Clinical cases in vascular techniques

This section provides a selection of clinical cases provided by experts in vascular techniques.

This case details a 71-year-old male with a history of AAA and multiple interventions, now facing a large Type II endoleak. Despite several treatments over the years, the endoleak persists, posing a significant challenge. Review the clinical data, imaging, and consider the next steps in treatment through our poll!

Re-do endovascular endoleak embolisation by transprosthetic puncture after endovascular aneurysm repair
Massy, France

A 69-year-old male with a complex vascular history, including prior stents and endarterectomy, presents with worsening left leg ischemia (Rutherford class IV).

IVL in PAD: crossing calcified lesions
Avignon, France
Interventional cardiologist
Strasbourg, France
Interventional radiologist

Study the case of a 62-year-old patient with coronary disease, obesity, diabetes, and dyslipidemia, who has a history of RCIA, LCIA, and SFA stenting, along with thromboendarterectomy of the RCFA.

PAD with in-stent restenosis and calcified crossing management
Hospital: Paris Saint-Joseph, France

Professor of Vascular Surgery 
President of the association of the french university hospitals for clinical research 

Conflicts of interest:

Research funding from Predisurge, Biotronik, WL Gore, GE Healthcare 
Honoraria from Abbott, BD, Bentely, Biotronik, Boston Scientific, Cook, Eclevar Medtech, GE Healthcare, Ivascular, Medtronic, Penumbra, Sensome, Shockwave medical, WL Gore (consulting, medical advisory board, educational course, speaking)

Avignon, France
Interventional cardiologist
Bordeaux, France

Management of acute limb graft thrombosis can be challenging, especially for an obese patient with Balthazar E severe pancreatitis and ARDS...

Acute limb ischemia on graft thrombosis and severe pancreatitis
Hospital: Paris Saint-Joseph, France

This case was presented at JIF Periph Live on 14 December 2024 by the University Hospital of Bordeaux

PAD with highly selective treatment for CLTI
Strasbourg, France
Interventional radiologist
Hospital Pellegrin - Bordeaux, France
Professor of vascular surgery, PVI Editor-in-Chief

Professor of vascular surgery
Head of unit of vascular surgery CHU Bordeaux - France

Conflicts of interest:

Honoraria from: COOK Médical, Térumo-Vascutek, Siemens, GORE

A 72-year-old male patient with a history of aorto bi-iliac prosthesis for bilateral iliac occlusion presented with an occlusion of the surgical prosthesis...

Complex aortoiliac occlusions
Zuyderland Medical Center, Heerlen, Netherlands
Zuyderland Medical Center, Heerlen, Netherlands
Zuyderland Medical Center, Heerlen, Netherlands
Zuyderland Medical Center, Heerlen, Netherlands

Imagine treating a 68-year-old woman with visceral ischemia, complicated by CHF, HTN, obesity, and dyslipidemia...

Visceral ischemia with aortic stenosis - Our daily dilemma: Open or Endo?
University Medical Center Göttingen, Germany
University Medical Center Göttingen, Germany
University Medical Center Göttingen, Germany

Analyze the video sequences of this 78-year-old woman with a 6.1 cm pseudoaneurysm from a descending thoracic aorta anterior to an infra-abdominal aortic bypass.

Atypical aortic pseudoaneurysm: How best to treat ?
Worcester, United States

Endovascular repair of post-dissection thoraco-abdominal aortic aneurysms is often challenged by significant compression of the true lumen at the paravisceral segment...

How to tackle narrow paravisceral true lumen during post-dissection thoraco-abdomimal aortic aneurysm endovascular repair
University of Padua, Italy
University of Padua, Italy
University of Padua, Italy

Watch this case to assess the most appropriate treatment, taking into account the presentation of two acute arterial pathologies at the same time: ischemia of both legs and symptomatic aortic aneurysm with distal embolization.

Acute leg ischemia and huge AAA diagnosed during inguinal hernia surgery
Gregorio Marañón Hospital, Madrid, Spain