Volume 7 - Issue 4 - April 2010
Please provide a brief overview of the history of kidney dialysis, particularly as it relates to vascular access techniques and management.
The concept of dialysis dates back to the start of the 20th century. It was known that you could pass blood with various chemical impurities in it, which are the type that occur with kidney disease, through cellophane membranes with a salt solution on the outside, and some of the poisons of kidney failure would pass through. Those experiments were successfully done using blood in animal kidney failure. However, the real implementation of
Clinical Review »
Following the introduction of percutaneous angioplasty (PTA), arterial stents emerged as a tool for preventing the acute arterial wall recoil and chronic restenosis associated with PTA. The use of stents has grown considerably in the last decade. There is a wide spectrum of clinical applications for the use of stents in the arterial vascular system, but every vascular territory demands specific stent adaptations such as resistance to kink and fracture in the femoropopliteal segment or high radial force in aortic ostial lesions. This article discusses the different type
Special Focus: TAVI »
Catheter therapy as an alternative to surgical cardiovascular therapy has had a long and steady development process beginning in the 1960s. When Charles Dotter first described opening a superficial femoral artery with a sequence of rigid dilators, he recognized many possibilities for percutaneous approaches as alternatives to traditional surgical operations. Remarkably, he spoke of percutaneous valve replacement, even at that early juncture, at the birth of catheter therapy for cardiovascular disease.
The subsequent development of alternatives to traditional sur
Case Report »
Intravascular hemolysis has been reported with a variety of atherectomy devices. We report a case of hemolysis after the use of the rotational aspiration Pathway Jetstream® catheter in the treatment of severe superficial femoral artery stenosis.
Key words: atherectomy, peripheral vascular disease
VASCULAR DISEASE MANAGEMENT 2010;7:E110–E111
We describe a 77-year-old female ex-smoker with a known past
Book Review »
Book Review: 100 Questions and Answers About Peripheral Arterial Disease (by Emile R. Mohler, III, MD and Alan T. Hirsch, MD)
100 Questions and Answers About Peripheral Arterial Disease (PAD) (ISBN978-0-7637-5866-0; Jones and Bartlett Publishers, Boston, 2010), is a 100+ page paperback book written by two of the leading experts in the area of Vascular Medicine: Drs. Mohler and Hirsch.
Dr. Emile R. Mohler, III is an associate professor of medicine at the University of Pennsylvania. He is the director of their Vascular Medicine program and has published over a 100 manuscripts and edited four books, and is well recognized as one of the preeminent leaders in the vascular community. Dr. Alan T. Hirsch