Vascular Disease Management

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Target Audience: Physicians, nurses, and technologists.
This activity is supported by an educational grant from Terumo Medical Corporation.

Issue

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    Frank J. Criado

    The article Review of Current Thoracic Endografts with or Pending FDA Approval by Wang and Milner is a timely current-status report on TEVAR technologies, and constitutes an excellent foundation for this issue’s editorial. While aneurysms and dissections predominate, thoracic aortic pathologies are diverse and of multiple etiologies. Put all together, the total number of patients may approximate, if not surpass, AAA volumes. Surgical repair has been the acknowledged standard of care for a long time. But, while treatment outlook has improved over the past 20 years, largely as a result of adva

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    Jeffrey Wang, MD and Ross Milner, MD

    Review of Previous and Current Clinical Trials
    Currently, there are several thoracic endografts available for the treatment of descending thoracic aortic aneurysms. They are the TAG device made by WL Gore (Flagstaff, Arizona), the TX2 device by Cook, Inc. (Bloomington, Indiana), the Talent and Valiant devices by Medtronic (Santa Rosa, California), and the Relay device by Bolton Medical (Sunrise, Florida). At this time, the only thoracic endograft approved by the FDA for use in the United States is the TAG device. The TX2 device and Talent device have completed their initi

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    <sup>1</sup>Robert L. Wilensky, MD and <sup>2</sup>Jacob Schneiderman, MD

    Acute coronary syndromes (ACS) and ischemic strokes develop suddenly and often unpredictably in patients with vascular disease. In the majority of patients, these clinical scenarios result from either rupture of a thin-cap fibroatheroma or superficial erosion of an atheroma.1 An intraluminal thrombus then forms on the damaged lesion, possibly embolizing and resulting in decreased blood flow within the artery leading to ischemia and clinical instability. In the coronary circulation, the result of thrombus and embolus formation is myocardial ischemia, infarction, or death, while in th

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    <sup>1</sup>Ghazanfar Khadim, MD, <sup>2</sup>Aravinda Nanjundappa, MD, RVT, <sup>1</sup>Robert S. Dieter, MD, RVT

    Atherothrombosis is a systemic disease of large- and medium-sized arteries, including the coronary, aorta, and peripheral arteries. The clinical manifestations depend on the size of the vessel and the regional circulation involved and include coronary artery disease, stroke, and peripheral vascular disease. A paradigm shift is occurring, with a change in focus from the assessment and treatment of luminal narrowing towards greater understanding of the vascular biology in the arterial wall that leads to plaque vulnerability. High-risk or vulnerable plaques are characterized by the presence of a

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    <sup>1</sup>Master Mobin, MB, BS, <sup>1</sup>Khoo Ee Win, MB, BS FRANZCR, <sup>2</sup>Shyamkumar Keshava, DNB, FRCR, FRANZCR

    Introduction
    Most patients described in the literature with spontaneous rectus sheath hematomas are on a form of medical anticoagulant therapy or have a bleeding diathesis.1–3 The indication for angiography includes persistent bleeding and hemodynamic instability, despite reversal of anticoagulation.10 The majority of these indicated cases were treated by transarterial embolization (TAE).1,2,4,5

    Case 1
    A 67-year-old male presented to the emergency department with a swollen left lower limb and confirmed deep venous thrombosis (DVT) follow

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    Yuri Pride, MD, Benjamin Rester, MD, Lawrence Garcia, MD

    Introduction
    Aneurysms of the splenic artery are the third most common intra-abdominal aneurysms, with aneurysms of the aorta and iliac arteries being most and second most common, respectively.1 However, splenic artery aneurysms (SAAs), with an incidence as high as 10% in certain series, are the most common visceral artery aneurysms.2 The detection of SAAs is likely rising in the setting of increasing frequency of advanced abdominal imaging.3 The most commonly cited risk factors for SAAs are portal hypertension and multiple pregnancies.1,4 Pr

  • Issue Number: 
    Volume 4, Issue 5 (Sept/Oct 2007)
    Mohan Nandalur, MD, Surender Avula, MD, Bruce Abramowitz, MD

    Introduction
    Distal protection devices are being utilized with increasing frequency in percutaneous treatment of atherosclerotic renal vascular disease. Early interventions utilized either a distal balloon occlusive device or filter wire to prevent particulate embolization from causing post-procedural decline in renal function. We describe a case in which a new protection device, the TriActiv system, was used to treat tandem aorto-ostial lesions of a solitary kidney with a dual arterial supply.

    Case Study
    A 73-year-old woman presented with a history of refractory hyperten

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Release Date: December 22, 2008

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