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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 | |