Endovascular interventions :  a step-by-step approach / 
edited by Jose M. Wiley, Cristina Sanina, George D. Dangas, Prakash Krishnan. 
 - xvii, 254 pages :   illustrations ;  23 cm 
<br/><br/>Includes bibliographical references and index. 
<br/><br/>Table of Contents<br/>List of Contributors xiv<br/><br/>1 Innominate & Carotid Artery Intervention in High- Risk Patients 1<br/>Tyrone J. Collins<br/><br/>Introduction 1<br/><br/>Innominate Interventions in High-Risk Patients 2<br/><br/>Catheter-based Therapy for An Innominate (Brachiocephalic) Stenosis 2<br/><br/>Carotid Artery Intervention in High-Risk Patients 5<br/><br/>Endovascular Treatment of A Carotid Stenosis 5<br/><br/>Catheter-based Therapy for Carotid Stenosis 6<br/><br/>Conclusions 10<br/><br/>References 13<br/><br/>2 Subclavian Artery Intervention: Catheter- Based Therapy 15<br/>Saadat Shariff, Isabella Alviz, Cornelia Rivera, Michelle Cortorreal, and Tyrone J. Collins<br/><br/>Introduction 15<br/><br/>Endovascular Versus Open Surgical Revascularization 16<br/><br/>Endovascular Revascularization Techniques 16<br/><br/>Conclusion 18<br/><br/>References 19<br/><br/>3 Vertebral Artery Intervention: Catheter- Based Therapy 20<br/>Tamunoinemi Bob- Manuel and James S. Jenkins<br/><br/>Introduction 20<br/><br/>Preprocedural Considerations 21<br/><br/>Step 1. Procedural Planning with Diagnostic Angiography 21<br/><br/>Step 2. Vertebral Artery Intervention (Percutaneous Transluminal Angioplasty) 24<br/><br/>Step 3. Vertebral Artery Intervention (Stenting) 25<br/><br/>Management of Potential Complications 27<br/><br/>Postprocedural Care 28<br/><br/>References 29<br/><br/>4 Endovascular Repair of Thoracic Aortic Aneurysms: Catheter-Based Therapy 30<br/>John Denesopolis, Patricia Yau, and Aksim G. Rivera<br/><br/>Introduction 30<br/><br/>Relevant Anatomy 31<br/><br/>Aortic Anatomy 31<br/><br/>Crawford Classification for TAA/TAAA 31<br/><br/>Landing Zones 31<br/><br/>Implication of Aortic Anatomy on Spinal Perfusion 32<br/><br/>Indications/Contraindications to Procedure 33<br/><br/>Indications 33<br/><br/>Asymptomatic TAA/TAAA 33<br/><br/>Blunt Aortic Injury (BAI) 33<br/><br/>Acute Aortic Syndromes 33<br/><br/>Contraindications/Caveats 34<br/><br/>Available Endografts 34<br/><br/>Preoperative Evaluation 40<br/><br/>Positioning and Intraoperative Monitoring Needs 41<br/><br/>Procedural Steps 42<br/><br/>Postoperative Course/Surveillance 46<br/><br/>Monitored Setting 46<br/><br/>Spinal Drain 46<br/><br/>Blood Pressure Control 47<br/><br/>Arm Ischemia Symptoms 47<br/><br/>CTA Surveillance/Endoleak Types 48<br/><br/>References 49<br/><br/>5 Endovascular Abdominal Aortic Aneurysm Repair (EVAR) 50<br/>John Futchko, Katie MacCallum, and Aksim G. Rivera<br/><br/>Introduction 50<br/><br/>Patient Selection 50<br/><br/>Preoperative Imaging and Measurements 51<br/><br/>Graft Selection 52<br/><br/>Graft Sizing 52<br/><br/>Neck Length 53<br/><br/>Neck Diameter 53<br/><br/>Branch Vessels 54<br/><br/>Aortic Length Measurements 54<br/><br/>Step 1. Vascular Access 55<br/><br/>Percutaneous 55<br/><br/>Open 56<br/><br/>Iliac Disease and Conduits 56<br/><br/>Step 2. Imaging 57<br/><br/>Equipment 57<br/><br/>Neck Angulation 58<br/><br/>Renal Arteries 58<br/><br/>Step 3. Wires 58<br/><br/>Step 4. Delivery and Deployment 59<br/><br/>Main Body 59<br/><br/>Graft Orientation 59<br/><br/>Proximal Landing Zone 59<br/><br/>Contralateral Gate Cannulation 60<br/><br/>Limb Deployment 62<br/><br/>Completion Angiogram 62<br/><br/>Step 5. Troubleshooting 63<br/><br/>Endoleaks 63<br/><br/>Inadvertent Coverage