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Clinical Insights

Clinical Review
The O-VAS and N-VAS: A Simple, Inexpensive, and Beneficial Adaptation of the Conventional Visual Analog Scale (VAS)
12/01/2024
Aseem Verma, MBBS, MD, DNB, MNAMS; Shikhar Garg, MBBS, MD, DM, EBIR; Shoban Haridass, MBBS, MD, DM, DNB; Santhosh Babu K.B, MBBS, MD, FNVIR; Shyamkumar Nidugala Keshava, MBBS, DMRD, DNB, FRCR, FRANZCR
The authors propose the O-VAS /N-VAS system, a modification to the existing VAS that enables clinicians to distinguish and analyze post-procedure improvements in symptoms of the original disease while also assessing new symptoms.
The authors propose the O-VAS /N-VAS system, a modification to the existing VAS that enables clinicians to distinguish and analyze post-procedure improvements in symptoms of the original disease while also assessing new symptoms.
The authors propose the O-VAS...
12/01/2024
Vascular Disease Management
Case Report
Occluded Tibiopedal Access to Cross and Treat Complex Tibial Artery Occlusive Disease in a Patient With Critical Limb Ischemia
11/08/2024
Sreejit Nair, MD; Ashwani Sastry, MD; Janardhan Srinivasan, MD; Michael Canavan, DPM; Fadi Saab, MD, FACC, FSCAI; John H. Rundback, MD, FAHA, FSIR
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been...
11/08/2024
Vascular Disease Management
Case Report
Right Innominate Artery Endovascular Intervention and Concomitant Use of Carotid Embolic Protection Device via Single Radial Access
10/25/2024
Qais Radaideh, MD, MS; McKayla Deisz; Ahmed Al Shaer, MD; Leonel Al Dakar; Ann E. Narmi, MD; Toufik Mahfood Haddad, MD
Observations suggest that up to 8% of individuals initially diagnosed with suspected subclavian steal syndrome may present with innominate artery lesions.
Observations suggest that up to 8% of individuals initially diagnosed with suspected subclavian steal syndrome may present with innominate artery lesions.
Observations suggest that up to...
10/25/2024
Vascular Disease Management
Case Report
Reversing Course: A Retrograde Approach to Stenting the Common Carotid With Simultaneous Internal Carotid Artery Stenosis
08/20/2024
Jill Elizabeth Guillette, DO; Gurpreet Baweja, MD; Carlos Macias, MD
In this Case Report, the authors present 2 cases of retrograde CAS in patients with complex vascular anatomy, highlighting the technique’s effectiveness and safety. A literature review underscores the method’s benefits and risks.
In this Case Report, the authors present 2 cases of retrograde CAS in patients with complex vascular anatomy, highlighting the technique’s effectiveness and safety. A literature review underscores the method’s benefits and risks.
In this Case Report, the authors...
08/20/2024
Vascular Disease Management
Case Report
Carotid Web as Etiology of Recurrent Embolic Ischemic Stroke
07/15/2024
Rachel Shatanof, MD; Simon Gaviria-Valencia, MD; Francisco Ujueta, MD, MS; Arman Gill, MD; David Paniagua, MD
Carotid webs are nonatherosclerotic fibrous bands commonly found on the carotid bulb's posterior margin. Little is known about their pathogenesis. It is hypothesized that carotid webs are congenital abnormalities that proliferate in response...
Carotid webs are nonatherosclerotic fibrous bands commonly found on the carotid bulb's posterior margin. Little is known about their pathogenesis. It is hypothesized that carotid webs are congenital abnormalities that proliferate in response...
Carotid webs are...
07/15/2024
Vascular Disease Management
Clinical Images
Optical Coherence Tomography in the Peripheral Vasculature
05/14/2024

Jha Manvendu, DrNB; Ajay Dabas, MBBS, MS, DNB; Brijesh Kanti Biswas, MBBS

Department of Vascular Surgery, Army Hospital Research & Referral, New Delhi, India

Jha Manvendu, DrNB; Ajay Dabas, MBBS,...
A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms.
A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms.
A 45-year-old woman, who was a...
05/14/2024
Vascular Disease Management
Clinical Images
Negotiating Peripheral Calcification for TAVR Access
04/12/2024

Jha Manvendu, DrNB; G. Keshavamurthy, DM

Department of Vascular Surgery, Army Hospital Research & Referral, New Delhi, India

