Challenging Arterial Reconstructions: 100 Clinical Cases

Description:

This book presents 100 challenging cases encountered in vascular surgery practice that were selected from the author’s vascular registry of 7,000 vascular reconstructions (endovascular and open). Chapters include difficult surgical problems of patients with aortic, visceral and peripheral arterial aneurysms, with expert management of mycotic, inflammatory and ruptured aneurysms and major complications like aorto-duodenal fistula, graft infection or inferior vena cava injury. These reconstructions are representative of the “real world” experience of vascular surgery in the United States, and the selection of cases were based on either difficulty with case selection, or complex operative or an endovascular technique. The natural history of vascular reconstructions often leads to secondary reconstructions, which are far more complex and therefore are included in significant numbers in this text. Both good and unsatisfactory results have been included and the lessons learned from the poor outcomes are emphasized. Invited commentaries from leading experts in the field have been added to a few chapters offering an alternate viewpoint in the management of patients with complex pathology. Challenging Arterial Reconstructions: 100 Clinical Cases serves as an invaluable resource to vascular surgeons that are learning or regularly performing open surgical or endovascular interventions.

Table of contents:

Part I. Open Repair of Intact Abdominal Aortic Aneurysm

1. Symptomatic Proximal Anastomotic Pseudoaneurysm of Suprarenal Aorta

2. Repair of Juxtarenal Abdominal Aortic Aneurysm with Aortorenal Bypass

3. Abdominal Aortic Aneurysm Repair in a Patient with Celiac Artery Occlusion and a Large Inferior Mesenteric Artery

4. Abdominal Aortic Aneurysm Repair in a Patient with a Pelvic Kidney

5. Open Repair of Abdominal Aortic Aneurysm in a Patient with Double Inferior Vena Cava

6. Mycotic Aneurysm of the Abdominal Aorta

7. Open Abdominal Aortic and Iliac Aneurysm Repair in a Patient with Cirrhosis of the Liver

8. Major Venous Injury During Repair of Abdominal Aortic and Iliac Aneurysm

9. Secondary Aortoduodenal Fistula Following Abdominal Aortic Aneurysm Repair

10. Open Repair of an Inflammatory Abdominal Aortic Aneurysm

11. Right Subhepatic Approach for Inflammatory Aortic Aneurysm in a Patient with Scoliosis

12. Large Symptomatic Abdominal Aortic Aneurysm

13. Abdominal Aortic Aneurysm in a Patient with Chronic Lymphocytic Leukemia

14. Inflammatory Abdominal Aortic Aneurysm Presenting with Testicular Pain

15. Abdominal Aortic Aneurysm Repair in a Patient with Factor VII Deficiency

Part II. Open Repair of Ruptured Abdominal Aortic Aneurysm

16. Open Repair of Ruptured Abdominal Aortic Aneurysm Complicated by Pancreatitis and Duodenal Obstruction

17. Rupture of Abdominal Aortic Aneurysm in a Patient with a Horseshoe Kidney

18. Rupture of Pararenal Aortic Aneurysm

19. Rupture of Abdominal Aortic Aneurysm with Tear of Inferior Vena Cava in a Patient with Prior Endograft

20. Prosthetic Graft Infection Following Open Repair of Ruptured Abdominal Aortic Aneurysm

Part III. Open Repair of Intact and Ruptured Iliac Artery Aneurysms

21. Open Repair of Common Iliac Artery Aneurysm

22. Open Repair of Ruptured Common Iliac Artery Aneurysm

23. Open Repair of Ruptured Mycotic Aneurysm of the Common Iliac Artery

24. Rupture of Hypogastric Artery Aneurysm

Part IV. Open Repair of Femoral Artery and Femoral Anastomotic Aneurysms

25. Contained Rupture of Femoral Anastomotic Aneurysm

26. Open Repair of Right Common Femoral Artery Aneurysm

Part V. Open Repair of Popliteal Artery Aneurysms

27. Open Repair of Contained Rupture of Right Popliteal Aneurysm

28. Open Repair of Giant Recurrent Popliteal Aneurysm

Part VI. Open Repair of Subclavian-Axillary Aneurysm