of Renal Arteries 65<br/><br/>Iliac Artery Considerations 65<br/><br/>Conclusion 66<br/><br/>References 66<br/><br/>6 Severe Renal Artery Stenosis: How to Intervene 68<br/>Mohammad Hashim Mustehsan, Cristina Sanina, and Jose D. Tafur<br/><br/>Introduction 68<br/><br/>Background and Clinical Significance 69<br/><br/>Epidemiology 69<br/><br/>Clinical Manifestations 69<br/><br/>Patient Selection: Who to Screen for RAS 70<br/><br/>RAS Assessment 70<br/><br/>Noninvasive RAS Assessment 70<br/><br/>Invasive RAS Assessment 72<br/><br/>Indications for Revascularization 72<br/><br/>Intervention 74<br/><br/>References 76<br/><br/>7 Mesenteric Ischemia: Chronic and Acute Management 78<br/>David A. Hirschl<br/><br/>Introduction 78<br/><br/>Chronic Mesenteric Ischemia 78<br/><br/>Step 1. Vascular Access and Sheath Selection 79<br/><br/>Step 2. Diagnostic Angiography 80<br/><br/>Step 3. Vessel Selection 81<br/><br/>Step 4. Selective Angiography 81<br/><br/>Step 5. Placement of a Working Wire 82<br/><br/>Step 6. Stent Placement 82<br/><br/>Step 7. Posttreatment Angiography 83<br/><br/>Step 8. Revision 83<br/><br/>Complications 84<br/><br/>Follow-Up and Outcomes 85<br/><br/>Acute Mesenteric Ischemia 85<br/><br/>Step 1. Arterial Vascular Access and Sheath Selection 87<br/><br/>Step 2. Selection of the SMA 87<br/><br/>Step 3. Aspiration Embolectomy 88<br/><br/>Step 4. Angiogram 89<br/><br/>Step 5. Thrombolysis 89<br/><br/>Step 6. Infusion and Follow-Up 91<br/><br/>Mesenteric Venous Thrombosis 91<br/><br/>Follow-Up and Outcomes 91<br/><br/>References 92<br/><br/>8 Aorto- Iliac Interventions 95<br/>Michael S. Segal, Sameh Elrabie, and Rajesh K. Malik<br/><br/>Introduction 95<br/><br/>Preoperative Workup 95<br/><br/>Noninvasive Studies 96<br/><br/>Computed Tomographic Angiography 96<br/><br/>Ultrasound Duplex 96<br/><br/>Magnetic Resonance Angiography 97<br/><br/>Invasive Imaging 97<br/><br/>Angiography 97<br/><br/>Classification of Lesion and Planning of Intervention 97<br/><br/>TransAtlantic InterSociety Consensus II Classification (TASC II) 97<br/><br/>Planning for the Intervention 97<br/><br/>Step 1. Patient Factors 97<br/><br/>Step 2. Vascular Access 98<br/><br/>Step 3. Crossing the Lesion 99<br/><br/>Step 4. Intervention 100<br/><br/>Step 5. Closure 102<br/><br/>Step 6. Complications 103<br/><br/>Rupture 103<br/><br/>Embolization 103<br/><br/>Access Complications 103<br/><br/>Cases 104<br/><br/>Case 1 104<br/><br/>Case 2 104<br/><br/>References 107<br/><br/>9 Femoropopliteal Arterial Interventions in the Claudicant 108<br/>Sahil A. Parikh, Joseph J. Ingrassia, and Matthew T. Finn<br/><br/>Introduction 108<br/><br/>Patient Evaluation and Indications for Treatment of Femoropopliteal Arterial Pathology 108<br/><br/>Indications for Revascularization Femoropopliteal Claudication 109<br/><br/>Vascular Imaging in Endovascular Treatment 109<br/><br/>Contrast Angiography 109<br/><br/>CO2 Angiography 110<br/><br/>Steps to CO2 Angiography 110<br/><br/>Extravascular and Intravascular Ultrasound 110<br/><br/>Steps to IVUS Use 111<br/><br/>Vascular Access and Lesion Crossing Techniques 113<br/><br/>Steps for Crossover “Up and Over” technique 113<br/><br/>Radial 114<br/><br/>Tibio-Pedal Approach 115<br/><br/>Antegrade Femoral Access 115<br/><br/>Working Wire Size and Changing Between Systems 116<br/><br/>Lesion Preparation 117<br/><br/>Plain Old Balloon Angioplasty 117<br/><br/>Focal Force Balloons for Optimal Lumen Gain 120<br/><br/>Drug-Coated Balloons 120<br/><br/>Atherectomy 121<br/><br/>Laser 121<br/><br/>Excimer Laser Use Steps 122<br/><br/>Rotational