CLI Perspectives

Strategies for Failed Antegrade Approach for Infrainguinal CTOs

12/21/2020

I don’t think there is such a thing as a “straightforward CTO” in below-the-knee vessels, since even a short occlusion can pose a significant challenge at times.

I don’t think there is such a...

12/21/2020

Cath Lab Digest

CLI Perspectives

Reflections on the 8th Annual AMPutation Prevention Symposium (AMP)

10/07/2018

Jihad A. Mustapha , MD, FACC, FSCAI;

It was exciting to see complex CLI cases performed by some of the best CLI operators in the world, who were able to show us extreme, unique approaches to treat complex disease from the groin to the toes.

It was exciting to see complex...

10/07/2018

Cath Lab Digest

CLI Perspectives

Indications for Pedal Loop Reconstruction and Distal Tibio-Pedal Reconstruction for Limb Salvage

04/05/2018

Bryan T. Fisher Sr., MD;

Jihad A. Mustapha , MD, FACC, FSCAI;

The pedal loop is the third and arguably most vital part of lower extremity perfusion and wound healing. It is known that outflow is correlated with patency, yet some would argue that we don’t pay enough attention to the distal foot...

The pedal loop is the third and...

04/05/2018

Cath Lab Digest

CLI Perspectives

My Favorite Wires in Tibial and Plantar Circulation: A Case-Based Presentation

02/06/2018

Jihad A. Mustapha , MD, FACC, FSCAI;

Fadi Saab , MD, FACC, FSCAI;

Treating complex lesions in tibial and plantar vessels require a unique combination of flexibility and strength. The operator needs to think about wires that can assist in crossing complex long lesions or chronic total occlusions (CTOs).

Treating complex lesions in...

02/06/2018

Cath Lab Digest

CLI Perspectives

The Value of Atherectomy in CLI

11/05/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

Thomas M. Shimshak , MD, FACC, FSCAI;

I like to break down the crossing of CTOs into 3 phases, including 1) penetrating the proximal cap, 2) negotiating the body of the CTO, and 3) crossing the distal cap.

I like to break down the...

11/05/2017

Cath Lab Digest

CLI Perspectives

Closure Devices for Groin and Tibial Access: The Value of Dual Access in CLI Therapy

10/03/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

Mark L. Lessne , MD;

I use closure devices for nearly all antegrade access and with a very high success rate. I think operator experience and comfort are among the most important determinants of closure success.

I use closure devices for nearly...

10/03/2017

Cath Lab Digest

CLI Perspectives

Desperate Times Require Complex Measures: An AV Reversal Case Study

07/30/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

The time of onset of symptoms to the time the patient presented for the current procedure was over 10 months. Ten months, to a CLI patient, is a lifetime. With no other endovascular or surgical options other than amputation, an...

The time of onset of symptoms to...

07/30/2017

Cath Lab Digest

CLI Perspectives

Treating Complex Multi-Level, Multi-Vessel CLI Requires a Complex, Multi-Disciplinary Approach

07/10/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

Carmen Heaney , BSN;

Michael Sumners , DO;

J. J. Coughlan , MB, BCh;

Fadi Saab , MD, FACC, FSCAI;

The patient’s first presentation to the authors’ institution was via the emergency department with a Rutherford Class 6 ulcer.

The patient’s first presentation...

07/10/2017

Cath Lab Digest

CLI Perspectives

Latest Update on CLI Imaging Modalities

06/06/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

Constantino S. Pena , MD, FAHA, FSCCT, FSIR;

Arterial disease can be imaged in many ways and in this issue, we are honored to have Dr. Constantino Peña from Miami, who will be sharing with us the different types of imaging currently available and the feasibility of each.

Arterial disease can be imaged...

06/06/2017

Cath Lab Digest

CLI Perspectives

Update on the Novel AV Reversal Therapy for End-Stage CLI

04/10/2017

Jihad A. Mustapha , MD, FACC, FSCAI;

Steven Kum , MBBS, FRCS;

Dr. Steven Kum of Singapore believes that patients with end-stage disease can still benefit from a unique procedure called arterial venous flow reversal. Dr. Kum, a vascular surgeon, developed an endovascular procedure to not only create the...

Dr. Steven Kum of Singapore...

04/10/2017

Cath Lab Digest