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Complications in Endovascular Surgery
Peri-Procedural Prevention and Treatment
- 1st Edition - January 15, 2021
- Authors: Maciej Dryjski, Linda M Harris
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 5 5 4 4 8 - 0
As devices, technologies, and imaging techniques continue to evolve, today’s endovascular surgical techniques have increased in both number and complexity. Complications in Endo… Read more
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Helps you manage the surgical complications associated with image-guided interventional techniques used when treating patients with vascular disease, with clear descriptions of how to prevent problems and how to prevent catastrophic problems once a simple problem occurs.
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Provides a practical guide to device-specific tips and tricks from experts in the field, making this unique resource ideal for surgeons at all levels of training and practice.
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Features highly illustrated, consistent instructions that explain how to avoid and manage both common and uncommon complications.
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Covers EVAR, TEVAR, FEVAR, and other complex aortic work; as well as CAS, TCAR, complex LE endovascular procedures, and venous intervention-lysis/stenting.
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Includes tip boxes with key facts and technical recommendations, warning boxes that highlight safety precautions, and a troubleshooting guide for each procedure that helps you get back on track if things don’t go exactly as planned.
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Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
Vascular surgeons in practice and in training
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of Contributors
- Foreword
- Introduction
- 1. Access Complications
- Abstract
- Introduction
- Risk Factors
- Ideal Puncture Site
- Groin Hematoma and Pseudoaneurysm
- Retroperitoneal Hemorrhage
- Arteriovenous Fistula
- Thrombosis
- Groin Infection
- References
- 2. Other Access
- Abstract
- Introduction
- Access-site-specific issues
- References
- 3. Vascular Closure Devices for Small Arteriotomies: How to Avoid and Deal With Complications
- Abstract
- Introduction: Options for Achieving Hemostasis
- General Steps to avoiding complications with Active Vascular Closure Devices
- Dealing With Complications
- Conclusions
- References
- 4. General Complications of EVAR
- Abstract
- Predicting Complication
- Systemic Complications
- Deep vein thrombosis and pulmonary embolism
- Ischemic complications
- Sedation complications
- Radiation complications
- Post-implantation syndrome
- Wound Infection
- References
- Further Reading
- Chapter 5. Gore Excluder
- Abstract
- Introduction
- Evolution of the Gore Excluder AAA Endoprosthesis
- Excluder with C3 Delivery System Deployment
- Critical Technical Considerations, Potential Pitfalls, Troubleshooting
- Excluder with C3 Delivery System Failure Modes
- Clinical Application of the Excluder with C3 Delivery System
- Conclusion
- References
- Chapter 6. Complications of the Medtronic Endurant Stent Graft
- Abstract
- Background of the Medtronic Endurant Stent Graft Device
- Endurant Specific Complications
- Conclusion
- References
- Chapter 7. Endologix Ovation
- Abstract
- Deployment
- Instructions for use (IFU)
- Polymer-related complications
- Type IA Endoleak
- Incomplete filling of chambers
- In-flow stenosis/Sealing ring in-folding
- Two limbs in one gate
- Difficult retrieval of the nose cone
- Distortion/crushing of the limbs
- References
- Chapter 8. Endologix AFX
- Abstract
- Deployment
- Instructions for use (IFU)
- Wire wrap
