January 2010

CHIEF MEDICAL EDITOR’S PAGE Perspectives on EVAR

CHALLENGING CASES Endovascular SA and IMA Repair After Iatrogenic Injury A case report of simultaneous inadvertent injury to both the subclavian and internal mammary arteries treated with endovascular techniques. By Saher S. Sabri, MD; Ulku C. Turba, MD; and John F. Angle, MD

VESSEL UPDATE Visceral Ischemia Underdiagnosed or a lot of hot air? By Gustavo S. Oderich, MD

Cover Story A Clinical Look at EVAR Top 5 Viewed W. Anthony Lee, MD, principal investigator of EVAR trials past and present, believes that control, accuracy, and reliability are the three key features that separate a great device from a good device.

Multispecialty EVAR Intervention Interventional radiologist Barry T. Katzen, MD, FACC, FACR, FSIR, explains his role in the early development of endograft procedures and shares his perspective on device development and the value of live-case meetings.

Imaging Advancements and Screening Initiatives Top 5 Viewed Bart Muhs, MD, PhD, discusses his experience with various imaging modalities, as well as the vital role of AAA screening.

EVAR Takes Root in Japan Takao Ohki, MD, PhD, provides an overview of EVAR’s emergence in Japan, including progress of the procedure to date and the advantages and disadvantages of the country’s unique regulatory restrictions.

Early Access to Next-Generation EVAR Technologies Top 5 Viewed Hence J.M. Verhagen, MD, PhD, talks about the advantages to early adoption of new devices, his follow-up protocols, and his current clinical trial efforts.

EVAR Versus Open Repair for rAAA Top 5 Viewed Frank J. Veith, MD, discusses recent data that reveal the benefits of EVAR over open repair in ruptured aneurysm patients.

EVAR: Raising the Bar Roy K. Greenberg, MD, explains how endovascular aneurysm repair procedures continue to progress, enabling the treatment of more patients and challenging anatomies.

EVAR: A Perspective From Across the Pond Roger Greenhalgh, MD, discusses endovascular practice in the United Kingdom and the bearing that upcoming trial results will have on the future of EVAR.

The Continued Rise of EVAR Zvonimir Krajcer, MD, discusses the growing popularity of this procedure and offers advice to those interested in adding it to their practice.

Evaluating New EVAR Device Technology Andrew Holden, MBChB, FRANZCR, provides his unique perspective on EVAR and a look at his latest trial experiences with new technologies.

Interventional Radiology and EVAR Corey Teigen, MD, explains how the marriage of these two fields combines to provide excellent patient care.

DEPARTMENTS A preview of today’s new products Top 5 Viewed

An Interview With Jafar Golzarian, MD Dr. Golzarian discusses the role of embolization in interventional radiology and what we can expect from the 2010 GEST meeting.

Perspectives on Aortic Aneurysm Disease An overview of how aortic aneurysm disease is viewed today and some advice on improving awareness, detection, and follow-up. By John A. Elefteriades, MD

Screening for AAAs in Patients Who Have Undergone CABG The experience at Inova Fairfax with disease identification in high-risk patients. By Maseer A. Bade, MD; Erica Neufeld, MA; Behdad Aryavand, MD; Paul S. Massimiano, MD; Dipankar Mukherjee, MD; and Homayoun Hashemi, MD

Three-Dimensional Imaging and Navigation Three-dimensional CT reconstruction should be included throughout endovascular procedures, enabling better procedure planning and increasing patient satisfaction. By Alan B. Lumsden, MD; Christof Karmonik, PHD; Miguel Valderabanno, MD; Dipan Shah, MD; and Jean Bismuth, MD

Surveillance of Aortic Stent Grafts With the proper patient follow-up regimen, new imaging modalities are optimizing the current standard of care for EVAR surveillance. By Carter Freiburg, MD, and Bart E. Muhs, MD, PHD