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In This Issue:
EVAR

New device options offer solutions for more AAA patients, but questions regarding ideal applications remain.

Chief Medical Editor's Page More EVAR Options, But Also More Questions By Ronald M. Fairman, MD, and Edward Y. Woo, MD

Cover Stories

Infrarenal EVAR Technology Review Top 5 Viewed Steady evolution in device design and delivery has expanded endovascular repair to more patients, but further advancements are integral to this technology’s future. By Eanas S. Yassa, MD, and Joseph V. Lombardi, MD

Infrarenal Fixation Is All That Is Necessary Essential factors determining EVAR durability at the proximal sealing zone. By Robert Y. Rhee, MD

Suprarenal Fixation Is Required for EVAR The advantages afforded with suprarenal fixation when treating abdominal aortic aneurysms. By Benjamin M. Jackson, MD, and Ronald M. Fairman, MD

Type IV Thoracoabdominal Aneurysms: What’s Next? Top 5 Viewed Advanced endovascular techniques and specialized devices in the pipeline are making fenestrated EVAR a viable option in this challenging anatomic site. By Nikolaos Tsilimparis, MD, and Joseph J. Ricotta II, MD, MS

The Role of Debranching in Endovascular Repair of TAAs Top 5 Viewed Hybrid repair is an alternative in patients who are not candidates for open surgery or total endovascular approaches. By Gustavo S. Oderich, MD

Off-the-Shelf Devices Should Be Used Standardized technology allows interventionists to treat patients on an individual basis with the most appropriate device indicated for aneurysm presentations. By Samir K. Shah, MD; Timothy Resch, MD, PhD; and Daniel G. Clair, MD

Custom Devices Can’t Be Abandoned Long-term data for off-the-shelf devices remain uncertain, and their durability for challenging anatomy should be considered. By Tara M. Mastracci, MD, and Roy K. Greenberg, MD

Endovascular Management of Common and Internal Iliac Artery Aneurysms Top 5 Viewed How iliac branch grafting may become a first-line treatment option. By Erin H. Murphy, MD, and Edward Y. Woo, MD

Does Difficult Iliac Access Still Exist? EVAR device profiles are getting smaller, and access techniques are becoming more refined, but are we there yet? By Yiu Che Chan, MB BS, BSc, MD, FRCS (Eng), FRCS (Gen Surg) FCSHK, and Stephen W. K. Cheng, MB BS, MS, FRCS (Eng), FRCS (Edin), FCSHK, FHKAM

CHALLENGING CASES

Treating a Type Ia Endoleak Using EndoAnchors Successful endoleak resolution after endovascular abdominal aortic aneurysm repair. By Ripal T. Gandhi, MD, and Barry T. Katzen, MD, FACC, FACR, FSIR

VARICOSE VEINS

Candidacy for Endovenous Ablation What makes a patient a good candidate or a noncandidate, how we know, and whether that has changed in the past 5 years. By Jose I. Almeida, MD, FACS, RPVI, RVT, and Cristal Boatright, MMS, PA-C

Treating Varicose Veins in Patients With DVT Top 5 Viewed Vein closure in patients with a history of deep vein thrombosis is achievable and may lead to beneficial results, but further research is needed. By Rafi Jarjous, BS; Angelica Reihmer, BS; Farah Jarjous, BS; and George T. Nahhas, MD, FACC, RPVI

DEPARTMENTS

Innovations

An Interview With Alan T. Hirsch, MD The Director of the Vascular Medicine Program at the University of Minnesota shares his thoughts on the role of exercise therapy in treating PAD, as well as spreading PAD awareness to the public, specifically, the underserved population of women.