CARDIOLOGY GRAND ROUNDS
|
|
- Frederick Smith
- 6 years ago
- Views:
Transcription
1 Presentation: Speakers: Presentation: Speakers: Presentation: Speakers: CARDIOLOGY GRAND ROUNDS Date: Case Review: Open thoracoabdominal aortic aneurysm repair Timothy M. Sullivan, MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. Identify the indications for aneurysm repair. 2. Identify risk factors for spinal cord ischemia during open repair. 3. Review operative techniques to reduce visceral ischemia during open repair. Case Review: Endovascular repair of thoracoabdominal aortic aneurysm using fenestrated stent graft Jesse M. Manunga, Jr., MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. The indication for repair of thoracoabdominal aneurysm. 2. Available options for repair of thoracoabdominal aneurysm. 3. Limitations of the currently available treatment options. Data Review: Closure device complications following percutaneous femoral arterial catheterization Jason Q. Alexander, MD, Minneapolis Heart Institute at Abbott Northwestern Hospital OBJECTIVES At the completion of this activity, the participants should be able to: 1. Identify the pertinent anatomic landmarks for percutaneous femoral access 2. Identify the characteristics which increase the risk of closure device complications 3. Recognize the long term patient implications of closure device complications. Monday, November 30, 2015, 7:00 8:00 AM Location: ANW Education Building, Watson Room ACCREDITATION Physician: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Allina Health and Minneapolis Heart Institute Foundation. Allina Health is accredited by the ACCME to provide continuing medical education for physicians. Allina Health designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: This activity has been designed to meet the Minnesota Board of Nursing continuing education requirements for 1.2 hours of credit. However, the nurse is responsible for determining whether this activity meets the requirements for acceptable continuing education. DISCLOSURE STATEMENTS Speaker: Dr. Manunga declared the following relationship; Consultant: Cook Medical, Inc. Dr. Alexander declared the following relations; Consultant: Lake Region Medical. None of their devices will be discussed nor are germane to the presentation. Dr. Sullivan has declared he does not have any conflicts of interest. Planning Committee: Dr. Michael Miedema, and Jolene Bell Makowesky have declared that they do not have any conflicts of interest associated with the planning of this activity. Dr. Robert Schwartz declared the following relationships stockholder: PLEASE SAVE A COPY OF THIS FLIER AS YOUR CERTIFICATE OF ATTENDANCE
2 Cardiomind, Interface Biologics, Aritech, DSI/Transoma, InstyMeds, Intervalve, Medtronic, Osprey Medical, Stout Medical, Tricardia LLC, CoAptus Inc, Augustine Biomedical; scientific advisory board: Abbott Laboratories, Boston Scientific, MEDRAD Inc, Thomas, McNerney & Partners, Cardiomind, Interface Biologics; options: BackBeat Medical, BioHeart, CHF Solutions; speakers bureau: Vital Images; consultant: Edwards LifeSciences. PLEASE SAVE A COPY OF THIS FLIER AS YOUR CERTIFICATE OF ATTENDANCE
3 UPDATE ON CLOSURE DEVICE COMPLICATIONS JASON Q. ALEXANDER MD ERICA BAUMANN PA-C NOVEMBER 30 TH,
4 WHERE TO PUNCTURE IN THE COMMON FEMORAL ARTERY? GOLDILOCKS PRINCIPLE 2
5 3
6 INFERIOR EPIGASTRIC ARTERY DEMONSTRATION OF INFERIOR EPIGASTRIC ARTERY LEADING TO RETROPERITONEAL POSITION 4
7 IDEAL STICK LEVEL 33 FEMORAL ACCESS SITE COMPLICATIONS EVALUATED FOR PUNCTURE LOCATION ANGIOGRAPHICALLY TOO HIGH 100% OF PATIENTS WITH RETROPERITONEAL BLEEDS HAD PUNCTURE ABOVE THE INFERIOR BORDER OF INFERIOR EPIGASTRIC ARTERY Inferior epigastric artery ANGIOGRAPHIC PREDICTORS OF FEMORAL ACCESS SITE COMPLICATIONS: IMPLICATION FOR PLANNED PERCUTANEOUS CORONARY INTERVENTION SHEREV DA ET AL. CATHETER CARDIOVASC INTERV
8 TOO LOW 116 PATIENTS EVALUATED FOR PUNCTURE SITE EIA 2.7% CFA 77.7% SFA/PFA 19.8% 273 PSEUDOANEURYSMS EIA 7.6% CFA 54.3% SFA/PFA 38.1% HIGH BIFURCATIONS 45% OF BIFURCATIONS ARE AT OR ABOVE THE LOWER BORDER OF THE FEMORAL HEAD 5.5% BIFURCATION IS AT OR ABOVE THE CENTER OF THE FEMORAL HEAD 6
9 INCIDENCE OF COMMON FEMORAL ARTERY DISEASE 21/85 PATIENTS WITH CALCIFICATION IDENTIFIED IN THE COMMON FEMORAL ARTERY ON ULTRASOUND EXAM 13/85 WITH ANTERIORLY LOCATED CALCIFICATION ULTRASOUND GUIDED PUNCTURE OF THE FEMORAL ARTERY FOR TOTAL PERCUTANEOUS AORTIC ANEURYSM REPAIR OGUZKURT ET AL. DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
