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El. knyga: Endovascular Skills: Guidewire and Catheter Skills for Endovascular Surgery, Fourth Edition

(Division of Vascular Therapy, Kaiser Foundation Hospital, Honolulu, Hawaii, USA)
  • Formatas: 560 pages
  • Išleidimo metai: 10-Sep-2019
  • Leidėjas: CRC Press Inc
  • Kalba: eng
  • ISBN-13: 9781498717090
Kitos knygos pagal šią temą:
  • Formatas: 560 pages
  • Išleidimo metai: 10-Sep-2019
  • Leidėjas: CRC Press Inc
  • Kalba: eng
  • ISBN-13: 9781498717090
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The goal of Endovascular Skills: Guidewire and Catheter Skills for Endovascular Surgery has always been to provide a step-by-step approach to techniques and procedures that comprise one of the most exciting and rapidly developing specialties in medicine today: minimally invasive management of vascular disease. Endovascular technique has gone from being a novelty to a mainstay of vascular care and this edition of Endovascular Skills has been revised and expanded to reflect these changes. This book serves as a how-to guide for endovascular intervention and aims to assist clinicians in the development and refinement of skills that are now essential to vascular practice.

The book introduces readers to strategy, vascular access, guidewirecatheter handling, and arteriography in a multitude of vascular beds. The knowledge base builds as the text progresses in much the same manner that the skill of the professional builds as experience is gained by performing more complex cases and managing complicated patterns of disease. The chapters progress to all aspects of endovascular therapy, including sheath access, balloon angioplasty, stents, and other treatment modalities.

Recenzijos

[ ..]a high-quality book, both in its ability to explain complex endovascular procedures in simple terms, as well as in its use of tables and illustrations to augment these explanations.

Brian D. Wernick, MD, Northwestern University Feinberg School of Medicine

Preface to the Fourth Edition xiii
Abbreviations xv
Part I Catheter And Guidewire Skills 1(138)
1 Case preparation
3(4)
Endovascular skills in practice
3(1)
Reinvention of vascular care
3(1)
Setting yourself up for success
3(1)
Sizing up the case
4(1)
Prior to the puncture
4(1)
Working environment
4(1)
Equipment
5(1)
Facilities and room setup
5(1)
How pretreatment history and physical examination help to plan therapy
6(1)
Pretreatment imaging
6(1)
2 Safe and strategic vascular access
7(20)
Overview of percutaneous access
7(1)
Choosing your approach
8(1)
Femoral anatomy for arterial access
9(1)
Puncture guidance with ultrasound
10(2)
Micropuncture technique
12(1)
Percutaneous retrograde puncture of the femoral artery
13(4)
Percutaneous antegrade puncture of the femoral artery
17(2)
Percutaneous puncture of a pulseless femoral artery
19(2)
Proximal access
21(1)
Percutaneous puncture of the brachial artery
21(2)
Alternative access to the lower extremity: Superficial femoral, popliteal, tibial, and pedal arteries
23(1)
Percutaneous puncture of bypass grafts
23(1)
Puncture site complications
24(1)
Summary of puncture site options and closure strategy
24(3)
3 Sheath access
27(8)
Introduction
27(1)
Basic access site step-by-step
27(1)
Initial maneuvers to secure the access
28(1)
How do you place a sheath?
28(2)
When is a dilator needed?
30(2)
Basic sizing issues
32(1)
When to use fluoroscopy
32(1)
About access sheaths
33(1)
How do you decide when to place a larger access sheath?
33(1)
When to abandon an access
33(1)
Access in a hostile groin
34(1)
4 Guidewire skills
35(12)
Introduction
35(1)
Mastering guidewires
35(1)
What makes guidewires different from each other
36(2)
Guidewire types in practice
38(5)
When to abandon the chosen guidewire
43(1)
Useful guidewire techniques to start tackling chronic total occlusion
44(2)
Organizing your guidewires
46(1)
5 Small platform guidewires and monorail systems
47(6)
Development of small platform guidewires and monorail systems
47(1)
How do monorail systems differ from coaxial systems?
