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Coastal Vascular & Interventional

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Dr McDaniel September 3rd

Coastal Vascular & Interventional Announces First Patients Enrolled in the VISION Clinical Trial and Treated in an Outpatient Center

Trial Evaluates Imaging Atherectomy Catheter Used to Treat Patients Suffering from Peripheral Artery Disease

Pensacola, Florida, December 22, 2014 - Coastal Vascular & Interventional announces its participation in VISION, a global clinical trial approved by the FDA to evaluate Avingers PantherisTM catheter for treatment of Peripheral Arterial Disease (PAD). Coastal Vascular & Interventional is the first in the United States to treat patients using the Pantheris catheter in an outpatient center.

PAD, affecting 18 million adults in the U.S. alone, is caused by a build-up of plaque in the arteries that restricts blood flow to the legs and feet. Because the blockages can become so severe and difficult to treat with traditional catheters, patients (unaware of other options) often resort to undergo extremely invasive bypass surgeries that result in even higher health risks and lengthy, painful recoveries. Patients over 50 often face amputation, the worst-case scenario associated with PAD.

Huey B. McDaniel, M.D., Stuart Harlin, M.D., and Christopher LeCroy, M.D., board certified vascular surgeons at Coastal Vascular & Interventional, as part of VISION, will treat enrolled patients using PantherisTM, a system that combines directional atherectomy capabilities with real-time intravascular visualization to remove plaque from blocked arteries. The minimally invasive catheter is designed to remove the blockage while avoiding the disruption of normal arterial wall structures.

Now we have this wonderful technology to be able to see several millimeters into what would be opaque tissue, just like the way ultrasound does but much, much higher resolution. Using this technology youre basically able to do vascular surgery on a minimally invasive basis, says Dr. Huey B. McDaniel, principal investigator.

Dr. Stuart Harlin, sub-investigator, explains The new technology available allows precision in treatment of PAD that was previously unattainable. Providing this technology in an outpatient setting ushers in a new era in the treatment of patients with PAD.

Often dismissed as normal signs of aging, the symptoms of PAD include painful cramping, numbness, or discoloration in the legs or feet. Hospitalization costs of PAD alone are estimated to exceed $21 billion annually, largely due to late detection and patients experiencing a decreased quality of life from invasive bypass surgery and/or amputation. The vascular specialists at Coastal Vascular & Interventional encourages those that are experiencing any of these symptoms to ask their doctor about their risks for PAD, as early detection is the key to saving limbs.

Coastal Vascular & Interventional, PLLC is a multispecialty practice consisting of vascular surgeons and interventional radiologists. They have privileges at all hospitals from Foley, AL east to Miramar Beach, FL and perform procedures at two outpatient centers in Pensacola and Niceville, FL. With 14 offices along the Gulf Coast, they have unmatched experience in this area for treating disease of the arteries and veins and are active participants in numerous clinical trials allowing usage of the latest technological advancements. For more information about Coastal VI, its physicians, and services, go to or call (850) 479-4223.

About Avinger

Founded in 2007 by renowned cardiologist and medical device entrepreneur Dr. John B. Simpson, Avinger seeks to radically change the treatment of vascular disease through the development of new technology and a new approach called lumivascular (lumi = light, vascular = artery). Lumivascular procedures use an interventional catheter system that incorporates light-based, radiation-free, intravascular imaging technology within the actual therapeutic device. This provides physicians with live, real-time, video-rate images of the inside of an artery during treatment, offering a variety of benefits for patients, physicians and hospitals. Ocelot, the first line of devices using lumivascular technology, has been commercially available since late 2012. This system is used to open totally occluded arteries in the legs.

Avingers lumivascular atherectomy system, PantherisTM, is currently enrolling patients in its VISION clinical trial in the U.S. For more information about the VISION clinical trial, visit


Coastal Vascular Performs First New Procedure for Clinical Trail for PAD

Pensacola, FL (December 10, 2013) " Coastal Vascular & Interventional Center, a Pensacola-based state-of-the-art outpatient interventional center, performed the first new procedure of a prospective, 50-site national clinical trial to study a revolutionary approach to treat peripheral artery disease (PAD).

