CVI 2026 Session Archive

Clinical Challenge I: Interpreting PAD Imaging When Tests Disagree

Moderators: Subhash Banerjee, MD and Mehdi Shishehbor, DO, MPH, PhD

Panelists: Teresa Carman, MD; Dmitriy Feldman, MD; Aravinda Nanjundappa, MBBS; and Michael Park, MD

• 00:00:13 Ultimate Peripheral Case: Interpreting PAD Imaging When Tests Disagree, Subhash Banerjee, MD
• 00:05:42 Evaluation of Non-Atherosclerotic Vascular Disease, Teresa Carman, MD
• 00:18:08 Treatment Options for Non-Atherosclerotic Lower Extremity Ischemia, Michael Park, MD
• 00:29:14 Panel Discussion
• 00:38:00 Clinical Case Presentation: Multi-modal NI Testing & Challenges in PAD, Mehdi Shishehbor, DO, MPH, PhD
• 00:44:30 Physiologic testing in PAD and CLTI, Aravinda Nanjundappa, MBBS
• 00:55:00 Panel Discussion
• 00:57:11 Debate: Is Invasive Angiography Still the Best First Test in CLTI?: Certainly Yes, Dmitriy Feldman, MD
• 01:06:03 Debate: Is Invasive Angiography Still the Best First Test in CLTI?: Not Any More, Kevin Rogers, MD
• 01:13:56 Rebuttal: Debator 1, Dmitriy Feldman, MD
• 01:17:32 Rebuttal: Debator 2, Kevin Rogers, MD
• 01:19:02 Panel Discussion

Clinical Challenge II: Decoding the PAD Interventional Toolbox

Moderators: Andrew Klein, MD and Jun Li, MD

Panelists: Mazen Abu-Fadel, MD; Dmitriy Feldman, MD; Lawrence Garcia, MD; Chris Metzger, MD; and Kenneth Rosenfield, MD

• 00:00:33 Clinical Case Presentation: Decoding the PAD Intervention Toolbox, Jun Li, MD
• 00:05:52 Beyond Angiography: Is IVUS the New Standard for PAD Interventions?, Yoshimitsu Soga, MD
• 00:11:51 How Do I Know Which Tool to Use When Facing Severe PAD Calcification?, Christopher Metzger, MD
• 00:23:58 Expertise & Cost-Effective Technologies for My Cath Lab?, Andrew Klein, MD
• 00:32:52 DCBs in BTK Disease: Game-Changer or Overhyped?, Mazen Abu-Fadel, MD
• 00:38:55 BVS in BTK Disease: Novel Tool or Niche Option?, Lawrence Garcia, MD
• 00:47:28 Debate: Conventional PTA Still Remains My Go To for BTK Interventions?: Certainly Yes, Dmitriy Feldman, MD
• 00:59:45 Clinical Case Presentation (Hide: FP or BTK Stenosis/CTO with DCB/BVS/Stent), Yulanka Castro, MD
• 01:10:40 Debate: Conventional PTA Still Remains My Go To for BTK Interventions?: Not Any More, Aravinda Nanjundappa, MBBS
• 01:18:57 Panel Discussion

Clinical Challenge III: The ‘No-Option’ CLTI Dilemma—Guiding Choices at the Edge

Moderators: Dmitriy Feldman, MD and Andrew Klein, MD

Panelists: Subhash Banerjee, MD; Daniel Clair, MD; Lawrence Garcia, MD; and Mehdi Shishehbor, DO, MPH, PhD

• 00:00:51 Clinical Case Presentation: The ‘No-Option’ CLTI Dilemma—Guiding Choices at the Edge, Avkash Patel, MD
• 00:11:41 How Do I Salvage a Limb When Traditional Revascularization Fails?, Shirling Tsai, MD
• 00:20:55 Is Percutaneous Deep Venous Arterialization (pDVA) the Right Choice for My Patient?, Anahita Dua, MD
• 00:28:32 Strategies to Optimize Durability of Deep Venous Arterialization Conduits, Anahita Dua, MD
• 00:41:51 Access & Outflow: Understanding Steal Physiology in DVA, Mehdi Shishehbor, DO, MPH, PhD
• 00:50:59 Clinical Case Presentation: DVA Case Requiring Re-Intervention, Jun Li, MD
• 00:57:45 Debate: My Way or the High Way: DVA for all no option CLTI patients, Daniel Clair, MD
• 01:05:42 Debate: My Way or the High Way: What is All the Hype! TADV Rarley, Lawrence Garcia, MD
• 01:14:00 Wound Healing Failure After DVA: A Choreographed Sequence of Missed Opportunities, Megan Olmann, MD
• 01:24:01 Panel Discussion

