Peripheral Arterial Interventions

Nicolas W. Shammas, MD, MS, EJD, FACC, FSCAI, FSVM, FICA, is an interventional cardiologist with Cardiovascular Medicine P.C., the Genesis Heart Institute, and UnityPoint-Trinity in the Quad Cities, Iowa. He is also the Founder, President, and Research Director of the Midwest Cardiovascular Research Foundation and an adjunct clinical associate professor of Medicine at the University of Iowa Hospitals and Clinics. Dr. Shammas has been performing interventional procedures for 27 years in both coronary and peripheral vascular interventions. He has published more than 400 manuscripts, abstracts, book chapters, and books and has been the principal investigator on more than 220 national clinical trials. His main research interests are the development of techniques for optimal endovascular interventions-with a focus on the triad of vessel prepping, distal embolic protection, and anti-restenotic therapies-and the management of arterial and venous thrombotic occlusions and deep venous interventions. Dr. Shammas has been an editorial board member and a reviewer for numerous journals. He is also the editor of the Textbook of Atherectomy, the Atherothrombotic Embolization in Cardiovascular Medicine, and the Infrainguinal Endovascular Interventions: Leaving the Least Behind. Dr. Shammas is a fellow of the American College of Cardiology and the Society of Cardiac Angiography and Interventions. He is the immediate past Governor for the Iowa Chapter of the American College of Cardiology (2017-2020). He has lectured both nationally and internationally on atherectomy, venous disease, management of acute and subacute thrombotic disease, and distal embolization in peripheral vascular disease.

Chapter 1. Atherosclerosis and inflammation in Peripheral Arterial Disease.- Chapter 2. Epidemiology and Public Health Implications of Peripheral Arterial Disease.- Chapter 3. Risk factors and Outcomes of Patients with Peripheral Arterial Disease.- Chapter 4. Pharmacologic Interventions in Patients with Peripheral Arterial Disease.- Chapter 5. The Role of Exercise in Managing the PAD patient.- Chapter 6. Vessel Compliance, Barotrauma and Dissections with Endovascular Therapy of the PAD patient.- Chapter 7. Femoropopliteal Dissections and Their Impact on Procedural and Long Term Outcomes.- Chapter 8. The Role of Atherectomy in Vessel Prepping Prior to Definitive Endovascular Treatment of the PAD patient.- Chapter 9. Lithoplasty of severe calcified disease.- Chapter 10. Specialty balloons and Vessel Prepping.- Chapter 11. The FLEX atherotome role in reducing dissections and stenting.- Chapter 12. Distal embolization in treating PAD.- Chapter 13. Drug coated balloons in infrainguinal arterial interventions.- Chapter 14. Iliac artery Disease Management.- Chapter 15. Drug Eluting Stents in PAD management.- Chapter 16. Infrapopliteal Artery Interventions in Critical Limb Ischemia Patients.- Chapter 17. Reducing the Metal Burden in the infrainguinal arteries: Tack Endovascular System and Spot Stenting.- Chapter 18. Approach to Chronic Total Occlusions.- Chapter 19. Thrombotic Infrainguinal Arterial Disease: Mechanical and Pharmacological Approaches to Therapy.- Chapter 20. Endovascular Management of Aortic Aneurysms.- Chapter 21. Putting it All Together: An algorithm based approach to managing the PAD patient.