February 2004

UP FRONT
EVToday News

Chief Medical Editor's Page
Conquering CLI
By John R. Laird, Jr, MD

A-V ACCESS
A-V Graft Salvage After Trauma
One center’s experience with a malfunctioning upper-arm arteriovenous
graft due to trauma and its salvage with an intragraft stent.
By Anil K. Agarwal, MD, and John R. Ross, MD, PA

CHALLENGING CASES
Treating the Superficial Femoral Artery
A combination of mechanical thrombectomy and stent placement is
used to successfully treat a critical stenosis of the SFA.
By Maurice Buchbinder, MD, and Julie Logan, RN

TECHNIQUES
Acute Axillo-Subclavian DVT
This case report presents a novel management strategy for addressing
acute axillo-subclavian deep vein thrombosis.
By Mitchell J. Silver, DO; Goran Ristev, MD; and Gary Ansel, MD

Percutaneous Lower-Extremity Bypass
With the advent of sophisticated re-entry technology and self-expanding covered stents, a less-invasive method to achieve lower-extremity bypass may soon be realized.
By James D. Joye, DO

CORONARY/CARDIAC INTERVENTIONS
Insights From The Portland DES Symposium
Part II: Culprit lesion PCI for unstable angina in the era of the drug-eluting stent.
By Andrew J. Carter, DO, on behalf of the faculty members*

Percutaneous Heart Valve Repair and Replacement
Endovascular therapies for heart valve disease may reduce risk and
offer new options for poor surgical candidates.
By A. Marc Gillinov, MD, and Delos M. Cosgrove, III, MD

Drug Eluting Stent Chart

COVER STORY
An Overview of Critical Limb Ischemia
Today’s therapeutic advances are changing the way we evaluate and treat this common and often fatal disorder.
By Michael R. Jaff, DO, and Giancarlo Biamino, MD

Diabetes and Critical Limb Ischemia
Understanding the prevalence, pathology, and common misconceptions associated with this condition may help us to improve upon current limb salvage rates.
By Cameron M. Akbari, MD

Lower-Extremity Revascularization
The open approach to treating limb-threatening lower-extremity ischemia has proven to be an effective means of achieving revascularization.
By Richard F. Neville, MD, and David H. Deaton, MD

Laser Angioplasty for Critical Limb Ischemia
Laser angioplasty has the potential to be a valuable and feasible treatment option for patients with CLI.
By Thomas Zeller, MD, and Dierk Scheinert, MD

Tibioperoneal Stenting
New recanalization tools and techniques, including debulking and stenting, allow for the treatment of very complex lesions in the challenging infrageniculate region.
By Giancarlo Biamino, MD

DEPARTMENTS
FDA Insights: How to (Or Not to) Impede FDA Reviews
The little things can mean a lot in facilitating or derailing the review process.
BY DOROTHY B. ABEL, with ANGELA C. SMITH

Today's Practice: Tax Planning for 2004 (not 2003!)
The sooner you start, the better prepared you will be.
By Michael P. Hatch, CFP, JD

Innovations

Conference Calendar

An interview with Ken Ouriel, MD
The Cleveland Clinic’s Chief of Surgery and Vascular Surgery offers insights on EVAR, CAS, and the need for board certification in vascular surgery.


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