Percutaneous closure of a perimembranous ventricular septal defect through arm approach (radial artery and basilic vein).

We report a case of percutaneous closure of a congenital perimembranous ventricular septal defect (VSD) performed via a radial artery and basilic vein accesses. We further discuss the technique, advantages, and limitation of this innovative approach for perimembranous VSD closure.

Transradial endovascular treatment of severe common femoral artery stenosis.

Endovascular treatment of peripheral artery disease is challenged by limited access options when the disease involves the common femoral artery. We described a case of transradial intervention of severe common femoral artery stenosis with orbital atherectomy and discuss the technique, advantages, and limitations.

Peripheral arterial disease--what do we need to know?

Peripheral artery disease (PAD) results from progressive narrowing of arteries secondary to atherosclerosis and is defined as an Ankle Brachial Index of <0.9. PAD is highly prevalent and is an increasing burden on both the economy and the patient, especially given the rapid shift in demographics in the United States.

A case of a bloated face: SVC syndrome relieved by an endovascular approach.

Superior vena cava (SVC) syndrome, or obstruction of blood returning from the head and upper extremities, is a syndrome that is rapidly increasing in the cardiovascular patient population due to the increasing use of transvenous devices such as permanent pacemakers, implantable cardioverter defibrillators (ICDs), and indwelling venous access devices for hemodialysis. This syndrome in the past has been seen predominately in the cancer population with malignancy being the most common reason for SVC syndrome. The management of this syndrome has largely been with a medical/supportive care approach or with surgical bypass.