Endovascular Procedures A Step–by–Step Approach

Description:

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.

Table of Contents:

1 Innominate & Carotid Artery Intervention in High‐Risk Patients

Introduction

Innominate Interventions in High‐Risk Patients

Carotid Artery Intervention in High‐Risk Patients

Conclusions

References

2 Subclavian Artery Intervention: Catheter-Based Therapy

Introduction

Endovascular Versus Open Surgical Revascularization

Endovascular Revascularization Techniques

Conclusion

References

3 Vertebral Artery Intervention: Catheter-Based Therapy

Introduction

Preprocedural Considerations

Management of Potential Complications

Postprocedural Care

References

4 Endovascular Repair of Thoracic Aortic Aneurysms: Catheter-Based Therapy

Introduction

Relevant Anatomy

Indications/Contraindications to Procedure

Available Endografts

Preoperative Evaluation

Positioning and Intraoperative Monitoring Needs

Procedural Steps

Postoperative Course/Surveillance

References

5 Endovascular Abdominal Aortic Aneurysm Repair (EVAR)

Introduction

Patient Selection

Preoperative Imaging and Measurements

Graft Selection

Graft Sizing

Step 1. Vascular Access

Step 2. Imaging

Step 3. Wires

Step 4. Delivery and Deployment

Completion Angiogram

Step 5. Troubleshooting

Conclusion

References

6 Severe Renal Artery Stenosis: How to Intervene

Introduction

Background and Clinical Significance

RAS Assessment

Indications for Revascularization

Intervention

References

7 Mesenteric Ischemia: Chronic and Acute Management

Introduction

Chronic Mesenteric Ischemia

Complications

Follow‐Up and Outcomes

Acute Mesenteric Ischemia

Mesenteric Venous Thrombosis

Follow‐Up and Outcomes

References

8 Aorto‐Iliac Interventions

Introduction

Preoperative Workup

Noninvasive Studies

Invasive Imaging

Classification of Lesion and Planning of Intervention

Step 1. Patient Factors

Step 2. Vascular Access

Step 3. Crossing the Lesion

Step 4. Intervention

Step 5. Closure

Step 6. Complications

Cases

References

9 Femoropopliteal Arterial Interventions in the Claudicant

Introduction

Patient Evaluation and Indications for Treatment of Femoropopliteal Arterial Pathology

Indications for Revascularization Femoropopliteal Claudication

Vascular Imaging in Endovascular Treatment

Vascular Access and Lesion Crossing Techniques

Working Wire Size and Changing Between Systems

Conclusions

Acknowledgments

References

10 Tibial Interventions in Patients with Critical Limb‐Threatening Ischemia

Introduction

Indications and Goals of Endovascular Revascularization

Considerations for Access Site

Single Versus Multitibial Artery Revascularization

TAMI Retrograde Revascularization

Reentry and Externalization Devices

Deep Venous Arterialization (DVA)

References

11 Acute Limb Ischemia: Endovascular Approach: Endovascular Approach

Introduction

Procedure Planning, Equipment, and Considerations

References

12 Pedal Reconstruction

Introduction

Pedal Arch Reconstruction

Indications for Pedal Revascularization

Technical Considerations

Special Considerations of the Pedal Intervention

Summary

References

13 Endovascular Management of Access Site Complications

Introduction

Complications Related to Common Femoral Artery Access

Access Site Bleeding

Balloon Tamponade, Endovascular Coiling, and Covered Stent Placement

Femoral Pseudoaneurysms

Arteriovenous Fistulas

Vascular Closure Device Related Complications

Radial Artery Related Complications

References

14 Acute Deep Vein Thrombosis

Introduction

Treatment Strategy

Initial and Long‐Term Treatment of VTE

Extended Treatment

Conclusion

References

15 Lower‐Extremity Venous Stenting

Introduction

Follow‐Up

References

16 Intervention for Pulmonary Embolism

Introduction

Pulmonary Angiography

Catheter‐Directed Thrombolysis

Mechanical Disruption

Large Catheter Aspiration

AngioVac for Clot‐in‐Transit

AngioVac for Right Heart Vegetation

References

17 Catheter‐Based Therapy for Varicose Veins

Introduction

Thermal Techniques

Radiofrequency (RF) Ablation

Endovenous Laser Ablation (EVLA)

Nonthermal Techniques

Mechanico‐Chemical Ablation (MOCA)

Limitations

Summary

References

Index

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