Clinical Challenge IV: The Must-Know Answers Before You Tackle Complex Femoropopliteal Disease 

Moderators: Dmitriy Feldman, MD and Shirling Tsai, MD

Panelists: Subhash Banerjee, MD; Lawrence Garcia, MD; Andrew Klein, MD; and Bala Ramanan, MBBS

1. 00:00:21 Clinical Case Presentation: Complex Femoropopliteal Disease), Shirling Tsai, MD
2. 00:03:40 When Is Vessel Preparation Truly Necessary in Femoropopliteal Disease?, Andrew Klein, MD
3. 00:14:21 DCB Should Remain the First-Line Therapy for Most Femoropopliteal Lesions, Yulanka Castro, MD
4. 00:23:50 Scaffolding is Still Underutilized in Femoropopliteal Disease, Bala Ramanan, MD
5. 00:35:32 IVL Should Be First Choice Over Atherectomy in Calcified Femoropopliteal Lesions, Chadi Dib, MD
6. 00:47:13 Clinical Case Presentation: Complex FP CTO Lesion, Avkash Patel, MD
7. 00:51:17 High-risk Patients Should Default to Implant-Free Strategies, Lawrence Garcia, MD
8. 00:59:34 Debate: Detour is the Way to Go for Long FP CTO, Peter Soukas, MD
9. 01:08:07 Debate: C’Mon! I Can Bypass or Cross CTO 99.9% of the Time, Daniel Clair, MD
10. 01:14:57 Rebuttal: Debator 1, Peter Soukas, MD
11. 01:18:24 Panel Discussion

Clinical Challenge V: Aortoiliac Disease—Decisions That Define the Outcome

Moderators: Subhash Banerjee, MD and Mehdi Shishehbor, DO, MPH, PhD

Panelists: Herbert Aronow, MD; Jane Chung, MD; Jun Li, MD; Chris Metzger, MD; and Aravinda Nanjundappa, MBBS

• 00:00:07 Clinical Case Presentation: Complex Aortoiliac Non-CTO Disease with Contiguous Aortic Disease, Nour Tashtish, MD
• 00:12:07 In Aorto-iliac Disease, IVUS Should Be Mandatory—Not Optional, Dmitriy Feldman, MD
• 00:21:48 Treating Iliac Disease with Contiguous Aortic Involvement, Michael Park, MD
• 00:31:53 Pave and Crack: Preferred Approach for Enabling Large-Bore Sheaths, Jun Li, MD
• 00:43:38 Clinical Case Presentation Complex Aortoiliac CTO Disease , Yoshimitsu Soga, MD
• 00:50:31 Mastering AortoIliac Bifurcation CTO, Andrew Klein, MD
• 00:58:03 The Aortoiliac Disease: Winning Against Long, Calcified, Multilevel Disease, Chris Metzger, MD
• 01:09:52 Debate: Endovascular Therapy Should Be the Default for All Complex Aortoiliac Disease, Daniel Clair, MD
• 01:18:24 Debate: Role of Surgery in Complex Aortoiliac Disease, Jane Chung, MD
• 01:25:47 Panel Discussion

Clinical Challenge VI: Mastering Device Technologies and Optimal Practices

Moderators: Daniel Clair, MD and Chris Metzger, MD

Panelists: Mazen Abu-Fadel, MD; Jane Chung, MD; Jun Li, MD; Yoshimitsu Soga, MD; and Christopher White, MD

• 00:00:25 Clinical Case Presentation: Iliac & FP Stenosis/CTO, Jane Chung, MD
• 00:07:17 Combining IVL Scoring Balloons with Atherectomy DCB or Stents, Nour Tashtish, MD
• 00:19:55 Safety Profile: Vessel Rupture, Distal Embolization, and Bailout Strategies, Mazen Abu-Fadel, MD
• 00:29:20 Which Lesions Benefit Most from Hybrid Revascularization?, Benjamin Colvard, MD
• 00:38:06 Clinical Case Presentation: BTK Stenosis/CTO, Avkash Patel, MD
• 00:46:16 Bioresorbable BTK Scaffolds: Opportunities, Challenges, and Next-Generation Devices, Christopher White, MD
• 00:50:39 Wire-Catheter vs. Specialized CTO Crossing Devices for Peripheral CTO Lesions, Subhash Banerjee, MD
• 00:58:46 Debate: Do Societal AUCs Really Dictate Device Choice in Daily Practice?: Certainly Yes, Dimitry Feldman, MD
• 01:07:57 Debate: Do Societal AUCs Really Dictate Device Choice in Daily Practice?: Certainly No, Jeffrey Carr, MD
• 01:18:49 Audience Polling & Panel Discussion

