Full Description
A significant number of patients after primary arterial reconstructions require repeat procedures (both endovascular and open) in order to maintain the patency of the reconstructions, thus preventing major amputation or stroke, with a resulting prolongation of life. These secondary and tertiary procedures can sometimes be difficult and complex.
This practical, case-based guide will familiarize vascular surgeons, residents and fellows with managing patients requiring secondary and tertiary arterial reconstructions after a failed primary reconstruction. Overall, the book includes 50 real-word clinical scenarios covering carotid disease, aortoiliac aneurysmal and occlusive disease, femoral popliteal disease, mesenteric and upper extremity arterial disease, and other rare vascular entities. Following the clinical scenario, the reader will be able to select the best answer from the choices available in a multiple-choice question and answer section. The rationale for the best answer is then appropriately described.
Presented in a straightforward manner with plentiful supporting figures, this book is an excellent resource for vascular trainees, recent graduates of vascular surgery training programs, interventional radiologists, interventional cardiologists, primary care physicians, and emergency room physicians.
Contents
1. Rupture of Abdominal Aortic Aneurysm due to Type IB Endoleak in a Patient with Prior Endovascular Repair for a Ruptured Abdominal Aortic Aneurysm.- 2. Endovascular repair of hypogastric artery aneurysm following open abdominal aortic aneurysm repair.- 3. Endovascular repair of Aortic anastomotic aneurysm following open repair of AAA.- 4. Endovascular aneurysm repair (EVAR) in a patient with prior iliac covered stent and crossover femoral-femoral graft.- 5. Physician Modified Endograft for Repair of Pararenal Anastomotic Aneurysm.- 6. Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with Prior Iliac Stent Resulting in Graft Limb Occlusion.- 7. Explantation of an Aortic Endograft due to Recurrent Type IA Endoleak.- 8. Repair of Type Ib Endoleak following EVAR.- 9. Endovascular Repair of Symptomatic Recurrent Infrarenal AAA following Remote Open Repair of AAA.- 10. Repair of Saccular Aneurysm of Infrarenal Aorta with Iliac and Femoral Artery Occlusive Disease.- 11. Chyle Leak following Carotid Subclavian Artery Bypass and Thoracic endovascular aortic repair (TEVAR).- 12. Cervical Chyloma following Left Common Carotid Artery (CCA) to Subclavian Artery bypass performed in conjunction with Thoracic Endovascular Aortic Repair (TEVAR) for Aortic Dissection.- 13. Management of Type Ia Endoleak Following Endovascular Aneurysm Repair with First-generation Aortic Endograft.- 14. Graft Limb Occlusion of Thoracic Aorta to Femoral Artery Bypass Graft.- 15. Repeat Aorto-bifemoral graft using a Retroperitoneal Approach for Recurrent Symptoms of Lower Extremity Ischemia.- 16. Repeat Aorto-Bifemoral Graft using Transabdominal Approach.- 17. Aorto-bifemoral Graft following a Failed Crossover Femoral-Femoral Graft.- 18. Near Occlusion of Distal Anastomosis of the Aortofemoral Graft for Occlusive Disease in a Patient with a Prior Renal Transplant.- 19. Infected Graft Limb of Aortobifemoral Graft.- 20. Early Graft Limb Occlusion following EVAR for a Large Abdominal Aortic Aneurysm.- 21. Contained Rupture of Femoral Anastomotic Aneurysm following Aorto-bifemoral grafting for Arterial Occlusive Disease.- 22. Repair of a Giant Femoral Anastomotic Aneurysm.- 23. Impending Rupture of Recurrent Right Femoral Artery Pseudoaneurysm.- 24. Complex Femoral Anastomotic Aneurysm following Redo Aortofemoral graft.- 25. Antegrade Aortic Superior Mesenteric Artery Bypass Graft for Chronic Intestinal Ischemia Complicated by Retrograde Thoracic Aortic Dissection.- 26. Renal Artery In-Stent Stenosis for Renovascular Hypertension in a Patient with a Solitary Kidney.- 27. Iliac Artery Stenting Complicated by Iliac Artery Rupture.- 28. Management of Aortoiliac Disease following Left Common Iliac Artery Stenting.- 29. Iliac Artery Stenting Using Right Brachial Artery Access with Prior Failed Femoral Access.- 30. Repeat Iliac stenting and simultaneous right common femoral endarterectomy in a patient with multiple prior endovascular interventions and arterial bypass.- 31. Stent graft repair of saccular renal artery aneurysm.- 32. Retrograde Superior Mesenteric Artery Stenting for Acute Thrombosis.- 33. Crossover Femoral-Femoral Bypass Graft with Lateral Thigh Routing of the Graft.- 34. Carotid Interposition Graft in a Patient with Prior Transfemoral Carotid Stenting for Acute Stroke.- 35. Open Repair of Post-Carotid Endarterectomy Aneurysm.- 36. Carotid Endarterectomy in a Patient with a Variant of Ansa Cervicalis.- 37. Trans carotid Arterial Revascularization for Recurrent Carotid Stenosis.- 38. Thrombus at the Proximal Anastomosis of the Common Carotid to the Internal Carotid artery interposition graft for recurrent Carotid stenosis.- 39. Acute Thrombosis of the Popliteal Aneurysm with Severe Ischemia of the Lower Extremity.- 40. Open Repair of a Giant Recurrent Popliteal Artery Aneurysm.- 41. Impending Rupture of a Right Popliteal Artery Aneurysm in a Patient with a Prior Femoral-Popliteal Bypass.- 42. Deep Vein Arterialization for Severe Infrapopliteal Artery Occlusive Disease with Foot Gangrene.- 43. A Spliced Femoral-Anterior Tibial Vein Bypass following Failed Multiple Arterial Reconstructions.- 44. Left Superficial Femoral Artery Endarterectomy and Left Femoral-Popliteal Bypass in a Patient with a Prior Thrombosed Femoral Artery Stent.- 45. Exposed autologous femoral-popliteal vein bypass graft in a patient with intraoperative coagulopathy.- 46. Coil embolization of a side branch fistula following femoral dorsalis pedis in situ bypass.- 47. Superficial Femoral artery- posterior tibial artery bypass for Popliteal artery stent thrombosis.- 48. Brachial Artery Bypass Following Failed Thrombectomy.- 49. Post-Radiation Subclavian-Axillary Occlusion with Severe Hand Ischemia.- 50. Hybrid Repair of a large traumatic femoral artery to femoral vein fistula.