29. Open Repair of Large Symptomatic Subclavian/Axillary Artery Aneurysm with Partial Claviculectomy

Part VII. Open Repair of Carotid Aneurysm

30. Repair of Extracranial Carotid Artery Aneurysm with Mandibular Subluxation

Part VIII. Open Repair of SMA Aneurysm

31. Open Repair of the Superior Mesenteric Artery Aneurysm

Part IX. Resection of Carotid Body Tumor

32. Resection of a Malignant Carotid Body Tumor with Carotid Artery Resection

33. Resection of a Large Carotid Body Tumor with Mandibular Subluxation

Part X. Carotid Endarterectomy

34. Infected Dacron Patch Following Carotid Endarterectomy

35. Carotid Endarterectomy for a Recent Minor Stroke

36. Carotid Endarterectomy with Mandibular Subluxation

37. Carotid Endarterectomy with Intraoperative Stroke Due to Plaque Embolization During Shunt Insertion

38. Intracerebral Hemorrhage Following Carotid Endarterectomy

39. Carotid Endarterectomy for Symptomatic Radiation Induced Carotid Stenosis

40. Nonconvulsive Status Epilepticus Following Carotid Endarterectomy

41. Carotid Endarterectomy Followed by Retrieval of Plaque Embolus from M-1 Segment of the Middle Cerebral Artery

42. Redo Carotid Endarterectomy for Recurrent Atherosclerotic Carotid Stenosis

43. Carotid Interposition Graft in a Patient with Prior Carotid Stenting for Acute Stroke

44. Carotid Endarterectomy in a Patient with Recent Minor Stroke Due to Unstable High Plaque

Part XI. Aorto-Femoral Grafting

45. Redo Aorto-bifemoral Graft

46. Aorto-bifemoral Graft in a Patient with Horseshoe Kidney

47. Spiral Vein Graft for Radiation-Induced Right Common and External Iliac Artery Occlusion

48. Infected Aorto-bifemoral Graft

49. Aorto-femoral Graft: A 30-Year Follow-Up

50. Aorto-Bifemoral Grafting for Infrarenal Aortic Occlusion

51. Exposed Femoral Graft Following Multiple Arterial Reconstruction

52. Complications (Early and Late) of Aortofemoral Grafting

Part XII. Aorto-Mesenteric Bypass

53. Mesenteric Revascularization in Patients with Acute on Chronic Bowel Ischemia

Part XIII. Infrainguinal Arterial Bypass Graft

54. Femoral-Peroneal Bypass for Critical Limb Ischemia in a Patient with Unstable Angina

55. Femoral-Peroneal Bypass for Severe Calcific Disease Using Tourniquet Occlusion

56. Femoral Distal Posterior Tibial Bypass for Established Gangrene

57. Autogenous Composite Vein Bypass for Redo Infrainguinal Arterial Reconstruction

58. Repeat Femoral Posterior Tibial Bypass Using Spliced Cephalic Vein

Part XIV. Adventitial Cystic Disease of the Popliteal Artery

59. Management of a Patient with Complicated Adventitial Cystic Disease of the Popliteal Artery

Part XV. Popliteal Venous Pseudoaneurysm and Arteriovenous Fistula

60. Popliteal Venous Pseudoaneurysm and Associated Arteriovenous Fistula Following Knee Arthroscopy

Part XVI. Endovascular Aneurysm Repair for Intact Abdominal Aortic Aneurysm

61. Endovascular Aneurysm Repair in a Patient with Severe Aortic Neck Angulation Using Aorfix™ Device

62. Endovascular Aneurysm Repair in a Patient with Short Aortic Neck with Use of EndoAnchors

63. Endovascular Aneurysm Repair Followed by Multiple Interventions for Endoleaks

64. Aortic Neck Rupture During Endovascular Aneurysm Repair in a Patient with a Horseshoe Kidney

65. Exposed Graft in the Groin Following Crossover Femoral-Femoral Graft and Aorto-Uniiliac Stent Graft

66. Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm, Bilateral Common Iliac Artery Aneurysm, and Left Hypogastric Aneurysm with Right Iliac Branch EXCLUDER® Device

67. Endovascular Aneurysm Repair with Late Graft Limb Occlusion

Part XVII. Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm

68. Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm

69. Ruptured Abdominal Aortic Aneurysms in Patient with Type III Endoleak Following Endovascular Aneurysm Repair with Endologix Graft

