The Endovascular Forum brings you video cases presented at major clinical conferences in interventional radiology, interventional cardiology, vascular surgery, and vascular medicine. These videos showcase complex and sometimes controversial procedures demonstrating how your colleagues are performing innovative, cutting-edge techniques.
The patient is a 66-year-old man with an infrarenal abdominal aortic aneurysm which has been followed for 5 years. In the past year, the AAA has grown from 4.2 to 5.0 cm. The patient has a history of hypertension...
The patient is a 67-year-old man who has been undergoing routine surveillance for an infrarenal aortic aneurysm, which was discovered incidentally in 2001. He has considerable anxiety related to the aneurysm. His...
The patient is a 71-year-old male with an enlarging abdominal aortic aneurysm (AAA) now measuring 5.2 cm. He also has bilateral popliteal aneurysms; the left of which was treated with an endograft in March 2009....
The patient is a 60-year-old man who first presented in December 2009 with an acute stroke, which left him with mild aphasia. He has a past medical history of dyslipidemia and smoking and has a family history of...
The patient is a 59-year-old man with esophageal cancer status post surgical resection with gastric pull through. In 2007, pulmonary and liver metastases were found and the patient underwent chemotherapy. Although...
The patient is a 68-year-old man with an incidentally discovered 5.5 cm splenic artery aneurysm. He presented 1 week ago after 1 day of abdominal pain. Physical examination found a markedly distended bladder and...
The patient is a 53-year-old woman with poorly controlled hypertension. An outside renal duplex was normal. A CTA shows FMD abnormalities in the upper pole and possibly the lower pole left renal arteries. The plan...
The patient is a 65-year-old male with lifestyle-limiting left lower extremity claudication affecting his thigh and calf. He has an extensive history of PAD including a right fem-pop bypass, bilateral iliac artery...
The patient is an 82-year-old female with a history of hypertension that developed over the past two years. During an MRI for an angiomyolipoma, a renal artery aneurysm was incidentally discovered. The aneurysm...
The patient is an active 65-year-old male with a 20-year history of bilateral buttock claudication. In the early 1990s he received bilateral common iliac and external iliac Wallstents. He has undergone numerous...
The patient is a 74-year-old male with right lower extremity claudication that occurred over a 3-month period and became unbearable within the past day. He has a history of AAA that was treated with EVAR in July...
The patient is a 57-year-old male with an enlarging abdominal aortic aneurysm, which was discovered during a lumbar spine MRI in 2005. The AAA had enlarged significantly in the past year, from 4.4 cm to 5.1 cm in...
The patient is a 67-year-old female that presented with intermittent back pain. The patient was referred for CT with a "focal B aortic dissection." The patient had been managed with annual computed tomography angiography...
The patient is a 50-year-old male with asymptomatic bilateral popliteal artery aneurysms discovered during MRI for an evaluation for a left meniscal tear. The patient's surgical history includes prior cervical spine...
The patient is a 67-year-old male with a history of hypertension, hyperlipidemia, and coronary artery disease. The patient is currently asymptomatic and presented with 5.2 cm infrarenal AAA that has expanded in...
History: 75-year-old man who has had a carotid endarterectomy and a carotid stent placed for restenosis. He now has in-stent restenosis. The patient underwent a left carotid endarterectomy in 1995, which was complicated...
The patient is a 64-year-old male with an episode of slurred speech that he experienced 3 months prior for 15 minutes. His medical history consists of hypercholesterolemia, hypertension, aortic stenosis, and remote...
The patient is an 88-year-old man who returns for routine follow up for bilateral carotid stenosis. His medical history consists of significant past peripheral vascular disease, carotid artery disease and ischemic...
The patient is an 80-year-old female who presents with left-hand numbness. Her medical history includes hypertension, hyperlipidemia, and lung cancer. Following the angiogram, the plan for this patient was to...
A 79-year-old male patient with 8 years post endovascular repair of AAA and bilateral popliteal artery aneurysms. The right aneurysm thrombosed causing significant claudication necessitating a femoral-popliteal...
A 76-year-old male with a ruptured AAA returns six months after emergent EVAR repair with a type II endoleak and interval increase in size in the endosac. The type II endoleak was confirmed during mesenteric angiography...
This is a challenging example of clinical and technical decision making in a patient with separate TAA and AAA pathologies. The questions of which one to treat first -- and how -- are presented in detail. The...
This case is a 58-year-old male patient with risk factors including elevated cholesterol, hypertension, and a history of heavy smoking who presents with lower extremity claudication. The endovascular strategy was...
The patient is a 74-year-old male with poorly controlled hypertension on two medications. He has a history of peripheral vascular disease and had a common iliac artery stent placed in the past. The patient has...
While in the hospital undergoing treatment for heart problems, physicians discovered that their patient, an elderly woman who is high risk because of advanced age, severe CAD, and congestive failure, had more than...
The patient is a 60-year-old asymptomatic right-handed female with a history of bilateral carotid endarterectomy. The left carotid was done 5 years ago; the right one 3 years ago. On duplex imaging, she was found...
A 55-year-old man presents with an expanding 6.1cm lengthy fusiform descending thoracic aortic aneurysm. Planned percutaneous endovascular repair with CSF pressure monitoring.
Dr. Gerald Zemel, an interventional...
This is a good example of the value -- and complexity -- of endovascular therapy for PAA in a 79 year-old male who was symptomatic from local pain and had angiographic proof of distal embolization with spontaneous...
This patient is a 75-year-old male with a common iliac artery aneurysm who was previously treated with a Wall Graft. He was lost to follow-up and now returns several years later with some pelvic pain. The aneurysm...
A 75-year-old man with asymptomatic high-grade left internal carotid artery stenosis is considered high risk for surgical revascularization due to extensive medical history including multiple endovascular interventions....
Management of non atherosclerotic renal arterial lesion in a 19-year-old male who previously underwent renal PTA. The clinical outcome was good but not durable. The patient re-presents 4 years later with worsening...
This is a high-risk, symptomatic patient who presents with right hemispheric (left body) symptoms. Non-invasive imaging studies including duplex sonography confirms the presence of a carotid stenosis on the right...
An 85-year-old male patient with a known abdominal aortic aneurysm and bilateral popliteal aneurysms. He presents for treatment of the popliteal artery aneurysms. He is asymptomatic but treatment is being performed...
This is a 44-year-old white female who presents with a history of increasing hypertension and fatigue. She has a history of "heart surgery as a child," but no medical records remain regarding the nature of that...
