BOOK
Endovascular Treatment of Aortic Aneurysms
Konstantinos P. Donas | Giovanni Torsello | Ken Ouriel
(2018)
Additional Information
Book Details
Abstract
Focusing on the latest safe and effective techniques, Endovascular Treatment of Aortic Aneurysms: Standard and Advanced Techniques provides step-by-step, comprehensive coverage of endovascular repairs of complex aneurysms of the aorta, from basic to advanced.
- Explains how to perform the techniques in a step-by-step manner, using high-quality images and practical tips and tricks to optimize results.
- Contains chapters devoted to the repair of leaks that may occur after a repair and the best ways to minimize radiation exposure.
- Presents information in a consistent, standardized format: introduction, indications for the technique, how to perform the technique, complications and techniques for rescue, and concluding thoughts.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Endovascular Treatment of Aortic Aneurysms | i | ||
Endovascular Treatment of Aortic Aneurysms: Standard and Advanced Techniques | iii | ||
Copyright | iv | ||
Dedication | v | ||
List of Contributors | vii | ||
Foreword | ix | ||
Preface | xi | ||
Contents | xiii | ||
I - INFRARENAL AORTIC ANEURYSMS: STANDARD ENDOVASCULAR ANEURYSM REPAIR1 | 1 | ||
1 - The Percutaneous Approach of Endovascular Aortic Aneurysm Repair | 1 | ||
PRECLOSE TECHNIQUE | 1 | ||
LITERATURE REVIEW | 2 | ||
SUMMARY | 3 | ||
REFERENCES | 4 | ||
2 - The Standard Endovascular Aneurysm Repair Procedure | 5 | ||
PROCEDURAL STEPS | 5 | ||
PROCEDURAL ISSUES | 5 | ||
Some challenging and technically demanding issues can arise during EVAR. Challenging Access | 5 | ||
Challenging Neck: the Angulated Aortic Neck | 6 | ||
Severe Pararenal Thrombus Formation | 7 | ||
LITERATURE REVIEW | 7 | ||
REFERENCES | 9 | ||
3 - Use of EndoAnchors in Endovascular Treatment of Aneurysms with Short Neck | 11 | ||
ENDOANCHOR DEPLOYMENT | 11 | ||
INDICATIONS | 11 | ||
INITIAL EXPERIENCE (STAPLE TRIALS) | 11 | ||
ANCHOR TRIAL | 12 | ||
SINGLE-CENTER EXPERIENCE | 13 | ||
FUTURE PERSPECTIVES | 13 | ||
REFERENCES | 14 | ||
4 - Use of Contrast-Enhanced Ultrasound in Follow-up of Endovascular Aneurysm Repair | 15 | ||
LITERATURE REVIEW | 15 | ||
San Giovanni di Dio Hospital Experience | 16 | ||
SUMMARY | 21 | ||
ACKNOWLEDGMENT | 21 | ||
REFERENCES | 21 | ||
5 - Logistics in the Hybrid Operating Room for Complex Endovascular Aneurysm Repair | 23 | ||
REFERENCE | 25 | ||
II - JUXTARENAL AORTIC ANEURYSMS: CHIMNEY ENDOVASCULAR TECHNIQUE | 27 | ||
6 - Overview of Chimney Endovascular Technique | 27 | ||
LITERATURE REVIEW | 27 | ||
CURRENT STATUS | 28 | ||
REFERENCES | 29 | ||
7 - Sizing of Aortic Endografts in Chimney Technique | 31 | ||
PREOPERATIVE IMAGING | 31 | ||
NEW SEALING LENGTH | 31 | ||
PLANNING THE PROCEDURE | 32 | ||
Aortic Neck Sizing | 32 | ||
Aortic Neck Diameter | 32 | ||
Aortic Neck Angulation and Thrombus | 32 | ||
SIZING OF CHIMNEY GRAFTS | 32 | ||
AORTIC BRANCH STENOSIS OR ANGULATION | 32 | ||
OVERSIZING OF ABDOMINAL ENDOGRAFT | 32 | ||
Standard Oversizing | 32 | ||
Mathematical Formula | 33 | ||
In Vitro Testing | 33 | ||
Custom-Made Oversizing Technique | 33 | ||
