Peschiera del Garda, Italy
Clinical cases in vascular techniques
This section provides a selection of clinical cases provided by experts in vascular techniques.
A 79-year-old man with diabetes, hypertension, atrial fibrillation, and chronic kidney disease presents with necrosis at the site of a prior toe amputation, performed without revascularisation. TcpO₂ is critically low (3 mmHg), and the WIfI score is 2-3-1. Angiography reveals limited BTK runoff with anterior tibial and peroneal patency, but occlusions of the dorsalis pedis and posterior tibial. Diffuse calcification is observed in foot arteries (MAC-score 5), consistent with a desert foot pattern.
What would be your revascularisation strategy in this challenging scenario?
An 80-year-old patient with a complex vascular history presents with left carotid patch enlargement and tight stenosis before the venous patch. With previous strokes and surgical interventions, the case invites discussion on the best management strategy. What would you do next?
Bordeaux, France
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
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!
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).
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.
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...
Hospital: Paris Saint-Joseph, France
This case was presented at JIF Periph Live on 14 December 2024 by the University Hospital of Bordeaux
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...
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...
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.
Worcester, United States