Clinical Challenge VII: Rapid Decision-Making & Optimal Therapy Selection in ALI 

Moderators: Benjamin Colvard, MD and Mazen Abu-Fadel, MD  

Panelists: Subhash Banerjee, MD; Jeffrey Carr, MD; Lawrence Garcia, MD; and Avkash Patel, MD       

• 00:00:06 Debate: CTA Avoids Misdiagnosis in ALI, Maps Proximal Inflow, And Prevents Surprises. Pro, Anand Prasad, MD
• 00:03:06 Debate: CTA Avoids Misdiagnosis In ALI, Maps Proximal Inflow, And Prevents Surprises. Con, Lawrence Garcia, MD
• 00:14:36 Clinical Case Presentation (Hide: FP Covered Stent Thrombosis), Nour Tashtish, MD
• 00:22:59 ALI in the ER: Which Patients Need Immediate Intervention?, Avkash Patel, MD
• 00:33:33 Mechanical vs Pharmacomechanical vs Catheter-Directed Thrombolysis: Making the Choice, Jun Li, MD
• 00:43:26 Panel Discussion
• 00:48:32 Managing the Embolic Snowstorm: Distal Protection and Rescue Maneuvers, Mazen Abu-Fadel, MD
• 00:57:04 Compartment Syndrome After ALI Revascularization: Can We Predict It?, Jane Chung, MD
• 01:06:37 Clinical Case Presentation: Salvaging Occluded FP Grafts, Yulanka Castro, MD
• 01:16:33 ALI After EVAR/TEVAR: What Do I Do First?, Benjamin Colvard, MD

Due to technical issues, a portion of the first presentation was not recorded. The slides are included for context.

Clinical Challenge VIII: Right Heart Under Siege: Acute PE, Chronic Thrombus, and Everything Between 

Moderators: Kenneth Rosenfeild, MD and Karem Harth, MD

Panelists: Vikas Aggarwal, MD; Herbert Aronow, MD; Dmitriy Feldman, MD; and Ethisam Mahmud, MD

• 00:00:05 Clinical Case Presentation: Clinical PE Case with Imaging and Heomodynamic Data, Jun Li, MD
• 00:12:48 PE at the Door: Who Actually Needs the Cath Lab Right Now?, Chadi Dib, MD
• 00:22:27 Catheter Thrombectomy: How Fast is Fast Enough for RV Recovery?, Herbert Arronow, MD
• 00:30:22 The Rise of the PERT: Does Every Hospital Need One?, Kenneth Rosenfeild, MD
• 00:38:36 Panel Discussion
• 00:43:21 Clinical Case Presentation: Triple Thrombectomy, Stephen John, MD
• 00:52:41 CTEPH or Just Chronic PE? How Not to Miss the Diagnosis, Ethisam Mahmud, MD
• 01:04:02 Debate: CTEPH is Primarily a Surgical Disease — PEA Should Be the Default Strategy, Teresa Carman, MD
• 01:14:53 Debate: Modern BPA Outcomes in CTEPH Rival PEA — The Era of Endovascular-First Has Arrived, Vikas Aggarwal, MD
• 01:22:54 Rebuttal: Debator 1, Teresa Carman, MD
• 01:23:49 Rebuttal: Debator 2, Vikas Aggarwal, MD
• 01:26:37 Panel Discussion

Clinical Challenge IX: Navigating The Venous Revolution: New Tools, New Rules, New Outcomes

Moderators: Chadi Dib, MD and Karem Harth, MD 

Panelists: Natalie Evans, MD; Deepakraj Gajanana, MBBS; and Michael Park, MD

• 00:00:14 Clinical Case Presentation: More Than a Clot: Managing the Long-Term Consequences of DVT, Deepakraj Gajanana, MBBS
• 00:15:11 DVT Intervention in 2025: Who Benefits from Mechanical Thrombectomy?, Karem Harth, MD
• 00:34:09 Aspiration vs Mechanical vs CDT: Choosing the Right Tool for Iliofemoral DVT, Chadi Dib, MD
• 00:47:48 Superficial Veins in 2025: Cyanoacrylate, Thermal, or Nothing — What Evidence Shows, Michael Park, MD
• 01:03:07 Lymphatics & Venous Edema: New Imaging Tools & Management Options, Natalie Evans, MD
• 01:14:14 Non-Invasive Assessment of Venous Physiology, Natalie Evans, MD
• 01:23:00 Is May–Thurner Really a Disease—Or Just a Variant We’ve Medicalized?, Karem Harth, MD

Clinical Challenge X: PAD Practice in the Real World: Balancing Outcomes, Costs, and Operational Reality 

Moderators: Herbert Aronow, MD and Peter Soukas, MD 

Panelists: Jeffrey Carr, MD; Bala Ramanan, MD; Kenneth Rosenfield, MD; and Christopher White, MD 

