Acknowledgment The authors express their gratitude to Dr. Mahmood Razavi for his insight and support in writing this chapter. Femoropopliteal occlusive disease is present in a significant proportion of older patients, with about 20% of men and 17% of women…
Epidemiology Aortoiliac occlusive disease (AIOD) refers to stenotic or occlusive disease of the infrarenal aorta and iliac arteries, and is a significant cause of peripheral arterial disease (PAD). Epidemiologic studies reporting on PAD include both AIOD and infrainguinal arterial disease,…
Most of this chapter discusses management of occlusive disease of the subclavian and brachiocephalic arteries. Treatment of various conditions such as thoracic outlet syndrome and more distal lesions is also covered. Subclavian and Brachiocephalic Disease Symptomatic chronic ischemia of the…
Acute lower extremity ischemia (ALI) is a serious condition with substantial morbidity and mortality. ALI refers to recent onset of lower extremity pain; long-standing lower extremity ischemia is dealt with elsewhere in this book. If ALI is severe and prolonged,…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Imaging Modalities of The Upper Extremity Imaging of the arterial and venous systems is an important component of the evaluation in many vascular disorders involving the upper extremity. This chapter provides a brief overview of vascular imaging, including ultrasonography (US),…
After an arteriography or intervention, the access site must be effectively managed. The planning for access site control starts before gaining access. The operator must make sure that (1) the accessed artery is one that can be compressed, (2) the…
Invasive vascular imaging is based on the technique described by Sven Ivar Seldinger in 1953 ( Fig. 7.1 ). This elegant innovation, now known by Seldinger’s name, eliminated the need for surgical exposure of a blood vessel before catheterization, thus…
As the need for interventional radiologic procedures continues to grow, there is increased interest in better periprocedural pain control. Interventional radiology (IR) plays a significant role in pain management, therapeutically (for chronic pain) and supplementally (for pain caused by intervention).…
The x-ray equipment available to perform imaged-guided interventions has accelerated in technical capability, allowing increasingly complex procedures to be performed. Consequently, procedures tend to be longer and the dose to the patient higher. The interventionalist is positioned closest to the…