Algorithmic Approaches

In This Issue

Dr. Nicolas J. Mouawad summarizes our issue on algorithmic approaches to providing individualized patient care across the gamut of vascular disease, focusing on where they are strongest, where data support is needed, and how to adapt with them and to them over time.

COVER STORIES

Drs. Tony Das, Kumar Madassery, and Leigh Ann O’Banion each share their tailored approaches to ensuring optimal, appropriate care for patients with chronic limb-threatening ischemia.

Drs. Steven Abramowitz, S. Jay Mathews, Mona Ranade, and Wendy Nelson, NP, discuss their optimal approaches to clot management and stenting in treating deep venous disease, to ensure efficient flow and care delivery.

Drs. Vivian Bishay and Steven Pugliese describe how their PERTs follow up with patients and communicate after initial therapy, with insights into the unique psychosocial and logistical challenges to consider.

Drs. Daniel Clair and Ziad Al Adas share how they workup and image patients, and how they prepare the table, room, and staff for CEA, TFCAS, or TCAR—whichever is best for the patient in front of them.

Dr. Kristine Orion shares her insights on the data and real-world experiences with spinal drain use, namely when and how they should be applied, by whom, and how patients should be followed up.

Drs. Altan Ahmed, Richard Kim, Daniel Anaya, and Bela Kis dive into applying the current staging systems in hepatocellular carcinoma and how they apply individualized care in cases and therapies that don’t fall within the guidance.

Drs. Raj Ayyagari and Toby Chai present algorithm-based workup and patient selection to ensure optimal outcomes using prostate artery embolization for patients with benign prostatic hyperplasia.

Dr. James Milburn describes the anatomic factors he considers when treating DMVO, as well as his imaging and procedural decision-making in these cases. 

Drs. João Victor Sanders, Marion Oliver, and Demetrius Lopes, and Kiffon Keigher, DNP, walk us through tips and tricks for treating cerebral aneurysms in small and distal vessels using new flow diverter technologies.

DIALYSIS ACCESS

Drs. Robert G. Jones, Allison Tan, Robert Shahverdyan, and Bharat Sachdeva provide an in-depth review of their strategies and best practices when treating cephalic arch stenosis. 

Drs. Ammar Almehmi, and Ahmed K. Abdel-Aal detail the essential considerations for a team approach to providing ideal dialysis access for every patient.

FEATURED TECHNOLOGY

John F. Eidt, MD, and Jean Marie Ruddy, MD, outline their experiences with Baroreflex Activation Therapy, delivered via the Barostim™ System, for treating heart failure with reduced ejection fraction and share technical tips. | Sponsored by CVRx, Inc.

Drs. Ajit Rao and Prakash Krishnan answer questions about their experience with percutaneous transmural arterial bypass (PTAB) with the DETOUR™ System for the treatment of long SFA disease. | Sponsored by Endologix

Learn how AI-powered tools like RapidAI are expanding access to expert-level imaging analysis, supporting experienced readers, and delivering operational efficiency. | Sponsored by RapidAI

MEDICAL AFFAIRS CORNER

In the Medical Affairs Corner, Drs. Rashid Sharaf and Dalia Zaky Dawoud outline strategies for pAVF maturation and cannulation with the Ellipsys™ vascular access system. | Sponsored by Medtronic 

Matthew Jones and Linda Holtzman share insights into CPT coding for pAVF creation using the Ellipsys™ vascular access system. | Sponsored by Medtronic 

DEPARTMENTS

We interview Dr. Judy Wawira Gichoya, who discusses applying data science and AI to promote equity in real-world settings, from current and future capabilities to key shortcomings that must be addressed.

Dr. Shakthi K. Ramasamy interviews Dr. Andrew J. Gunn about his career trajectory, tips on mentorship, current research, and more.