- Placement of components behind stent struts
- Type III endoleak AND component separation
- Difficult retrieval of the nose cone
- Malfunction of the contralateral wire
- Difficulty in delivering the proximal extension
- Malfunction of the control cord
- References
- Chapter 9. Graft-Specific Issues for EVAR: The Aorfix Endograft
- Abstract
- Introduction
- EVAR and Device-Specific Complications
- General Comments
- References
- 10. Nellix
- Abstract
- Isolated Migration
- Prevention
- Treatment
- Type 1A Endoleak
- Coil and Liquid Embolics
- Proximal Extension with Covered Stents Plus Coil and Liquid Embolization
- Proximal Extension with Nellix System
- Nellix Revisional CHIMNEY EVAS (ChEVAS): Proximal Extension with Nellix System and Parallel Grafts
- Type 1B Endoleak
- Aneurysm Expansion
- Limb Occlusion
- References
- 11. Vascutek (Bolton) TREO Endograft
- Abstract
- Introduction
- Device Information
- Preoperative Considerations
- Intraoperative Considerations
- Conclusions
- References
- 12. Grafts Outside the United States
- Abstract
- Introduction
- Descriptions of the Devices
- References
- 13. Ruptured EVAR Complications
- Abstract
- References
- 14. Complications of Fenestrated Endovascular Aneurysm Repair
- Abstract
- Stent Graft Design
- Failure to Insert the Trunk of a Modular Stent Graft
- Failure to Position the Trunk of the Stent Graft at the Correct Level
- Failure to Catheterize the Target Artery
- Failure to Deploy the Branch
- Branch Artery Injury
- Kinking or Compression of the Branch
- Visceral Ischemia
- Embolism
- Paraplegia
- Early Endoleak
- Late-Occurring Type I Endoleak
- Late-Occurring Type III Endoleak
- Late-Occurring Branch Occlusion
- Conclusion
- References
- 15. Complications With Branched Endovascular Devices
- Abstract
- Points of Attention in Branched EVAR
- Device Planning
- Procedural Planning
- Operative Basics, Tips, and Tricks
- Ischemia Monitoring: Apply Invos and Meps
- Postoperative Management
- Conclusion
- References
- 16. Complications of EVAR With Snorkels, Chimneys, and Sandwich Techniques
- Abstract
- Background
- Preoperative Issues
- Intraoperative/Early Complications
- Gutters/Proximal Type I Endoleak
- Access-Related Complications/Stroke
- Early Mortality
- Follow-Up/Late Complications
- Acute Occlusion of Visceral Stent Graft
- Disconnection of the Visceral Stent Graft
- Prevention and Treatment
- References
- 17. Endoleaks
- Abstract
- Overview
- Type Ia Endoleaks
- Type Ib Endoleaks
- Type III Endoleak
- Type IV Endoleak
- Type V Endoleak (Endotension)
- Type II Endoleak
- References
- 18. Complications in Endovascular Thoracoabdominal Aortic Aneurysm Repair
- Abstract
- Target Vessel Dissection and Occlusion
- References
- 19. TAA Endoleaks
- Abstract
- Introduction
- Type I Endoleaks
- Type II Endoleaks
- Gutter Endoleaks
- Type III Endoleaks
- Types IV and V Endoleaks
- Persistent False Lumen Perfusion Following TEVAR for Thoracic Aortic Dissection
- References
- 20. Complications of TAG and Conformable TAG (CTAG) Thoracic Endoprosthesis
- Abstract
- Introduction
- TAG Endoprosthesis
- CTAG Endoprosthesis
- Maldeployment
- Migration
- Compression and Collapse
- Unintended Branch Vessel Occlusion
- Summary
- References
- 21. Device-Specific Issues With EVAR: Cook
- Abstract
- Introduction
- Endoleak
- Access Site Complications
- Limb Kinking and Occlusion
- Device Migration
- Separation of Components
- Additional Technical Considerations
- Conclusion
- References
- 22. Terumo Aortic Relay TEVAR
- Abstract
- Introduction
- Device Information
- Preoperative Considerations
- Intraoperative Considerations
- Conclusions
- Reference
- 23. Complication With Medtronic Thoracic Stent Endograft
- Introduction and Background
- Device Insertion and Deployment
- Bailout Techniques
- The Valiant Navion
- Conclusion
- References
