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Peripheral Intervention


Follow Peripheral Intervention
Feature Reducing amputations through a coordinated limb salvage program
Education Advance your endovascular skill set

Latest News

April 10th, 2017
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The following story is an example of a coordinated approach to limb salvage instituted at Sanger Heart and Vascular Institute in Charlotte, North Carolina. One of the most devastating consequences of advanced peripheral arterial disease (PAD) is critical limb ischemia (CLI), a severe blockage of the arteries that reduces blood flow to the extremities. CLI…


January 18th, 2017
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Patients suffering from critical limb ischemia (CLI) are often a difficult population to treat due to the likelihood of significant comorbidities including lesions that may be extremely difficult to cross. Increasingly, physicians are crossing these difficult lesions from a tibiopedal retrograde approach. In order to determine the technical access and crossing success rate and safety…


November 28th, 2016
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The FDA has approved a new rotating thumbwheel delivery system for Cook Medical’s Zilver® PTX® drug-eluting peripheral stent. The new system, now available for sale throughout the United States, Canada, Europe, and Japan, provides simplified deployment of the world’s first drug-eluting stent for the superficial femoral artery (SFA). Engineers in Peripheral Intervention (PI) were tasked…


September 16th, 2016
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Cook Medical recently participated in a collaborative, first-of-its-kind fellows workshop at the Interventional Radiology−Translational Research and Simulation Lab (IR−TRSL) at the Cincinnati Children’s Hospital Medical Center (CCHMC). The innovative workshop was designed for adult and pediatric IR fellows at the University of Cincinnati (UC) Medical Center and CCHMC respectively. The fellows program was the brainchild…


September 16th, 2016
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Zilver PTX is now treating more patients than ever before. According to Decision Resources Group’s Peripheral Vascular Devices | US | 2016 | Market Analysis report, Zilver PTX has captured market-share leadership for revenue-based sales among all competitive stents used to treat the superficial femoral artery (SFA). DRG’s research shows that Zilver PTX went from…


July 27th, 2016
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What is PAD? Peripheral arterial disease (PAD) is the result of narrowing of the arteries in the legs, stomach arms, and head. PAD is usually caused by atherosclerosis, a disease that causes arteries to harden due to a buildup of plaque. Symptoms of PAD include pain or cramping in the thigh, calf, or hip, especially…


June 28th, 2016
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Check out the April 12 issue of Circulation to read about the 5-year results of the Zilver PTX randomized controlled trial in an article titled “Durable Clinical Effectiveness With Paclitaxel-Eluting Stents in the Femoropopliteal Artery: 5-Year Results of the Zilver PTX Randomized Trial.” The Cook-sponsored Zilver PTX RCT is the first and only endovascular study…


June 28th, 2016
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We recently reached out to Dr. Antonios Gasparis, professor of surgery at Stony Brook University Hospital in New York, to learn more about his hospital’s venous thromboembolism (VTE) team. Upon its formation, the team was tasked with managing patients who have received IVC filters, including tracking eligible patients for outpatient follow-up and filter retrieval. Following…


June 22nd, 2016
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Challenging times can often be the true test of the strength of a team. In April, our teams faced one of those challenges when we decided to recall all products with Beacon Tip technology. Customers were telling us that, in some cases, the catheter tip was fracturing or separating. Decisions of this magnitude are never…


March 15th, 2016
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When Joe Roberts began working with venous therapies at Cook Medical, he never imagined that he would develop a deep vein thrombosis (DVT) himself. It's given him a heightened sense of purpose in letting others know about this potentially dangerous condition.


March 13th, 2016
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March is DVT Awareness Month. DVT (Deep Vein Thrombosis) can affect people of all ages and can be caused by circumstances that might not be considered as dangerous. Find out some facts that you may not know.


January 18th, 2016
EndoWar winners, from left to right: Drs. Mohammed Al-Natour, Mohammad Abbasi, Sandeep Krishnan, Adam Tanious

EndoWars is an educational opportunity for fellows and residents to practice endovascular procedures and refine their skills. A group of fellows and residents recently competed against each other to see who could complete a successful procedure in the fastest time.


October 29th, 2015

Who has the skills it takes to win the endovascular competition at VIVA15 this year? Fellows and residents will be given the opportunity to compete against each other at the Cook booth to see who can complete an endovascular case successfully in the shortest amount of time. The winner will receive a proctorship with one of the VIVA board members.


August 11th, 2015

In a recent case of chronic venous obstruction, Dr. George Erbacher chose to use the the TriForce Peripheral Crossing Set with Curved Tip Sheath and Curved Tip Catheter. Applying torque to both the inner and outer catheters as a system while keeping the tip of the angled inner catheter medial, TriForce easily crossed into the IVC.


