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Latest Case Studies

EVF Interactive
A 55-year-old male with a history of coronary artery bypass grafting, hypercholesterolemia, and hypertension presented with chest pain. The patient had negative cardiac ...

Donation: $1500 to SIR
EVF Interactive
An 84-year-old Caucasian male came to the Emergency Room with a 4-week history of painful blue-colored skin over the left 5th toe that had not improved with over-the-counter ...

SVM Interactive
66-year-old male presented to the Emergency Department (ED) with right upper quadrant pain and intermittent cough for two weeks. His medical history was ...
EVF Interactive
A 76-year-old male presented to the Emergency Department with a one-week history of oliguria and red-tinged urine. A Foley catheter was placed in the ER with minimal ...

Donation: $1500 to SIR
EVF Interactive
A 63-year-old male patient weighing 79 kg and measuring 183 cm presented to the clinic in August 2009. The year before, the patient was treated for iliofemoral deep vein thrombosis...

Donation: $1500 to ISET
SVM Interactive
A 49-year-old woman presented with a one-day history of left calf and thigh swelling. Four days earlier she underwent uncomplicated right knee arthroscopy under general anesthesia. She was...
EVF Interactive
The patient is a 51-year-old male with a past medical history significant for HIV, prior PE, end-stage renal disease, hepatitis C, and remote polio affecting the...

Donation: $1500 to SIR
SVM Interactive
A 48-year-old woman presented complaining of a 10-day history of right arm pain...
GEST Interactive
A 74-year-old man was referred for evaluation of abnormal large blood vessels in his left kidney...
SVM Interactive
A 27-year-old previously healthy male presented with a 2-month history of persistent, unexplained...
EVF Interactive
A 75-year-old male patient was referred in June 2008 with a 3-month history of sore right leg. He had been...
EVF Interactive
A 57-year-old female without any prior history of coronary artery disease presented to us with a history of worsening exertional angina over the...

Donation: $1500 to SCAI
EVF Interactive
A 74-year old Caucasian man referred to Vascular Medicine for evaluation and management of bilateral common iliac and left hypogastric arterial aneurysms and history of...
EVF Interactive
A 17-year-old male presented to us with a history of recurrent left varicocele after varicocelectomy. The patient was not having any pain at rest, but he had mild to moderate scrotal pain and swelling...
EVF Interactive
A 72-year-old female with a history of diabetes and hypertension presented for an outpatient CT scan to evaluate for ongoing epigastric pain that had been present...
From Our Archives
The patient is a 49-year-old woman with history of chronic renal failure secondary to membranous glomerulonephritis. On exam, her brachiocephalic AVF is...
EVF Interactive
The patient was an asymptomatic 16-year–old female discovered to be hypertensive during a routine general exam (BP 160/100 mmHg, with weak bilateral femoral pulsations). Cardiac exam revealed a short systolic murmur...

Donation: $1500 to SCAI
From Our Archives
The patient is a 76-year-old man that was transferred from a nearby ER on March 26, 2007. He presented with abdominal and left flank pain that was found to be secondary to a ruptured abdominal aortic..
EVF Interactive
A 69-year-old male Asian retired farmer presented with a history of bilateral dependent ankle edema, intense pain, and tenderness over the left lateral ankle bone for several months.

