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Year in review: Vascular intervention
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In case you missed it, Healio Intervention has compiled a list of the top articles from the pages of Cardiology Today’s Intervention in 2018.
This list focuses on vascular intervention, with updates on novel catheter-directed therapies for pulmonary embolism and deep vein thrombosis, tips for transpedal and tibial access, large bore occlusive sheath management, inferior vena cava filter use, challenges in peripheral artery disease and more.
Gaining Access: Tips for Transpedal and Tibial Access
Alternative access is becoming part of daily practice in vascular intervention. J.A. Mustapha, MD, FACC, FSCAI, details tips for tibiopedal arterial minimally invasive revascularization with ultrasound, navigating complex anatomy, new access points and more. Read the full article
How to Optimize Cerebral Protection During CAS
There are a number of embolic protection devices on the market for carotid artery stenting. In this column, Peter A. Soukas, MD, describes the strengths and limitations of various distal and proximal embolic protection devices. Read the full article
The Challenge of CLI: Endovascular Tibial Interventions Show Promise
Drug-eluting stents, drug-coated balloons and atherectomy are emerging as treatment options for this difficult-to-treat population. Read the full article
When to Intervene in Aortic Dissection
The optimal treatment strategy for patients with uncomplicated type B aortic dissection is unclear. Cardiology Today’s Intervention asked three interventionalists for their insights on how best to manage these patients. Read the full article
The Challenge of Large Bore Occlusive Sheath Management: Strategies for Success
As the scope of interventional cardiology is widening, it is prudent for the interventionalist to become familiar with obtaining and managing large bore accesses. Strategies for the management of occlusive sheaths are imperative to provide prolonged hemodynamic support and maintain large bore sheath access, without jeopardizing perfusion to the extremity. Authors Amir Kaki, MD; M. Chadi Alraies, MD; and Theodore Schreiber, MD, describe strategies for success. Read the full article
The ‘Pendulum’ of IVC Filter Use
Inferior vena cava filters have emerged as a popular tool to reduce risk for pulmonary embolism. Nevertheless, their use can be a polarizing issue among physicians. Read the full article
A Moving Target
The proliferation of novel catheter-directed therapies for pulmonary embolism and deep vein thrombosis has spurred rapid development in the treatment of venous thromboembolic disease. As the field rushes forward, however, physicians in some ways are left playing catch-up. Read the full article
The Evolving Role of Atherectomy
Experts debate emerging evidence and rising use of vessel preparation for coronary and peripheral procedures. Read the full article
Variation is the Enemy of Quality in CLI Treatment
In this column, Christopher J. White, MD, MSCAI, FACC, FAHA, FESC, FACP, discusses current challenges in the management of critical limb ischemia. Read the full article
New Technologies for Carotid Stenting Show Promise
Several new technologies are available or on the horizon to improve the outcomes of carotid artery stenting, including cerebral protection devices, mesh-covered stents and direct carotid access with high flow reversal with transcarotid artery revascularization and more. Read the full article
Aortoiliac Occlusive Disease: Open vs. Endovascular Approach
The manifestation of peripheral vascular disease in the aortoiliac segment is common, and thus its management is a frequent part of the day-to-day work for a vascular surgeon or interventionalist. Read the full article