APPROPRIATE COMBINATION OF ABDOMINAL ENDOPROSTHESIS AND CHIMNEY GRAFT | 34 | ||
LIMITATIONS AND SOLUTIONS | 35 | ||
DISCUSSION AND CONCLUSIONS | 39 | ||
REFERENCES | 40 | ||
8 - Procedural Steps in Chimney Technique | 41 | ||
LITERATURE REVIEW | 41 | ||
REFERENCES | 43 | ||
III FENESTRATED ENDOGRAFTING TECHNIQUE | 45 | ||
9 - Sizing of Fenestrated Endografts | 45 | ||
REFERENCES | 46 | ||
10 - Fenestrated Endografting for Pararenal Aneurysms | 47 | ||
CASE PRESENTATION | 47 | ||
DISCUSSION | 50 | ||
REFERENCES | 50 | ||
IV -\rTHORACOABDOMINAL AORTIC ANEURYSMS | 51 | ||
11 - Custom-Made Thoracic Endograft | 51 | ||
INDICATIONS | 51 | ||
PROCEDURE | 51 | ||
Case Presentation | 51 | ||
First Stage | 51 | ||
Deployment of the thoracic device | 51 | ||
Second Stage | 51 | ||
Step 1. Anesthesia and approach | 51 | ||
Step 2. Small or stenotic iliac vessels | 51 | ||
Step 3. Advance of 22F sheath to assess trackability of access vessels | 52 | ||
Step 4. Release of reducing ties and deployment of device | 52 | ||
Techniques to facilitate cannulation of renovisceral vessels | 52 | ||
Step 5. Placement of additional devices | 53 | ||
Step 6. Closure of access in the groin | 53 | ||
Step 7. Cannulation of target vessels | 53 | ||
Step 8. Connection of the branches with target vessels | 53 | ||
Step 9. Completion angiography | 55 | ||
POSTOPERATIVE MANAGEMENT | 55 | ||
LIMITATIONS OF CUSTOM-MADE ENDOGRAFT | 56 | ||
LITERATURE REVIEW | 56 | ||
REFERENCES | 57 | ||
12 - Off-the-Shelf Multibranched Endograft | 59 | ||
ANATOMIC REQUIREMENTS | 59 | ||
INDICATIONS | 59 | ||
PROCEDURE | 59 | ||
Case Presentation | 59 | ||
Procedural Step | 59 | ||
Step 1. Anesthesia and approach | 59 | ||
Step 2. Small or stenotic iliac vessels | 59 | ||
Step 3. Advancement of 22F sheath to assess trackability of access vessels | 60 | ||
Step 4. Advancement of device at least 10 to 20 mm above orifice of respective target vessel | 60 | ||
Step 5. Release of reducing ties and | 61 | ||
Step 6. Cannulation of target vessels | 61 | ||
Step 7. Connection of the branches with target vessels | 61 | ||
Step 8. Completion angiography | 63 | ||
Step 9. Evaluation of perfusion of hypogastric arteries | 63 | ||
Summary | 63 | ||
POSTOPERATIVE MANAGEMENT | 64 | ||
LIMITATIONS OF OFF-THE-SHELF ENDOGRAFT | 64 | ||
LITERATURE REVIEW | 65 | ||
REFERENCES | 65 | ||
13 - Sandwich Endovascular Technique | 67 | ||
INDICATIONS | 67 | ||
PROCEDURE | 67 | ||
Case Presentation | 67 | ||
Procedural Steps | 67 | ||
1. Exposure of left axillary artery | 67 | ||
2. Percutaneous transfemoral access | 67 | ||
3. Deployment of thoracic endograft | 67 | ||
4. Placement of infrarenal aortic stent-graft | 67 | ||
5. Cannulation of renovisceral vessels | 67 | ||
Cannulation of Visceral Arteries. Puncture of the left axillary artery is performed, or bilateral transbrachial cannulation from... | 67 | ||
Transfemoral Cannulation of Renal Arteries from Right and Left Groin. A Vertebral or Shepherd Hook catheter can be used to intro... | 69 | ||
6. Deployment of abdominal tube endografts | 69 | ||
7. Placement of chimney grafts to the visceral arteries | 70 | ||
LIMITATIONS OF SANDWICH TECHNIQUE | 70 | ||
Need for Upper Extremity Access | 70 | ||
