Type B Aortic Dissection: Techniques, perspectives, and decision-making.

In This Issue

Guest Chief Medical Editors Christoph A. Nienaber, MD, & Grace J. Wang, MD, share an overview of our latest issue, which focuses on decision-making in type B aortic dissection. Plus, additional features on the use of radial access & the process of venous stent engineering.

COVER STORIES

Prof. Christoph A. Nienaber offers his view on thoracic aortic dissection with lessons learned from the INSTEAD trial, which evaluated TEVAR & optimal medical therapy for TBAD.?

Germano Melissano, MD, & Daniele Mascia, MD, provide an in-depth look at the STABILISE technique, an evolution of PETTICOAT, to treat acute and subacute TBAD.

Drs. Patrick R. Vargo, Adam Daly, & Eric E. Roselli offer their approach to treating the false lumen during TEVAR using balloon fracture fenestration and direct false lumen embolization.

Drs. Ryan Gouveia e Melo, Tarek Hamwi, & Nikolaos Tsilimparis describe cases of acute and chronic aortic dissection ruptures to illustrate the challenges encountered and the various techniques utilized for the treatment of this challenging clinical problem.

Konstantinos Spanos, MD; Fiona Rohlffs, MD; Giuseppe Panuccio, MD; Ahmed Eleshra, MD; & Tilo K?lbel, MD, discuss the evolution of the candy-plug and knickerbocker techniques for distal false lumen occlusion, as well as the timing of intervention and patient anatomy considerations.

Drs. Christina L. Fanola & Eric Isselbacher discuss the clinical presentation and complications of TBAD, medical management in the acute setting and over the long term, and the use of fluoroquinolones in chronic TBAD.

Tilo K?lbel, MD; Tara M. Mastracci, MD; Christoph A. Nienaber, MD; Germano Melissano, MD; Daniele Mascia, MD; and Eric E. Roselli, MD, offer their insights for the treatment of uncomplicated TBAD.

RADIAL ACCESS

Robert J. Beaulieu, MD; William E. Beckerman, MD; and Yulanka Castro-Dominguez, MD, describe their ideal device sheath size and length for transradial access in peripheral interventions.?

Anastasia Hadjivassiliou, MBBS; Anna Luisa Kühn, MD; and David O’Connor, MD, each provide their thoughts on the most common obstacles when performing radial access in the peripheral and neurointerventional settings.

FEATURED TECHNOLOGY

Drs. Vivek Kumar and Pavan Khanna share case examples using the InThrill Thrombectomy System as a lytic-free first-line treatment for rapid removal of thrombus outside the iliofemoral region.?| Sponsored by Inari Medical

MEDICAL AFFAIRS CORNER

In Medtronic’s Medical Affairs Corner, Dr. Erin Murphy outlines the current state of venous stenting, reviewing the 4 major completed venous IDE trials & what the data mean for obstructive venous disease. | Sponsored by Medtronic

DEPARTMENTS

We brought together medical device engineers from BD, Boston Scientific Corporation, Cook Medical, and Medtronic in a collaborative roundtable to discuss how their efforts translate to venous practice.

In our recent interview with Kak Khee Yeung, MD, she talks about her work developing a biobank with live patient cells to understand AAA pathophysiology, the capabilities of AI for personalized medicine in vascular care, and more.