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Endovascular Surgery E-Book

Endovascular Surgery E-Book

Wesley S. Moore

(2010)

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Book Details

Abstract

In the 4th edition of Endovascular Surgery, Drs. Wesley S. Moore, Samuel S. Ahn, and a host of experts guide you through the latest developments in this innovative field. New procedures and special features, such as key points and case reviews, help illustrate effective patient care, and new topics such as endoscopic management of aneurismal disease and traumatic injuries review with you the latest endovascular surgical techniques.

  • Review basic principles and new techniques, and follow a practical, problem-solving approach to help address challenging areas.
  • Gain greater detail and depth than other current texts, as well as fresh perspectives with contributions from new authors.
  • Broaden your surgical skills with new chapters on endoscopic management of aneurismal disease and traumatic injuries, and review a valuable new section covering the TIPS Procedure for Portal Hypertension, Anesthetic Management for Endovascular Procedures, the Use of Coil Embolization in Endovascular Surgery, and more.
  • See case presentations from the author’s own review course to help you apply key information to real clinical situations.

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
ENDOVASCULAR SURGERY iii
Copyright\r iv
Contributors v
Preface xv
Contents xvii
Section I General Principles\r 1
Chapter 1 The Concept of Endovascular Surgery 3
References 4
Chapter 2 Preparing the Endovascular Operating Room Suite 5
THE ENDOVASCULAR OPERATING ROOM 5
IMAGE ACQUISITION AND DISPLAY 10
ANCILLARY EQUIPMENT 11
STOCKING THE ENDOVASCULAR OPERATING ROOM 13
ENDOVASCULAR SUITE PERSONNEL 18
COST CONSIDERATIONS 18
CONCLUSION 19
References 19
Chapter 3 Training and Credentialing 21
ENDOVASCULAR PHYSICIANS 21
NATIONAL GUIDELINES FOR PHYSICIAN CREDENTIALING 22
SPECIALTY GUIDELINES FOR PHYSICIAN CREDENTIALING 22
CREDENTIALING DOCUMENTS FOR GENERAL PERIPHERAL INTERVENTIONS 23
CREDENTIALING DOCUMENTS FOR SPECIFIC PERIPHERAL INTERVENTIONS 24
References 26
Chapter 4 Radiation Physics and Radiation Safety 27
CELLULAR EFFECTS 27
SOMATIC EFFECTS 29
OTHER SOMATIC EFFECTS 33
GENETIC EFFECTS 34
OTHER SOURCES OF RADIATION 34
MEDICAL USE OF RADIATION 36
RECOMMENDATIONS 36
RADIATION SAFETY LIMITS 37
DOSE LIMITS 37
PERSONNEL MONITORING 38
LIMITS FOR X-RAY EQUIPMENT 38
SHIELDING DESIGNS 38
PRACTICAL ISSUES IN RADIATION SAFETY 38
CONCLUSION 39
Chapter 5 Reducing Radiation Exposure During Endovascular Procedures 41
BIOLOGIC EFFECTS OF RADIATION 41
UNITS OF MEASUREMENT 41
ROLE OF EXPERIENCE 41
SPECIFIC RECOMMENDATIONS 42
SUMMARY 46
References 46
Chapter 6 Arterial Access 49
SELECTING THE ACCESS SITE 49
THE SELDINGER TECHNIQUE 50
GUIDEWIRES AND SHEATHS 51
FOUR ESSENTIAL TECHNIQUES 53
Antegrade Femoral Puncture 53
