Visceral Vessels and Aortic Repair -

Visceral Vessels and Aortic Repair

Challenges and Difficult Cases
Buch | Hardcover
XI, 421 Seiten
2019 | 1st ed. 2019
Springer International Publishing (Verlag)
978-3-319-94760-0 (ISBN)
181,89 inkl. MwSt
This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries.
In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries.
The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the "endovascular era", it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses.
The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery.
This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods."

Yamume Tshomba, MD, graduated from the University of Milan (Italy) and was awarded the Specialization in Vascular Surgery cum laude by the University of Siena (Italy). He's currently Professor of Vascular Surgery and Vascular Surgery Residency Program Director at Catholic University of the Sacred Heart Roma, (Italy). He's also Head of Vascular Surgery at Policlinico A. Gemelli, Roma, (Italy). Until April 2018 he has been Associate Professor of Vascular Surgery at the Università Vita-Salute San Raffaele, Milano (Italy). He's a member of the Society for Vascular Surgery (SVS), the European Society for Vascular and Endovascular Surgery (ESVS), the Italian Society for Vascular and Endovascular Surgery (SICVE), and the French Society for Vascular and Endovascular Surgery (SCVE). He's Associate Editor of the International Journal of Cardiology and member of the editorial board of the Journal of Cardiothoracic and Vascular Anesthesia. He has authored more than 270 scientific publications including peer-review papers, books and book chapters. He's principal or co-investigator of several clinical trials in the field of robotic, vascular and endovascular surgery.

Anatomical overview and imaging of the aorta and visceral arteries .- Physiopathology and anaesthesiological management of supravisceral aortic clamping.- Perioperative renal pharmacological protection during cardiovascular surgery.- Renal protection during open aortic surgery with Custodiol solution.- Renal artery stenosis associated with aortic disease: timing and outcomes of operative management.- Renal arteries anatomic abnormalities during open abdominal aortic repair.- Renal transplantation and aortic disease: operative management.- Pulsatile perfusion of kidney allografts.- Endovascular aortic repair:  the renal side of the story.- Challenging infrarenal aortic necks in EVAR:  devices evolution, long-term results  and new concepts .- Open repair of pararenal aneurysms: renal vessels surgical management.- Endovascular repair of pararenal aortic aneurysms: the management of visceral arteries with fenestrated technology.- Emergency kit for chimney technique for ruptured abdominal aortic aneurysm.- Current treatment options for complex aortic pathology with visceral arteries involvement between open and endo: single center experience.- Aortic "coral reef" with visceral arteries involvement: treatment options.- Thoracoabdominal aortic aneurysm open repair: visceral arteries reattachment strategies.- Sutureless anastomosis during thoracoabdominal aortic repair.- Tissue ischemia during aortic surgery. The point of view of the perfusionist.- Ischemic preconditioning: the rationale and evidence based outcomes.- Intraoperative neurophysiologic monitoring during aortic surgery: basic principles and clinical experience.- Long-term patency of visceral vessels after thoracoabdominal aortic repair.- Fate of Carrel patch after thoracoabdominal aortic repair: treatment options for recurrent aneurysms.- Total endovascular repair of thoracoabdominal aortic aneurysms: lessons learned.- The SpiderGraft for Thoracoabdominal Aortic Repair: rationale and indications.-Visceral ischemia during type B dissection: incidence, prognostic value, diagnosis and operative management.- Visceral ischemia during acute type B dissection: limits of current approaches and new perspective.- Epidemiology, diagnosis and clinical management of arteritis involving visceral vessels.- Visceral arteries involvement in Takayasu patients:  treatment options.- Aortic infection with visceral arteries involvement in the endovascular era:  treatment options.- Deep vein reconstruction for infective aortic syndromes with visceral arteries involvement.- Vena cava oncologic surgery.- Rerouting of visceral arteries during hybrid thoracoabdominal aortic repair: a still useful solution in highly selected case.

Erscheinungsdatum
Zusatzinfo XI, 421 p. 222 illus., 192 illus. in color. With online files/update.
Verlagsort Cham
Sprache englisch
Maße 178 x 254 mm
Gewicht 1344 g
Themenwelt Medizinische Fachgebiete Chirurgie Herz- / Thorax- / Gefäßchirurgie
Schlagworte Aorta • endovascular repair • mesenteric • Renal • Thoracoabdominal
ISBN-10 3-319-94760-5 / 3319947605
ISBN-13 978-3-319-94760-0 / 9783319947600
Zustand Neuware
Haben Sie eine Frage zum Produkt?
Mehr entdecken
aus dem Bereich
Diagnostische und interventionelle Kathetertechniken

von Harald Lapp

Buch (2022)
Thieme (Verlag)
220,00