Vascular Disease Management

Controlled Step-Down Access Closure for Large Bore Access

As the advancements of catheter-based technology continue to evolve, the use of large bore access is growing to accommodate different procedures. In doing so, it cannot go unspoken that the operator must recognize the burden of postprocedural vascular access closure complications and their burden on the hospital, the patient, and the cost of care.

Advanced Stroke Imaging in the Emergency Room: Saving Precious Time and Improving Patient Outcomes

VDM speaks with neurointerventional surgeon Ryan A. McTaggart, MD, on the unique clinical pathway for stroke patients at Rhode Island Hospital, in Providence, Rhode Island. Dr. McTaggart shares the strategy behind installing a biplane angiography system within the hospital’s emergency room, and how this technology has supported the hospital’s comprehensive stroke program.

Another Femoral Pseudoaneurysm With Newer Lessons

Femoral pseudoaneurysms usually develop when the femoral artery puncture site is too low and the needle insertion is in the profunda femoris artery. We describe here a pseudoaneurysm that developed in the common femoral artery, due to inadequate manual compression and immobilization of the limb. This was dealt with by intra-aneurysm instillation of coils and […]

Another Femoral Pseudoaneurysm With Newer Lessons

Femoral pseudoaneurysms usually develop when the femoral artery puncture site is too low and the needle insertion is in the profunda femoris artery. We describe here a pseudoaneurysm that developed in the common femoral artery, due to inadequate manual compression and immobilization of the limb. This was dealt with by intra-aneurysm instillation of coils and […]

Anteroseptal Myocardial Infarction and Claudication as Manifestations of an Acute Extensive Aortic Dissection: A Case Report

Acute aortic dissection (AAD) is a life-threatening condition associated with high morbidity and mortality rates and represents a diagnostic and therapeutic challenge.1 Aortic dissection is a relatively rare disease, that can have a debut as an acute catastrophic disease.

High-Output Heart Failure Caused by Femoral Arteriovenous Fistula 27 Years After Trauma

Although traumatic arteriovenous fistula (AVF) is not an uncommon disease, it is very rare when found as high-output heart failure. An AVF between the medial femoral circumflex artery and the common femoral vein as a result of trauma has not previously been reported.

Transradial Carotid Artery Stenting Complicated With Neck Hematoma, Conservative Is a Valid Option!

We describe a case of carotid artery stenting with a transradial approach resulting in an unusual complication that includes a neck hematoma caused by a guidewire small artery perforation. This complication could potentially be life-threatening due to airway compression, but in our case was a mild hematoma with almost no effect and was conservatively managed […]

A Curious Case of Hypercoagulability

The prevalence of peripheral artery disease (PAD) and coronary artery disease (CAD) due to a genetically induced hypercoagulable state is extremely rare and something healthcare providers should not be quick to dismiss when younger patients present with symptoms consistent with PAD and CAD. Here we present a case with a unique genetically induced hypercoagulable condition causing […]

Micropuncture Access of Femoral Artery: Micro-Wires Leading to Macro-Complications

Case Study: Perforation of the right superficial iliac artery by J-angle tip microwire which inadvertently accessed this artery at the time of vascular access. This complication required treatment with embolization and coiling after prolonged balloon inflations failed to stop the bleeding. Anatomical landmarks and treatment options of this complication as well as steps to avoid […]

Cryptogenic Stroke and Acute Lower Limb Ischemia in a Patient With a Patent Foramen Ovale

A patent foramen ovale is a common abnormality; however, the prevalence of paradoxical embolism through a patent foramen ovale is still uncertain. Cryptogenic stroke is the most common presentation of paradoxical embolism.

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