Description:
This issue of Interventional Cardiology Clinics, guest edited by Dr. Herbert Aronow, will discuss Updates in Peripheral
Vascular Intervention. This issue is one of four selected each year by the series Editor-in-Chief, Dr. Matthew Price.
Topics discussed in this issue will include: Vascular access, alternative vascular access and vascular
closure/hemostasis, Wires, catheters and sheaths, balloons and stents, Plaque modification (eg., atherectomy,
lithoplasty) devices, Embolic protection, Renal and mesenteric artery intervention, Iliac intervention, Fem-pop
intervention, Below-the-knee intervention, Acute limb ischemia intervention, Catheter-directed therapy for pulmonary
embolism, Intervention for liofemoral DVT and May Thurner, Venous ablation, among others.
Vascular Access and Closure for Peripheral Arterial Intervention
Key points
Introduction
Arterial access
Vascular access closure
Summary
Plaque Modification in Endovascular Procedures in Patients with Infrainguinal Disease
Key points
Introduction
Plaque modification device utilization
Scientific statements on plaque modification
Evidence base supporting plaque modification
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Laser
Rotational
Directional
Orbital
Endovascular lithotripsy
Knowledge gaps and future directions
Summary
Carotid, Vertebral, and Brachiocephalic Interventions
Key points
Introduction
Epidemiology: carotid disease
Diagnosis of carotid artery disease
Approach to asymptomatic carotid artery disease
What do the guidelines say?
Medical therapy
Carotid endarterectomy
Carotid artery stenting
Features asymptomatic carotid stenosis with high risk of stroke
Approach to symptomatic carotid artery disease
Carotid endarterectomy
Timing of surgery
Risk score for carotid interventions
Carotid artery angioplasty and stenting
Embolic protection devices
Techniques for carotid arterial intervention with carotid arterial angioplasty and stenting
Transcarotid artery revascularization
Carotid endarterectomy
Brachiocephalic interventions
Anatomy
Subclavian artery stenosis
Medical therapy
Subclavian artery revascularization
Vertebral artery interventions
Anatomy
Etiology
Indications for vertebral interventions
Imaging
Open surgical versus endovascular intervention
Summary
Endovascular Abdominal Aortic Aneurysm Repair
Key points
Introduction
Indications
Contraindications
Endovascular aneurysm repair evidence base
Endovascular aneurysm repair devices
Patient selection
Preprocedural imaging
Procedure
Strategies to manage common iliac artery aneurysm
Follow-up
Complications
Endoleaks
Summary
Renal and Mesenteric Artery Intervention
Key points
Introduction
Renal artery interventions
Mesenteric artery interventions
Summary
Iliac Artery Intervention
Key points
Introduction
Aortoiliac occlusive arterial disease treatment options
Endovascular therapy indications
Endovascular therapy contraindications
Endovascular therapy procedural techniques
Endovascular therapy complications
Endovascular therapy periprocedural issues
Long-term follow-up after endovascular therapy
Summary
Device Selection in Femoral-Popliteal Arterial Interventions
Key points
Introduction
Anatomic lesion considerations
Common femoral artery disease: special considerations
Uncoated balloon percutaneous transluminal angioplasty
Bare metal stents
Drug-eluting stents
Drug-coated balloons
Covered stents
Atherectomy
Emerging therapies
Mortality controversy
Summary
Diagnostic and Therapeutic Approaches in the Management of Infrapopliteal Arterial Disease
Key points
Introduction
Diagnostic evaluation
Procedural planning
Therapeutic approaches
Anatomic considerations
Clinical considerations
Technical considerations
New frontiers: inframalleolar angioplasty and deep venous arterialization
Future directions
Acute Limb Ischemia Interventions
Key points
Introduction
Acute limb ischemia etiologies
Revascularization strategies: surgery versus endovascular treatment
Patient selection for treatment
Procedural considerations
Complications
Follow-up
Summary
Interventional Therapies in Acute Pulmonary Embolism
Key points
Introduction
Pulmonary embolism risk stratification
Rationale for catheter-directed thrombolysis
Systemic thrombolytic therapy
Catheter-based embolectomy
Summary
Intervention for Iliofemoral Deep Vein Thrombosis and May-Thurner Syndrome
Key points
Introduction
Evidence base for endovascular intervention
Indications
Contraindications
Procedural technique
Complications and their management
Periprocedural issues
Long-term follow-up: clinical, imaging, and so forth
Summary
Venous Ablation
Key points
Epidemiology
Risk factors
Symptoms
Diagnosis
Treatment
Summary