May 12th, 2015
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A tibiopedal approach showed 93.5% technical access success and 86.0% technical crossing success in a study sponsored by Cook Medical. Tibiopedal Access for Crossing of Infrainguinal Occlusions (TACO) is the world’s first multicenter, prospective, international study looking at success rates for access and crossing from a tibiopedal approach. The objective of this non-randomized, post-market, observational study was…


May 5th, 2015
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Patients who suffer from peripheral arterial disease (PAD) will often initially visit a podiatrist, who may not be aware of the disease state. To address this educational gap, Peripheral Intervention is sponsoring round tables to help podiatrists learn more about PAD.


October 28th, 2014
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There are now four Micropucture Access Sets with trays. All of these sets include a palladium-tipped, nitinol wire guide and an EchoTip® needle. The sets, in 4 Fr and 5 Fr and standard and stiffened cannulas, also feature Transitionless-Tip™ coaxial catheter pair technology. Fewer complications In a study by Shah et al, access-site bleeding complication…


September 22nd, 2014
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I’ve been a nurse for more decades than most of this blog’s readers have been alive. I’ve seen a lot during those years of caring for patients. When I worked in surgery, I hated amputations. Those that weren’t the result of trauma were the result of peripheral arterial disease (PAD)—and many could have been prevented….


September 18th, 2014
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Having always been active and a sports enthusiast, Bill Doherty initially thought that the cramping in his left calf was due to muscle strain. He tried physiotherapy, but the frequency and regularity of the cramping became impossible to ignore. He also noticed that his left foot felt colder than his right foot.


September 15th, 2014
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Bill Fischer, left, celebrates his 60th wedding anniversary with his wife, Barbara, right, their daughter, Gail McDaniel, and her partner, Keith Hamm. Bill underwent a surgical procedure to treat his advanced peripheral arterial disease. Knowing the symptoms of peripheral arterial disease (PAD) is not only important for at-risk individuals but also for their family members….


September 11th, 2014
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Peripheral arterial disease (PAD) is a serious, underdiagnosed disease that is similar to coronary artery disease. Both develop when cholesterol levels and scar tissue build up, causing the arteries to narrow and restrict blood flow. The difference is that PAD affects arteries outside the heart. Untreated, PAD can lead to difficulty in walking and, in…


September 9th, 2014
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The Centers for Disease Control and Prevention mapped the rapid growth of diabetes and obesity rates among Americans from 1994-2010. Diabetes and obesity are two of the main risk factors for peripheral arterial disease (PAD).   Learn more about PAD at the National Institutes of Health website. MORE ON PAD AWARENESS MONTH What is peripheral arterial…


September 4th, 2014
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Peripheral arterial disease (PAD) is a common circulatory problem that affects the blood vessels outside of the heart and brain. It is usually caused by atherosclerosis, systemic plaque that results in a narrowing or clogging of the vascular system. PAD usually develops over a period of years or decades, ultimately eroding the effectiveness of the…


August 5th, 2014
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  Nelson L. Bernardo, MD, specializes in interventional cardiology and teaches a course for Vista on retrograde tibiopedal access. Dr. Bernardo is the medical director of the Peripheral Vascular Laboratory at MedStar Heart Institute. He is also the director for Peripheral Intervention at the Cardiovascular Research Institute at MedStar Research Institute. Dr. Bernardo serves as…


July 30th, 2014
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The proven technology of the Cook Celect® Vena Cava Filter is now improved with the addition of four platinum markers. The radiopaque markers on Celect® Platinum can help physicians verify placement accuracy immediately after filter detachment. Celect Platinum features leg struts that are designed to help physicians better center the filter during placement. Also, the femoral…


July 30th, 2014
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Constantino S. Peña, MD, is an interventional radiologist with Miami Vascular Specialists in Miami, Florida. Dr. Peña received his medical degree from Yale University School of Medicine. He completed an internship in internal medicine at Yale-New Haven Hospital then completed a residency in diagnostic radiology at Massachusetts General Hospital. He completed his post-graduate training with…


June 12th, 2014
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Cook Medical is engaged in two clinical studies that will provide additional data on the safety and effectiveness of inferior vena cava (IVC) filters. The first study, the Cook Inferior Vena Cava Filter (CIVC) study, will add to Cook’s existing clinical data on its commercially available IVC filters. This includes three previous studies including more than…


June 3rd, 2014
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Cook Medical is introducing the next-generation of a proven technology at the 2014 Annual Vascular Meeting of the Society for Vascular Surgery (SVS) and the SVS Foundation. Celect Platinum’s proven IVC filter is designed to enhance visibility. The specially designed anchors and platinum markers on the filter’s feet allow secure caval fixation. And, the flexibility…


May 20th, 2014
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We sat down at the recent Venous Symposium meeting in New York City with Dr. Mark Meissner, who shared his thoughts on treating venous disease today and the trends he sees coming in the near future. Dr. Meissner is a professor of surgery at the University of Washington. He specializes in vascular surgery, with particular…