- 24. Complications and Lessons Learned From Global Use of the Streamliner Multilayer Flow Modulator (SMFM) Device
- Abstract
- Introduction
- Surgical Technique
- SMFM Complications
- Evidence-Based Recommendations
- Conclusion
- References
- 25. Transcatheter Aortic Valve Replacement
- Abstract
- Transcatheter Aortic Valve Replacement
- Indications and Patient Selection
- Management of Important Comorbidities Prior to TAVR
- Contra-Indications for TAVR
- Procedural Considerations, Equipment, and Technique for TAVR
- Alternatives to Transfemoral Access
- Perioperative Management and Adjunctive Therapies
- Complications of TAVR
- Conclusions
- References
- 26. Complications in the Endovascular Management of Aortic Dissection
- Abstract
- Introduction
- Tevar Versus Open Surgery
- Tevar Procedure
- Complications that may be Encountered Intraoperatively
- Technical Recommendations for TEVAR
- Preoperative Carotid–Left-Subclavian Bypass
- TEVAR and Complicated TBAD (CTBAD)
- TEVAR and UCTBAD
- Multichanneled Aortic Dissection (MCAD)
- Predictors of Progression of Aortic Remodeling after TEVAR
- Conclusion
- References
- 27. Complications of Endovascular Septal Fenestration in the Management of Patients With Aortic Dissection
- Abstract
- Introduction
- Fenestration and Acute Aortic Dissection
- Fenestration and Chronic Aortic Dissection
- Conclusion
- References
- 28. Renal and Mesenteric Aneurysms
- Abstract
- Introduction
- Background
- Indications
- Endovascular Treatment Options
- Endovascular Treatment Techniques
- Renal Aneurysms
- References
- 29. Mesenteric Embolization: Solid Organ, Pelvic Trauma, and GI Bleeding
- Abstract
- Introduction
- Particle Embolization (Gelfoam and Polyvinyl Alcohol)
- Coil Embolization
- Liquid Embolization Agents
- Occlusion Devices
- Conclusion
- References
- 30. Complications in Angioplasty and Stenting of Mesenteric and Renal Artery Disease
- Abstract
- Introduction
- Mesenteric Angioplasty and Stenting
- Intraoperative Complications
- Renal Artery Angioplasty and Stenting
- Intraoperative Complications
- Conclusions
- References
- 31. Thrombolysis in Acute Limb Ischemia
- Abstract
- Introduction
- Acute Limb Ischemia Treatment Alternatives
- Complications
- Outcomes
- Conclusions
- References
- 32. Aortoiliac Interventions for Occlusive Disease
- Abstract
- Introduction
- Patient Preparation
- Crossing and Treating Aorto-Iliac Lesions
- Concomitant Femoral Endarterectomy (Hybrid) Procedures
- Management of Complications
- References
- 33. Complications of Femoropopliteal Interventions for Occlusive Disease
- Abstract
- Introduction
- Patient Evaluation
- Arterial Access
- Femoral Interventions
- Endovascular Treatment Options
- Complications
- Conclusions
- References
- 34. Complications of Endovascular Repair of Popliteal Artery Aneurysms
- Abstract
- Introduction
- Conclusion
- References
- 35. Tibial Interventions for Peripheral Arterial Disease
- Abstract
- Introduction
- Arterial Access
- Treatment of Tibial Lesions
- Conclusions
- References
- 36. Complications of Iliofemoral Thrombolysis and Stenting for Venous Disease
- Abstract
- Introduction
- Access for Catheter-Directed Thrombolysis
- Thrombolysis
- Complications from Venous Lysis
- Pharmacomechanical Catheter-Directed Thrombolysis
- Complications Following Percutaneous Pharmacomechanical Thrombectomy
- Stenting
- Complications Following Stent Placement
- Chronic Iliofemoral Venous Occlusions
- Central Venous Occlusions Associated with Intraluminal Devices
- References
- 37. Complications of IVC Filters
- Abstract
- Introduction
- Filter Fracture
- IVC Filter Migration and/or Embolization
- IVC Thrombotic Occlusion
- Filter Tilt
- Filter Perforation
- Filter Retrieval
- Conclusion
- References
- 38. Complications of Endovenous Treatments, Including: Thermal, Nonthermal, Sclerotherapy, and Foam Ablations
