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Figure 4.12 Endoleak classification.
Chapter 5
Figure 5.1 Pictured on the left is a traditional
CTA coronal view of an infr…
Figure 5.2 In cases where aortic anatomy is not
suitable for on‐label device…
Figure 5.3 Repeat contrast angiography prior to
complete deployment of the m…
Figure 5.4 Cannulation of the contralateral gate
can prove challenging, as d…
Figure 5.5 The completion angiogram above
from a single case demonstrates ex…
Figure 5.6 Completion angiogram demonstrates
a Type IA endoleak. Aneurysmal …
Figure 5.7 In cases where aneurysmal
degeneration extends to the iliac arter…
Chapter 6
Figure 6.1 Indirect engagement of renal artery:
(a) renal artery stenosis (b…
Chapter 7
Figure 7.1 Flush aortagram performed via a
femoral approach. Imaging is perf…
Figure 7.2 Morph sheath placed via a femoral
approach. The tip of the sheath…
Figure 7.3 A hydrophilic wire has been
advanced through a stenotic lesion us…
Figure 7.4 Balloon‐expandable stent placement.
Note minimal extension of the…
Figure 7.5 Poststent angiogram performed
using a flush catheter via a femora…
Figure 7.6 Selective angiogram of the SMA
showing a thrombus (arrow) in the …

Figure 7.7 6 Fr 55 cm vascular sheath advanced
into the SMA via a right femo…
Figure 7.8 Residual stenosis (arrow) after
aspiration of thrombus.
Figure 7.9 Angioplasty of stenotic lesion in SMA
using Savvy 5 mm × 4 cm ang…
Chapter 8
Figure 8.1 A 3D reconstruction of CTA imaging
demonstrating extensive calcif…
Figure 8.2 TASC II classifications for aortoiliac
occlusive disease.
Figure 8.3 Commonly used bare‐metal stents.
Figure 8.4 Commonly used covered stents for
iliac intervention.
Figure 8.5 Aortogram with right external iliac
artery occlusion. Through and…
Figure 8.6 Balloon angioplasty of lesion and
completion angiogram following …
Figure 8.7 Preoperative CTA with
reconstruction demonstrating occluded left …
Figure 8.8 Aortogram with occluded left iliac
artery and imaging with Amplat…
Figure 8.9 Deployment of bilateral VBX stents
and completion angiogram with …
Chapter 9
Figure 9.1 CO2 angiography (a) The device is
placed in a sterile bag on the …
Figure 9.2 Example of the measurements
typically taken with intravascular im…
Figure 9.3 (a) Prep in the foot and ultrasound.
(b, c) Visualization of the …
Figure 9.4 (a) Cutting balloon example (b)
Chocolate balloon (c) Dorado high…

Figure 9.5 (a) Excimer laser, (b) Rotablator (c)
Jetstream (d) Phoenix (e) R…
Figure 9.6 Example of Nav6 Emboshield Filter
Deployment and removal. (a) Car…
Chapter 10
Figure 10.1 Angiosomes. This figure illustrates
the concept of the angiosome…
Figure 10.2 Wire inside a tibial vessel. This
figure demonstrates the appear…
Figure 10.3 Crossing of a CTO of the lateral
plantar artery with subsequent …
Chapter 11
Figure 11.1 Acute thrombus of popliteal, note
hazy white appearance.
Figure 11.2 EKOS Endosonic catheter 40 cm in
a patient with acute thrombotic…
Figure 11.3 Use of Penumbra Indigo CAT3 in a
patient with acute thrombus of …
Chapter 12
Figure 12.1 Lateral view of the ankle shows the
distal AT artery and PT arte…
Figure 12.2 The anterior circulation consists of
dorsalis pedis artery, late…
Figure 12.3 The posterior circulation consists of
the medial plantar artery …
Figure 12.4 Pedal arch subtypes: Type 1: both
dorsalis pedis and plantar art…
Figure 12.5 (a) Occlusion of distal PT artery and
severe stenosis of distal …
Figure 12.6 (a) Severe stenoses of the distal AT,
distal PT, and dorsalis pe…
Chapter 13
Figure 13.1 Bleeding and contrast extravasation
(red arrow) of a small vesse…

Figure 13.2 Pseudoaneurysm arising from the
CFA as demonstrated by color dup…
Figure 13.3 Algorithm for the management of
femoral pseudoaneurysms.
Figure 13.4 (a) Femoral angiography via
contralateral access demonstrating a…
Figure 13.5 Hematoma classification proposed
in the Early Discharge After Tr…
Chapter 14
Figure 14.1 Diagnostic management of patients
with suspected DVT or PE [1]….
Figure 14.2 Approach to initial treatment of
venous thromboembolism (onset t…
Figure 14.3 Approach to long‐term and
extended treatment of VTE (after initi…
Chapter 15
Figure 15.1 CT scan axial view showing left
common iliac vein (CIV) compress…
Figure 15.2 Venogram. Access site left common
femoral vein. Exchange 4 Fr or…
Figure 15.3 Postdeployment series of Wallstent
dilatation placed in left ili…
Figure 15.4 IVUS guided venous stenting, left
iliac vein. (a) Pre‐interventi…
Chapter 16
Figure 16.1 Second‐generation device consists of
a control unit to deliver p…
Figure 16.2 (a) Infusion catheter tip and
ultrasonic core. (b) Cross‐section…
Figure 16.3 EKOS infusion catheter.
Figure 16.4 Appropriate final catheter positions.
Figure 16.5 FlowTriever thrombus aspiration
system.