May 16th, 2014
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The new catalog for Cook Medical’s Peripheral Intervention division is now available. We offer products that enable physicians to perform entire procedures, which include the treatment of peripheral arterial disease, the prevention of recurrent pulmonary embolisms, and embolization. We also provide solutions for nonvascular stenting and specialty cardiology. This 2014 catalog includes more than 2,000 stock…


May 9th, 2014
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In the TriForce™ Peripheral Crossing Set, the enhanced crossing ability of the CXI® Support Catheter is combined with the pushability of the Flexor® Guiding Sheath to cross vascular lesions. The TriForce set features tungsten-loaded tips that aid pushability and add to radiopacity as they go through lesions. The hydrophilic coating on both the catheter and…


April 30th, 2014
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The Advance 35LP Low-Profile PTA Balloon Dilatation Catheter is now available in more options in order to treat lesions of differing lengths.  The new balloon lengths are 1.5, 2, 2.5, 17, and 20 cm. The Advance 35LP balloon catheter is ideal for the superficial femoral artery and complements the Zilver® PTX® Drug-Eluting Peripheral Stent. The exceptional…


April 17th, 2014
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The angiosome concept of perfusion delineates specific vascular territories that are supplied by specific arteries. The concept may help vascular interventionalists treat tissue defects caused by critical limb ischemia (CLI) by enabling the interventionalists to target arteries according to the location of foot ulcers. The angiosome concept of perfusion was first described in 1987 by…


March 26th, 2014
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Cook Medical’s latest addition to its broad offering of wire guides is the Roadrunner® UniGlide.® The hydrophilic UniGlide offers a familiar feel and the performance physicians expect. A durable hydrophilic coating provides trackability and pushability, and a tungsten-impregnated jacket enhances visibility. A tapered nitinol mandril offers 1:1 torque response for superb directional control. UniGlide’s more than 50…


February 10th, 2014
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The ultra low-profile of Cook Medical’s latest balloon allows physicians to attempt interventions that they never thought were possible. The Advance Micro™ 14 Ultra Low-Profile PTA Balloon Catheter is designed specifically to treat vessels from the knee all the way to the digital arteries. Advance Micro 14 is an .014 inch, over- the-wire system that…


February 3rd, 2014
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The CXI® Support Catheter is engineered for the periphery and can help you reach and cross lesions.CXI is now available in an .014 inch platform that features platinum-iridium marker bands for exceptional visibility. CXI’s stainless steel braid provides a 1:1 torque response and exceptional pushability and kink-resistance. A hydrophilic coating on the distal 40 cm further…


January 3rd, 2014
Shuttle Tibial Infrapopliteal Access System

The Shuttle® Tibial Infrapopliteal Access System can help you target below-the-knee lesions. The system consists of a Flexor® Shuttle Guiding Sheath and a special Slip-Cath® selective catheter. Flexor Guiding Sheaths feature a hydrophilic coating, coil construction, and a soft distal tip with a radiopaque band. Slip-Cath catheters feature a hydrophilic coating, braid construction, and a radiopaque Beacon® tip. The two…


December 20th, 2013
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The Advance® 18LP Low-Profile PTA Balloon Dilatation Catheter is now available in nearly 200 size, length, and shaft configuration options. Additional balloon diameters are 2, 9, and 10 mm, while additional lengths are 12, 15, 17, and 20 cm. A catheter length of 150 cm also is an option now. All sizes feature a flexible tip…


November 5th, 2013
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Dr. Larisee Lee, a physician from Southern California, talks about her experience attending a course through Cook Medical’s Vista℠Collaboration and Learning Program. We’re confident you’ll find an equally productive experience, whether you are just getting started or simply polishing your skills. At Cook, we’ve made a commitment to working with healthcare professionals to improve patient…


October 29th, 2013
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Infrapopliteal occlusions in patients with critical limb ischemia (CLI) are a challenge. The failure rate when taking the traditional, antegrade approach has been reported as high as nearly 40%.1 For such patients, amputation may be the only remaining alternative. A new revascularization technique—the retrograde approach—aims to give physicians another chance at limb salvage. In cases with…


June 20th, 2013
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The Retracta is a detachable .035 inch coil that’s fully retractable. Physicians can use it right out of the package. It’s easy to use and requires minimal preparation time. It’s an economical choice that gives you another viable option for treating patients. The Retracta is based on the platinum Nester® technology. The soft platinum material…


June 15th, 2013
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[brightcove 2483297889001] Retrograde tibiopedal access is a new approach to treating the growing problem of peripheral arterial disease (PAD) and critical limb ischemia. Many physicians are discovering this technique that offers another method of crossing lesions when an attempt to cross using an antegrade approach does not work. Treatment can then be performed from either an…


January 7th, 2013
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The Celect Platinum is designed to prevent recurrent pulmonary embolism (PE) via placement in the inferior vena cava. The Celect Platinum can be used as either a permanent or a retrievable device. Its secondary strut design is intended to help center the filter during placement, while its specially designed anchors allow for secure, atraumatic fixation….

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