Atherectomy 123<br/><br/>Rotational Atherectomy Steps 124<br/><br/>Directional Atherectomy 124<br/><br/>Orbital Atherectomy 126<br/><br/>Embolic Protection 127<br/><br/>Troubleshooting Embolic Protection Devices 130<br/><br/>Troubleshooting a “Full” Filter 130<br/><br/>Distal Embolization or “No Reflow” 130<br/><br/>Stenting for Femoropopliteal Disease 131<br/><br/>Bare-Metal Stents 131<br/><br/>Drug-Eluting Stents (DES) 131<br/><br/>Alternative Stent Technologies 132<br/><br/>Covered Stents 132<br/><br/>Tacks 132<br/><br/>Final Efficacy Assessment 132<br/><br/>Conclusions 132<br/><br/>Acknowledgments 133<br/><br/>References 133<br/><br/>10 Tibial Interventions in Patients with Critical Limb- Threatening Ischemia 138<br/>Raman Sharma, Roberto Cerrud- Rodriguez, and Prakash Krishnan<br/><br/>Introduction 138<br/><br/>Indications and Goals of Endovascular Revascularization 138<br/><br/>Considerations for Access Site 139<br/><br/>Single Versus Multitibial Artery Revascularization 140<br/><br/>Antegrade Tibial Artery Intervention 141<br/><br/>Retrograde Access for Retrograde Lesion Crossing and Wire Externalization with Antegrade Revascularization 143<br/><br/>TAMI Retrograde Revascularization 144<br/><br/>Reentry and Externalization Devices 146<br/><br/>Deep Venous Arterialization (DVA) 146<br/><br/>References 147<br/><br/>11 Acute Limb Ischemia: Endovascular Approach 151<br/>Shunsuke Aoi and Amit M. Kakkar<br/><br/>Introduction 151<br/><br/>Procedure Planning, Equipment, and Considerations 151<br/><br/>References 161<br/><br/>12 Pedal Reconstruction 162<br/>Ehrin Armstrong and Rory Brinker<br/><br/>Introduction 162<br/><br/>Pedal Arch Reconstruction 162<br/><br/>Indications for Pedal Revascularization 166<br/><br/>Technical Considerations 166<br/><br/>Access 166<br/><br/>Lesion Crossing 167<br/><br/>CTO Lesion Subtype 167<br/><br/>Special Considerations of the Pedal Intervention 167<br/><br/>Troubleshooting 169<br/><br/>Summary 169<br/><br/>References 173<br/><br/>13 Endovascular Management of Access Site Complications 175<br/>Manaf Assafin, Robert Pyo, Pedro Cox- Alomar, and Miguel Alvarez- Villela<br/><br/>Introduction 175<br/><br/>Complications Related to Common Femoral Artery Access 176<br/><br/>Access Site Bleeding 176<br/><br/>Crossover Technique 179<br/><br/>Balloon Tamponade, Endovascular Coiling, and Covered Stent Placement 179<br/><br/>Femoral Pseudoaneurysms 180<br/><br/>Ultrasound-Guided Compression Repair 182<br/><br/>Ultrasound-Guided Thrombin Injection 183<br/><br/>Covered Stent Placement 184<br/><br/>Other Techniques 184<br/><br/>Arteriovenous Fistulas 185<br/><br/>Vascular Closure Device Related Complications 186<br/><br/>Radial Artery Related Complications 187<br/><br/>Radial Artery Spasm 188<br/><br/>Radial Artery Occlusion 189<br/><br/>Bleeding Complications 190<br/><br/>References 191<br/><br/>14 Acute Deep Vein Thrombosis 196<br/>Vishal Kapur and Sagar Goyal<br/><br/>Introduction 196<br/><br/>Treatment Strategy 197<br/><br/>Initial and Long-Term Treatment of VTE 200<br/><br/>Oral Anticoagulants 200<br/><br/>Thrombolysis 200<br/><br/>Vena Cava Filters 201<br/><br/>Compression Stockings 202<br/><br/>Cancer-Associated VTE 202<br/><br/>Isolated Distal DVT 202<br/><br/>Extended Treatment 202<br/><br/>Unprovoked VTE 202<br/><br/>Oral Anticoagulants 203<br/><br/>Conclusion 203<br/><br/>References 204<br/><br/>15 Lower- Extremity Venous Stenting 207<br/>Asma Khaliq, Sandrine Labrune, and Cristina Sanina<br/><br/>Introduction 207<br/><br/>Follow-Up 213<br/><br/>References 214<br/><br/>16 Intervention for