Endovascular Interventions (eBook, PDF)

A Step-by-Step Approach
Redaktion: Wiley, Jose M.; Krishnan, Prakash; Dangas, George D.; Sanina, Cristina

• Format: PDF

Produktbeschreibung

ENDOVASCULAR INTERVENTIONS A practical and systematic approach to current endovascular surgical techniques An increasingly popular alternative to open vascular surgery, endovascular intervention offers many advantages, including reduced patient discomfort, smaller incisions, shorter recovery time, and decreased risk of adverse complications. Practitioners and trainees alike require expert guidance on current technologies and up-to-date techniques. Endovascular Interventions provides clinicians with an easy-to-follow guide for minimally invasive treatment of vascular disease. This invaluable resource delivers concise and accurate instructions on a wide range of endovascular interventions, including aorta, renal and mesenteric interventions, lower extremity interventions, venous interventions, and supra-aortic interventions in high-risk patients. Sequential phases of skill development broaden the reader's abilities as they progress through each chapter, supplying step-by-step instructions on when each procedure should be used and how it can be safely and effectively performed. This book offers a complete reference to essential techniques and procedures, suitable for both novice and experienced vascular surgeons, cardiologists, and radiologists. Endovascular Interventions also: * Reinforces comprehension of each procedure with templated chapters, equipment lists and boxed key learning points * Provides full-color clinical images and detailed illustrations to demonstrate surgical procedures * Presents authoritative coverage of modern endovascular technologies and techniques * Written by a team of respected experts and practicing surgeons from internationally recognized hospitals and universities Suitable for varying skill levels, Endovascular Interventions is a precise, accessible instruction manual for safe and effective endovascular intervention, helping practicing clinicians sharpen their existing abilities and keep pace with the latest surgical technologies while instructing trainees on this innovative approach to vascular surgery.

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Produktdetails

• Verlag: For Dummies
• Seitenzahl: 272
• Erscheinungstermin: 11. Juli 2023
• Englisch
• ISBN-13: 9781119467847
• Artikelnr.: 68435233

Autorenporträt

Jose M. Wiley, MD, MPH, Sidney W. and Marilyn S. Lassen Chair in Cardiovascular Medicine, Professor of Medicine, Chief, Section of Cardiology, John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA. Cristina Sanina, MD, Interventional Cardiology Fellow, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. George D. Dangas, MD, PhD, Professor of Medicine-Cardiology and Vascular Surgery, Director of Cardiovascular Innovation, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Prakash Krishnan, MD, Professor of Medicine-Cardiology, Director of Endovascular Services, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Inhaltsangabe

List of Contributors xiv

1 Innominate & Carotid Artery Intervention in High- Risk Patients 1
Tyrone J. Collins

Introduction 1

Innominate Interventions in High-Risk Patients 2

Catheter-based Therapy for An Innominate (Brachiocephalic) Stenosis 2

Carotid Artery Intervention in High-Risk Patients 5

Endovascular Treatment of A Carotid Stenosis 5

Catheter-based Therapy for Carotid Stenosis 6

Conclusions 10

References 13

2 Subclavian Artery Intervention: Catheter- Based Therapy 15
Saadat Shariff, Isabella Alviz, Cornelia Rivera, Michelle Cortorreal, and Tyrone J. Collins

Introduction 15

Endovascular Versus Open Surgical Revascularization 16

Endovascular Revascularization Techniques 16

Conclusion 18

References 19

3 Vertebral Artery Intervention: Catheter- Based Therapy 20
Tamunoinemi Bob- Manuel and James S. Jenkins

Introduction 20

Preprocedural Considerations 21

Step 1. Procedural Planning with Diagnostic Angiography 21

Step 2. Vertebral Artery Intervention (Percutaneous Transluminal Angioplasty) 24

Step 3. Vertebral Artery Intervention (Stenting) 25

Management of Potential Complications 27

Postprocedural Care 28

References 29

4 Endovascular Repair of Thoracic Aortic Aneurysms: Catheter-Based Therapy 30
John Denesopolis, Patricia Yau, and Aksim G. Rivera

Introduction 30

Relevant Anatomy 31

Aortic Anatomy 31

Crawford Classification for TAA/TAAA 31

Landing Zones 31

Implication of Aortic Anatomy on Spinal Perfusion 32

Indications/Contraindications to Procedure 33

Indications 33

Asymptomatic TAA/TAAA 33

Blunt Aortic Injury (BAI) 33

Acute Aortic Syndromes 33

Contraindications/Caveats 34

Available Endografts 34

Preoperative Evaluation 40

Positioning and Intraoperative Monitoring Needs 41

Procedural Steps 42

Postoperative Course/Surveillance 46

Monitored Setting 46

Spinal Drain 46

Blood Pressure Control 47

Arm Ischemia Symptoms 47

CTA Surveillance/Endoleak Types 48

References 49

5 Endovascular Abdominal Aortic Aneurysm Repair (EVAR) 50
John Futchko, Katie MacCallum, and Aksim G. Rivera

Introduction 50

Patient Selection 50

Preoperative Imaging and Measurements 51

Graft Selection 52

Graft Sizing 52

Neck Length 53

Neck Diameter 53

Branch Vessels 54

Aortic Length Measurements 54

Step 1. Vascular Access 55

Percutaneous 55

Open 56

Iliac Disease and Conduits 56

Step 2. Imaging 57

Equipment 57

Neck Angulation 58

Renal Arteries 58

Step 3. Wires 58

Step 4. Delivery and Deployment 59

Main Body 59

Graft Orientation 59

Proximal Landing Zone 59

Contralateral Gate Cannulation 60

Limb Deployment 62

Completion Angiogram 62

Step 5. Troubleshooting 63

Endoleaks 63

Inadvertent Coverage of Renal Arteries 65

Iliac Artery Considerations 65

Conclusion 66

References 66

6 Severe Renal Artery Stenosis: How to Intervene 68
Mohammad Hashim Mustehsan, Cristina Sanina, and Jose D. Tafur

Introduction 68

Background and Clinical Significance 69

Epidemiology 69

Clinical Ma