- Abstract
- Introduction
- Thermal Ablations: Endovenous Laser Therapy and Radiofrequency Ablation
- Venous Thrombosis Prophylaxis and Lidocaine Toxicity
- Nonthermal Ablations: Liquid and Foam Sclerotherapy, Mechanical Occlusive Chemical Ablation, and Cyanoacrylate Glue
- Conclusions
- References
- 39. Arteriovenous Access: Fistula and Graft Intervention
- Abstract
- Endovascular Treatment in the Management of Arteriovenous Access
- Considerations for Creation of Access
- Endovascular Treatment of Arteriovenous Access
- Stents for Treatment of Dialysis Access
- Conclusions
- References
- 40. Central Venous Stenosis Associated With Arteriovenous Access
- Abstract
- Introduction
- Presentation, Diagnosis, and Treatment
- Complications
- Conclusions
- References
- 41. Catheter Issues
- Abstract
- Introduction
- References
- 42. Complications of ECMO and IABP
- Abstract
- Introduction
- References
- 43. Angiography
- Abstract
- Introduction
- Selection of Access Site and Approach
- Access Complications
- Contrast-Related Complications
- Radiation Exposure
- Conclusion
- References
- 44. Complications Associated With Carotid Artery Stenting
- Abstract
- Introduction
- Procedural Planning
- Access Difficulties
- Crossing Preocclusive Stenotic Lesions
- Problems Associated with Embolic Protection
- Transient Intraoperative Neurologic Compromise
- Intraoperative Hemodynamic Instability
- Carotid Artery Spasm
- Cerebral Hyperperfusion Syndrome
- Intracranial Hemorrhage
- Stroke
- Restenosis
- Conclusion
- References
- 45. Embolic Protection Issues
- Abstract
- Introduction
- Types of Embolic Protection: Proximal, Distal, and Complete Flow Reversal
- Stenting and Angioplasty of the Brachiocephalic and Subclavian Arteries
- Common Complications
- Avoiding Complications
- Getting Out of Trouble
- Acknowledgments
- References
- 46. Complications Specific to Closed and Open Cell Nitinol Stents in Carotid Artery Stenting
- Abstract
- Introduction
- Complications
- Conclusions
- References
- 47. Carotid Stent: Device-Specific Complications With the Wallstent
- Abstract
- Introduction
- Endoluminal stent coverage
- Classification of carotid stent complication
- Other Types of Late Complications
- Avoiding and Correcting Complications
- References
- 48. Transcarotid Artery Revascularization With the ENROUTE Transcarotid Neuroprotection System
- Abstract
- Procedure
- Complications
- Pitfalls
- References
- 49. Subclavian Steal
- Abstract
- Introduction
- Procedural Overview
- Complication Avoidance And Management
- Conclusion
- Acknowledgments
- References
- 50. Complications in the Endovascular Treatment of Intracranial Arteriovenous Malformations
- Abstract
- Introduction
- Common Complications
- Avoiding Complications
- Treatment Paradigm
- Getting Out of Trouble
- Conclusion
- Acknowledgments
- References
- 51. Complication of Endovascular Treatment of Intracranial Stenosis
- Abstract
- Introduction
- Pathophysiology of Strokes in Intracranial Stenosis
- Treatment
- Current and Future Directions
- Conclusions
- References
- 52. Complications in the Endovascular Treatment of Intracranial Aneurysms
- Abstract
- Introduction
- Coiling
- Stent-Assisted/Balloon-Assisted Coiling
- Flow Diversion
- Conclusion
- Acknowledgments
- References
- 53. Acute Ischemic Stroke
- Abstract
- Introduction
- Access-related Complications
- Thromboembolic Complications
- Embolization of New Territories
- Reperfusion Injury/Reperfusion Hemorrhage/Hemorrhagic Conversion
- Complication Avoidance
- Vasospasm, Dissection, and Arterial Perforation
- Conclusion
- Acknowledgments
- References
- Index
- No. of pages: 368
- Language: English
- Edition: 1
- Published: January 15, 2021
- Imprint: Elsevier
- Hardback ISBN: 9780323554480
MD
Maciej Dryjski
LH