Cases and resources in vascular techniques

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

A 65-year-old male with multiple comorbidities presents with a 58 mm thoracic aortic aneurysm and a severely kinked, diseased aorta. This case reviews the key anatomical challenges, landing-zone configuration, access considerations, and protective strategies needed when planning a patient-tailored endovascular repair.

Florian Elger

An 80-year-old patient faces a recurrent type II endoleak after EVAR, with his aneurysm sac continuing to grow despite prior interventions. Explore the imaging and procedural challenges in managing this stubborn complication—and see what comes next.

Elena Herrero Martínez

This PVI 2025 symposium reviews a complex SFA intervention in a 70-year-old patient with progressive PAD and prior vascular surgery. Imaging findings, treatment options, and the rationale for Jetstream atherectomy followed by paclitaxel DCB are discussed, along with key procedural steps and outcomes.

Caroline Caradu, Céline Deslarzes, Gilles Goyault

This PVI 2025 symposium explores the role of IVUS in peripheral arterial disease, from understanding vessel biology and mechanisms of failure to reviewing the growing evidence supporting IVUS use, particularly in CLTI. Through expert insights and real-life, IVUS-guided cases, the session shows how imaging can directly inform vessel preparation and treatment decisions in daily practice.

Eric Secemsky, Ashish Patel, Mark Portou

This PVI 2025 session showcases how vascular care is delivered across the Asia-Pacific region. It covers research regulations in New Zealand, DVT management in Singapore, CFA treatment in Japan, acute lower limb ischemia in Malaysia, pulmonary embolism repair in India, real-world Ranger DCB outcomes in CLTI patients, and aortic dissection management in China.

Tze Tec Chong, Koen Deloose, Weiguo Fu, Yann Gouëffic, Andrew Holden, Terence Teo Kiat Beng, Hideaki Obara, Varinder Singh Bedi, Ismazizi Zaharudin

Dr. Prakash Krishnan breaks down bioresorbable scaffolds after the LIFE-BTK trial. Discover how these drug-eluting scaffolds may help in dissections and recoil, offering temporary support without compromising future treatments. Challenges remain—long lesions, above-the-ankle use, and vessel prep are still under investigation. Watch now to see what this means for complex CLTI care!

Prakash Krishnan

This PVI 2025 session reviews the expanding role of embolisation through real-world cases, from orthopedic embolotherapy to the pragmatic management of traumatic and intra-procedural bleeding. It also provides an in-depth discussion on type 2 endoleaks, comparing treatment strategies, new technologies, and the ongoing debate between endovascular management and surgical conversion.

Varinder Singh Bedi, Éric Ducasse, Arjan Hoksbergen, Narayan Karunanithy, Athanasios Katsargyris, Prakash Krishnan, Rutger Lely, Jose Ignacio Nacho Leal, Jos C. Van Den Berg

Explore strategies to optimise AV access maturation, cannulation, and intervention. Learn about percutaneous AVFs, site selection, timely interventions, and innovative techniques like KEMIC, with practical insights from U.S. and European experiences.

Bart Dolmatch, Stephen E. Hohmann, John Lucas, Robert Shahverdyan, Scott Trerotola

Drs. Diego Ruiz Chiriboga and José Ignacio Leal Lorenzo discuss the critical role of vascular access in carotid stenting. They review transfemoral, transcarotid, and transradial approaches, emphasising the importance of pre-procedural imaging, careful planning, and translating guidelines into practice to optimise outcomes for both standard-risk and high-risk patients.

Jose Ignacio Nacho Leal, Diego Fernando Ruiz Chiriboga

This PVI 2025 session brings clarity to one of the most urgent challenges in vascular medicine: acute PE —from setting up a PERT to current management strategies, catheter-guided thrombectomy, and treatment outcomes. It also highlights how PE can arise as a complication of venous interventions, offering essential insights for improving patient safety and response pathways.

Sanne De Boer, Geert Maleux, Mark Meissner, Kristien Winckers