Pulmonary Embolism 215<br/>Seth I. Sokol, Wissam A. Jaber, and Yosef Golowa<br/><br/>Introduction 215<br/><br/>Pulmonary Angiography 215<br/><br/>Vascular Access 215<br/><br/>Injection and X-Ray Detector Positioning 216<br/><br/>Catheter-Directed Thrombolysis 216<br/><br/>EKOS™ Catheter-Directed Thrombolysis 216<br/><br/>Preparation of System 217<br/><br/>Access 218<br/><br/>Mechanical Disruption 220<br/><br/>Catheter Fragmentation of Clot 220<br/><br/>Large Catheter Aspiration 220<br/><br/>FlowTriever™ 220<br/><br/>Access 221<br/><br/>Penumbra 225<br/><br/>AngioVac 227<br/><br/>Patient Selection and Central Venous Access 227<br/><br/>AngioVac Circuit Setup and Thrombus Aspiration 229<br/><br/>AngioVac for Pulmonary Embolus 231<br/><br/>AngioVac for Clot-in-Transit 232<br/><br/>AngioVac for Right Heart Vegetation 232<br/><br/>Patient Selection and Approach 232<br/><br/>Technique 233<br/><br/>References 234<br/><br/>17 Catheter- Based Therapy for Varicose Veins 236<br/>Juan Terre and Nelson Chavarria<br/><br/>Introduction 236<br/><br/>Thermal Techniques 236<br/><br/>Radiofrequency (RF) Ablation 237<br/><br/>Follow-Up 239<br/><br/>Endovenous Laser Ablation (EVLA) 239<br/><br/>Nonthermal Techniques 240<br/><br/>Mechanico-Chemical Ablation (MOCA) 241<br/><br/>Limitations 242<br/><br/>Summary 243<br/><br/>References 243<br/><br/>Index 245 
<br/><br/> "An increasingly popular alternative to open vascular surgery, endovascular intervention offers many advantages, including reduced patient discomfort, smaller incisions, shorter recovery time, and decreased risk of adverse complications. Practitioners and trainees alike require expert guidance on current technologies and up-to-date techniques. Endovascular Procedures provides clinicians with an easy-to-follow guide for minimally invasive treatment of vascular disease. This invaluable resource delivers concise and accurate instructions on a wide range of endovascular interventions, including interventions of the aorta, renal and mesenteric interventions, lower extremity interventions, venous interventions, and supra-aortic interventions in high-risk patients. Sequential phases of skill development broaden the reader's abilities as they progress through each chapter, supplying step-by-step instructions on when each procedure should be used and how it can be safely and effectively performed. This book offers a complete reference to essential techniques and procedures, suitable for both novice and experienced vascular surgeons, cardiologists, and radiologists"-- 
<br/><br/><br/>About the Author<br/>Jose M. Wiley, MD, MPH, Sidney W. and Marilyn S. Lassen Chair in Cardiovascular Medicine, Professor of Medicine, Chief, Section of Cardiology, John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA.<br/><br/>Cristina Sanina, MD, Interventional Cardiology Fellow, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.<br/><br/>George D. Dangas, MD, PhD, Professor of Medicine-Cardiology and Vascular Surgery, Director of Cardiovascular Innovation, Icahn School of Medicine at Mount Sinai, New York, NY, USA.<br/><br/>Prakash Krishnan, MD, Professor of Medicine-Cardiology, Director of Endovascular Services, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 
<br/><br/><label>ISBN: </label>9781119467786 
<br/><br/><label>LCCN: </label>2023012153 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Endovascular Procedures.
<br/><br/><label>LC Class. No.: </label>RD598.5 
<br/><br/><label>Dewey Class. No.: </label>617.4/13 
<br/><br/><label>National Library of Medicine Call No.: </label>WG 170