Advanced Endovascular Therapy of Aortic Disease

Alan B Lumsden MD, Chief of Vascular Surgery and Endovascular Therapy, Professor of Surgery, Baylor College of Medicine Dr Lumsden is a graduate of University of Edinburgh, Scotland. He completeted his general and vascular surgery training at Emory University in Atlanta, where he joined the faculty and rose to become chief of the division of vascular surgery. Moving to Houston in 2002, he become the chief of the division of vascular surgery, following in the footsteps of Dr Michael E DeBakey. At Baylor a very robust endovascular and research program was developed focusing on minimally invasive vascular surgery. Dr Lumsden has over 260 publications, 40 book chapters, one book and has an active NIG grant examining use of lipid modication on outcomes of lower extremity intervention. Peter Lin, MD, Chief of Vascular Surgery, Michael E. DeBakey VA Medical Center, Associate Professor of Surgery, Baylor College of Medicine

Acknowledgments vii

Contributors ix

Preface xiii

Part I Natural history and preoperative planning

1 Etiology and pathogenesis of aortic disease 3
Bo Risberg & Lars Lonn

2 Clinical consideration of aortic disease: atherosclerosis aneurysm dissection and traumatic injury 11
Lars Lonn & Bo Risberg

3 Thoracic aortic aneurysms: classification incidence etiology natural history and results 25
Hazim J. Safi

4 Angiographic aortic anatomy and variants 31
Louis G. Martin

5 Patient selection for thoracic endografts: today and tomorrow 41
Mark A. Farber

6 Noninvasive aortic imaging modalities: CT MRI intravascular ultrasound (IVUS) and transesophageal echocardiography (TEE) 45
Tae K. Song & Rodney A. White

7 Preoperative imaging and device sizing in endovascular management of thoracic aortic aneurysms 53
Panagiotis Kougias, Hosam El Sayed, & Wei Zhou

8 Intramural hematoma and penetrating ulcer 61
Michael D. Dake

9 Patient follow-up and evaluation of abdominal and thoracic stent grafts 65
Jan D. Blankensteijn

Part II Thoracic aortic aneurysm

10 Endovascular therapy of thoracic aneurysms: Gore TAG trial results 75
Jae-Sung Cho, Shan-e-ali Haider, & Michel S. Makaroun

11 Medtronic TALENT and VALIANT devices: moving toward the next generation of thoracic aortic stent grafts 85
Ron Fairman

12 Early clinical experience with the Bolton Relay thoracic stent graft 91
Frank J. Criado

13 Clinical results of the EUROSTAR thoracic registry 95
Peter Harris, Lina Leurs, Randolph Statius van Eps, & Jacob Buth

14 Management of aortic aneurysms and dissections with the Zenith TX2 stent graft 105
W. Anthony Lee

Part III Aortic dissection and traumatic aortic injury

15 Aortic dissection: evaluation and management—choosing the right intervention 117
David M. Williams

16 Aortic dissection: role of fenestration and stents in the endograft era 123
David M. Williams

17 Blunt trauma to the thoracic aorta: current challenges 127
Kenneth L. Mattox, Cliff Whigham, Richard G. Fisher, & Matthew J. Wall Jr.

18 Traumatic disruption of the aorta 135
Ross Milner, Karthik Kasirajan, & Elliot Chaikof

19 Should endovascular repair be considered the standard treatment in traumatic thoracic aortic injury? 141
Peter H. Lin, Tam T. Huynh, & Eric K. Peden

Part IV Techniques new devices and surveillance

20 Site-specific aortic endografting: case examples and discussion—the ascending aorta 155
Edward B. Diethrich

21 Improved endograft fixation—a role for aortic endostapling? 169
Brian R. Hopkinson

22 Treating smaller aneurysms: is there a rationale? 175
Kenneth Ouriel

23 Management strategies adjuncts and technical tips to facilitate endovascular treatment of ruptured abdominal aortic aneurysms 181
Frank J. Veith, Nicholas J. Gargiulo III, & Evan C. Lipsitz

24 Postoperative imaging surveillance and endoleak management after endovascular repair of thoracic aortic aneurysms 187
S. William Stavropoulos & Jeffrey P. Carpenter

25 Percutaneous repair of abdominal aortic aneurysms with local anesthesia and conscious sedation 193
Zvonimir Krajcer, Neil E. Strickman, Ali Mortazavi, & Kathryn Dougherty

26 Endoleak management in the abdominal aorta 199
Jennifer L. Ash, Syed M. Hussain, & Kim J. Hodgson

27 Aneurysm sac pressure measurement with a pressure sensor in endovascular aortic aneurysm repair 209
Lisandro Carnero & Ross Milner

Index 217