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Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH, Aboyans V, Aksoy M, Alexandrescu VA, Armstrong D, Azuma N, Belch J, Bergoeing M, Bjorck M, Chakfé N, Cheng S, Dawson J, Debus ES, Dueck A, Duval S, Eckstein HH, Ferraresi R, Gambhir R, Gargiulo M, Geraghty P, Goode S, Gray B, Guo W, Gupta PC, Hinchliffe R, Jetty P, Komori K, Lavery L, Liang W, Lookstein R, Menard M, Misra S, Miyata T, Moneta G, Munoa Prado JA, Munoz A, Paolini JE, Patel M, Pomposelli F, Powell R, Robless P, Rogers L, Schanzer A, Schneider P, Taylor S, De Ceniga MV, Veller M, Vermassen F, Wang J, Wang S. Corrigendum to "Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischaemia" [Eur J Vasc Endovasc Surg 58 (1S) (2019) 1-109>]. Eur J Vasc Endovasc Surg 2020; 60:158-159. [PMID: 32622518 DOI: 10.1016/j.ejvs.2020.04.033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Miner G, Renton AE, Taubenfeld E, Tadros RO, Marcora E, Lookstein R, Faries PL, Marin ML. Whole Genome Sequencing Identifies Loci Specifically Associated With Thoracic Aortic Wall Defects in Patients With Abdominal Aortic Aneurysms. J Vasc Surg 2020. [DOI: 10.1016/j.jvs.2020.04.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mustapha JA, Saab FA, Martinsen BJ, Pena CS, Zeller T, Driver VR, Neville RF, Lookstein R, van den Berg JC, Jaff MR, Michael P, Henao S, AlMahameed A, Katzen B. Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage. J Endovasc Ther 2020; 27:540-546. [PMID: 32469294 DOI: 10.1177/1526602820928590] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Despite recent guideline updates on peripheral artery disease (PAD) and critical limb ischemia (CLI) treatment, the optimal treatment for CLI is still being debated. As a result, care is inconsistent, with many CLI patients undergoing an amputation prior to what many consider to be mandatory: consultation with an interdisciplinary specialty care team and a comprehensive imaging assessment. More importantly, quality imaging is critical in CLI patients with below-the-knee disease. Therefore, the CLI Global Society has put forth an interdisciplinary expert recommendation for superselective digital subtraction angiography (DSA) that includes the ankle and foot in properly indicated CLI patients to optimize limb salvage. A recommended imaging algorithm for CLI patients is included.
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Voutsinas N, Morris D, Posham R, Bishay V, Ranade M, Titano J, Nowakowski F, Patel R, Fischman A, Lookstein R, Kim E. Abstract No. 521 Use of electromagnetic tracking navigation software and its effect on percutaneous microwave ablation of liver tumors. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Cedillo M, Chen M, Di Capua J, O’Connor P, Ranade M, Patel R, Kim E, Nowakowski F, Lookstein R, Fischman A, Bishay V. Abstract No. 449 A new focused curriculum in interventional radiology for third-year medical students. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Maron S, Radell J, Sher A, Voutsinas N, Galla N, Bishay V, Kim E, Nowakowski F, Patel R, Ranade M, Lookstein R, Rastinehad A, Fischman A. Abstract No. 689 Prostate artery embolization in patients with prior transurethral resection of the prostate: a feasibility study. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Galla N, Voutsinas N, Sher A, Maron S, Titano J, Bishay V, Kim E, Nowakowski F, Patel R, Ranade M, Lookstein R, Rastinehad A, Fischman A. 3:09 PM Abstract No. 63 Balloon occlusion embolization in prostate artery embolization: a single-center evaluation of procedural metrics and clinical outcomes. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH, Aboyans V, Aksoy M, Alexandrescu VA, Armstrong D, Azuma N, Belch J, Bergoeing M, Bjorck M, Chakfé N, Cheng S, Dawson J, Debus ES, Dueck A, Duval S, Eckstein HH, Ferraresi R, Gambhir R, Garguilo M, Geraghty P, Goode S, Gray B, Guo W, Gupta PC, Hinchliffe R, Jetty P, Komori K, Lavery L, Liang W, Lookstein R, Menard M, Misra S, Miyata T, Moneta G, Munoa Prado JA, Munoz A, Paolini JE, Patel M, Pomposelli F, Powell R, Robless P, Rogers L, Schanzer A, Schneider P, Taylor S, Vega de Ceniga M, Veller M, Vermassen F, Wang J, Wang S. Corrigendum to ‘Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia’ [European Journal of Vascular & Endovascular Surgery 58/1S (2019) 1–109]. Eur J Vasc Endovasc Surg 2020; 59:492-493. [DOI: 10.1016/j.ejvs.2019.11.025] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Goldman D, Martin J, Carlon T, Liu L, Sag A, Ronald J, Patel R, Ranade M, Bishay V, Kim E, Nowakowski F, Lookstein R, Fischman A. Abstract No. 454 Crowd-sourced assessment of interventional radiology technical skill: a method to guide future training of interventional radiologists. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Watchmaker J, Goldman D, Marinelli B, Bishay V, Lookstein R, Fischman A. 3:00 PM Abstract No. 364 Clinical outcomes of patients with acute gastrointestinal tract bleeding treated with N-butyl-2-cyanoacrylate glue embolization. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Voutsinas N, Galla N, Sher A, Maron S, Bishay V, Ranade M, Titano J, Nowakowski F, Kim E, Patel R, Lookstein R, Rastinehad A, Fischman A. 4:21 PM Abstract No. 71 Radial versus femoral artery access in prostate artery embolization: a multicenter experience in a major health system. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Voutsinas N, Morris D, Shoaib O, Ranade M, Titano J, Bishay V, Patel R, Nowakowski F, Fischman A, Lookstein R, Kim E. 3:54 PM Abstract No. 38 Safety and feasibility of 15-gauge microwave ablation probes for the treatment of liver malignancy. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Goldman D, Posham R, Lee J, Carlon T, Bishay V, Ranade M, Patel R, Nowakowski F, Kim E, Titano J, Lookstein R, Fischman A. Abstract No. 467 Tweet characteristics associated with higher engagement rate for a large academic interventional radiology department. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Watchmaker J, Bishay V, Ranade M, Nowakowski F, Patel R, Kim E, Lookstein R, Fischman A. Abstract No. 574 Intracranial arterial mechanical thrombectomy in the United States: recent trends in utilization and physician specialty in fee-for service Medicare claims. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Ting W, Chait J, Jenkins A, Han D, Finlay D, Kim S, Tadros R, Vouyouka A, Lookstein R, Marin M, Faries P. FJVIS 16. Chronic Low Back Pain Associated With Proximal Venous Outflow Obstruction. J Vasc Surg 2019. [DOI: 10.1016/j.jvs.2019.08.200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kadian-Dodov D, Lookstein R, Olin JW. Focal and multifocal renal artery fibromuscular dysplasia. Eur Heart J 2019; 40:2533. [PMID: 31280286 DOI: 10.1093/eurheartj/ehz477] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH, Aboyans V, Aksoy M, Alexandrescu VA, Armstrong D, Azuma N, Belch J, Bergoeing M, Bjorck M, Chakfé N, Cheng S, Dawson J, Debus ES, Dueck A, Duval S, Eckstein HH, Ferraresi R, Gambhir R, Gargiulo M, Geraghty P, Goode S, Gray B, Guo W, Gupta PC, Hinchliffe R, Jetty P, Komori K, Lavery L, Liang W, Lookstein R, Menard M, Misra S, Miyata T, Moneta G, Munoa Prado JA, Munoz A, Paolini JE, Patel M, Pomposelli F, Powell R, Robless P, Rogers L, Schanzer A, Schneider P, Taylor S, De Ceniga MV, Veller M, Vermassen F, Wang J, Wang S. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia. Eur J Vasc Endovasc Surg 2019; 58:S1-S109.e33. [PMID: 31182334 PMCID: PMC8369495 DOI: 10.1016/j.ejvs.2019.05.006] [Citation(s) in RCA: 699] [Impact Index Per Article: 139.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
GUIDELINE SUMMARY Chronic limb-threatening ischemia (CLTI) is associated with mortality, amputation, and impaired quality of life. These Global Vascular Guidelines (GVG) are focused on definition, evaluation, and management of CLTI with the goals of improving evidence-based care and highlighting critical research needs. The term CLTI is preferred over critical limb ischemia, as the latter implies threshold values of impaired perfusion rather than a continuum. CLTI is a clinical syndrome defined by the presence of peripheral artery disease (PAD) in combination with rest pain, gangrene, or a lower limb ulceration >2 weeks duration. Venous, traumatic, embolic, and nonatherosclerotic etiologies are excluded. All patients with suspected CLTI should be referred urgently to a vascular specialist. Accurately staging the severity of limb threat is fundamental, and the Society for Vascular Surgery Threatened Limb Classification system, based on grading of Wounds, Ischemia, and foot Infection (WIfI) is endorsed. Objective hemodynamic testing, including toe pressures as the preferred measure, is required to assess CLTI. Evidence-based