10 8
11 CLOSURE DEVICES FOR PERCUTANEOUS FEMORAL ACCESS LONGER, MORE COMPLICATED PROCEDURES IN BIGGER, OLDER, MORE COMPLICATED PATIENTS, REQUIRING GREATER DEGREES OF ANTICOAGULATION PATIENTS LOVE THEM CLOSURE DEVICES FOR PERCUTANEOUS FEMORAL ACCESS LONGER, MORE COMPLICATED PROCEDURES IN BIGGER, OLDER, MORE COMPLICATED PATIENTS, REQUIRING GREATER DEGREES OF ANTICOAGULATION PATIENTS LOVE THEM WHEN THEY WORK 9
12 DO CLOSURE DEVICES STOP BLEEDING? DATA SURGICAL COMPLICATIONS WITH CLOSURE DEVICES 29/5576: 0.5% 26/5538: 0.5% HIGH RISK PCI? ABSOLUTELY 10
13 Common Femoral Artery Superficial femoral artery Profunda femoral artery Common Femoral Artery Superficial femoral artery Profunda femoral artery 11
14 Raised dissection flap 12
15 TREATMENT FOR COLD LEG 13
16 GAPS IN THE DATA SET: PERCENTAGE OF PATIENTS UNDERGOING PERCUTANEOUS PROCEDURES THAT HAVE A CLOSURE DEVICE PLACED (PREVIOUSLY 50%) WHICH OPERATOR PLACES THE CLOSURE DEVICE IS NOT ALWAYS CLEARLY DELINEATED WE DID NOT LOOK INTO FACTORS THAT MAY HAVE CHANGED SINCE THE LAST INVESTIGATIVE PERIOD: LENGTH OF PROCEDURE, HIGH RISK BLEED PCI, SHEATH SIZE CHANGES, NEW DEVICE USE ETC. DID NOT LOOK AT COMPLICATIONS IN PATIENTS THAT DID NOT HAVE CLOSURE DEVICES QUALITY IMPROVEMENT JAN 2009-JUNE 2011 (30 MONTHS) 11,114 PERCUTANEOUS FEMORAL ARTERIAL PROCEDURES 29/11,114 CLOSURE DEVICE COMPLICATIONS REQUIRING SURGERY 0.26% 29/5576 PERCUTANEOUS FEMORAL ARTERIAL PROCEDURES WITH CLOSURE DEVICES 0.52% JAN 2015-OCTOBER 2015 (10 MONTHS) 3,166 PERCUTANEOUS FEMORAL ARTERIAL PROCEDURES 21/3, % P=0.002 (FISHER S EXACT) 14
17 VARIATION IN CLOSURE DEVICE COMPLICATIONS BETWEEN SERVICES NEURO-INTERVENTIONAL RADIOLOGY (2/252) 0.79% INTERVENTIONAL CARDIOLOGY (19/2581) 0.73% INTERVENTIONAL RADIOLOGY (0/135) 0.0% VASCULAR SURGERY (0/198) 0.0% VARIATION IN CLOSURE DEVICE COMPLICATIONS BETWEEN SERVICES VASCULAR SURGERY (0/198) 0.0% INTERVENTIONAL CARDIOLOGY (19/2581) 0.73% INTERVENTIONAL RADIOLOGY (0/135) 0.0% NEURO-INTERVENTIONAL RADIOLOGY (2/252) 0.79% 15
18 VARIATION: INDIVIDUAL PRACTITIONERS (MINIMUM OF 250 ACCESSES) HIGHEST: (7/287) 2.4% LOWEST: (1/391) 0.25% P=0.007% BUT WITH BLAST SHIELD DOWN I CAN T SEE ANYTHING -LUKE SKYWALKER, A LONG TIME AGO IN A GALAXY FAR, FAR AWAY 16
19 MOST CONSECUTIVE (BLINDFOLDED) 88 (FRED NEUMAN) 1 MINUTE (BLINDFOLDED) 17 (ED PALBINSKAS) FREE THROW RECORDS MOST CONSECUTIVE 5221 (TED ST. MARTIN) 24 HOURS 20,371/22,043 (FRED NEUMAN) 1 MINUTE 50/59 (BOB J. FISHER) 17
20 VARIATION: ULTRASOUND USE (MINIMUM 250 ACCESSES) NO ULTRASOUND GUIDED PUNCTURE (13/1170) 1.1% ULTRASOUND GUIDED PUNCTURE (5/1058) 0.47% P= 0.09% 18
21 DEVICE COMPLICATIONS FROM DEVICE WAS NOT STATISTICALLY SIGNIFICANT BETWEEN ANGIOSEAL AND PERCLOSE IN ANALYSIS COMPARISON OF TYPES OF CLOSURE DEVICES PERCLOSE HAD A 0.8% FAILURE RATE REQUIRING SURGICAL INTERVENTION (22/2507) ANGIOSEAL HAD A 0.73% FAILURE RATE REQUIRING SURGICAL INTERVENTION (6/826) STARCLOSE HAD A 0.045% FAILURE RATE REQUIRING SURGICAL INTERVENTION (1/2243)- STATISTICALLY SIGNIFICANT WITH A P VALUE OF <
22 CLOSURE DEVICE BREAKDOWN 2015 ANGIOSEAL: 12 PERCLOSE: 8 UNKNOWN: 1 BREAKDOWN OF THE 21 CLOSURE DEVICE COMPLICATIONS ANGIOGRAM PERFORMED: 9 NO ANGIOGRAM RECORDED: 11 UNABLE TO OBTAIN INFORMATION: 1 20
23 21
24 ADEQUACY OF ANGIOGRAM 9 ANGIOGRAMS 5 ADEQUATE ANGIOGRAMS 3 OF THE ADEQUATE COMPLETION ANGIOGRAMS HAD FINDINGS THAT MAY HAVE BEEN PROHIBITIVE OF CLOSURE DEVICE PLACEMENT 22
25 WHO PLACES THE CLOSURE DEVICE? NON PRIMARY PRACTITIONER: 8 NOT DOCUMENTED: 1 CONCLUSIONS THE CLOSURE DEVICE COMPLICATION RATE IN MHI/ABBOTT HAS INCREASED IN THE LAST YEAR ULTRASOUND APPEARS TO BE A FORMIDABLE WEAPON IN DECREASING THE CLOSURE DEVICE COMPLICATION RATE AN ADEQUATE ANGIOGRAM OF THE FEMORAL ARTERY MAY HELP WITH DECISION MAKING REGARDING PLACEMENT OF A CLOSURE DEVICE AS WITH ANY TECHNOLOGY, TRAINING IS IMPORTANT IS APPROPRIATE DEPLOYMENT AND USE 23
26 24
27 25
28 26
CARDIOLOGY GRAND ROUNDS
Presentation: Speakers: Presentation: Speakers: Presentation: Speakers: CARDIOLOGY GRAND ROUNDS Date: Case Review: Open thoracoabdominal aortic aneurysm repair Timothy M. Sullivan, MD, Minneapolis Heart
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Date: Location: Speaker: ACC 2015 PREVIEW Monday, March 9, 2015, 7:00 8:00 AM ANW Education Building, Watson Room Elevated Troponin in Patients Presenting to the Emergency
