Massive pulmonary embolism (PE) is a highly lethal condition with clinical manifestations of hemodynamic instability, acute right ventricular (RV) failure, and cardiogenic shock. Submassive PE, as defined by RV failure or troponin elevation, can result in life-threatening sequelae if treatment is not initiated promptly. Current treatment paradigm in patients with massive PE mandates prompt risk...

Central vein stenosis is common because of the placement of venous access and cardiac intravascular devices and compromises vascular access for dialysis. Endovascular intervention with angioplasty and/or stent placement is the preferred approach, but the results are suboptimal and limited. Primary patency after angioplasty alone is poor, but secondary patency can be maintained with repeated ang...

Percutaneous interventions have transformed management of many congenital heart lesions from fetal life through adulthood. This article is the second a two-part review recent developments in cardiac interventions, including advances devices and techniques for atrial ventricular septal defect closure, endovascular stenting obstructive lesions, interventions; as well novel three-dimensional (3D) ...

AIM Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. MATERIAL AND METHODS We retrospectively reviewed 11 patients (5 male, 6 female) who had vascul...

Therapeutic interventions unique to the neuroradiology suite include the endovascular treatment of cerebral aneurysms, arteriovenous malformations (AVM), acute thromboembolic disease, cerebral vasospasm, and extracranial and intracranial cerebrovascular atherosclerotic disease. A recent review of the National Inpatient Sample reported a doubling of the number of endovascular cases from 1993 to ...

Since the first published report of a fenestrated endovascular aneurysm repair, we have seen an expansion in the range of custom-made devices used to manage complex aortic aneurysms. Fenestrated devices, branched devices, and chimneys are now frequently used in many centers to repair these aneurysms. Similar to standard endovascular aneurysm repair, the advantages of less operative blood loss, ...

Over the last decades, improvement of medical and surgical therapy has increased life expectancy in Marfan patients. Consequently, the number of such patients requiring secondary interventions on the descending thoracic aorta due to new or residual dissections, and distal aneurysm formation has substantially enlarged. Surgical and endovascular procedures represent two valuable options of treatm...

Poor arterial inflow continues to be a major contributing factor in the failure to heal diabetic foot wounds. Options for revascularization have significantly increased with the development of sophisticated endovascular techniques. However, the application of this technology is variable due to relatively little prospective, randomized data on newer techniques. Further, multiple specialties are ...

BACKGROUND Image-guided endovascular interventions have gained increasing popularity in clinical practice, and magnetic resonance imaging (MRI) is emerging as an attractive alternative to X-ray fluoroscopy for guiding such interventions. Steering catheters by remote control under MRI guidance offers unique challenges and opportunities. METHODS In this review, the benefits and limitations of M...

OBJECTIVE To compare endovascular and standard open repair of abdominal aortic aneurysms in terms of initial in-hospital costs and the costs of secondary interventions and surveillance. DESIGN A retrospective study. SETTING A university-affiliated tertiary care medical centre. PATIENTS Seven patients who underwent elective endovascular (EV) repair of an abdominal aortic aneurysm in 1998 a...