Absence of Dedicated Chimney Graft in Combination with Thoracic Device | 71 | ||
LITERATURE REVIEW | 71 | ||
REFERENCES | 71 | ||
V - AORTIC ARCH AND DESCENDING AORTIC ANEURYSMS | 73 | ||
14 - Thoracic Endovascular Aortic Repair | 73 | ||
INDICATIONS | 73 | ||
PROCEDURE | 73 | ||
Case Presentation | 73 | ||
Preoperative Assessment | 73 | ||
Endograft Planning | 74 | ||
Access vessels | 74 | ||
Deployment Preparation | 75 | ||
Stent-Graft Deployment | 75 | ||
Stent-graft conformability in tortuous aortic morphology | 75 | ||
POSTOPERATIVE CARE | 76 | ||
REFERENCES | 76 | ||
15 - Branched Stent-Grafts in the Aortic Arch | 79 | ||
INDICATIONS | 80 | ||
PROCEDURE | 80 | ||
Case Presentation | 80 | ||
Performance of Left Carotid–Subclavian Bypass | 80 | ||
Insertion and Deployment of Branched Stent-Graft | 80 | ||
Insertion of Stents | 80 | ||
Completion and Follow-up Imaging | 81 | ||
LIMITATIONS OF BRANCHED STENT-GRAFT | 81 | ||
LITERATURE REVIEW | 83 | ||
REFERENCES | 83 | ||
16 - Chimney Thoracic Endovascular Technique | 85 | ||
PROCEDURE | 85 | ||
Case Presentation | 85 | ||
Exposure of left axillary/proximal brachial artery | 85 | ||
Puncture of left brachial artery and cannulation of subclavian artery | 85 | ||
Percutaneous transfemoral access | 85 | ||
Deployment of the thoracic endograft | 85 | ||
Modification of chimney technique in aortic arch by placement of self-expanding covered stents in left subclavian artery as peri... | 86 | ||
LITERATURE REVIEW | 88 | ||
LIMITATIONS OF CHIMNEY TECHNIQUE | 89 | ||
REFERENCES | 89 | ||
17 - Bridging Devices in Complex Endovascular Aneurysm Repair | 91 | ||
STAINLESS STEEL BALLOON-EXPANDABLE COVERED STENTS | 91 | ||
Features | 91 | ||
Radial force | 91 | ||
Fluoroscopic visibility | 91 | ||
Limitations | 92 | ||
Literature Review | 92 | ||
Chimney technique | 92 | ||
Fenestrated endovascular technique | 93 | ||
NEW STAINLESS STEEL BALLOON EXPANDABLE COVERED STENT | 93 | ||
SELF-EXPANDING COVERED STENTS | 93 | ||
Features | 94 | ||
Radial force | 94 | ||
Fluoroscopic visibility | 94 | ||
Flexibility and availability in lengths up to 250 mm | 95 | ||
Literature Review | 95 | ||
Lining | 96 | ||
REFERENCES | 96 | ||
18 - Management of Type Ia Endoleaks | 97 | ||
REFERENCES | 98 | ||
19 - Management of Type II Endoleaks with Ethylene-Vinyl-Alcohol Copolymer Liquid Embolic Agent | 99 | ||
PREOPERATIVE EVALUATION | 99 | ||
SURGICAL APPROACH | 100 | ||
PROCEDURE | 100 | ||
LITERATURE REVIEW | 101 | ||
ADVANTAGES AND DISADVANTAGES | 102 | ||
REFERENCES | 102 | ||
20 - Fusion Techniques in Advanced Endovascular Repair | 105 | ||
INDICATIONS | 105 | ||
TECHNIQUE | 105 | ||
Segmentation | 105 | ||
Planning | 105 | ||
Registration | 106 | ||
3D/3D registration | 106 | ||
2D/3D registration | 107 | ||
Live Image Guidance | 108 | ||
LITERATURE REVIEW | 108 | ||
CONCLUSION | 113 | ||
REFERENCES | 115 | ||
21 - Conclusion and Future Perspectives | 117 | ||
Index | 119 | ||
A | 119 | ||
B | 119 | ||
C | 119 | ||
D | 120 | ||
E | 120 | ||
F | 120 | ||
G | 120 | ||
H | 120 | ||
I | 120 | ||
J | 120 | ||
L | 120 | ||
M | 120 | ||
N | 120 | ||
O | 120 | ||
P | 120 | ||
R | 121 | ||
S | 121 | ||
T | 121 | ||
U | 121 | ||
V | 121 | ||
W | 121 | ||
Z | 121 |