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In This Issue:
Thoracic Catastrophes

Reports on the benefits and pitfalls of endovascular options for challenging thoracic aortic pathologies.

CHIEF MEDICAL EDITOR’S PAGE: When Thoracic Catastrophes Strike… By Bart E. Muhs, MD, PhD

COVER STORIES

Acute Aortic Syndromes Top 5 Viewed The spectrum of penetrating aortic ulcers, intramural hematomas, and dissections. By Frederico B. Goncalves, MD; Carter B. Freiburg, MD; Roderik Metz, MD, PhD; Johanna M. Hendriks, MD; Ellen V. Rouwet, MD, PhD; Bart E. Muhs, MD, PhD; Don Poldermans, MD, PhD; and Hence J.M. Verhagen, MD, PhD

Effects of Hypovolemia on Aortic Dimensions Implications for endovascular repair of thoracic aortic rupture. By Frederik H.W. Jonker, MD; Felix J.V. Schlosser, MD, PhD; Frans L. Moll, MD, PhD; Hence J.M. Verhagen, MD, PhD; and Bart E. Muhs, MD, PhD

Trends in Emergency Aortic Imaging Determining optimal imaging techniques for each patient. By Perry Choi, MD, and Hamid Mojiban, MD

Acute TEVAR and the Additional Value of Intravascular Ultrasound IVUS can provide critical information when other imaging has proven inconclusive or is unavailable. By Jasper W. Van Keulen, MD; John Aruny, MD; and Bart E. Muhs, MD, PhD

Endovascular Repair of Ruptured Descending Thoracic Aneurysms Top 5 Viewed Recent literature supports a TEVAR-first approach for this rare, life-threatening condition. By Jasper W. Van Keulen, MD; Frederik H.W. Jonker, MD; Jeffrey Indes, MD; and Bart E. Muhs, MD, PhD

Thoracic Endograft Explant Images Top 5 Viewed A rare look at stent healing 2 years after thoracic stent graft implantation. By Rodney A. White, MD; George Kopchock, BS; Carlos E. Donayre, MD; Irwin Walot, MD; and Joe Chauvapun, MD

SVS Guidelines on TEVAR for Traumatic Thoracic Aortic Injury W. Anthony Lee, MD, FACS, shares insights into the Society for Vascular Surgery’s recent issuance of guidelines for this emergent application.

FEATURED TECHNOLOGY:

Advancing Leg Therapies Top 5 Viewed By Richard Pin, MD, and Nelson L. Bernardo, MD

TECHNIQUES

Endovascular Management of an Embolizing Innominate Artery Stenosis Evaluation of distal protection devices and covered stents. By Larry Horesh, MD

CHALLENGING CASES

Endovascular Exclusion of Carotid Stump Syndrome Top 5 Viewed How endovascular intervention can be a viable option for treating this rare condition. By Kate Rooney, BS; Thomas S. Maldondo, MD; and Firas F. Mussa, MD

DEPARTMENTS

Innovations

An Interview with Mahmood Razavi, MD A discussion on current DVT therapies and how to achieve optimal outcomes for each patient.