COMPLICATIONS 57
COMMENT 57
Chapter 7 Guidewires, Catheters, and Sheaths 59
GUIDEWIRES 59
EMBOLIC PROTECTION WIRES 61
CATHETERS 63
SHEATHS 66
SUMMARY 69
Online References 69
Bibliography 69
Chapter 8 Balloon Angioplasty Catheters 71
STRUCTURE OF BALLOON ANGIOPLASTY CATHETERS 71
FUNCTION OF BALLOON ANGIOPLASTY CATHETERS 72
MECHANISM OF REVASCULARIZATION WITH BALLOON ANGIOPLASTY 73
MECHANISM OF BALLOON DILATATION 73
THE PERFECT ANGIOPLASTY CATHETER 73
CURRENT PRACTICE OF BALLOON ANGIOPLASTY 74
ADDITIONAL BALLOON ANGIOPLASTY MODALITIES 75
TECHNIQUE OF BALLOON ANGIOPLASTY 75
References 79
Chapter 9 Peripheral Atherectomy 81
HISTORY 81
ATHERECTOMY DEVICES 81
INDICATIONS 81
SILVERHAWK PLAQUE EXCISION SYSTEM 82
DIAMONDBACK 360 ORBITAL ATHERECTOMY SYSTEM 85
CVX-300 EXCIMER LASER 85
PATHWAY PV ATHERECTOMY SYSTEM 86
CONCLUSION 87
References 87
Chapter 10 Vascular Stents 89
STENT CLASSIFICATION 89
INDICATIONS FOR STENTS 101
CONTRAINDICATIONS 101
MECHANICAL PROPERTIES OF VASCULAR STENTS 102
BIOLOGIC RESPONSE TO INTRAVASCULAR STENT PLACEMENT 103
STENT-RELATED COMPLICATIONS 104
CONCLUSION 104
References 104
Chapter 11 Laser Atherectomy 107
LASER PHYSICS 107
HISTORY OF LASERS IN VASCULAR MEDICINE 108
LASER-TISSUE INTERACTIONS AND THE XENON CHLORIDE EXCIMER LASER 109
CASE SELECTION 110
LASING TECHNIQUES 110
COMPLICATIONS 112
CURRENT LITERATURE 112
CURRENT LIMITATIONS, FUTURE APPLICATIONS 113
CONCLUSION 113
References 114
Chapter 12 Percutaneous Thrombectomy and Mechanical Thrombolysis Catheters 117
HISTORY OF THROMBECTOMY DEVICES 117
CLASSIFICATION OF PERCUTANEOUS MECHANICAL THROMBECTOMY DEVICES 118
PULL-BACK THROMBECTOMY AND TRAPPING CATHETERS 118
RECIRCULATION MECHANICAL THROMBECTOMY CATHETERS 119
NONRECIRCULATION MECHANICAL THROMBECTOMY CATHETERS 123
ULTRASONIC ENERGY SYSTEMS 125
CONCLUSION 126
References 126
Chapter 13 Principles of Thrombolysis 129
THROMBOLYTIC THERAPY 130
CLASSIFICATION OF THROMBOLYTIC AGENTS 130
CLINICAL TRIAL DATA 133
COMPLICATIONS OF REGIONAL LYTIC THERAPY 133
PATIENT MANAGEMENT AND TECHNICAL CONSIDERATIONS 134
References 136
Chapter 14 Arterial Closure Devices 139
MANUAL COMPRESSION VERSUS ARTERIAL CLOSURE DEVICE 139
ARTERIAL CLOSURE DEVICES 140
CONCLUSION 147
References 147
Section II Imaging\r 149
Chapter 15 Duplex Ultrasonography 151
EXAMINATIONS 151
APPLICATIONS 152
NEW DIRECTIONS 154
References 154
Chapter 16 Vascular Laboratory Surveillance After Arterial Intervention 157
SURVEILLANCE AFTER LOWER-LIMB ENDOVASCULAR INTERVENTION 161
References 164
Chapter 17 Computed Tomographic Scanning 165
TECHNICAL CONSIDERATIONS 166
CLINICAL CONSIDERATIONS 169
IMAGING PROTOCOLS 176
MAGNETIC RESONANCE ANGIOGRAPHY 177
SUMMARY 177
Acknowledgments 177
References 177
Chapter 18 Computed Tomographic Angiography in Peripheral Arterial Occlusive Disease 179
HISTORY 180
TECHNICAL NOTES 181
CAPABILITIES OF MULTIDETECTOR SCANNERS 181
ACQUISITION PROTOCOLS 182