Jha Manvendu, DrNB; G. Keshavamurthy,...
A 74-year-old man, who was a chronic smoker with a known case of hypertension and chronic obstructive pulmonary disease, presented with a history of breathlessness on minimal exertion.
A 74-year-old man, who was a chronic smoker with a known case of hypertension and chronic obstructive pulmonary disease, presented with a history of breathlessness on minimal exertion.
A 74-year-old man, who was a...
04/12/2024
Vascular Disease Management
Case Report
A True Axillary Artery Aneurysm Presenting as Acute Ischemia of the Upper Extremity
03/13/2024

Chaima Chihaoui, MD; Khedija Soumer, MD; Nadia Azabou, MD; Houcine Horchani, MD; Mouna Bousnina, MD; Amine Jemel, MD

Department of Cardiovascular Surgery, Abderrahmen Mami Pneumology and Phtisiology Hospital, Ariana, Tunisia

Chaima Chihaoui, MD; Khedija Soumer, ...
True axillary artery aneurysms are uncommon but dangerous lesions. They remain asymptomatic until a complication occurs. The authors report a case of a left axillary artery aneurysm revealed by acute ischemia of the upper extremity.
True axillary artery aneurysms are uncommon but dangerous lesions. They remain asymptomatic until a complication occurs. The authors report a case of a left axillary artery aneurysm revealed by acute ischemia of the upper extremity.
True axillary artery aneurysms...
03/13/2024
Vascular Disease Management
Case Report
TCAR for Vasculitis: A Unique Case of Carotid Revascularization
02/06/2024
Dipankar Mukherjee, MD, FACS; Ved Ritvik Kumar
Takayasu arteritis (TA) is an inflammatory condition involving the aorta and its principal branches that leads to vessel stenosis and occlusion. To the authors' knowledge, this is the first case of TA treated with TCAR.
Takayasu arteritis (TA) is an inflammatory condition involving the aorta and its principal branches that leads to vessel stenosis and occlusion. To the authors' knowledge, this is the first case of TA treated with TCAR.
Takayasu arteritis (TA) is an...
02/06/2024
Vascular Disease Management
Case Report
Percutaneous Glue Embolization of Ectopic Varices in the Anterior Abdominal Wall of a Patient Who Presented With Nonhealing Discharging Sinus in the Right Iliac Fossa: Box-Assisted Retrograde Obliteration (BxRTO)
11/08/2023
Kumar Muthukumar, MBBS, DMRD, FRCR, DNB, FNVIR; Uday George Zachariah, MBBS, MD, DM, FRCP; Santhosh Reddy Kantala, MD, FNVIR; Santhosh Babu Bharathy, MD, MBBS; Shyamkumar Nidugala Keshava, MBBS, DMRD, DNB, FRCR, FRANZCR
An unusual presentation of ectopic varices.
An unusual presentation of ectopic varices.
An unusual presentation of...
11/08/2023
Vascular Disease Management

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Vascular Disease Management Newsletter