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Mitral Disease Speakers: Robert S. Farivar, MD, PhD Chief, Cardiothoracic Surgery, Abbott Northwestern Hospital Chairman, Allina Cardiothoracic; Minneapolis Heart
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Title: Fractional flow reserve (FFR) Computed tomography (CT) Speaker: John R. Lesser, MD Senior Consulting Cardiologist, Medical Director CT/CMR Minneapolis Heart Institute at
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speakers: Percutaneous Repair of Paravalvular Prosthetic Regurgitation Paul Sorajja, MD Director of the Center for Valve and Structural Heart Disease Minneapolis Heart
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speaker: Date: Location: Coronary CT Angiography in 2015: Where are we now, Where are we going? Marc C. Newell, MD, FACC Cardiologist Minneapolis Heart Institute at
More informationDiagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue Robert M. Bersin, M.D. Director, Endovascular Services Seattle Cardiology and the Cardiovascular
More informationEnrolling Interventional Studies
Enrolling Interventional Studies RADIANCE HTN - PI: Yale Wang, MD Patients with essential hypertension being treated 2 antihypertensive medications; treatment resistant hypertension being treated with
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speaker: Date: Location: Refractory Cardiogenic Shock A Changing Paradigm Kasia M. Hryniewicz, MD Senior Consulting Cardiologist Minneapolis Heart Institute at Abbott
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speaker: Date: Location: How to be a Safe and Effective Cardiac Surgeon Lawrence Cohn, MD Cardiac Surgeon Brigham and Women s Hospital Monday, March 23, 2015, 7:00
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Title: Acute Coronary Artery Failure Speaker: Alex R. Campbell, MD Cardiologist Minneapolis Heart Institute at Abbott Northwestern Hospital Scott W. Sharkey, MD, FACC Cardiologist
More informationCordis EXOSEAL Vascular Closure Device
to receive our latest news and key activities. Cordis EXOSEAL Vascular Closure Device A Guide to Good Access and Closure Transfemoral Access Closure Pocket Guide LinkedIn page Follow us on CORDIS EMEA
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speaker: Date: Location: Troponin State of the Art: Past, Present and Future Yader Sandoval, MD Cardiovascular Disease Fellow Minneapolis Heart Institute at Abbott
More informationPuncture Ultrasound Guidance: Decrease Access Site Complications. Peter A. Schneider, MD Kaiser Foundation Hospital Honolulu, Hawaii
Puncture Ultrasound Guidance: Decrease Access Site Complications Peter A. Schneider, MD Kaiser Foundation Hospital Honolulu, Hawaii Disclosure Speaker name: Peter A. Schneider... I have the following potential
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Presentation: Speaker: Date: Location: Use of CT to support appropriate selection of patients and devices / guide to non surgical mitral valve replacement Jonathon A. Leipsic, MD,
More informationHow to manage TAVI related vascular complications. Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI
How to manage TAVI related vascular complications Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI Definition VARC-2 consensus statement Complications caused by: Wire Catheter Anything related to vascular access
More informationPrevention and Management of Vascular Complications Related to Transcatheter Aortic Valve Implantation
Prevention and Management of Vascular Complications Related to Transcatheter Aortic Valve Implantation Marco Roffi Division of Cardiology University Hospital Geneva, Switzerland Disclosure Speaker name:...marco
More informationAccess Site Complications. Nick Cheshire MD FRCS, Professor of Vascular Surgery Imperial College Healthcare St Mary s Hospital Campus
Access Site Complications Nick Cheshire MD FRCS, Professor of Vascular Surgery Imperial College Healthcare St Mary s Hospital Campus Surgeons & Cardiologists Interventional Cardiology 2008 Eye of a Hawk,
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Title: Valvular Heart Disease at the Minneapolis Heart Institute: Practice and Innovation Speaker: Robert S. Farivar, MD, PhD Chief, Cardiothoracic Surgery, Abbott Northwestern
More informationArterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
More informationExperience with percutaneous suture system for larger caliber vascular access Bruno Freitas, Prof., MD
