybrid procedure of endovascular iliac repair via brachial access combined with a surgical common femoral endarterectomy for a patient who was deemed high-risk for extensive vascular surgery.
VASCULAR DISEASE MANAGEMENT 2011;8:E179–E181
Clinical Review »
Management of Venous Disease in Patients with Thrombophilia
Amir F. Azarbal, MD, and Timothy K. Liem, MD
Abstract
Venous disease encompasses a wide spectrum of clinical pathology. Thrombophilias are acquired and inherited hypercoagulable conditions that are prevalent among patients with various manifestations of venous disease. However, treatment guidelines often do not investigate the effect of thrombophilia on treatment outcomes. We aim to review the evidence for the relationship between thrombophilias and venous disease, and highlight situations in which the presence of thrombophilia may affect treatment options and outcomes.
VASCULAR DISEASE MANAGEMENT 2011;8:E182–E186
Original Research »
Cool Excimer Laser-Assisted Angioplasty vs Tibial Balloon Angioplasty in Management of Infragenicular Tibial Arterial Occlusion in Critical Lower Limb Ischemia TASC D
Sherif Sultan, MD, Wael Tawfick, MD, Niamh Hynes, MD
Abstract
Endovascular revascularization (EVAR) is the current gold standard and first line of therapy for critical limb ischemia (CLI). However, despite the advances of EVAR, there is still concern about its capability for treating complex tibial lesions. This study aims to compare outcomes with cool excimer laser-assisted angioplasty (CELA) vs tibial balloon angioplasty (TBA) in patients with CLI TASC D.
Interview »
Q&A with Dr. Lowell S. Kabnick, MD, About the New VenaCure 1470 nm Laser for the Treatment of Varicose Veins
Interview by Amanda Wright