VIEWING 183
COMPARISONS BETWEEN MODALITIES 189
OTHER ISSUES 193
CONCLUSION 193
References 193
Chapter 19 Magnetic Resonance Imaging and Angiography 195
MAGNETIC RESONANCE IMAGING TECHNIQUE 195
MAGNETIC RESONANCE ANGIOGRAPHY AND MAGNETIC RESONANCE VENOGRAPHY 195
CLINICAL APPLICATIONS OF MAGNETIC RESONANCE ANGIOGRAPHY 196
LIMITATIONS OF MAGNETIC RESONANCE 201
CONTRAINDICATIONS TO MAGNETIC RESONANCE IMAGING 203
NEW ADVANCES IN MAGNETIC RESONANCE TECHNOLOGY 204
SUMMARY 205
References 205
Chapter 20 Angiography 209
ALTERNATIVES TO STANDARD CONTRAST ARTERIOGRAPHY 209
CONTRAST ANGIOGRAPHY IN PERIPHERAL VASCULAR DISEASE 210
RADIATION SAFETY 223
FIXED VERSUS PORTABLE EQUIPMENT 223
References 224
Chapter 21 Intravascular Ultrasound 227
IVUS IMAGING SYSTEMS 227
CATHETER TECHNIQUES 228
IMAGE INTERPRETATION 229
APPLICATION IN ENDOVASCULAR INTERVENTIONS 230
References 238
Chapter 22 Duplex-Guided Infrainguinal Interventions 239
INFRAINGUINAL ARTERIAL ANGIOPLASTIES 239
DUPLEX –GUIDED ANGIOPLASTY OF INFRAINGUINAL ARTERIAL BYPASS GRAFTS 242
DUPLEX-GUIDED ANGIOPLASTY OF FAILING OR NONMATURING ARTERIOVENOUS FISTULAS 244
DUPLEX-ASSISTED INTERNAL CAROTID ARTERY ANGIOPLASTY 246
CONCLUSION 248
References 248
Section III Aortoiliac Arterial Occlusive Disease\r 251
Chapter 23 Thrombolysis in Aortoiliac Arterial Occlusive Disease 253
BRIEF HISTORY OF THROMBOLYSIS 253
THE MECHANISM OF THROMBOLYSIS 253
THROMBOLYTIC AGENTS 254
INDICATIONS FOR THROMBOLYSIS IN THE AORTOILIAC SEGMENT 254
PATIENT MANAGEMENT 255
TECHNIQUES FOR ADMINSTERING LYTIC AGENTS 255
PATIENT MONITORING 256
ILLUSTRATIVE CASE EXAMPLES 256
DISCUSSION 256
CONCLUSION 258
References 259
Chapter 24 Balloon Angioplasty in Aortoiliac Arterial Occlusive Disease 261
INDICATIONS 261
ASSESSMENT 262
TECHNIQUE 263
PATHOPHYSIOLOGY AND GENERAL PRINCIPLES OF BALLOON ANGIOPLASTY 264
OUTCOMES 265
OTHER ANGIOPLASTY-RELATED TECHNIQUES 267
COMPLICATIONS 267
CONCLUSION 268
References 268
Chapter 25 Intravascular Stenting in Aortoiliac Arterial Occlusive Disease 271
INDICATIONS 272
TECHNIQUE AND STENT SELECTION 273
VESSEL REACTION TO STENTING 276
OUTCOMES 277
IN-STENT RESTENOSIS 278
MAGNETIC RESONANCE IMAGING COMPATIBILITY 278
SPECIAL CIRCUMSTANCES 279
COMPLICATIONS 279
CONCLUSION 281
References 281
Chapter 26 Endovascular Grafting in Aortoiliac Arterial Occlusive Disease 285
STENT GRAFTS: HISTORICAL PERSPECTIVES AND DEVICES 285
METHODS 286
RESULTS 287
THE USE OF STENT GRAFTS AS CONDUITS FOR ENDOVASCULAR ANEURYSM REPAIR 288
SUMMARY 290
References 290
Chapter 27 Complications Associated With Endovascular Management of Aortoiliac Arterial Occlusive Disease 293
ARTERIAL WALL DISSECTION 293
ACUTE ARTERIAL THROMBOSIS 294
DISTAL ARTERIAL EMBOLIZATION 294
ARTERIAL PERFORATION 295
INFECTION 296
OTHER ASSOCIATED COMPLICATIONS 297
CONCLUSION 297
References 297
Section IV Infrainguinal Arterial Occlusive Disease\r 299
Chapter 28 Balloon Angioplasty and Stenting for Femoral-Popliteal Occlusive Disease 301