Experience with percutaneous suture system for larger caliber vascular access Bruno Freitas, Prof., MD Department of Interventional Angiology, University Hospital Leipzig, Germany Division of Vascular
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Title: Reintroduction Overview: Watchman Speaker: Mario Goessl, MD, FACC, FAHA, FESC, FSCAI Minneapolis Heart Institute at Abbott Northwestern Hospital Date: Monday, October 24,
More informationROADSTER 2. SPONSOR: Silk Road Medical
ROADSTER 2 CONDITION: Carotid artery disease PI: Jessica Titus, MD CONTACT INFO: Jo Anne Goldman JoAnne.Goldman@allina.com 612-863-3793 DESCRIPTION: The study is intended to evaluate real world usage of
More informationFemoral Basics. Zoltan G. Turi, M.D. Rutgers Robert Wood Johnson Medical School New Brunswick, NJ
Femoral Basics Zoltan G. Turi, M.D. Rutgers Robert Wood Johnson Medical School New Brunswick, NJ Vascular Access in the New Percutaneous Technologies Era is: Taken for Granted Under-investigated but Way
More informationUniversity of Witten/Herdecke, Department of Cardiology 2. University of Bochum, Department of Cardiology 3
Safety and efficacy of clip-based vs. suture mediated vascular closure for femoral access hemostasis: A prospective randomized single center study comparing the StarClose and the ProGlide device Oliver
More informationPourquoi j utilise le STARCLOSE. P.Commeau Cardiologie et Radiologie Vasculaire Interventionnelles Polyclinique Les Fleurs Ollioules, Fr
Pourquoi j utilise le STARCLOSE P.Commeau Cardiologie et Radiologie Vasculaire Interventionnelles Polyclinique Les Fleurs Ollioules, Fr Consultant Abbott Medtronic Boston Scientific Braun Medical Biotronik
More informationVascular Closure Techniques
Vascular Closure Techniques Femoral Approach Clifford J Kavinsky, MD, PHD Professor of Medicine and pediatrics Associate Director, Center for Congenital and Structural Heart Disease Rush University Medical
More informationAccess Closure: Manual vs. Device
Access Closure: Manual vs. Device Herbert D. Aronow, MD, MPH, FACC, FSCAI, FSVM Director, Interventional Cardiology, Cardiovascular Institute Director, Cardiac Cath Labs, Rhode Island &The Miriam Hospitals
More informationVascular Closure Device: A to Z. Owayed M Al Shammeri, MD, FSCAI Interventional Cardiologist AlRayyan Hospital, HMG Riyadh
Vascular Closure Device: A to Z Owayed M Al Shammeri, MD, FSCAI Interventional Cardiologist AlRayyan Hospital, HMG Riyadh Femoral artery Anatomy Disparities still exist Vascular Closure Devices Suture
More informationCARDIOLOGY GRAND ROUNDS
CARDIOLOGY GRAND ROUNDS Title: Controversies in AF ablation, pros/cons, LT outcomes Speaker: Bruce D. Lindsay Section Head, Clinical Cardiac Electrophysiology, Vice-Chair Cardiology Cleveland Clinic Date:
More informationPercutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely
Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely Daniela Branzan, MD, Department of Vascular Surgery University Hospital Leipzig Disclosure
More informationVascular Closure Techniques
Vascular Closure Techniques CLIFFORD J. KAVINSKY MD, PHD PROFESSOR OF MEDICINE AND PEDIATRICS DIRECTOR, CARDIOVASCULAR FELLOWSHIP TRAINING PROGRAM DIRECTOR, RUSH CENTER FOR ADULT STRUCTURAL HEART DISEASE
More informationMalperfusion Syndromes Type B Aortic Dissection with Malperfusion
Malperfusion Syndromes Type B Aortic Dissection with Malperfusion Jade S. Hiramoto, MD, MAS April 27, 2012 Associated with early mortality Occurs when there is end organ ischemia secondary to aortic branch
More informationVascular Access: Management of Complications. Chris Burrell, South West Cardiothoracic Centre, Plymouth
Vascular Access: Management of Complications Chris Burrell, South West Cardiothoracic Centre, Plymouth Alternative Vascular Access Sites Femoral Axillary Brachial Radial Ulnar Femoral v Radial Vascular
More informationPROMINENT. OPEN AND ENROLLING: Please Refer Patients! MHIF FEATURED STUDY:
MHIF FEATURED STUDY: PROMINENT OPEN AND ENROLLING: Please Refer Patients! CONDITION: High triglycerides, low HDL, T2DM, secondary cardiovascular prevention DESCRIPTION: Placebo controlled trial of a potent
More informationVascular Closure Techniques
Vascular Closure Techniques Femoral Approach Clifford J Kavinsky, MD, PHD Professor of Medicine and pediatrics Associate Director, Center for Congenital and Structural Heart Disease Rush University Medical
More informationAccess (Antegrade, Retrograde, Pedal)
