图书简介
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 Procedures 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 interventions of the 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 readers 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. 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 Procedures 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.
List of Contributors xiv 1 Innominate Up and Over technique 113 Radial 114 Tibio-Pedal Approach 115 Antegrade Femoral Access 115 Working Wire Size and Changing Between Systems 116 Lesion Preparation 117 Plain Old Balloon Angioplasty 117 Focal Force Balloons for Optimal Lumen Gain 120 Drug-Coated Balloons 120 Atherectomy 121 Laser 121 Excimer Laser Use Steps 122 Rotational Atherectomy 123 Rotational Atherectomy Steps 124 Directional Atherectomy 124 Orbital Atherectomy 126 Embolic Protection 127 Troubleshooting Embolic Protection Devices 130 Troubleshooting a Full Filter 130 Distal Embolization or No Reflow 130 Stenting for Femoropopliteal Disease 131 Bare-Metal Stents 131 Drug-Eluting Stents (DES) 131 Alternative Stent Technologies 132 Covered Stents 132 Tacks 132 Final Efficacy Assessment 132 Conclusions 132 Acknowledgments 133 References 133 10 Tibial Interventions in Patients with Critical Limb- Threatening Ischemia 138 Raman Sharma, Roberto Cerrud- Rodriguez, and Prakash Krishnan Introduction 138 Indications and Goals of Endovascular Revascularization 138 Considerations for Access Site 139 Single Versus Multitibial Artery Revascularization 140 Antegrade Tibial Artery Intervention 141 Retrograde Access for Retrograde Lesion Crossing and Wire Externalization with Antegrade Revascularization 143 TAMI Retrograde Revascularization 144 Reentry and Externalization Devices 146 Deep Venous Arterialization (DVA) 146 References 147 11 Acute Limb Ischemia: Endovascular Approach 151 Shunsuke Aoi and Amit M. Kakkar Introduction 151 Procedure Planning, Equipment, and Considerations 151 References 161 12 Pedal Reconstruction 162 Ehrin Armstrong and Rory Brinker Introduction 162 Pedal Arch Reconstruction 162 Indications for Pedal Revascularization 166 Technical Considerations 166 Access 166 Lesion Crossing 167 CTO Lesion Subtype 167 Special Considerations of the Pedal Intervention 167 Troubleshooting 169 Summary 169 References 173 13 Endovascular Management of Access Site Complications 175 Manaf Assafin, Robert Pyo, Pedro Cox- Alomar, and Miguel Alvarez- Villela Introduction 175 Complications Related to Common Femoral Artery Access 176 Access Site Bleeding 176 Crossover Technique 179 Balloon Tamponade, Endovascular Coiling, and Covered Stent Placement 179 Femoral Pseudoaneurysms 180 Ultrasound-Guided Compression Repair 182 Ultrasound-Guided Thrombin Injection 183 Covered Stent Placement 184 Other Techniques 184 Arteriovenous Fistulas 185 Vascular Closure Device Related Complications 186 Radial Artery Related Complications 187 Radial Artery Spasm 188 Radial Artery Occlusion 189 Bleeding Complications 190 References 191 14 Acute Deep Vein Thrombosis 196 Vishal Kapur and Sagar Goyal Introduction 196 Treatment Strategy 197 Initial and Long-Term Treatment of VTE 200 Oral Anticoagulants 200 Thrombolysis 200 Vena Cava Filters 201 Compression Stockings 202 Cancer-Associated VTE 202 Isolated Distal DVT 202 Extended Treatment 202 Unprovoked VTE 202 Oral Anticoagulants 203 Conclusion 203 References 204 15 Lower- Extremity Venous Stenting 207 Asma Khaliq, Sandrine Labrune, and Cristina Sanina Introduction 207 Follow-Up 213 References 214 16 Intervention for Pulmonary Embolism 215 Seth I. Sokol, Wissam A. Jaber, and Yosef Golowa Introduction 215 Pulmonary Angiography 215 Vascular Access 215 Injection and X-Ray Detector Positioning 216 Catheter-Directed Thrombolysis 216 EKOS Catheter-Directed Thrombolysis 216 Preparation of System 217 Access 218 Mechanical Disruption 220 Catheter Fragmentation of Clot 220 Large Catheter Aspiration 220 FlowTriever 220 Access 221 Penumbra 225 AngioVac 227 Patient Selection and Central Venous Access 227 AngioVac Circuit Setup and Thrombus Aspiration 229 AngioVac for Pulmonary Embolus 231 AngioVac for Clot-in-Transit 232 AngioVac for Right Heart Vegetation 232 Patient Selection and Approach 232 Technique 233 References 234 17 Catheter- Based Therapy for Varicose Veins 236 Juan Terre and Nelson Chavarria Introduction 236 Thermal Techniques 236 Radiofrequency (RF) Ablation 237 Follow-Up 239 Endovenous Laser Ablation (EVLA) 239 Nonthermal Techniques 240 Mechanico-Chemical Ablation (MOCA) 241 Limitations 242 Summary 243 References 243 Index 245
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