47(2)
What are the advantages and disadvantages of monorail systems?
49(1)
Principles for the use of rapid exchange systems
49(1)
Which platform is best for each task?
50(1)
Which platform should you start the case with, and when should you switch from one platform to another?
50(1)
Maneuvers you can undertake with 0.14-inch and 0.18-inch guidewires
51(2)
6 Handling catheters
53(10)
Introduction to catheters: Exchange, flush, and selective catheters
53(1)
Which angiographic catheter should you use?
53(1)
Catheter head shape determines function
54(4)
Describing catheter behavior
58(1)
Handling catheters
58(5)
7 Guidewire and catheter passage
63(14)
The goal of the procedure determines the course of the guidewire-catheter apparatus
63(2)
Guidewire and catheter combinations
65(1)
Where does the guidewire naturally want to go?
65(1)
Passing through diseased arteries
66(1)
Negotiating tortuous arteries
67(2)
Remote puncture site
69(1)
How to change the plan if the catheter will not pass and you have tried everything
70(1)
How do you decide if disease encountered on the pathway to treat the target lesion also needs to be treated?
71(6)
8 Imaging: The key to success
77(12)
Imaging and best therapy are intricately linked
77(1)
Image quality
77(1)
Generating an X-ray image
78(1)
Digital subtraction arteriography
79(1)
Imaging technique for best resolution
80(1)
Road mapping: How it works and when to use it
81(1)
Automated power injector
82(1)
Power injection versus contrast administration by hand
83(1)
Contrast agents
84(1)
How do you know where you are?
85(1)
Radiation safety and occupational health issues
86(1)
Radiographic equipment
86(1)
Radiographic terms
86(1)
Radiation exposure
87(2)
9 Selective catheterization
89(24)
Many catheter choices but few basic shapes
89(2)
Selective catheterization of the brachiocephalic arteries
91(7)
Selective catheterization of the visceral and renal arteries
98(2)
Selective catheterization of the aortoiliac arteries
100(5)
Selective catheterization of the infrainguinal arteries
105(4)
Selective catheterization of prosthetic bypass grafts
109(2)
Aberrant anatomy to consider
111(2)
10 Principles of arteriography
113(10)
Arteriography is strategic, not diagnostic
113(1)
The future of arteriography
113(1)
Supplies for arteriography
114(1)
Planning for strategic arteriography
114(1)
Questions to consider before arteriography
115(1)
Evaluation before angiography
115(1)
Deciding where to puncture
116(2)
Catheter placement
118(1)
Contrast administration and image acquisition
119(1)
Arteriography sequences
120(3)
11 Arteriography of the vascular beds
123(16)
Arteriography of the brachiocephalic arteries
123(3)
Thoracic aortography
126(1)
Arteriography of the visceral and renal arteries
126(2)
Arteriography of the infrarenal arteries
128(6)
Lesion interrogation: Special views
134(1)
Carbon dioxide arteriography
134(2)
Pressure measurement
136(1)
Arteriography of aneurysms
136(1)
Intravascular ultrasound
137(2)
Part II Endovascular Therapy 139(134)
12 Endovascular workshop
141(4)
Where we work determines what we can do
141(1)
Operating room versus special procedures suite versus catheterization laboratory
141(1)
Stationary versus portable imaging systems
142(1)
The ideal vascular workshop
143(2)
13 Medications for endovascular therapy
145(4)
Sedation and analgesia
145(1)
Local anesthetic
145(1)
Prophylaxis with antibiotics
145(1)
Anticoagulation
145(1)
Heparin alternatives: Direct thrombin inhibitors
146(1)
Antiplatelet agents
146(1)
Thrombolysis
147(1)
Vasodilators
147(1)
Contrast allergies
147(1)
Practical advice for intraoperative problems
147(2)
14 Access for endovascular therapy
149(14)
Make access as simple as possible
149(1)
Create a platform from which to work
150(1)
Sizing considerations
150(3)
What fits into what?
153(1)
General principles of sheath placement during therapy
153(2)
When to avoid using your initial access site for therapy
155(1)
When do you use a guiding sheath versus a guiding catheter?
