Endovascular Skills Guidewire and Catheter Skills for Endovascular Surgery

ISBN-10: 0824742486

ISBN-13: 9780824742485

Edition: 2nd 2003 (Revised)

List price: $248.00
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Book details

List price: $248.00
Edition: 2nd
Copyright year: 2003
Publisher: Taylor & Francis Group
Publication date: 4/25/2003
Binding: Hardcover
Pages: 384
Size: 6.00" wide x 9.75" long x 0.75" tall
Weight: 1.936
Language: English

Foreword
Preface to the Second Edition
Preface to the First Edition
Basic Endovascular Skills
Endovascular Concepts
Endovascular Skills in Practice
Reinvention of Vascular Care
Arteriographic Schism
Working Environment
Qualifications
Selected Readings
How to Get In: Percutaneous Vascular Access
Percutaneous Access Is the Future
Angio Consult: What Are the Principles of Percutaneous Access?
Prior to the Puncture
Percutaneous or Open?
Choosing Your Approach
Anatomy for Arterial Access
Percutaneous Retrograde Puncture of Femoral Artery
Plan of Attack: Guidewire Won't Pass Through the Needle
Percutaneous Antegrade Puncture of Femoral Artery
Percutaneous Puncture of Pulseless Femoral Artery
Micropuncture Technique
Proximal Access
Percutaneous Puncture of Brachial Artery
Percutaneous Puncture of Prosthetic Grafts
Puncture with Ultrasound
Puncture Site Complications
Summary of Puncture Site Options
Selected Readings
Guidewire-Catheter Skills
Guidewire-Catheter Skills Are the Basis of Endovascular Surgery
Mastering Guidewires
What Makes Guidewires Different from Each Other?
Guidewire Types in Practice
Technique: Guidewire Handling
Introduction to Catheters: Dilators and Exchange, Flush, and Selective Catheters
When Is a Dilator Needed?
Which Angiographic Catheter Should I Use?
Catheter Head Shape Determines Function
Lingo: Catheter Talk
Handling Catheters
Technique: Catheter Handling
Selected Readings
How to Get Where You Are Going: Guidewire and Catheter Passage
The Goal of the Procedure Determines the Course of the Guidewire-Catheter
Into the Flow Stream
When to Use Fluoroscopy
Guidewire and Catheter Combinations
Passing Through Diseased Arteries
Plan of Attack: Catheter Won't Follow Guidewire
Negotiating Tortuous Arteries
Going the Distance: The Very Remote Puncture Site
Plan of Attack: Guidewire-Catherer Buckling
Passing Through Aneurysms
Selected Readings
Imaging: How to See Where You Are Going
Are We Ready to See?
Image Quality
Generating an X-ray Image
Digital Subtraction Arteriography Versus Cut Film Arteriography
Imaging Technique for Best Resolution
Angio Consult: How Can I Get Better Images?
When to Use Road Mapping and How It Works
Automated Power Injector
Power Injection Versus Injection by Hand
Contrast Agents
Angio Consult: Is There Any Way to Limit Contrast Load
Radiation Safety and Occupational Health Issues
How Do You Know Where You Are?
Selected Readings
More About How to Get Where You Are Going: Selective Catheterization
Too Many Choices!
Angio Consult: What Is Your Strategy for Selective Catheterization?
Selective Catheterization of the Brachiocephalic Arteries
Selective Catheterization of the Visceral and Renal Arteries
Selective Catheterization of the Aortoiliac Arteries
Plan of Attack: Crossing the Aortic Bifurcation
Selective Catheterization of the Infrainguinal Arteries
Technique: Entering an Infrainguinal Vein Graft
Selective Catheterization of Prosthetic Bypass Grafts
Selected Readings
Setting Up the Therapeutic Maneuver: Crossing Lesions
Why Cross a Lesion?
Three Types of Lesions
Crossing Stenoses
Plan of Attack: Crossing a Stenosis
Angio Consult: How Do You Avoid Subintimal Guidewire Dissection? What Do You Do If It Happens?
Crossing Occlusions
Plan of Attack: Crossing an Occlusion
Angio Consult: When Is Road Mapping Useful to Cross Lesions?
Selected Readings
Arteriography
Arteriography Is Strategic, Not Diagnostic
The Future of Arteriography
Supplies for Arteriography
Planning for Strategic Arteriography
Questions to Consider Before Arteriography
Evaluation Before Angiography
Deciding Where to Puncture
Angio Consult: How Can Duplex Scanning Help in Choosing a Puncture Site?
Catheter Placement
Contrast Administration and Image Acquisition
Arteriography Sequences
Arteriography of the Brachiocephalic Arteries
Thoracic Aortography
Arteriography of the Visceral and Renal Arteries
Arteriography of the Infrarenal Arteries
Angio Consult: What Can I Do to Identify Arteriographic Fakeouts
Lesion Interrogation: Special Views
Pressure Management
Arteriography of Aneurysms
Angio Consult: How Can I Use Duplex Scanning to Limit the Amount of Arteriography Required?