revascularization (EBR) hinges on three independent axes: Patient risk, Limb severity, and ANatomic complexity (PLAN). Average-risk and high-risk patients are defined by estimated procedural and 2-year all-cause mortality. The GVG proposes a new Global Anatomic Staging System (GLASS), which involves defining a preferred target artery path (TAP) and then estimating limb-based patency (LBP), resulting in three stages of complexity for intervention. The optimal revascularization strategy is also influenced by the availability of autogenous vein for open bypass surgery. Recommendations for EBR are based on best available data, pending level 1 evidence from ongoing trials. Vein bypass may be preferred for average-risk patients with advanced limb threat and high complexity disease, while those with less complex anatomy, intermediate severity limb threat, or high patient risk may be favored for endovascular intervention. All patients with CLTI should be afforded best medical therapy including the use of antithrombotic, lipid-lowering, antihypertensive, and glycemic control agents, as well as counseling on smoking cessation, diet, exercise, and preventive foot care. Following EBR, long-term limb surveillance is advised. The effectiveness of nonrevascularization therapies (eg, spinal stimulation, pneumatic compression, prostanoids, and hyperbaric oxygen) has not been established. Regenerative medicine approaches (eg, cell, gene therapies) for CLTI should be restricted to rigorously conducted randomizsed clinical trials. The GVG promotes standardization of study designs and end points for clinical trials in CLTI. The importance of multidisciplinary teams and centers of excellence for amputation prevention is stressed as a key health system initiative.
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Sher A, Posham R, Vouyouka AG, Patel R, Faries PL, Lookstein R, Fischman A, Tadros RO. IP197. Transradial Treatment of Infrainguinal Peripheral Artery Disease. J Vasc Surg 2019. [DOI: 10.1016/j.jvs.2019.04.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FGR, Hamburg NM, Kinlay S, Lookstein R, Misra S, Mureebe L, Olin JW, Patel RAG, Regensteiner JG, Schanzer A, Shishehbor MH, Stewart KJ, Treat-Jacobson D, Walsh ME. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2019; 69:e71-e126. [PMID: 27851992 DOI: 10.1016/j.jacc.2016.11.007] [Citation(s) in RCA: 429] [Impact Index Per Article: 85.8] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Powell R, Menard M, Farber A, Rosenfield K, Goodney P, Gray B, Lookstein R, Pena C, Schermerhorn M. Comparison of specialties participating in the BEST-CLI trial to specialists treating peripheral arterial disease nationally. J Vasc Surg 2019; 69:1505-1509. [DOI: 10.1016/j.jvs.2018.08.188] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 08/28/2018] [Indexed: 12/19/2022]
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Posham R, Tadros R, Lookstein R, Patel R, Ranade M, Nowakowski F, Bishay V, Kim E, Fischman A. Abstract No. 465 Transradial approach for infrainguinal peripheral arterial disease: single-center review of safety and feasibility. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Voutsinas N, Murthy S, Bishay V, Ranade M, Nowakowski F, Patel R, Kim E, Lookstein R, Fischman A. Abstract No. 456 Radiation dose during uterine fibroid embolization in a major health care system: transradial vs. transfemoral access. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Marinelli B, Pasik S, Charles D, Ranade M, Bishay V, Nowakowski F, Fischman A, Patel R, Lookstein R, Kim E. 04:12 PM Abstract No. 324 Concurrent nivolumab and local regional therapy for advanced hepatocellular carcinoma. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Kim J, Watchmaker J, Gruener J, Cabatingan K, Isaacson A, Kim E, Bishay V, Ranade M, Patel R, Nowakowski F, Lookstein R, Fischman A. 03:54 PM Abstract No. 234 Incidence of hepatopulmonary shunting in patients with metastatic neuroendocrine tumors: multicenter experience. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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O’Connor P, Ranade M, Bishay V, Nowakowski F, Kim E, Lookstein R, Fischman A. Abstract No. 552 Microwave ablation of osteoid osteomas using a gas-cooled probe: midterm results. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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