155(3)
How do you know if the sheath is following the exchange wire?
158(1)
Uses for upper extremity access
159(1)
Sheath placement in remote branch arteries
159(4)
15 Setting up the therapeutic maneuver: Crossing lesions
163(8)
Introduction
163(1)
Three types of lesions
163(1)
Need for support and directionality
164(1)
Crossing stenoses
164(7)
16 Crossing challenging lesions
171(20)
Arteriography of occluded arteries
171(1)
Crossing occlusions
171(3)
Tools for crossing occlusions
174(2)
Subintimal angioplasty
176(2)
Crossing occlusions in various vascular beds
178(6)
When to approach from the other direction: Retrograde access
184(2)
Crossing calcified lesions
186(1)
Crossing really long lesions
186(1)
What to do after the wire is across
187(1)
Anatomic manipulations can assist in guidewire or device passage
188(3)
17 Balloon angioplasty: Minimally invasive autologous revascularization
191(14)
Balloon dilation causes dissection
191(1)
About balloon catheters
192(1)
The angioplasty procedure
193(1)
Balloon selection
193(2)
When to use a monorail system
195(1)
Supplies for percutaneous balloon angioplasty
195(1)
Sheath selection and placement
196(1)
Balloon preparation and placement
197(1)
Heparin administration during intervention
197(1)
Balloon inflation
198(3)
Balloon removal and completion arteriography
201(4)
18 More about balloon angioplasty: Keeping out of trouble
205(18)
Keeping out of trouble is simpler than getting out of trouble
205(1)
What is the strategy for managing multiple lesions?
205(2)
Which lesions should be predilated?
207(1)
Which lesions are most likely to embolize?
208(1)
What about postangioplasty dissection?
208(2)
When to use kissing balloons
210(1)
Pain during balloon angioplasty
210(1)
What about spasm?
211(1)
Preventing puncture site thrombosis
212(1)
Balloon angioplasty troubleshooting
213(2)
Technique: Solving angioplasty problems
215(2)
Management of arterial rupture
217(1)
Management of embolization
218(1)
Management of acute occlusion
219(1)
Technical aspects of balloon angioplasty in different vascular beds
219(2)
Assessing the acute results of balloon angioplasty
221(2)
19 Stents, covered stents, stent-grafts
223(32)
Impact of stents
223(1)
Stent choices
223(2)
Covered stents
225(1)
Indications for stents: Primary or selective stent placement
226(1)
Which lesions should be stented?
227(2)
Residual stenosis after angioplasty
229(1)
Placement technique for balloon-expandable stents
230(5)
Placement technique for self-expanding stents
235(2)
Placement technique for covered stents
237(1)
Which stent for which lesion?
238(3)
How to select the best stent for the job
241(1)
Tricks of the trade
242(10)
Acute complications of stent placement
252(1)
Chronic complications of stent placement
253(2)
20 Other devices and how to use them
255(18)
Microcatheters
255(1)
Re-entry catheters
256(1)
Chronic total occlusion catheters and crossing catheters
257(1)
Atherectomy
258(2)
Laser
260(1)
Drug-coated balloons and drug-eluting stents
261(1)
Cutting, scoring, and cryoplasty balloons
262(3)
Peripheral stent-grafts
265(1)
Thrombectomy and thrombolysis
266(3)
Distal embolic filters
269(4)
Part III Therapy In Specific Vascular Beds 273(160)
21 Brachiocephalic interventions
275(22)
Introduction
275(1)
Arch assessment
275(1)
Innominate and common carotid artery
275(1)
Assessment of arch branch lesions
276(1)
Principal techniques
277(2)
Transfemoral approach to the common carotid artery
279(2)
Carotid bifurcation stent placement
281(5)
Open cell, closed cell, and mesh covered carotid stents
286(1)
Distal and proximal protection devices for transfemoral carotid stenting
287(1)
Transcervical approach to carotid stenting
288(4)
Retrograde approach to the common carotid artery
292(1)
The subclavian and axillary arteries
292(5)
22 Visceral and renal artery interventions
297(14)
Approach to the visceral arteries