Access (Antegrade, Retrograde, Pedal) ARCH St. Louis Craig M. Walker, MD, FACC, FACP Clinical Professor of Medicine Tulane University School of Medicine New Orleans, LA Clinical Professor of Medicine LSU
More informationThe Subclavian Artery Access for difficult vascular interventions OGZ
The Subclavian Artery Access for difficult vascular interventions Enrique Alejandre Lafont OGZ Ostschweizer Gefässzentrum Disclosure Speaker name: Enrique Alejandre Lafont I have the following potential
More informationThoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure
Thoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosure Speaker name: Tilo Kölbel, MD I
More informationSuccessful percutaneous treatment of late-onset femoral pseudoaneurysm after transcatheter, aortic valve implantation procedure
Case Report Page 1 of 5 Successful percutaneous treatment of late-onset femoral pseudoaneurysm after transcatheter, aortic valve implantation procedure Murat Celik, Uygar Cagdas Yuksel Correspondence to:
More informationPercutaneous Access for TEVAR
Percutaneous Access for TEVAR The Preclose technique and the Proglide device offer safe and effective percutaneous access for thoracic endovascular aortic repair. BY W. ANTHONY LEE, MD Suture-mediated
More informationTreatment of Thoracoabdominal Aneurysms Is there a need for custom-made devices?
: FETURED TECHNOLOGY: JOTEC E-XTR DESIGN ENGINEERING Treatment of Thoracoabdominal neurysms Is there a need for custom-made devices? INTERVIEW ND CSE PRESENTTIONS WITH DNIEL RNZN, MD, ND NDREJ SCHMIDT,
More informationThrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP)
Kasr El Aini Journal of Surgery VOL., 11, NO 3 September 2010 31 Thrombin injection vs Conventional Surgical Repair in Treatment of Iatrogenic Post-cath Femoral Artery Pseudoaneurysm (IFAP) Farghaly A,
More informationMy personal experience with INCRAFT in standard and challenging cases
My personal experience with INCRAFT in standard and challenging cases G Pratesi, MD Vascular Surgery University of Rome Tor Vergata giovanni.pratesi@uniroma2.it Disclosure Speaker name: Giovanni Pratesi,
More informationSubject Area Modules. Subject Area Modules. Subject Area Modules Published on Society for Vascular Surgery (
Purchasing the VESAP3 comprehensive package provides access to all 10 VESAP3 modules, in learning and exam mode, for $151 less than the cost of purchasing all modules individually. Click here to learn
More informationCopyright HMP Communications
Treatment of Angioseal-Related Femoral Artery Occlusion Using TurboHawk Directional Atherectomy Anvar Babaev, MD, PhD; David W. Lee, MD; Anna Kurayev, MD; Heather Yang, PA From the Division of Cardiology,
More informationEndovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac
Endovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac Chang Won Kim Department of Radiology Pusan National University Hospital
More informationRadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant INDICATION: Abdominal aortic aneurysm. INTERVENTIONAL RADIOLOGIST:
More informationReimbursement Guide Zenith Fenestrated AAA Endovascular Graft
MEDICAL Reimbursement Guide Zenith Fenestrated AAA Endovascular Graft Disclaimer: The information provided herein reflects Cook s understanding of the procedure(s) and/or device(s) from sources that may
More informationVascular closure devices (VCDs) status post
Vascular Closure Devices: Point-Counterpoint Argument for Use of Vascular Closure Devices Oliver G. Abela, MD 1, Jimmy Diep, MD 2, Chowdhury H. Ahsan, MD 3 From 1 University of Cincinnati College of Medicine,
More informationEnrolling EndoVascular Studies
Enrolling EndoVascular Studies BEST CLI PI: Jason Alexander, MD Critical Limb Ischemia Study product: Randomized study between standard of care groups, patient must be suitable for both treatments Comparing
More informationANGIOPLASTY SUMMIT 2004 Seoul, South Korea APRIL 29-MAY 2, 2004
ANGIOPLASTY SUMMIT 2004 Seoul, South Korea APRIL 29-MAY 2, 2004 RESULTS OF STUDIES COMPARING TRANSRADIAL AND FEMORAL ANGIOGRAPHY HOWARD A. COHEN, M.D. UNIVERSITY OF PITTSBURGH MEDICAL CENTER PRESBYTERIAN
More information(EU), FACC (USA), FSCAI (USA)
How to reduce vascular complications of TAVI Paul TL Chiam MBBS (S pore), MMed, MRCP (UK), FAMS FRCP (Edin), FESC (EU), FACC (USA), FSCAI (USA) Cardiologist Mount Elizabeth Hospital Singapore Definition
More informationCurtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. SCRIPPS CLINIC
