Imaging reveals a large spindle cell sarcoma invading the lumbar spine and left common iliac vein in a 51-year-old. Resection risks damage to critical vasculature and would require removing a significant amount of spine.Read More
Advances Have Put Carotid Artery Stenting on Par With Surgery for Stroke Prevention
A JACC State-of-the-Art Review concludes that CMS should update its national coverage decision to provide equal coverage for stenting and surgery for stroke prevention in patients with carotid artery stenosis.
Aberrant Right Subclavian Artery: When Best to Intervene?
Asymptomatic patients with an aberrant subclavian right artery may not require intervention, but annual serial imaging surveillance is needed to monitor for growth and complications.
Gore Iliac Branch Endoprosthesis: Adding an Off-Label Stent Yields Outcomes Comparable to Those With Internal Iliac Component
A Cleveland Clinic study suggests the Gore Viabahn VBX stent is an equal but more versatile substitute for the internal iliac component of the Excluder iliac branch endoprosthesis for treating aortoiliac artery aneurysms.
Acute Type B Aortic Dissection: Comprehensive, Population-Based Management Shows Promise for Closing Racial Care Gaps
Despite significant differences in risk factors, demographics and socioeconomics between Black and white patients with acute type B aortic dissection, similar management and outcomes can be achieved.
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Guidance for Surveillance of Isolated Common Iliac Artery and Small Abdominal Aortic Aneurysms
Two new studies suggest that many aortoiliac aneurysms are slow-growing and can safely be monitored every three years with duplex ultrasound.
Safety of Paclitaxel-Coated Balloon for PAD Confirmed Through Four Years of Follow-Up
Two randomized trials of the Stellarex DCB for peripheral artery disease continue to show no increase in mortality relative to standard angioplasty at 48 months. One more year of planned follow-up remains.
Avoiding Spinal Drainage Complications After Aortic Surgery: Insights From a Large Case Series
Spinal drains help prevent spinal cord injury in this setting, but they should be used only after careful weighing of risks and potential benefits, with special attention to the risk of thrombocytopenia.
TASC II D Aortoiliac Occlusive Disease: How Do Open and Hybrid/Endovascular Repair Stack Up?
Learn why complex total or hybrid endovascular management of severe aortoiliac occlusive disease has largely supplanted traditional open aortobifemoral bypass at Cleveland Clinic.
Type A Aortic Dissection with Acute Lower Extremity Ischemia: Insights From a Large Patient Series
Multidisciplinary management with emergency primary aortic repair and additional peripheral revascularization can improve outcomes, especially when delivered in a timely manner.
Standardizing Methods Is Key to Making Aortic Dmax Measures More Accurate and Reproducible
Accurate and reproducible measurement of the maximum diameter of abdominal aortic aneurysms is achievable with advancements in CT angiography. Now standardization of methods should be the goal.