70. Ruptured Abdominal Aortic Aneurysm due to Type IB Endoleak

71. Ruptured Abdominal Aortic Aneurysm Secondary to Delayed Type 1A Endoleak

72. Endovascular Repair for Ruptured Abdominal Aortic Aneurysm in a Patient with Antecedent Endograft

Part XVIII. Endovascular Repair for Large Iliac and Hypogastric Aneurysms Following Open Abdominal Aortic Aneurysm Repair

73. Endovascular Repair of Large Left Iliac Anastomotic Aneurysm Following Open Abdominal Aortic Aneurysm Repair

74. Endovascular Repair of a Large Hypogastric Aneurysm Following Open Repair of Abdominal Aortic Aneurysm

Part XIX. Endovascular Repair for Hypogastric Aneurysm Following EVAR

75. Endovascular Repair of Hypogastric Artery Aneurysm in a Patient with Prior Endovascular Aneurysm Repair

Part XX. Thoracic Endovascular Aneurysm Repair

76. Endovascular Aneurysm Repair for Symptomatic Abdominal Aortic Aneurysm Followed by Thoracic Endovascular Aneurysm Repair Complicated by Type IB Endoleak

77. Thoracic Endovascular Repair for Ruptured Aberrant Right Subclavian Artery Aneurysm Without Subclavian Artery Revascularization

Part XXI. Endovascular Repair for Popliteal Artery Aneurysm

78. Management of Stent Graft Thrombosis for Popliteal Aneurysm Following Partial Knee Arthroplasty

79. Endovascular Repair of a Large Ruptured Popliteal Aneurysm

Part XXII. Endovascular Repair of Splenic Artery Aneurysm

80. Endovascular Repair of Splenic Artery Aneurysm

Part XXIII. Carotid Stenting

81. Carotid Stenting for Symptomatic Carotid Restenosis Secondary to Myointimal Hyperplasia

82. Carotid Artery Stenting for Symptomatic Radiation-Induced Carotid Stenosis

83. Carotid Stenting for Carotid Interposition Vein Graft Stenosis

84. Carotid Artery Stenting for Recurrent Internal Carotid Artery Stenosis with Contralateral Internal Carotid Artery Occlusion

85. Carotid Stenting and Redo Carotid Endarterectomy in Patient with Bilateral Recurrent Carotid Stenosis with Type III Aortic Arch

Part XXIV. Iliac Stenting

86. Iliac Stenting for Chronic Total Occlusion Using Brachial Artery Access

87. Covered Stent Placement for Flush Occlusion of Common Iliac Artery: A 12-Year Follow-Up

88. Covered Iliac Stenting for Acute on Chronic Ischemia Following Thoracotomy

89. Management of Iliac Stent Thrombosis

90. Iliac Stenting Complicated by Iliac Artery Rupture

Part XXV. Aorto-Iliac Stenting

91. Aortic Stenting for Isolated Aortic Stenosis at the Level of the Inferior Mesenteric Artery

92. Covered Bilateral Iliac Artery Stenting with Extension into Common Iliac Arteries for Near Occlusion of Distal Aorta

Part XXVI. Percutaneous Intervention for Infrainguinal Arterial Disease

93. Percutaneous Intervention for Infrainguinal Arterial Occlusive Disease with Heel Ulcer

94. Angioplasty for Femoral-Tibial in Situ Vein Bypass Stenosis

Part XXVII. Endovascular Therapy for Mesenteric Ischemia

95. Management of Radiation-Induced Superior Mesenteric Artery Stenosis with Small Bowel Ischemia

96. Superior Mesenteric Artery In-stent Restenosis

97. Endovascular Treatment of Symptomatic Celiac and Superior Mesenteric Artery Occlusive Disease

Part XXVIII. Renal Artery Stenting

98. Renal Artery Stenting for Renal Vascular Hypertension in a Patient with Solitary Kidney

Part XXIX. Subclavian Artery Stenting

99. Subclavian Artery Stenting for Ischemic Left Index Finger

Part XXX. Acquired Arteriovenous Fistula

100. Acquired Arteriovenous Fistula of the Axillary Artery

Part XXXI. Question Set

101. 100 Multiple Choice Questions

Back Matter