1445_Kum.pdf

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1、DVA Case selection+How it fits into my practiceSteven Kum MBBS MMed FRCS FAMS CWSPVascular SurgeonMount Elizabeth Novena Hospital/Changi General HospitalSingaporeDisclosureDisclosureWithin the past 12 months,I or my spouse/partner have had a financial interest/arrangement or affiliation with the org

2、anization(s)listed below.Affiliation/Financial RelationshipCompany Research Support Boston Scientific,LimFlow/Inari Consulting Fees/Honoraria LimFlow/Inari,Acelity,Abbott Vascular,Boston Scientific,Orbus Neich,Bypass Solutions,PEDRA,Xeltis,Cagent Vascular Advisory Board Abbott,Boston Scientific,Xelt

3、is,LimFlow/Inari,Fastwave,Corflow,VCD,Bypass Solutions,Protexa Equity LimFlow/Inari,Mercator,Cagent,PEDRA,Xeltis,Fastwave,Corflow,VCD,Bypass Solutions,Protexa,R3Transmission Failure Big Artery Disease(BAD)(eg Iliac to DP,Lat Plantar)Distribution FailureSmall Artery Disease(SAD)(eg Plantar arch,metat

4、arsal,digital)Ferraresi R,Mauri G,Losurdo F,Troisi N,Brancaccio D,Caravaggi C,Neri L.J Cardiovasc Surg(Torino).2018 Oct;59(5):655-664.doi:10.23736/S0021-9509.18.10572-6.Epub 2018 May 22 Balloon passage Recoil Dissection No Outflow ie“Desert foot”NOP CLTILimLimFlowFlowTransforming CLTISAD patients th

5、at are ineligible for or unresponsive to traditional therapies are often deemed“no-option”55,00055,000“No-option”patients in US*10%10%of CLTI patients become“no-option”150%50%of no-option patients will die or require major amputation within 6 months1CHRONIC WOUNDSTypically,do not heal without succes

6、sful reperfusion/resolution of ischemiaSMALL ARTERY DISEASE(SAD)No remaining acceptable target vessels for intervention*Data on file1.Ghare MI MCP,BA;Daniela Tirziu,PhD;Helen Parise,ScD;Roseann White,PhD;S.Elissa Altin,MD;Sameer Nagpal,MD;Alexandra Lansky,MD.Chronic Critical Limb Ischemia With No Re