Cases and resources in vascular techniques

Prof. Secemsky explains how medico-administrative databases are transforming research and decision-making in lower-extremity arterial disease. Real-world evidence complements limited clinical trial data, helping clinicians navigate safety challenges and better understand device performance in complex patient populations. This interview explores how multiple data sources can guide practical, patient-centered decisions for emerging therapies.

This PVI 2025 replay shows how next-generation HOR imaging supports complex EVAR through a real-life, step-by-step case. Advanced imaging tools, including AI-based cone-beam CT, are highlighted for their ability to improve image quality by reducing pulsatile artifacts—without adding steps to the workflow—helping refine assessment and decision-making during challenging aortic procedures.

This PVI 2025 symposium replay examines post-CREST-2 carotid stenting through the case of a 71-year-old woman with prior stroke. Learn about MicroNET-covered stents (CGuard) and the latest clinical evidence guiding CAS, CEA, and TCAR procedures.

In this PVI 2025 interview, Prof. Yeung and Dr. Lareyre discuss how physician-modified endovascular grafts can be better standardised through structured planning and digital tools. They explore the role of virtual and augmented reality in improving fenestration accuracy, the importance of tailoring grafts to individual anatomy, and why close team coordination remains essential throughout the process.

A 73-year-old man with major cardiovascular risk factors presented with acute pain and was diagnosed with a large thoraco-abdominal aneurysm and bilateral iliac aneurysms. A complex, staged endovascular repair was performed to reduce the risk of spinal cord ischemia. At 6-month follow-up, imaging revealed a type II endoleak with aneurysm sac enlargement, prompting the need for further strategic decision-making.

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.

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.

This session explores the patient journey through the case of a 40-year-old woman with chronic pelvic pain, highlighting the diagnostic challenges of pelvic venous disorders. It reviews classification and pathophysiology, discusses endovascular treatment options for conditions such as Nutcracker syndrome and non-thrombotic iliac vein lesions, and examines the role of ovarian and internal iliac vein embolisation, with a focus on outcomes, technical considerations, and patient selection.

This PVI 2025 session presents practical strategies for managing complex aortic dissections. Learn how to occlude the false lumen, detect and treat malperfusion, and handle technical challenges. Cases include distal ischemia, BEVAR, false lumen embolization, transections, and infected TEVARs.

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.