Selected Readings
Endovascular Therapy
Introduction to Endovascular Therapy
Endovascular Therapy Requires Basic Skills
Impact of Endovascular Therapy
Steps to Endovascular Therapy
A Loaded System
The Future of Endovascular Surgery
Therapeutic Strategies
Choosing Treatment: The Endovascular Therapy Curve
Endovascular Decision Tree
Plan and Control the Procedure
Converting a Strategic Arteriogram to Endovascular Treatment
Where Do We Work?
Where We Work Determines What We Can Do!
Operating Room Versus Special Procedures Suite
Stationary Versus Portable Imaging Systems
The Ideal Vascular Workshop
Converting an OR to a Vascular Workshop
Selected Readings
Delivering the Goods: Access for Endovascular Therapy
Make Access as Simple as Possible
Sizing Considerations
What Fits Into What?
About Access Sheaths
How Do You Place a Sheath?
Technique: Handling Access Sheaths
When Do You Use a Guiding Sheath or a Guiding Catheter?
Technique: How to Place an Up-and-Over Sheath
Selected Readings
Medications for Endovascular Therapy
Sedation and Analgesia
Local Anesthetic
Prophylaxis with Antibiotics
Anticoagulants
Vasodilators
Treatment of Contrast Reactions
Balloon Angioplasty: Minimally Invasive Autologous Revascularization
Balloon Dilatation Is (Un) Controlled Dissection!
About Balloon Catheters
The Angioplasty Procedure
Balloon Selection
Angio Consult: How Do I Choose the Right Balloon for the Job?
Supplies for Percutaneous Balloon Angioplasty
Sheath Selection and Placement
Balloon Preparation and Placement
Balloon Inflation
Balloon Removal and Completion Arteriography
Selected Readings
More About Balloon Angioplasty: Keeping Out of Trouble
Keeping Out of Trouble Is Simpler Than Getting Out of Trouble
What's the Strategy for Managing Multiple Lesions?
Technique: Keeping Track of the Tip of the Sheath
Which Lesions Should Be Predilated?
Which Lesions Are Most Likely to Embolize?
Which Lesions Are Most Likely to Dissect?
Pain During Balloon Angioplasty
What About Spasm?
Plan of Attack: Options for Treating Residual Stenosis After Balloon Angioplasty
Preventing Puncture Site Thrombosis
Balloon Angioplasty Troubleshooting
Technique: Solving Angioplasty Problems
Management of Arterial Rupture
Management of Embolization
Management of Acute Occlusion
Stents: Endovascular Repaving
Impact of Stents
Stent Choices
Indications for Stents: Primary or Selective Stent Placement
Which Lesions Should Be Stented?
Placement Technique for Balloon-Expandable Stent (Palmaz)
Placement Technique for Self-Expanding Stent (Wallstent)
Question: What to Consider When Selecting a Stent
Which Stent for Which Lesion?
How Do You Select the Best Stent for the Job?
Tricks of the Trade
Technique: Bailout Maneuvers for Balloon-Expandable Stents
Technique: Bailout Maneuvers for Self-Expanding Stents
Acute Complications of Stent Placement
Chronic Complications of Stent Placement
Selected Readings
The Common Carotid, Subclavian, and Axillary Arteries: Advice About Balloon Angioplasty and Stent Placement
Common Carotid Artery
The Subclavian and Axillary Arteries
Selected Readings
The Renal Arteries: Advice About Balloon Angioplasty and Stent Placement
Selected Readings
The Infrarenal Aorta, Aortic Bifurcation, and Iliac Arteries: Advice About Balloon Angioplasty and Stent Placement
Aorta
Aortic Bifurcation
Iliac Artery
Selected Readings
The Infrainguinal Arteries: Advice About Balloon Angioplasty and Stent Placement
Superficial Femoral and Popliteal Arteris
Tibial Arteries
Selected Readings
Advice About Endovascular Salvage of Previous Reconstructions
Previous Endovascular Reconstruction: Balloon Angioplasty, Stents
Infrainguinal Bypass Graft
Extra-Anatomic Bypasses: Axillofemoral and Femoral-Femoral Bypasses
In-Line Reconstructions for Aortoiliac Disease: Aortofemoral Bypass, Iliofemoral Bypass, and Aortoiliac Bypass
Selected Readings
Making a Clean Getaway: Puncture Site Management
Obtaining Hemostasis
Holding Pressure
Timing the Sheath Removal
Managing Puncture Site Complications
Endovascular Complications Can Be Avoided!
Selecting the Appropriate Physician
Selecting the Appropriate Patient
Selecting the Appropriate Technique
Selecting the Appropriate Approach
Spotting a Nasty Lesion Before It Spots You
Knowing When to Quit
Deciding What Kind of Facility Is Adequate
Knowing Your Inventory and Equipment
Basic Inventory: Needles, Guidewires, Catheters, Sheaths, Balloons, and Stents
Radiographic Equipment
Radiographic Terms
Radiation Exposure
Index
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