PAD, which has become a very serious global health problem, occurs when fatty deposits collect in the peripheral arteries, restricting blood flow and oxygen to the legs and feet. Restricted blood flow results in difficulty walking, an increased risk of heart attack or stroke, or amputation. New worldwide estimates published in The Lancet estimate the number of people suffering with PAD to be 202 million in 2010 " including 17 million Americans.

Stuart Harlin, M.D., FACS, the vascular surgeon who performed the procedure said the procedure was surprisingly intuitive and uncomplicated, and may represent a breakthrough in treatment options for millions of Americans suffering with PAD. This represents a dramatic new opportunity to decrease recurrent blockages after other catheter-based interventions. Recurrent blockage is a principle cause of failure for catheter-based interventions. This novel new technique ushers in a new era in the treatment of patients with P.A.D. Its ramifications could spread to the treatment of all atherosclerotic blockages.

Mercator is attempting to improve the treatment of PAD by allowing clinicians to accurately and efficiently deliver small volumes of anti-inflammatory drug to the adventitia, which becomes highly inflamed during procedures to open the artery. Until now, doctors have had to rely on indirect, non-specific methods of controlling inflammation from the inside of the blood vessel. We believe the outside-in approach will potentially better target the localized injury caused by vascular procedures such as balloon angioplasty or atherectomy, explained Mercator Chief Executive Officer Thomas M. Loarie.

Immediately following the first procedure, Dr. Harlin said he believes Mercators Micro-Infusion Device returns therapeutic freedom back to the physician. We believe we now have the ability to deliver what is needed precisely where it is needed in the body, he said. There are no guessing games " we can see and feel the drug being delivered.


For Immediate release: October, 2013: Coastal Vascular & Interventional, PLLC
Awarded Intersocietal Accreditation Commission (IAC) Seal of Approval.

PENSACOLA, FL. - Coastal Vascular & Interventional, PLLC, a multispecialty practice consisting of vascular surgeons and interventional radiologists, were recently recognized as an IAC accredited vascular laboratory for extracranial cerebrovascular, peripheral venous and peripheral arterial testing. As vascular specialists, they rely on diagnostic ultrasound to produce images of blood flow within the arteries and veins. After months of review, the IAC has given their coveted Seal of Approval.

A vascular ultrasound examination is non-invasive and provides doctors with useful information when diagnosing a range of vascular diseases such as Deep Vein Thrombosis, Peripheral Arterial Disease, Carotid Artery Disease, Abdominal Aortic Aneurysm and Varicose Veins. It is particularly important that the public understand that there are many factors that contribute to a diagnosis when utilizing a vascular ultrasound examination. For example, the skill of the ultrasound technologist performing the examination, the equipment and the knowledge and expertise of the physician interpreting the results all determine the quality of the exam. Poor quality assurance measures can lead to misdiagnosis and unnecessary tests or surgery.

To become an IAC accredited practice means Coastal Vascular & Interventional volunteered to a thorough review of their daily operations. This recognition demonstrates their commitment to offer the highest level of quality vascular testing, skilled ultrasound technologists and care for their patients. Coastal VI is the regions only accredited vascular laboratory in all three areas of extracranial cerebrovascular, peripheral arterial and venous testing.

For more information about Coastal Vascular & Interventional, PLLC visit

What is DVT?

Deep vein thrombosis (DVT) is the formation of a blood clot in the deep leg vein. It is a very serious condition that can cause permanent damage to the leg or a life-threatening pulmonary embolism. In the United States alone, 600,000 new cases are diagnosed each year. One in every 100 people who develops DVT dies. Recently, it has been referred to as "Economy Class Syndrome" due to the occurrence after sitting on long flights.