Avoiding and Managing Femoral Access Site Complications Curtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. Director, Peripheral Interventions Program Director, Interventional Cardiology Fellowship Division
More informationRadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of November 19, 2018 Abdominal Aortogram, Bilateral Runoff
More informationRobert F. Cuff, MD FACS SHMG Vascular Surgery
Robert F. Cuff, MD FACS SHMG Vascular Surgery Objectives To become familiar with the commercially available fenestrated EVAR graft Discuss techniques to increase success Review available data to determine
More informationOptimal Techniques for Obtaining Large Caliber Arterial Access
Optimal Techniques for Obtaining Large Caliber Arterial Access Gerald Yong MBBS (Hons) FRACP FSCAI Interventional Cardiologist Royal Perth Hospital Western Australia APCASH 11 October 2014 Disclosure Statement
More informationEndovascular Treatment of Malperfusion Syndrome
Endovascular Treatment of Malperfusion Syndrome in Type B Aortic Dissection Department of Cardiology, Pusan National luniveristy i Hospital, Han Cheol Lee Endovascular Treatment Indication of Type B Aortic
More information9/7/2018. Disclosures. CV and Limb Events in PAD. Challenges to Revascularization. Challenges. Answering the Challenge
Disclosures State-of-the-Art Endovascular Lower Extremity Revascularization Promotional Speaker Jansen Pharmaceutical Promotional Speaker Amgen Pharmaceutical C. Michael Brown, MD, FACC al Cardiology Associate
More informationCLOSES WITH SECURITY. LEAVES WITHOUT A TRACE.
CLOSES WITH SECURITY. LEAVES WITHOUT A TRACE. Close with Confidence. Leave Nothing Behind. The innovative design and predictable deployment of MYNX CONTROL Vascular Closure Device (VCD) delivers outstanding
More informationPerformance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry
University of Milan Thoracic Aortic Research Center Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry Santi Trimarchi, MD, PhD Associate
More informationPercutaneous Transapical Access for Thoracic Endovascular Repair
Percutaneous Transapical Access for Thoracic Endovascular Repair Atman P. Shah MD FACC FSCAI Co-Director, Hans Hecht Cardiac Catheterization Laboratory Clinical Director, Section of Cardiology Associate
More informationJean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS Arch Pathology: The Endovascular Era is here Disclosures Consultant: Cook Medical, Bolton Medical, Medtronic Inc, Volcano,
More informationFemoral Access is Safer Under Ultrasound Guidance. Complications of Femoral Artery Access
Femoral Access is Safer Under Ultrasound Guidance Jennifer Baker, MD November 9, 2018 Complications of Femoral Artery Access Hematomas: 2-12% 2 Pseudoaneurysms 0.2-9% 1 Arteriovenous fistulas 0.2-2.1%
More informationCHANGING COURSE: ANTICOAGULATION IN SECONDARY PREVENTION OF CAD
Earn up to 1.0 CME credit CHANGING COURSE: ANTICOAGULATION IN SECONDARY PREVENTION OF CAD THURSDAY, APRIL 26, 2018 11:45 am 12:15 pm Registration and Buffet Lunch 12:15 pm 1:15 pm CME Symposium MANCHESTER
More informationPERFORMANCE YOU CAN TRUST. EverFlex Self-expanding Peripheral Stent with Entrust Delivery System
PERFORMANCE YOU CAN TRUST EverFlex Self-expanding Peripheral Stent with Entrust Delivery System The Entrust Delivery System is designed to provide improved patient outcomes and procedural efficiency. The
More informationFACULTY MEMBERS. Joshua A. Beckman, MD Program Director The Brown Family Fellowship in Vascular Medicine Vanderbilt University Medical Center
2017-2018 FACULTY MEMBERS Joshua A. Beckman, MD Program Director The Brown Family Fellowship in Vascular Medicine Vanderbilt University Medical Center Vascular Medicine Joshua A. Beckman, MD Esther Kim,
More information2018 CPT CODING CHANGES
17 2018 CPT coding changes by Samuel Smith, MD, FACS; Megan McNally, MD, FACS; and Jan Nagle, MS, RPh JAN 2018 BULLETIN American College of Surgeons 18 Significant changes in Current Procedural Terminology
More informationAbdominal and thoracic aneurysm repair
Abdominal and thoracic aneurysm repair William A. Gray MD Director, Endovascular Intervention Cardiovascular Research Foundation Columbia University Medical Center Abdominal Aortic Aneurysm Endografts
More informationCPT 2018 Radiology Code Changes
CPT 2018 Radiology Code Changes CPT 2018 Radiology Code Changes The following is a listing of new Current Procedural Terminology (CPT ) codes and their descriptors as described in the CPT 2018 codebook.