ROLE OF ENDOVASCULAR THERAPY 301
EVALUATION OF PATIENTS WITH FEMOROPOPLITEAL OCCLUSIVE DISEASE 302
TECHNIQUE OF SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY AND STENTING 302
OUTCOMES AFTER BALLOON ANGIOPLASTY AND STENTING 305
CONCLUSION 307
References 307
Chapter 29 Peripheral Arterial Atherectomy for Infrainguinal Arterial Occlusive Disease 309
ENDOVASCULAR PROCEDURES FOR FEMOROPOPLITEAL AND INFRAPOPLITEAL DISEASE 309
PERIPHERAL ARTERIAL ATHERECTOMY 310
CURRENT ATHERECTOMY METHODS 312
CONCLUSION 316
References 316
Chapter 30 Endarterectomy in Infrainguinal Arterial Occlusive Disease 319
REMOTE ENDARTERECTOMY 319
SURVEILLANCE AND MEDICATION 321
FUTURE PERSPECTIVES 322
SUMMARY 322
References 322
Chapter 31 Stent Grafting for Infrainguinal Arterial Occlusive Disease 325
RATIONALE AND IMPORTANT CONSIDERATIONS REGARDING STENT GRAFT USE 325
TECHNIQUE OF INFRAINGUINAL STENT GRAFTING 326
RESULTS OF INFRAINGUINAL STENT GRAFTING FOR OCCLUSIVE DISEASE 328
CONCLUSION 331
References 331
Chapter 32 Endovascular Management of Infrapopliteal Occlusive Disease 333
APPROACHES FOR TREATMENT OF INFRAPOPLITEAL ARTERIAL OCCLUSIVE DISEASE 334
TREATMENT OUTCOMES: OPEN BYPASS VERSUS ENDOVASCULAR THERAPY 334
PATIENT SELECTION AND TECHNICAL CONSIDERATIONS 336
References 340
Chapter 33 Complications and Their Management After Endovascular Intervention in Infrainguinal Arterial Occlusive Disease 341
ACCESS COMPLICATIONS 341
COMPLICATIONS CROSSING LESIONS 348
COMPLICATIONS OF TREATING LESIONS 348
COMPLICATIONS OF STENT PLACEMENT 350
SYSTEMIC COMPLICATIONS 352
COMPLICATIONS AT CLOSURE 353
LATE COMPLICATIONS 354
References 355
Section V Visceral Arterial Occlusive Disease\r 357
Chapter 34 Endovascular Treatment of Renovascular Disease 359
NATURAL HISTORY 359
DIAGNOSIS 359
IMAGING STUDIES 360
ENDOVASCULAR MANAGEMENT 361
RESULTS 363
SUMMARY 365
References 365
Chapter 35 Mesenteric Syndromes 367
VASCULAR ANATOMY 367
FORMS OF MESENTERIC ISCHEMIA 368
DIAGNOSIS 370
ENDOVASCULAR THERAPY 372
OUTCOMES 379
FOLLOW-UP AND MONITORING 381
COMPARISON OF ENDOVASCULAR THERAPY AND OPEN REPAIR 381
CONCLUSION 382
References 383
Section VI Supra-Aortic Trunk Disorders\r 385
Chapter 36 Subclavian and Vertebral Arteries: Angioplasty and Stents 387
INDICATIONS FOR INTERVENTION 387
ENDOVASCULAR TREATMENT STRATEGY 388
ENDOVASCULAR RESULTS AND SURVEILLANCE 390
CONCLUSION 391
References 391
Chapter 37 Innominate and Common Carotid Arteries: Angioplasty and Stents 393
EVOLUTION OF THERAPY FOR LESIONS OF THE SUPRA-AORTIC TRUNK VESSELS 393
INNOMINATE ARTERY 394
COMMON CAROTID ARTERY 400
References 402
Chapter 38 Carotid Bifurcation Stented Balloon Angioplasty With Cerebral Protection 405
TECHNIQUE: CAROTID ANGIOPLASTY AND STENTING WITH DISTAL PROTECTION 405
CEREBRAL PROTECTION DEVICES 411
RESULTS OF CAROTID STENTING 413
CONCLUSION 417
References 418