The deep veins that lie near the center of the leg are surrounded by powerful muscles that contract and force deoxygenated blood back to the lungs and heart. One-way valves prevent the back-flow of blood between the contractions. (Blood is squeezed up the leg against gravity and the valves prevent it from flowing back to our feet.) When the circulation of the blood slows down due to illness, injury or inactivity, blood can accumulate or "pool," which provides an ideal setting for clot formation.

What are the Risk Factors?

Previous DVT or family history of DVT
Immobility, such as bed rest or sitting for long periods of time
Recent surgery
Above the age of 40
Hormone therapy or oral contraceptives
Pregnancy or post-partum
Previous or current cancer
Limb trauma and/or orthopedic procedures
Coagulation abnormalities

What are the Signs and Symptoms?

Discoloration of the legs
Calf or leg pain or tenderness
Swelling of the leg or lower limb
Warm skin
Surface veins become more visible
Leg fatigue
Some people with DVT may have no symptoms.

PAD: Why Should I Care?
By Christopher J. Bosarge, MD

Peripheral arterial disease (PAD) affects over 10 to 12 million people. PAD occurs when the arteries that deliver blood from the heart to the body become narrowed from the accumulation of fatty deposits on the artery wall known as plaque. The process is called atherosclerosis. PAD most commonly affects the legs but can affect blood flow to other organs such as the arms, kidneys and stomach. The process is the same as that which narrows the blood vessels in the heart causing a heart attack or to the brain which can cause a stroke.

There is a good chance that someone with PAD will go undiagnosed because almost half the time there is no symptoms. If this is the case, why should one care? (Full Article)

Stroke: A Leading Cause of Death and Disability in America Today
By Christopher LeCroy, MD

The carotid arteries are large blood vessels located in the neck on both sides. These arteries comprise the major blood supply to the brain. The carotid arteries (like other arteries elsewhere in your body) can sometimes be affected by atherosclerosis. Atherosclerosis (aka hardening of the arteries) is a process where plaque builds up in the walls of the arteries, slowly narrowing the vessel and restricting flow.

As plaque builds and the carotid arteries narrow, complications such as stroke or TIA (mini strokes) can occur.

Causes of carotid stenosis include:
- Heredity (genetic predisposition / family history of stroke)
- High blood pressure
- High cholesterol
- Diabetes
- Smoking
- Advanced age
- Radiation to the neck

Symptoms: carotid stenosis is most often asymptomatic in the early stages. It is, therefore, important for your doctor to perform physical examinations and conduct a complete history at regular intervals. (Full Article)

Doctors say There is a better way

At Coastal Vascular & Interventional, Drs. Christopher Bosarge, Harry Crammer and Aaron Montgomery have good news for women with a common medical condition, Uterine Fibroids. At one time the only option was surgery and now a less drastic solution may help suffers with this condition, Uterine Fibroid Embolization (UFE).

Uterine fibroids are the most common benign tumors within the female reproductive system. While the majority are diagnosed and treated in women between the ages of 35-54 (Full Article)

Are You at Risk?

Unless you have a family history of AAAs, you may have never heard of this condition. You need to know because. ruptured abdominal aortic aneurysms are a leading cause of mortality in the United States, causing 15,000 annual deaths.

An abdominal aortic aneurysm (AAA) is an abnormal dilation of the artery in the abdomen allowing the aorta to balloon out, like a bubble in a tire. The aorta is the main artery arising from the left ventricle of the heart, supplying oxygenated blood to the rest of the body. This is a large vessel about 2-3 centimeters in diameter (roughly the diameter of a garden hose) with a thick, elastic wall to withstand the pressure generated by the beating heart.

Aneurysms gradually increase in size over time. Usually when the aneurysm measures 4-5 centimeters in diameter, surgery is deemed necessary, but with slow growth this may be 10 to 15 years after the original diagnosis. The best single factor that correlates with risk of rupture is the size of the aneurysm. (Full Article)

Christopher J. Bosarge, M.D. - Health Watch - WEAR ABC Channel 3 Christopher J. Bosarge, M.D.
Vascular & Interventional Radiology

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