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