More informationISR-treatment The Leipzig experience with purely mechanical debulking. Sven Bräunlich Department for Angiology University-Hospital Leipzig, Germany
ISR-treatment The Leipzig experience with purely mechanical debulking Sven Bräunlich Department for Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich I have the following
More informationClosure Devices. Peter F Ludman Advanced Angioplasty 2003
Closure Devices Peter F Ludman Advanced Angioplasty 2003 Where Radials fear to tread Male, 46 yrs, ACS (CK to 792) Diabetes Morbid obesity Wheel chair bound Moderate LV dysfunction, LMS and RCA disease
More informationSAMPLE EDITION PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION. Cardiovascular Illustrations and Guidelines
Cardiovascular Illustrations and Guidelines PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION ANGIOPLASTY INTRAVASCULAR STENT PLACEMENT ATHERECTOMY For Fem-Pop Territory Angioplasty
More informationCombined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR William J. Quinones-Baldrich MD Professor of Surgery Director UCLA Aortic Center UCLA Medical Center Los Angeles,
More informationAcute Type B dissection. Closure of the infra diaphragmatic tear: how and when?
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Prof. Olgierd Rowiński II Department of Clinical Radiology Medical University of Warsaw Disclosure Speaker name: Olgierd
More informationCritical limb ischemia due to an occlusion of an aorto-biiliac prothesis step by step case presentation and decision making
Critical limb ischemia due to an occlusion of an aorto-biiliac prothesis step by step case presentation and decision making Dr. Özgün Sensebat Vascular and general surgeon Vascular Private Clinic Dorsten
More informationFascial Suture To Close Large Percutaneous Sheath Insertion Sites Cheaply And Effectively: Tips And Tricks
Fascial Suture To Close Large Percutaneous Sheath Insertion Sites Cheaply And Effectively: Tips And Tricks Vascular Center Malmö Sweden Tim Resch, Vascular Center Malmö Skåne University Hospital Sweden
More informationAn Overview of Post-EVAR Endoleaks: Imaging Findings and Management. Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC Disclosure Slide Mark O. Baerlocher: Current: Consultant for Boston
More informationUltrasound Guidance during Arterial Access for Peripheral Vascular Intervention: A VSGNE Quality Improvement Project
Ultrasound Guidance during Arterial Access for Peripheral Vascular Intervention: A VSGNE Quality Improvement Project Jeffrey Kalish, David Gillespie, Marc Schermerhorn, Daniel Bertges, Chris Healey, Paul
More informationAudit on the Complication Rates of Angioseal Vascular Closure Devices
Audit on the Complication Rates of Angioseal Vascular Closure Devices Poster No.: C-1359 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit S. Abdulla, H. Rafiee, M. Crawford; Norwich/UK
More informationEnrolling Prevention Studies
Enrolling Prevention Studies Galileo - PI: Paul Sorajja, MD RCT comparing Rivaroxaban + ASA vs clopidogrel + ASA in post TAVR patients Objective: To compare death or first thromboembolic events Subjects:
More informationClinical Outcomes Among Vascular Procedure Patients Receiving Suture-mediated vs Surgical Cutdown for Closure of Large-bore Arterial Access
Clinical Outcomes Among Vascular Procedure Patients Receiving Suture-mediated vs Surgical for Closure of Large-bore Arterial Access Ramon L. Varcoe, MBBS, MS, FRACS, PhD Associate Professor of Vascular
More informationFourth Annual Structural Heart & First Annual Cardiac Anesthesia/ TEE (it) Update Conference
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER Fourth Annual Structural Heart & First Annual Cardiac Anesthesia/ TEE (it) Update Conference Friday, May 20, 2016 8 a.m. - 4 p.m. The Ohio Union Ohio State
More informationApproaches to type II Endoleaks: Transcaval, transarterial, translumbar. Saher Sabri,MD University of Virginia
Approaches to type II Endoleaks: Transcaval, transarterial, translumbar Saher Sabri,MD University of Virginia Saher Sabri, M.D. Speakers Bureau: W.L.Gore & Associates, Abbott Type 2 Endoleaks after EVAR
More informationHow do I use mechanical debulking for the treatment of arterial occlusions
How do I use mechanical debulking for the treatment of arterial occlusions Sven Bräunlich, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich
More informationResidual Dissection and False Lumen Aneurysm After TEVAR
WHAT WOULD YOU DO? Residual Dissection and False Lumen Aneurysm After MODERATOR: MARK FARBER, MD PANEL: YAZAN DUWAYRI, MD; MATTHEW J. EAGLETON, MD; WILLIAM D. JORDAN Jr, MD; TILO KÖLBEL, MD, PhD; AND ERIC
More informationCoding Changes for 2018
Coding Changes for 2018 An overview of changes to interventional CPT coding that you need to know for practicing in 2018. BY KATHARINE L. KROL, MD, FSIR, FACR There are several coding changes for endovascular
More informationMINNEAPOLIS HEART INSTITUTE Cardiovascular Evening Symposium Series
MINNEAPOLIS HEART INSTITUTE 2018 Cardiovascular Evening Symposium Series New Ulm Tuesday, Sept. 11, 2018 New Ulm Conference Center / Best Western 2101 South Broadway Street, New Ulm, MN 56073 Toby Freier
More informationThe advent of transcatheter aortic valve implantation. Vascular Complications Among Patients. cover story
Vascular Complications Among Patients Undergoing TAVR Contemporary concepts facing operators in this challenging patient population. By Stefan Stortecky, MD, and Peter Wenaweser, MD The advent of transcatheter
More informationDURABLE. CONSISTENT. SAFE. IN.PACT Admiral Drug-Coated Balloon
DURABLE. CONSISTENT. SAFE. Drug-Coated Balloon THE SCIENCE BEHIND THE OUTCOMES DCB has proven, long-term durable outcomes across multiple clinical trials, as well as across complex patient and lesion types.
More informationVascular injury from an arterial closure device
Washington University School of Medicine Digital Commons@Becker Open Access Publications 1-1-2007 Vascular injury from an arterial closure device Jeffrey P. C. Lin Brian G. Rubin William D. Middleton Follow
More informationPercutaneous Approaches to Aortic Disease in 2018
Percutaneous Approaches to Aortic Disease in 2018 Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network Case 78 year old F Lower CP and upper
More informationClinical Study KPL-914-C001
Clinical Study KPL-914-C001 CONDITION: Recurrent idiopathic pericarditis PI: David Lin, MD CONTACT INFO: Christine Majeski, RN, CCRC, 612-863-3546, christine.majeski@allina.com DESCRIPTION: Open label
More informationIMAGES. in PAEDIATRIC CARDIOLOGY
IMAGES in PAEDIATRIC CARDIOLOGY Images Paediatr Cardiol. 2005 Jan-Mar; 7(1): 12 17. PMCID: PMC3232568 Stent implantation for coarctation facilitated by the anterograde trans-septal approach N Sreeram and
More information2011 CPT Code Update. Diagnostic Radiology. Computed Tomography (CT), Abdomen and Pelvis. Deletion of Xeroradiography and Subtraction Codes
2011 CPT Code Update [The Health Insurance Portability and Accountability Act [HIPAA] transaction and code set rules require the use of the medical code set that is valid at the time a service is provided.
More informationCase Report Rapid Switch from Intra-Aortic Balloon Pumping to Percutaneous Cardiopulmonary Support Using Perclose ProGlide
Hindawi Publishing Corporation Case Reports in Cardiology Volume 2015, Article ID 407059, 5 pages http://dx.doi.org/10.1155/2015/407059 Case Report Rapid Switch from Intra-Aortic Balloon Pumping to Percutaneous
More informationEvaluating the economic value of 5F systems for outpatients
Evaluating the economic value of 5F systems for outpatients Pr Yann Gouëffic, MD, PhD Department of vascular surgery - University Hospital of Nantes, France Disclosure Speaker's name: Yann Goueffic I have
More informationStep by step Hybrid procedures in peripheral obstructive disease. Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery
Step by step Hybrid procedures in peripheral obstructive disease Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery Disclosure Speaker name: H.H. Staab I have the following
More informationThe Role of Lithotripsy in Solving the Challenges of Vascular Calcium. Thomas Zeller, MD
The Role of Lithotripsy in Solving the Challenges of Vascular Calcium Thomas Zeller, MD 1 1 Disclosure Speaker name: Thomas Zeller... I have the following potential conflicts of interest to report: X X
More informationUltrasound User Demonstration
Ultrasound User Demonstration Disclaimer: This presentation is intended to be used as a demonstration educational device to showcase Terumo products. It is NOT intended to be used as a diagnostic device
More information