Chapter 39 Complication Management in Carotid Stenting 421
SELECTING THE APPROPRIATE PATIENT FOR CAS 421
COMPLICATION MINIMIZATION AND MANAGEMENT 422
ILLUSTRATIVE CASE 425
SUMMARY 429
References 429
Section VII Vascular Graft Thrombosis\r 431
Chapter 40 Aortoiliac Graft Limb Occlusion: Thrombolysis, Mechanical Thrombectomy 433
PRESENTATION 433
TREATMENT 434
THROMBOLYSIS 434
PERCUTANEOUS MECHANICAL THROMBECTOMY 435
References 437
Chapter 41 Femoral-Popliteal-Tibial Graft Occlusion: Thrombolysis, Angioplasty, Atherectomy, and Stent 439
A ROLE FOR THROMBOLYSIS 440
A ROLE FOR ANGIOPLASTY 441
A ROLE FOR ATHERECTOMY 442
A ROLE FOR STENTING 443
SUMMARY 443
References 444
Chapter 42 Brachiocephalic Graft Occlusion 447
DIAGNOSIS 447
ENDOVASCULAR INTERVENTIONS 448
AUGMENTING MANEUVERS 452
RESULTS 452
References 453
Section VIII Aneurysmal Disease and Traumatic Injuries\r 455
Chapter 43 Endovascular Repair of Thoracic Aortic Aneurysms 457
DESCRIPTION OF DEVICES 457
PLANNING AND DEPLOYMENT 460
RESULTS 462
DISCUSSION 465
References 465
Chapter 44 Endovascular Repair of Abdominal Aortic Aneurysm 467
BACKGROUND 467
ENDOGRAFT CONCEPTS 468
PATIENT SELECTION 468
GRAFT PLACEMENT 470
CURRENTLY APPROVED ENDOGRAFTS 471
COMPLICATIONS OF ENDOGRAFT REPAIR 473
ENDOLEAK 474
CONCLUSION 476
References 476
Chapter 45 Endovascular Repair of Ruptured Abdominal Aortic Aneurysms 479
OBSTACLES TO USE OF ENDOVASCULAR GRAFTS IN THE RUPTURED ANEURYSM SETTING 479
SUITABLE ENDOGRAFTS FOR ENDOVASCULAR REPAIR IN THE RUPTURED ABDOMINAL AORTIC ANEURYSM SETTING 479
EARLY EXPERIENCE WITH ENDOVASCULAR TREATMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS 480
HYPOTHESIS REGARDING ENDOVASCULAR TREATMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS AND CURRENT MANAGEMENT PLAN 481
CONTROL OF BLEEDING AND BLOOD PRESSURE: RESTRICTED RESUSCITATION, HYPOTENSIVE HEMOSTASIS, AND PROXIMAL BALLOON CONTROL 481
PROXIMAL BALLOON CONTROL 482
EXPERIENCE WITH ENDOVASCULAR TREATMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS 482
COLLECTED WORLD EXPERIENCE WITH ENDOVASCULAR GRAFT TREATMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS 483
ADVANTAGES OF ENDOVASCULAR TREATMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS 483
DISCUSSION 485
References 485
Chapter 46 Iliac Artery Aneurysms 487
ETIOLOGY 487
PRESENTATION AND EVALUATION 487
TREATMENT 488
TREATMENT COMPLICATIONS 491
FUTURE DEVICES 493
CONCLUSION 493
References 493
Chapter 47 Endovascular Management of Anastomotic Aneurysms 497
INCIDENCE 497
NATURAL HISTORY 497
ETIOLOGY 497
TRADITIONAL OPERATIVE MANAGEMENT 497
ENDOVASCULAR TREATMENT 498
TECHNICAL CHALLENGES TO ENDOVASCULAR TECHNIQUES 498
Partial 497
Total 497
ENDOGRAFTS FOR FEMORAL ANASTOMOTIC ANEURYSMS 502
CONCLUSION 503
References 504
Chapter 48 Endovascular Treatment of Vascular Injuries 505
CAROTID ARTERY INJURIES 506
THORACIC AORTIC INJURIES 506
ABDOMINAL AND PELVIS INJURIES 512
UPPER-EXTREMITY INJURIES 514
