Ep. 667 Aortoiliac Arterial Disease Treatment with Dr. Eric Secemsky

How do you decide between a dedicated aortic scaffold and kissing stents in complex aortoiliac bifurcations? On this episode of the BackTable Podcast, Dr. Sabeen Dhand and Dr. Eric Secemsky discuss the management of a female smoker presenting with rapidly progressive bilateral hip pain, ultimately revealed to be severe aortoiliac arterial disease. The case highlights the value of noninvasive vascular studies, CTA, and IVUS for precise diagnosis and procedural planning, as well as the nuanced decision-making process between different device options.

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Timestamps

00:00 - Introduction
01:56 - Patient History
05:42 - CTA and Angio Findings
09:30 - Strategy Access and IVUS
13:17 - IVUS Sizing and Lesion Review
16:38 - IVL Angioplasty Technique
18:28 - Stenting and Final Result
22:50 - Post-procedure Meds and Outcome
24:34 - Wrap Up

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More about this episode

Dr. Secemsky reviews access strategy, lesion sizing, and the use of intravascular lithotripsy to reduce rupture risk in heavily calcified arteries. The doctors explain their rationale for choosing kissing covered stents over a dedicated aortic scaffold, details the technical steps of ballooning and stenting, and discusses the transition from dual antiplatelet therapy to rivaroxaban and aspirin postprocedure. The episode concludes with key insights into device selection, procedural technique, and patient-centered decision-making for successful aortoiliac interventions.

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BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.

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