• 00:00:12 Clinical Case Presentation: Clinical In-Patient EVT Case with Billing Codes and Cost Estimates, Herbert Aronow, MD
• 00:10:34 Clinical Case Presentation: Diabetic with CLTI and Toe Gangrene Intervention in the OBL, Jeffrey Carr, MD
• 00:18:36 Hospital vs. OBL PAD Practice: Pros, Cons, and Financial Implications, McCall Walker, MD
• 00:27:33 OBL Realities: Workflow, Staffing, and Compliance Challenges, Kenneth Rosenfield, MD
• 00:36:09 Leveraging Outcomes Data to Reduce Costs and Improve Patient Care, Christopher White, MD
• 00:45:37 Panel Discussion
• 00:57:32 Digital Health & AI: Is it Ready for Prime Time, Nour Tashtish, MD
• 01:10:07 Debate: Office-Based Labs Are Safe, More Efficient, and Cost-Effective Than Hospital Based PAD Programs, Jeffrey Carr, MD
• 01:18:54 Debate: Office-Based Labs Cherry Pick Cases & Leave the Heavy Lifting for Hospital PAD Programs, Kenneth Rosenfield, MD

Aortic & Carotid Breakout Sessions

High-Stakes Aortic Intervention: Cases, Strategic Planning, & Expert Insight

Moderators: Carlos Timaran, MD and William Yoon, MD

Panelists: Adam Beck, MD; Charles Roberts, MD; and Mel Sharafudd

• 00:00:14 Case: Zone 0 & Zone 1 Aortic Arch Intervention, William Yoon, MD
• 00:16:27 Case: How I Treat Residual False Lumen, Hassam Alslaim, MBBS
• 00:32:36 Case: Managing Visceral Malperfusion, Mel Sharafuddin, MD
• 00:45:34 Case: Fenestrated Thoracoabdominal Device Failure: How to Rescue?, Adam Beck, MD
• 01:01:45 Case: Endoleak Embolization, Shirling Tsai, MD
• 01:15:57 Case: Thoracoabdominal Branched Aortic Graft: From the Right Axillary Access, Carlos Timaran, MD

Carotid Stenosis Post CREST II

Moderators: Mehdi Shishehbor, DO, MPH, PhD and Christopher White, MD

Panelists: Christopher Metzger, MD; Herbert Aronow, MD; and William Yoon, MD

• 00:00:06 Case-based Carotid Disease, Mehdi Shishebor, DO, MPH, PhD
• 00:08:44 CREST II, Peter Soukas, MD
• 00:17:18 CREST II – Interventional Prespective, Christopher Metzger, MD
• 00:30:34: CREST II – Surgical Prespective, William Yoon, MD
• 00:42:35 CREST II – Medical Prespective, Herbert Aronow, MD
• 00:52:11 Asymptomatic Carotid Disease – My Approach in 2026 and Beyond, Christopher White, MD
• 00:57:14 What is the Role of TCAR in All This?, Carlos Timaran, MD
• 01:06:39 Panel Discussion

Technical Aspect of Transfemoral Carotid Stenting

Moderators: Herbert Aronow, MD and Christopher Metzger, MD

Panelists: Aravinda Nanjundappa, MBBS; Peter Soukas, MD; and Christopher White, MD

• 00:00:27 Case-based Carotid Disease, Herbert Aronow, MD
• 00:13:30 My Favorite TF Carotid System and Why, Christopher White, MD
• 00:20:52 Novel Carotid Systems, Why and When, Aravinda Nanjundappa, MBBS
• 00:36:08 Tips and Tricks for Difficult TF Carotid Stenting, Peter Soukas, MD
• 00:51:13 Technical Aspect of High Risk Carotid Revascularization, Chris Metzger, MD

High-Stakes Aortic Intervention: Cases, Strategic Planning, & Expert Insight 2

Moderators: Charles Roberts, MD and Carlos Timaran, MD

Panelists: Adam Beck, MD; Rafael Malgor, MD; and Mel Sharafuddin, MD

• 00:00:02 Case: When and How I do TEVAR with PETTICOAT, Jane Chung, MD
• 00:13:08 Case: Down Staging TAAA: How I Do It, Rafael Malgor, MD
• 00:29:10 How I Repair Aortic Arch Coarctation, Cheong Jun Lee, MD
• 00:45:36 Endovascular Thoracoabdominal Aortic Repair: How I Do It, Carlos Timaran, MD
• 01:09:48 Case: Retrograde Dissection After TEVAR Using a Branched Endoprosthesis, William Yoon, MD
• 01:18:31 Hybrid Arch Repair, Charles Roberts, MD