News

VentiV Clinical Images
Thrombectomy
FDA Clears New Mechanical Thrombectomy System
03/31/2025
VentiV Scientific announced the FDA clearance of VentiV Mechanical Thrombectomy system to remove blood clots from the peripheral vasculature including the new VentiV Pulse platform.
VentiV Scientific announced the FDA clearance of VentiV Mechanical Thrombectomy system to remove blood clots from the peripheral vasculature including the new VentiV Pulse platform.
VentiV Scientific announced the...
03/31/2025
Cath Lab Digest
Restenosis
Real-world Data Shows Cook’s Zilver PTX Leads to Lower Rates of In-stent Occlusion Than Boston Scientific’s Eluvia
03/27/2025
Bloomington, Ind. — Cook Medical’s Zilver PTX drug-eluting stent (DES) has lower rates of in-stent occlusions among patients with restenosis at 3 years than Boston Scientific’s Eluvia DES, according to real-world data from the REALDES study....
Bloomington, Ind. — Cook Medical’s Zilver PTX drug-eluting stent (DES) has lower rates of in-stent occlusions among patients with restenosis at 3 years than Boston Scientific’s Eluvia DES, according to real-world data from the REALDES study....
Bloomington, Ind. — Cook...
03/27/2025
Vascular Disease Management
TAVR
Medtronic’s Evolut Trial Outcome Could Shake Up US TAVR Market, Says GlobalData
03/21/2025
Medtronic has released results from the two-year point of a clinical trial comparing its Evolut to Edwards Lifesciences’ SAPIEN. The results revealed that the Evolut showed superior performance to the SAPIEN. Specifically, the Evolut showed...
Medtronic has released results from the two-year point of a clinical trial comparing its Evolut to Edwards Lifesciences’ SAPIEN. The results revealed that the Evolut showed superior performance to the SAPIEN. Specifically, the Evolut showed...
Medtronic has released results...
03/21/2025
Vascular Disease Management
Embolotherapy
Instylla Completes Submission of Premarket Approval Application for Embrace™ Hydrogel Embolic System
03/11/2025
BEDFORD, Mass., March 11, 2025 /PRNewswire/ -- Instylla, Inc., a privately held clinical-stage company developing solutions for peripheral vascular embolotherapy, announced that it recently submitted to the U.S. Food and Drug Administration...
BEDFORD, Mass., March 11, 2025 /PRNewswire/ -- Instylla, Inc., a privately held clinical-stage company developing solutions for peripheral vascular embolotherapy, announced that it recently submitted to the U.S. Food and Drug Administration...
BEDFORD, Mass., March 11, 2025...
03/11/2025
Vascular Disease Management
Resistant Hypertension
Corcept Therapeutics Initiates MOMENTUM Trial to Determine Prevalence of Hypercortisolism in Patients with Resistant Hypertension
03/10/2025
“Resistant hypertension is a serious public health challenge. Patients whose hypertension remains in poor control despite receiving optimal care, including multiple medications, are at greater risk of cardiovascular morbidity and mortality,”...
“Resistant hypertension is a serious public health challenge. Patients whose hypertension remains in poor control despite receiving optimal care, including multiple medications, are at greater risk of cardiovascular morbidity and mortality,”...
“Resistant hypertension is a...
03/10/2025
Cath Lab Digest
Company expansion
Reflow Medical Expands Global Reach With New European Subsidiary
03/06/2025
Reflow Medical, Inc., a developer of innovative medical devices for complex cardiovascular disease, has announced the opening of its European subsidiary in Landsberg am Lech, Germany.
Reflow Medical, Inc., a developer of innovative medical devices for complex cardiovascular disease, has announced the opening of its European subsidiary in Landsberg am Lech, Germany.
Reflow Medical, Inc., a...
03/06/2025
Cath Lab Digest
SCAI
Survey Confirms Radiation and Orthopedic Health Hazards in Cardiac Catheterization Laboratories are ‘Unacceptable’
03/05/2025
A survey conducted by the Society for Cardiovascular Angiography and Interventions (SCAI) highlights ongoing radiation and orthopedic hazards faced by interventional cardiologists and cardiac catheterization laboratory (“cath lab” or CCL)...
A survey conducted by the Society for Cardiovascular Angiography and Interventions (SCAI) highlights ongoing radiation and orthopedic hazards faced by interventional cardiologists and cardiac catheterization laboratory (“cath lab” or CCL)...
A survey conducted by the...
03/05/2025
Cath Lab Digest
Shockwave Javelin Peripheral IVL Catheter, a novel intravascular lithotripsy (IVL) platform designed to modify calcium and cross extremely narrowed vessels in patients with peripheral artery disease (PAD).
IVL
Shockwave Medical Launches Novel Forward Intravascular Lithotripsy Platform in U.S. to Transform Treatment of Difficult-to-Cross Calcified Lesions
03/04/2025
Now available in the U.S., the Shockwave Javelin Peripheral Intravascular Lithotripsy Catheter safely modifies and crosses occlusive or extremely narrowed calcific peripheral artery disease.
Now available in the U.S., the Shockwave Javelin Peripheral Intravascular Lithotripsy Catheter safely modifies and crosses occlusive or extremely narrowed calcific peripheral artery disease.
Now available in the U.S., the...
03/04/2025
Cath Lab Digest
Acute Ischemic Stroke
FDA Approves Genentech’s TNKase® in Acute Ischemic Stroke in Adults
03/03/2025
Genentech announced that the U.S. FDA has approved TNKase® (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke in adults.
Genentech announced that the U.S. FDA has approved TNKase® (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke in adults.
Genentech announced that the...
03/03/2025
Vascular Disease Management
TEVAR
Zenith Alpha Thoracic 2 Now Available in US; First Case Performed
03/03/2025
Cook Medical’s Zenith Alpha® 2 Thoracic Endovascular Graft (ZTA2) is now commercially available throughout the United States.
Cook Medical’s Zenith Alpha® 2 Thoracic Endovascular Graft (ZTA2) is now commercially available throughout the United States.
Cook Medical’s Zenith Alpha® 2...
03/03/2025
Vascular Disease Management

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