Cases and resources in vascular techniques

Speaking at the PVI 2024 session on complications and troubleshooting, Dr. Lakshminarayan shared his insights on embolisation and thrombosis—two closely linked challenges in peripheral arterial disease management.

This study explores the safety and feasibility of using CO2 angiography for standardised EVAR without iodine contrast. Involving 293 patients with asymptomatic abdominal aortic aneurysms, it shows that the zero-iodine protocol is effective in 82 % of cases and yields high procedural success rates.

Discover how the CGuard™ stent enhances plaque coverage, embolic protection, and precision in carotid artery stenting. Watch expert case reviews and clinical trial updates in this PVI 2024 session!

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!

This prospective study assessed the link between Ex-TcpO2 results and postoperative outcomes in 82 patients with intermittent claudication. Clinical improvement and patency rates correlated with Ex-TcpO2 findings, highlighting its potential as a diagnostic tool, particularly for atypical or uncertain arterial claudication.

At PVI 2024, Dr. Bruno Migliara explores the challenges of treating below-the-knee disease and demonstrates how the Oscar device (4F & 6F) simplifies crossing and preparation in even the most complex BTK and BTA lesions. With real-world clinical examples, see how - thanks to its support catheter, dilator, and length-adjustable PTA balloon - Oscar tackles CTOs, calcification, small-vessel disease, and more. Watch now to see Oscar in action!

In this PVI 2024 interview, Dr. Mauro Gargiulo explores the growing role of CO2 angiography in EVAR. This technique reduces contrast media use, lowers the risk of acute kidney injury, and enhances procedural precision by improving endoleak detection and optimizing endograft placement. Already tested in FEVAR and BEVAR, CO2 angiography is paving the way for safer, more effective aortic interventions.

This retrospective study investigated the impact of atherosclerosis in multiple arterial beds on mortality and morbidity in patients undergoing elective EVAR. The findings showed that patients with polyvascular disease had a higher risk of peri-operative MACE and death. The risk increased with the number of arterial beds affected, suggesting that these patients should be considered high-risk and managed accordingly.

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

At PVI 2024, Dr. Tara Mastracci emphasizes the importance of managing blood pressure and using remote monitoring in type B aortic dissection. She explains how proper hypertension control can improve outcomes and change the disease's progression, especially in acute cases.