Donation: $1500 to SVM
From Our Archives
The patient is a 32-year-old female with a past medical history significant for systemic lupus erythematosus with lupus anticoagulant and two previous mediports.
CICT Interactive
The patient is a 51-year-old male with dyspnea on exertion at one-half block and right foot ulceration and leg claudication. He reports no chest pain. The patient's past medical history consists of we...
From Our Archives
A 55-year-old male with longstanding history of Type I diabetes melliltus presents with crescendo transient ischemic attacks.
EVF Interactive
A 71-year-old female with a history of diabetes mellitus, hypertension, coronary artery disease, and congestive heart failure presented to the...
EVF Interactive
A 46-year-old male presented with symptoms of claudication in the left lower limb that had a sudden onset about 3 months earlier. His pain-free walking capacity was limited to 50 meters. His patient h...
EVF Interactive
The patient, an 85-year-old Caucasian male with hypertension, hyperlipidemia, and coronary artery disease, presented with severe and disabling right lower limb claudication that had progressively wors...
EVF Interactive
The patient is an 84-year-old female with a cold left leg that has worsened over the past few days. Her past medical history is significant for hypertension, coronary artery disease, peripheral vascul...
EVF Interactive
A 65-year-old male presented with severe, lifestyle-limiting claudication of the left lower limb with a pain-free walking distance of 100 meters. Thirty-one years ago, he had undergone irradiation...
EVF Interactive
The patient is a 51-year-old Caucasian female with history of dilated cardiomyopathy which was diagnosed 10 years ago, with an ejection fraction of 55 to 60%, and a history of pulmonary hypertension.
EVF Interactive
An 82-year-old male patient was referred from his general practitioner for left-sided backside and thigh claudication. He reports increasing pain in his backside and thigh after walking a hundred yards.
EVF Interactive
A 66-year-old Caucasian woman presented with left lower extremity dependent edema and claudication pains upon walking for the last 6 months. Symptoms were severely disturbing her quality of life and her work as a hair dresser. She had left femoropopliteal venous...
EVF Interactive
The patient is a 65-year-old white male who presented with a five-day history of abdominal and left flank pain. Past medical history was remarkable for hypertension, a left pneumonectomy for squamous ...
EVF Interactive
A 52-year-old male presents to Boston Medical Center with severe abdominal pain. His medical history is significant for alcohol abuse, grade III esophageal varices verified by upper endoscopy, and recurrent upper gastrointestinal bleeding despite medical and endoscopic management.
EVF Interactive
A 55-year-old Caucasian woman presented to the Emergency Department with a 1-week history of intermittent melena and 3 episodes of hematemesis a few hours prior to admission.
EVF Interactive
A 26-year-old woman with a long-standing history of Crohn’s disease and multiple bowel resections presented with abdominal pain. She was diagnosed with a Crohn’s flare and admitted for IV steroids and bowel rest.
EVF Interactive
The patient is a 46-year-old male who presented with a left parotid/neck mass in December 2008. CT imaging of the neck was performed. Biopsy demonstrated a parotid squamous cell carcinoma with mucinous features.
EVF Interactive
A 60-year-old male patient was referred from his general practitioner for evaluation of clinically evident pubic venous collaterals. The patient had recently undergone left-sided varicose vein surgery with crossectomy...
EVF Interactive
The patient is a 29-year-old otherwise healthy male who presented with a one-month history of a dry cough, progressive fatigue, and right-sided chest pain. He was seen in the emergency room, where a chest x-ray and CT scan...
EVF Interactive
A 63-year-old male presented with bilateral buttock claudication after a pain-free walking distance of about 200 meters. Sixteen years prior to admission the patient had undergone aorto-bilateral bypass for chronic distal aortic occlusion...
SCAI Interactive
The patient is a 28-year-old usually healthy man who developed acute onset of diaphoresis, nausea, and severe chest discomfort. He called 911 and was brought to the emergency room. His past medical history and family history were unremarkable...
EVF Interactive
The patient is a 76-year-old man that was transferred from a nearby ER on March 26, 2007. He presented with abdominal and left flank pain that was found to be secondary to a ruptured abdominal aortic aneurysm (AAA) measuring 7.3 cm...
A 55-year-old man presented with complaints of angina with maximal exertion. The patient had been referred by his family practitioner after his wife insisted he get a check-up. The referring physician performed a stress test that was not diagnostic...
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Question 2 is misleading
I did nearly the identical cased today in a 77yo with a 90% ulcerative prox L subclavian stenosis. ...
Hypothetical question.Would you angioplasty the abnormal right renal artery if pressure remains high
Great case and excellent mangement. I would like to know the blood pressure reading post angioplasty...
IIb,IIIa receptor antagonists use for peripheral interventions
The advantage of using IV/IA 2b3ai's is fairly limited in patients without active thrombotic lesions...
LCD Title: Noninvasive Vascular Testing (N.I.V.T.) Utilization Guidelines Beginning 05/01/2010
LCD Title: Noninvasive Vascular Testing (N.I.V.T.) Utilization Guidelines Beginning 05/01/2010 Dece...
Uncontrolled hypertension
Did your patient get Captopril renal renin ratio? Now that we know what the results of ASTRAL and s...
Balloon Angioplasty in Patient with FMD: Focusing Treatment
This procedure was performed at The International Symposium on Endovascular Therapy (ISET) 2009. ...
How to Manage Aorto Iliac Occlusion: Rules of Engagement and Case Review
This case was presented at Complex Interventional Cardiovascular Therapy (CICT) 2009. Issam D. Mo...
Complication post-closure device
Dr. Schwindt made a very thorough discussion of this case and I couldn't agree more. I am not comme...
Distal Embolic Protection
This case was presented at The Society of Interventional Radiology (SIR) 2009. Robert A. Lookstei...
nice case
Thanks. Recanalization of renal artery thrombosis s considered in the literature to have a very nar...

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