Linked e-resources
Details
Table of Contents
Intro
Foreword
Preface
Contents
Contributors
Chapter 1: Basic Arterial Techniques
Arterial Dissection and Mobilization
Vascular Clamps
Systemic Heparinization
Arterial Incision and Closure
Arterial Suturing Techniques and Suture Materials
Types of Grafts to Artery Anastomosis
End-to-End Anastomosis
End-to-Side Anastomosis
Endarterectomy
Open Endarterectomy
Semi-Closed Endarterectomy
Eversion Endarterectomy
Vascular Grafts
Special Suturing Technique in Narrow Deep Spaces
Part I: Open Repair of Aneurysmal Disease
Chapter 2: Open Repair of Descending Thoracic Aortic Aneurysm
Introduction
Indications for Repair
Surgical Anatomy
Preoperative Assessment
Steps of Operation for Resection of the Entire Descending Thoracic Aorta
Complications
Summary
References
Chapter 3: Open Repair of Juxtarenal and Infrarenal Abdominal Aortic Aneurysm
Surgical Anatomy
Anatomical Relations
Indications for Repair
Operative Steps
Transperitoneal Approach
Retroperitoneal Approach
Patient Position
Repair of AAA with Coexisting Horseshoe and Pelvic Kidney
Chapter 4: Paravisceral Abdominal Aortic Aneurysm Repair
Anesthetic Considerations
Operative Approach
Conclusions
References
Chapter 5: Open Thoracoabdominal Aortic Aneurysm Repair
Introduction
Initial Evaluation
Anatomic Classification
Natural History
Clinical Presentation
Diagnostic Imaging
Preoperative Evaluation
Surgical Treatment
Treatment Options
Renal and Spinal Cord Protection
Technical Components
Operative Exposure
Dissection of Left Pleural Space
Clamp and Sew Versus Atrial-Femoral Bypass
Clamping Sequence and Proximal Anastomosis
Renal/Visceral Artery Reconstruction
Reconstruction of Intercostal Vessels
Distal Anastomosis
Postoperative Care
Results of Treatment and Complications
Operative Mortality
Renal Failure
Respiratory Complications
Spinal Cord Ischemia
Late Outcomes
Further Reading
Chapter 6: Inflammatory Abdominal Aortic Aneurysm
Retroperitoneal Approach
Complications
Chapter 7: Repair of Aortoenteric Fistula
Aortoenteric Fistula: Operative Management with in-Line Replacement
Procedure
Use of the Cryopreserved Arterial Allograft
Use of the Rifampin-Impregnated (Soaked) Dacron Graft
Complications
Chapter 8: Open Repair of Ruptured Abdominal Aortic Aneurysm
Operative Technique
Proximal Control
Exposure of the Supraceliac Aorta
Balloon Occlusion Control
Complications
Bleeding
Chapter 9: Endovascular Aortic Stent Graft Explantation
Introduction
Indications for EVAR Explant
Anatomy
Treatment
Proximal
Transperitoneal Transabdominal Approach
Retroperitoneal Approach
Intraoperative Challenges
Distal
Complications
References
Foreword
Preface
Contents
Contributors
Chapter 1: Basic Arterial Techniques
Arterial Dissection and Mobilization
Vascular Clamps
Systemic Heparinization
Arterial Incision and Closure
Arterial Suturing Techniques and Suture Materials
Types of Grafts to Artery Anastomosis
End-to-End Anastomosis
End-to-Side Anastomosis
Endarterectomy
Open Endarterectomy
Semi-Closed Endarterectomy
Eversion Endarterectomy
Vascular Grafts
Special Suturing Technique in Narrow Deep Spaces
Part I: Open Repair of Aneurysmal Disease
Chapter 2: Open Repair of Descending Thoracic Aortic Aneurysm
Introduction
Indications for Repair
Surgical Anatomy
Preoperative Assessment
Steps of Operation for Resection of the Entire Descending Thoracic Aorta
Complications
Summary
References
Chapter 3: Open Repair of Juxtarenal and Infrarenal Abdominal Aortic Aneurysm
Surgical Anatomy
Anatomical Relations
Indications for Repair
Operative Steps
Transperitoneal Approach
Retroperitoneal Approach
Patient Position
Repair of AAA with Coexisting Horseshoe and Pelvic Kidney
Chapter 4: Paravisceral Abdominal Aortic Aneurysm Repair
Anesthetic Considerations
Operative Approach
Conclusions
References
Chapter 5: Open Thoracoabdominal Aortic Aneurysm Repair
Introduction
Initial Evaluation
Anatomic Classification
Natural History
Clinical Presentation
Diagnostic Imaging
Preoperative Evaluation
Surgical Treatment
Treatment Options
Renal and Spinal Cord Protection
Technical Components
Operative Exposure
Dissection of Left Pleural Space
Clamp and Sew Versus Atrial-Femoral Bypass
Clamping Sequence and Proximal Anastomosis
Renal/Visceral Artery Reconstruction
Reconstruction of Intercostal Vessels
Distal Anastomosis
Postoperative Care
Results of Treatment and Complications
Operative Mortality
Renal Failure
Respiratory Complications
Spinal Cord Ischemia
Late Outcomes
Further Reading
Chapter 6: Inflammatory Abdominal Aortic Aneurysm
Retroperitoneal Approach
Complications
Chapter 7: Repair of Aortoenteric Fistula
Aortoenteric Fistula: Operative Management with in-Line Replacement
Procedure
Use of the Cryopreserved Arterial Allograft
Use of the Rifampin-Impregnated (Soaked) Dacron Graft
Complications
Chapter 8: Open Repair of Ruptured Abdominal Aortic Aneurysm
Operative Technique
Proximal Control
Exposure of the Supraceliac Aorta
Balloon Occlusion Control
Complications
Bleeding
Chapter 9: Endovascular Aortic Stent Graft Explantation
Introduction
Indications for EVAR Explant
Anatomy
Treatment
Proximal
Transperitoneal Transabdominal Approach
Retroperitoneal Approach
Intraoperative Challenges
Distal
Complications
References