Figure 16.6 Tricuspid valve crossed using a
balloon‐tipped catheter to avoid…
Figure 16.7 PA angiogram defining location of
proximal thrombus.
Figure 16.8 Contrast injection through the
multipurpose catheter.
Figure 16.9 Thrombi extracted via aspiration
through the F20.
Figure 16.10 Positioning (a) and deployment (b)
of FlowTriever catheter and …
Figure 16.11 AngioVac system utilizes a large
intravascular cannula attached…
Figure 16.12 (a) Generation 2 device with
balloon‐actuated funnel, straight …
Figure 16.13 (a–e) AngioVac circuit assembly.
Figure 16.14 AngioVac cannula advanced to the
right pulmonary artery from a …
Figure 16.15 (a–e) Clot‐in‐transit is generally
mobile and can be engaged by…
Figure 16.16 (a–c) When using generation 2
device for right heart vegetation…
Chapter 17
Figure 17.1 Steps in accessing the saphenous
vein under ultrasound guidance …
Figure 17.2 Steps in catheter positioning and
tumescent anesthesia administr…
Figure 17.3 EVLA laser tip visualization through
the skin with red beam.
Figure 17.4 The ClariVein device consists of a 9
V battery‐motorized handle …

Endovascular
Interventions
A Step‐by‐Step Approach
Edited by
Jose M. Wiley, MD, MPH
Sidney W. and Marilyn S. Lassen Chair of
Cardiovascular Medicine
Professor of Medicine
Chief, Section of Cardiology
John W. Deming Department of Medicine
Tulane University School of Medicine
New Orleans, LA, USA
Cristina Sanina, MD
Interventional Cardiology Fellow
Division of Cardiology
Department of Medicine
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston, MA, USA
George D. Dangas, MD, PhD
Professor of Medicine
Director of Cardiovascular Innovations
The Zena and Michael A. Weiner Cardiovascular
Institute
Icahn School of Medicine at Mount Sinai
New York, NY, USA
Prakash Krishnan, MD

Professor of Medicine
Director of Endovascular Services
The Zena and Michael A. Weiner Cardiovascular
Institute
Icahn School of Medicine at Mount Sinai
New York, NY, USA

This edition first published 2023
© 2023 John Wiley & Sons Ltd
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Krishnan to be identified as the authors of the editorial material in this work
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Library of Congress Cataloging‐in‐Publication Data
Names: Wiley, Jose M., author. | Sanina, Cristina, author. | Dangas, George
D., author. | Krishnan, Prakash, author.
Title: Endovascular interventions: a step‐by‐step approach / Jose M. Wiley,
Cristina Sanina, George D. Dangas, Prakash Krishnan.
Description: Hoboken, NJ : Wiley‐Blackwell, 2023. | Includes
bibliographical references and index.
Identifiers: LCCN 2023012153 (print) | LCCN 2023012154 (ebook) | ISBN
9781119467786 (paperback) | ISBN 9781119467847 (adobe pdf) | ISBN
9781119467861 (epub)
Subjects: MESH: Endovascular Interventions.
Classification: LCC RD598.5 (print) | LCC RD598.5 (ebook) | NLM WG 170
| DDC 617.4/13–dc23/eng/20230531
LC record available at https://lccn.loc.gov/2023012153
LC ebook record available at https://lccn.loc.gov/2023012154
Cover Design: Wiley
Cover Image: © Cristina Sanina

List of Contributors
Tyrone J. Collins, MD
Department of Cardiovascular Diseases, John Ochsner
Heart & Vascular Institute, The Ochsner Clinical School,
University of Queensland School of Medicine New
Orleans, LA, USA
Saadat Shariff, MD
Department of Cardiothoracic & Vascular Surgery
(Vascular Surgery) Albert Einstein College of Medicine‐
Montefiore Medical Center Bronx, NY, USA
Isabella Alviz, MD
Department of Medicine, Albert Einstein College of
Medicine‐Montefiore Medical Center Bronx, NY, USA
Cornelia Rivera, MD
Department of Medicine, Albert Einstein College of
Medicine‐Montefiore Medical Center Bronx, NY, USA
Michelle Cortorreal, MD
Department of Medicine, Albert Einstein College of
Medicine‐Montefiore Medical Center Bronx, NY, USA
James S. Jenkins, MD
Department of Cardiovascular Diseases, John Ochsner
Heart & Vascular Institute, The Ochsner Clinical School,
University of Queensland School of Medicine New
Orleans, LA, USA
Tamunoinemi Bob‐Manuel, MD
Department of Cardiovascular Diseases, John Ochsner
Heart & Vascular Institute, The Ochsner Clinical School,
University of Queensland School of Medicine New
Orleans, LA, USA
Aksim G. Rivera, MD
Department of Surgery (Vascular Surgery), Albert
Einstein College of Medicine‐Jacobi Medical Center
Bronx, NY, USA
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