LOWER-EXTREMITY INJURIES 516
CONCLUSION 517
References 517
Chapter 49 Endovascular Treatment of Visceral Artery Aneurysms 521
SPLENIC ARTERY ANEURYSM 521
HEPATIC ARTERY ANEURYSM 523
CELIAC ARTERY ANEURYSM 524
SUPERIOR MESENTERIC ARTERY ANEURYSM 524
GASTRODUODENAL/PANCREATICODUODENAL ARTERY ANEURYSMS 524
RENAL ARTERY ANEURYSMS 525
INFERIOR MESENTERIC ARTERY ANEURYSM 525
CONCLUSION 526
References 526
Chapter 50 Endovascular Management of Popliteal Aneurysms 529
ANATOMY, EPIDEMIOLOGY, AND NATURAL HISTORY 529
OPEN SURGICAL THERAPY: INDICATIONS AND RESULTS 530
CATHETER-DIRECTED THROMBOLYSIS 530
ENDOVASCULAR REPAIR OF POPLITEAL ANEURYSMS 531
POSTPROCEDURE MANAGEMENT 533
CONCLUSION 533
References 533
Chapter 51 Combined Endovascular and Surgical Approach to Thoracoabdominal Aortic Pathology 535
HISTORY 535
PATIENT SELECTION 537
PREOPERATIVE EVALUATION AND PREPARATION 538
SINGLE- VERSUS TWO-STAGE PROCEDURE 539
DEBRANCHING: EXTRA-ANATOMIC BYPASSES 540
COMPLICATIONS 546
LONG-TERM MANAGEMENT 547
RESULTS 548
CONCLUSION 550
References 550
Chapter 52 Endovascular Repair of Abdominal Aortic Aneurysm Using Fenestrated Grafts 553
EVOLUTION AND DESIGN 553
PLANNING AND SIZING 554
PERIOPERATIVE DETAIL 554
EVIDENCE AND EXPERIENCE 556
FUTURE DIRECTIONS 558
References 558
Chapter 53 Repair of Thoracoabdominal Aortic Aneurysms Using Branched Endografts 559
FENESTRATED BRANCHED STENT GRAFTS 559
CUFFED BRANCHED STENT GRAFTS 560
STAGED REPAIR 562
MEASURES TO PREVENT PARAPLEGIA 563
PATIENT SELECTION 564
CONCLUSION 565
References 565
Chapter 54 Endovascular Repair of Acute and Chronic Thoracic Aortic Dissections 567
CLASSIFICATION 567
NATURAL HISTORY AND CONVENTIONAL MANAGEMENT 568
CURRENT INDICATIONS FOR INVASIVE MANAGEMENT OF DESCENDING AORTIC DISSECTIONS 569
PRINCIPLES OF ENDOGRAFT TREATMENT 570
TECHNICAL ASPECTS 571
COMPLICATIONS 575
AUTHOR’S PERSPECTIVE: DISSECTIONS ARE NOT ANEURYSMS 576
CONCLUSION 578
References 578
Chapter 55 Endovascular Repair of Aortic Arch Aneurysm Using Supra-Aortic Trunk Debranching 579
OPEN SURGERY 579
DEVELOPMENT OF ENDOGRAFTS FOR THE THORACIC AORTA 580
ANATOMIC LANDING ZONES 580
HYBRID SURGICAL TECHNIQUES 580
CASE ILLUSTRATIONS 582
INSTITUTIONAL EXPERIENCE WITH THORACIC DEBRANCHING 583
DISCUSSION 583
FUTURE DEVELOPMENTS IN AORTIC ARCH ENDOGRAFTING 584
CONCLUSION 585
References 585
Chapter 56 Management of Complications After Endovascular Abdominal Aortic Aneurysm Repair 587
ENDOVASCULAR ANEURYSM REPAIR COMPLICATIONS 587
CONCLUSION 596
References 596
Section IX Dialysis Access Salvage\r 599
Chapter 57 Duplex Ultrasound Surveillance of Dialysis Access Function 601
ACCESS SURVEILLANCE METHODS 602
APPLICATION OF DUPLEX SURVEILLANCE 609
References 611
Chapter 58 Percutaneous Thrombectomy Devices in Thrombosed Dialysis Access 613
SUGGESTIONS 615
DEVICES 616
TECHNIQUE 618
COMPLICATIONS 621
COMMENTS 621
References 622
Chapter 59 Thrombolysis in Dialysis Access Salvage 625
