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Endovascular

  1. Flow reversal (instead of distal protection) is very effective protection in carotid artery stenting. There is a significant learning curve
  2. Endovascular repair of acute Type B aortic dissections is best performed by sealing the entry tear. IVUS is helpful to assess true lumen.
  3. Renal artery stenting can be completed using embolic protection filters. This is the future of renal artery stenting.
  4. Cannulation of the contralateral gate of an AAA stent-graft can be facilitated by continuously rotating the image intensifier back and forth
  5. A retroperitoneal conduit for vascular access in thoracic endografting procedures is essential if the iliac arteries are diseased.
  6. Brachial artery access can be facilitated by placing injecting contrast in the a-line in the same arm and roadmapping the brachial artery.
  7. Coiling or plugging the internal iliac artery when treating an iliac artery aneurysm is important and often staged to allow collateralizatio
  8. Most coronary artery stents are drug-eluting while all currently approved stents for peripheral vascular disease are bare metal stents.
  9. An endoleak is not an emergency. Definition: continued pressurization of an aneurysm sac outside a stent-graft and contained by the aorta.
  10. Endovascular procedures rely on accessing the femoral artery through a small puncture through the skin. Other arteries can also be used.
  11. There are currently 3 thoracic aortic stent-grafts approved for use in the US by FDA - all for thoracic aortic aneurysms.
  12. Endovascular refers to a less-invasive technique for the treatment of cardiovascular diseases.
  13. A stiff amplatz wire or a lundiquist .035" guidewire is important for aortic stent graft procedures.
  14. The Spider FX embolic protection filter (EV3, Inc) can be useful when placed in the popliteal artery for interventions on the SFA.
  15. Peripheral interventions are usually performed through 6F, 7F or 8F sheaths.
  16. Usually .014" wires are good for below-the-knee interventional procedures for arterial vascular disease.
  17. Just added myself to the http://wefollow.com twitter directory under: #surgery #health #vascular
  18. Renal artery interventions are best performed through a 7Fr sheath and a C2 guiding sheath (Bos Sci). Contralateral femoral access is best.