297(1)
Celiac and superior mesenteric artery angioplasty and stenting
297(5)
Renal angioplasty and stenting
302(9)
23 The infrarenal aorta, aortic bifurcation, and iliac arteries: Advice about balloon angioplasty and stent placement
311(18)
Introduction
311(1)
Aorta
311(7)
Aortic bifurcation
318(3)
Iliac artery
321(1)
Ipsilateral retrograde approach to the iliac artery
321(2)
Contralateral approach to the iliac artery
323(3)
Self-expanding versus balloon-expandable stents for the aortoiliac segment
326(1)
Use of covered stents
326(1)
Access related issues
327(2)
24 The infrainguinal arteries: Advice about balloon angioplasty and stent placement
329(16)
Introduction
329(1)
Superficial femoral and popliteal arteries
329(1)
Ipsilateral antegrade approach to the superficial femoral and popliteal arteries
330(4)
Up-and-over approach to the superficial femoral and popliteal arteries
334(3)
Access related issues: Difficult up-and-over approach to the superficial femoral and popliteal arteries
337(4)
Tibial artery occlusive disease: Angioplasty and stenting
341(4)
25 Complex lower extremity revascularization
345(28)
Aortoiliac occlusive disease
345(8)
Femoral-popliteal occlusive disease
353(12)
Tibial artery occlusive disease
365(2)
Angiosomes of the lower leg and foot
367(6)
26 Salvage of previous reconstructions
373(8)
Introduction
373(1)
Previous endovascular reconstruction
373(1)
Managing occluded stents
374(1)
Infrainguinal bypass graft
375(3)
Extra-anatomic bypasses: Axillofemoral and femoral-femoral
378(1)
Reconstructions for aortoiliac disease: Aortofemoral, iliofemoral, and aortoiliac bypasses
378(3)
27 Hybrid procedures
381(10)
Principles of hybrid procedures
381(1)
Technical points for performing hybrid procedures
381(6)
Iliac stent and femoral endarterectomy
387(2)
Femoral endarterectomy plus distal intervention
389(2)
28 Technical aspects of treating aortic aneurysms
391(28)
Introduction
391(1)
Imaging
391(1)
Open access or percutaneous access of femoral arteries
392(1)
Percutaneous large bore access using the pre-close technique
392(2)
Closure of large bore access
394(1)
Managing bad iliac arteries
394(4)
Conduits
398(3)
Endograft placement
401(2)
Cannulation of the contralateral gate
403(2)
Balloon angioplasty after endograft placement
405(1)
Postplacement stenting of iliac arteries
406(1)
Management of a difficult aortic neck
407(4)
Endovascular graft treatment of a ruptured abdominal aortic aneurysm
411(2)
Hybrid procedures associated with aortic disease: Arch debranching
413(1)
Management of endoleaks after endovascular abdominal aortic aneurysm repair
414(5)
29 Coiling of peripheral aneurysms
419(8)
Coils
419(4)
Vessel occluders
423(1)
Endovascular management of a popliteal aneurysm
424(3)
30 Puncture site management
427(6)
Obtaining hemostasis
427(1)
Holding pressure
427(2)
Timing the sheath removal
429(1)
Closure devices
429(3)
Managing puncture site complications
432(1)
Selected reading 433(4)
Appendix: Trade/registered/generic names plus current manufacturers 437(4)
Index 441
Dr. Peter A. Schneider has had a strong interest in endovascular techniques and vascular education throughout his career. Following a successful career at Kaiser Permanente in Hawaii as the founding member and chief of the Division of Vascular Therapy, Dr. Schneider has entered a new chapter becoming Professor of Surgery in the Division of Vascular & Endovascular Surgery at University of California San Francisco. He received an MD from the Johns Hopkins School of Medicine and completed vascular surgery fellowship at the University of California San Francisco. He has published numerous articles and books, overseen the development of several medical devices, and recently became Chief Executive Officer of InRoad Medical. The 4th Edition of Endovascular Skills, represents a culmination of advancements in endovascular techniques.