CONTRAINDICATIONS 625
TECHNIQUE 625
SYNTHETIC GRAFTS 625
POSTPROCEDURE MANAGEMENT 627
COMPLICATIONS 627
RESULTS 627
References 627
Chapter 60 Clinical Decision Making and Hemodialysis Graft Thrombosis 629
DIALYSIS ACCESS FAILURE 629
PRESENTATIONS AND CLINICAL CONSIDERATIONS 630
GOALS OF ENDOVASCULAR THERAPY FOR OCCLUDED ARTERIOVENOUS ACCESS 632
CLINICAL OUTCOMES: ENDOVASCULAR DIALYSIS INTERVENTIONS 635
FUTURE DIRECTIONS 638
Angioplasty and Covered Stent 638
SUMMARY 638
References 638
Chapter 61 Central Venous Catheter Malfunction 641
MODALITIES OF FAILURE 641
CAUSES OF CATHETER MALFUNCTION 641
CATHETER POSITION 642
CATHETER THROMBOSIS 644
SUMMARY 648
References 648
Section X Venous Disease\r 651
Chapter 62 Catheter-Directed Thrombolysis for Lower-Extremity Acute Deep Venous Thrombosis 653
POSTTHROMBOTIC MORBIDITY 653
CURRENT RATIONALE FOR CATHETER-DIRECTED THROMBOLYTIC THERAPY 654
CATHETER-DIRECTED THROMBOLYSIS 655
PHARMACOMECHANICAL THROMBOLYSIS 658
SUMMARY 661
References 661
Chapter 63 Inferior Vena Cava Filter Placement 663
PRIMARY INDICATIONS FOR INFERIOR VENA CAVA FILTER 663
THE EVOLUTION OF CAVAL INTERRUPTION 663
INTRALUMINAL FILTERS IN USE TODAY 664
TECHNIQUE 666
AFTER THE PROCEDURE 667
CONCLUSION 667
References 668
Chapter 64 Pulmonary Thrombolysis 669
NATURAL HISTORY OF PULMONARY EMBOLISM 669
EARLY CLINICAL TRIALS 670
LONG-TERM FOLLOW-UP 670
CONTEMPORARY TRIALS OF THROMBOLYTIC THERAPY FOR PULMONARY EMBOLISM 670
SUMMARY 675
References 676
Chapter 65 Axillosubclavian Vein Thrombectomy, Thrombolysis, and Angioplasty 679
PAGET-SCHROETTER SYNDROME 679
SECONDARY AXILLOSUBCLAVIAN VEIN THROMBOSIS 682
References 685
Chapter 66 Catheter-Directed Therapy of Superior Vena Cava Syndrome 687
THERAPEUTIC OPTIONS FOR SUPERIOR VENA CAVA SYNDROME 687
RESULTS OF ENDOVASCULAR INTERVENTION 688
TECHNICAL CONSIDERATIONS FOR ENDOVASCULAR THERAPY 689
SUMMARY 692
References 693
Chapter 67 Iliofemoral and Inferior Vena Cava Stenting in Chronic Venous Insufficiency 695
PATHOLOGY OF ILIAC VEIN OBSTRUCTION 695
INDICATIONS FOR INTRAVENOUS ULTRASOUND AND STENT PLACEMENT 697
CLINICAL ASSESSMENT 698
DIAGNOSIS 698
TECHNIQUE OF ILIAC VEIN STENTING 699
RECANALIZATION OF OCCLUDED ILIOCAVAL VEINS 701
SPECIAL TECHNIQUES 703
POSTOPERATIVE ANTICOAGULATION AND STENT SURVEILLANCE 703
OUTCOME 703
OBSTRUCTIONS OF THE INFERIOR VENA CAVA 705
References 706
Chapter 68 Endovascular Ablation of Veins 707
RADIOFREQUENCY ABLATION 707
RADIOFREQUENCY ABLATION OF THE GREAT SAPHENOUS VEIN 708
RADIOFREQUENCY ABLATION OF THE LESSER SAPHENOUS AND PERFORATOR VEINS 709
ENDOVENOUS LASER ABLATION 710
TECHNIQUE OF ENDOVENOUS LASER THERAPY 710
OUTCOMES OF ENDOLUMINAL THERAPY 711
ENDOLUMINAL VERSUS SURGICAL THERAPY 711
COMPARING ENDOVENOUS LASER THERAPY AND RADIOFREQUENCY ABLATION 711
CONCLUSION 712
References 713
Chapter 69 Endoscopic and Percutaneous Techniques for Treatment of Incompetent Perforators 715
SURGICAL ANATOMY 715
