Navigating Complex Cases

In This Issue

Guest Chief Medical Editor Kevin Rogers, MD, outlines our latest issue that explores interactive complex cases where each case highlights pivot points and high-level decision-making that interventionalists must consider. 

COVER STORIES

Multidisciplinary teammates Anahita Dua, MD, and Sara Rose-Sauld, DPM, share a critical limb ischemia case that explores the various options for below-the-knee limb salvage and navigating roadblocks such as wound healing and access to care due to location. 

Justin Morrison, MD, provides a case that on initial presentation indicates a podiatric condition, but after referral to a vascular specialist, a diagnosis of peripheral artery disease was determined.

Ethan P. McMoran, MD, and Andrew J. Gunn, MD, present a scenario that illustrates their decision-making when using splenic artery embolization to treat recurring variceal bleeding in a patient with noncirrhotic portal hypertension.

Sipan Mathevosian, MD, and Wendy Nelson, CNS, review a case that demonstrates considerations for the diagnosis and management of filter-associated inferior vena cava thrombosis.

Bryan Kindya, MD, and Wissam A. Jaber, MD, describe a patient who presented with hypotension and hypoxic respiratory failure and discovered a large pulmonary embolism (PE) to be the cause. The case highlights the diagnosis and treatment for PE with a discussion about available percutaneous therapies.

Jason Zakko, MD, and T. Brett Reece, MD assess treating type B aortic dissection (TBAD) with a case that underlines the need for a stepwise approach to managing TBAD patients, either complicated or uncomplicated.

An interactive case tackles acute ischemic stroke with Keshari Shrestha, MD, and Joshua Seinfeld, MD, who reinforce the basics of stroke diagnosis, treatment, and postintervention management.

FEATURED TECHNOLOGY

Thekla Bacharach, MD, discusses pelvic venous disorder, an often-misdiagnosed condition, and shares case experience using a new smart polymer embolization technology. | Sponsored by Shape Memory Medical  

Ankur Lodha, MD, presents two of the first cases performed using AngioDynamics' Auryon XL Catheter for the treatment of peripheral artery disease. | Sponsored by AngioDynamics, Inc.

Moderator Arther Lee, MD, leads a panel discussion with Amir Kaki, MD; Miguel Montero-Baker, MD; Venkatesh Ramaiah, MD; and Peter Schneider, MD, about the advances in treating calcific PAD with the next wave of intravascular lithotripsy devices. | Sponsored by FastWave Medical

DEPARTMENTS

Medical device stakeholders from industry and the FDA illustrate a recent example of the use of real-world evidence with core lab analysis to create a propensity score–matched control group for new medical device evaluation.

We spoke with Robert A. Lookstein, MD, who talks about the role of interventional radiology on its own and in multidisciplinary teamwork, what’s next after the results of BEST-CLI and BASIL-2, and the potential for artificial intelligence in patient care.