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March 2008


In This Issue:

CHIEF MEDICAL EDITOR'S PAGE Focus on Vascular Imaging By Takao Ohki, MD, PhD, Chief Medical Editor

FEATURED TECHNOLOGY Sponsored by Medtronic, Inc. Achieving Iliac Access for Endovascular Repair The AneuRx AAAdvantage Stent Graft with the Xcelerant Hydro Delivery System: A case report. By Clifford J. Buckley, MD, FACS, and Shirley D. Buckley, MSN, RN, CS

VARICOSE VEIN UPDATE Optimal Imaging for Varicose Vein Procedures Which modalities to use and why. By José I. Almeida, MD, FACS, RVT

Building the Rocky Mountain Vein Clinic How innovation, entrepreneurship, and effective marketing were keys to success. By Andre Zollars

Catheter-Directed Sclerotherapy for Saphenous Vein Incompetence An update on the recent progress and current areas of clinical study and development using this therapeutic option. By Jose I. Almeida, MD, FACS, RVT, and Jeffrey K. Raines, PhD, RVT

Endovenous Ablation Device Update

CHALLENGING CASES Stent Placement in the Right Subclavian Artery Treating a young woman's spontaneous dissection. By Vinay Kumar, MD

VESSEL UPDATE: VASCULAR ACCESS AND CLOSURE Vascular Access Site Management Can vascular access site complications be reduced? By "Lisa" Hung Yu, MD, MBA; Benjamin W. Starnes, MD, FACS; Jean Starr, MD, FACS; and Frank R. Arko, MD

COVER STORY Peripheral Vascular CTA Expanding the role of PV-CTA in the overall management of PVD. By David E. Allie, MD; Raghotham R. Patlola, MD; Agostino Ingraldi, MD; Chris J. Hebert, RT(R), RCIS; and Craig M. Walker, MD

The Promise of MR for TEVAR and EVAR Obtaining both force and anatomic imaging and how this might affect endovascular repair. By Felix J.V. Schlösser, MD; Hamid R. Mojibian, MD; Hence J.M. Verhagen, MD, PhD; Frans L. Moll, MD, PhD; David Gortler, PharmD; and Bart E. Muhs, MD, PhD

Multimodality Imaging and Image-Guided Surgery Advances in imaging provide physicians with the confidence to confront procedures previously thought impossible. By Vikash R. Goel, MS; Anil Ambekar, MD; and Roy K. Greenberg, MD

Building a Modern Endovascular Suite One hospital's experience provides the guidelines for the planning, designing, and construction of a state-of-the-art endovascular suite in an operating room theater. By Marshall E. Benjamin, MD

Pros and Cons of IVUS Imaging for Endovascular Procedures An overview of IVUS technology, discussing both its ideal uses and the potential drawbacks that must be considered. By Takao Ohki, MD, PhD

MDCT Angiography to Assess Aortic Pathology and PAD Diagnostic accuracy and improved spatial resolution make this an invaluable tool. By Peter H. Lin, MD; Panagiotis Kougias, MD; Tam T. Huynh, MD; and Joseph S. Coselli, MD

The Catheterization Lab of the Future An integrated interventional suite with a practical design and modern imaging equipment will save time and costs and will benefit patients and interventionists alike. By Patrick Peeters, MD; Jürgen Verbist, MD; Koen Deloose, MD; and Marc Bosiers, MD

FEATURED TECHNOLOGY Sponsored by Orqis Medical Corporation The Cancion® System for Heart Failure Procedural techniques for insertion and removal. By Aaron Schoenkerman, MD; Laura Eaton, RN; Shawn Donnelly, RN; and Ernest Haeusslein, MD

FDA INSIGHTS Medical Device Labeling Regulatory terminology associated with device labeling. By Dorothy B. Abel and Angela C. Smith

An Interview with Manish Mehta, MD A vascular surgeon and interventional vascular specialist describes his group's multidisciplinary approach to treating ruptured AAAs, stent graft improvements worth making, and how to build PAD awareness.

Innovations

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