RATIONALE FOR TREATMENT 717
PREOPERATIVE EVALUATION 718
TREATMENT OPTIONS 718
CONCLUSION 723
References 723
Section XI Endoscopic Vascular Surgery\r 725
Chapter 70 Thoracoscopic Dorsal Sympathectomy 727
PREOPERATIVE EVALUATION 727
SURGICAL TECHNIQUES 727
POSTOPERATIVE CARE 729
COMPLICATIONS 729
RESULTS 731
SUMMARY 734
References 734
Chapter 71 Laparoscopic Aortic Surgery 737
LAPAROSCOPIC LIGATION OF LUMBAR AND INFERIOR MESENTERIC ARTERIES AS A TREATMENT METHOD FOR TYPE II ENDOLEAK 737
LAPAROSCOPY-ASSISTED AORTOILIAC SURGERY 739
TOTALLY LAPAROSCOPIC AORTOILIAC SURGERY 739
ROBOT-ASSISTED, TOTALLY LAPAROSCOPIC AORTOILIAC SURGERY 740
HYBRID PROCEDURES 742
REVIEW OF CLINICAL STUDIES REPORTING ON LAPAROSCOPIC SURGERY PERFORMED FOR AORTOILIAC DISEASE 742
DISCUSSION 743
References 744
Chapter 72 Endoscopic Vein Harvest 745
TECHNIQUES 745
RESULTS 747
COMPLICATIONS OF ENDOSCOPIC VEIN HARVEST 748
CONCLUSION 749
References 749
Section XII Miscellaneous Endovascular Techniques\r 751
Chapter 73 The Transjugular Intrahepatic Portosystemic Shunt Procedure for Portal Hypertension 753
INDICATIONS 753
CONTRAINDICATION 754
PREPROCEDURE WORKUP 754
TECHNIQUE FOR TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT 755
POSTPROCEDURE CARE AND FOLLOW-UP 757
TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT STENOSIS/THROMBOSIS 757
COMPLICATIONS 757
CONCLUSION 758
References 758
Chapter 74 Anesthetic Management for Endovascular Procedures 761
HEMODYNAMICS 761
CARDIAC 762
THORACIC 763
RENAL 764
PRIOR ANESTHETICS 765
ALLERGIES (PARTICULARLY CONTRAST-INDUCED) 765
PREOPERATIVE MEDICATIONS 765
ANESTHETIC OPTIONS 766
MENTAL FUNCTION 767
References 767
Chapter 75 The Use of Embolization Techniques in Endovascular Surgery 769
EMBOLIC MATERIALS 769
TECHNICAL ISSUES IN EMBOLIZATION PROCEDURES 771
EMBOLIZATION OF SPECIFIC LESIONS IN THE PERIPHERAL VASCULATURE 772
CONCLUSION 778
References 778
Chapter 76 Cell Therapy Strategies to Treat Chronic Limb-Threatening Ischemia 779
The Progenitor Cell 779
Neovascularization 779
The Influence of Age and Disease 780
Angiogenesis Strategies 780
Boosting the Circulating Progenitor Cell Population: Ischemic Limb Animal Data 783
Boosting the Circulating Progenitor Cell Population: Ischemic Limb Clinical Trials 784
Conclusion 794
REFERENCES 795
Chapter 77 Billing and Coding in an Endovascular Practice 799
DIAGNOSIS CODING 799
PROCEDURAL CODING 799
CATHETER MANIPULATION 800
IMAGING 801
ENDOVASCULAR INTERVENTION 802
INTERVENTIONAL CODING DESCRIPTIONS 802
ADDITIONAL BILLING ISSUES 804
SUMMARY 805
References 805
Chapter 78 Pharmacologic Adjuncts to Endovascular Procedures 807
ANTIPLATELET DRUGS 807
ANTICOAGULANT DRUGS 809
VASODILATOR THERAPY 811
THROMBOLYTIC THERAPY 811
MANAGEMENT OF PATIENTS RECEIVING ANTIPLATELET DRUGS AND/OR ANTICOAGULATION BEFORE AN ENDOVASCULAR PROCEDURE 811
POSTPROCEDURE OPTIONS FOR ANTIPLATELET DRUGS AND ANTICOAGULATION 813
References 813
Index 815