Total Endovascular Aortic Arch Repair Is It For Everyone And Where Is Its Evidence
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Total Endovascular Aortic Arch Repair Is It For Everyone And Where Is Its Evidence
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Author : Matti Jubouri
language : en
Publisher: OAE Publishing Inc.
Release Date : 2023-03-13
Total Endovascular Aortic Arch Repair Is It For Everyone And Where Is Its Evidence written by Matti Jubouri and has been published by OAE Publishing Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-03-13 with Medical categories.
Open total arch replacement (TAR) remains the mainstay management strategy for thoracic aortic diseases involving the aortic arch. TAR evolved from the 2-stage conventional elephant trunk (CET) technique to the hybrid frozen elephant trunk (FET) which combined open surgical repair (OSR) with thoracic endovascular aortic repair (TEVAR) into a 1-stage procedure. Although FET has been able to achieve superior results to CET, including excellent survival, it still carries a risk of certain complications that may even require secondary reintervention. The era of elephant trunk is being overtaken by the new generation of TEVAR devices being used for total endovascular aortic arch (or endoarch) repair. Total endoarch repair (TER) is currently indicated in patients deemed high-risk for open surgery; however, it has shown strong potential for becoming the gold stand treatment for aortic arch pathologies. Despite the minimally-invasive nature of TER providing an obvious advantage over OSR in certain cases, TER remains associated with comparable mortality rates and key complications such as technical failure, neurological injury, need for reintervention, and loss of or failure to achieve target vessel patency. Upon comprehensively searching the literature, the technical success of TER ranged from 91%-100%, mortality 0%-19%, stroke 0%-16.7% and reintervention 0%-30.3%, using different commercially available endografts. Given its novelty, further studies with larger cohorts and longer follow-up periods are necessary to solidify the evidence on TER, taking into account the significant learning curve associated with TEVAR. In addition, studies directly comparing arch OSR to TER are warranted to determine superiority. This review aimed to highlight the evolution of aortic arch repair, focusing on TER device development, intervention criteria and clinical outcomes.
Core Topics In Vascular Anaesthesia
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Author : Carl Moores
language : en
Publisher: Cambridge University Press
Release Date : 2012-06-07
Core Topics In Vascular Anaesthesia written by Carl Moores and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-07 with Medical categories.
Vascular surgery and anaesthesia have changed considerably in recent years and become recognised subspecialties, although non-specialist anaesthetists continue to provide much of the care for emergency vascular surgical patients. Core Topics in Vascular Anaesthesia brings together the clinical expertise of global leaders in the field in a comprehensive review of contemporary practice. Detailed discussion is included on every aspect of clinical management: • Preoperative risk assessment, including cardiopulmonary exercise testing and risk modification using pharmacological and cardiac interventions • Anaesthesia for major vascular operations including carotid endarterectomy, complex endovascular aortic surgery and repair of ruptured aortic aneurysms • Intraoperative management of high risk patients including advanced monitoring techniques, fluid management, blood conservation and transfusion, major haemorrhage and treatment of coagulopathy Practical and well illustrated, Core Topics in Vascular Anaesthesia is essential reading for anaesthetists, intensive care physicians and vascular surgeons.
Advanced Endovascular Therapy Of Aortic Disease
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Author : Alan B. Lumsden
language : en
Publisher: John Wiley & Sons
Release Date : 2008-04-15
Advanced Endovascular Therapy Of Aortic Disease written by Alan B. Lumsden and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-15 with Medical categories.
At last, years of clinical experience and the latest clinical evidence comes together in one comprehensive collection by world-renown experts at the Baylor College of Medicine. A complete and focused examination of all aspects of endovascular therapy of aortic disease, Advanced Endovascular Therapy provides you with all of the information you need on: Natural history and preoperative planning Thoracic aortic aneurysm Aortic dissection and traumatic aortic injury Techniques, new devices, and surveillance With 26 chapters skilfully organized into four main sections, this book helps you obtain the best results when using endovascular treatments for patients with aortic disease. Keep Advanced Endovascular Therapy close at hand for frequent reference.
Thoracic Aortic Diseases
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Author : Hervé Rousseau
language : en
Publisher: Springer Science & Business Media
Release Date : 2006-10-05
Thoracic Aortic Diseases written by Hervé Rousseau and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-10-05 with Medical categories.
This book provides information on the acquired and genetic basis of aortic diseases as well as giving a global perspective on therapeutic alternatives. The new concept of a team approach with surgeons working together with both interventional radiologists and specialists to repair the aorta is the trademark of this book. New material and new viewpoints are provided to practicing physicians in this modern approach to the treatment of disorders of the aorta.
Challenges And Outcomes Of Complex Endovascular Aortic Repair
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Author : Konstantinos Spanos
language : en
Publisher: Frontiers Media SA
Release Date : 2024-04-04
Challenges And Outcomes Of Complex Endovascular Aortic Repair written by Konstantinos Spanos and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-04-04 with Medical categories.
Diagnosis And Treatment Of Aortic Diseases
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Author : C.A. Nienaber
language : en
Publisher: Springer Science & Business Media
Release Date : 1999-03-31
Diagnosis And Treatment Of Aortic Diseases written by C.A. Nienaber and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-03-31 with Medical categories.
Describes recent surgical techniques developed to improve prognosis in aortic diseases, and discusses recent interventional strategies such as endovascular stent-graft placement and non-surgical reconstruction of the aorta. Chapters deal with aortic dissection, aortic aneurysm, surgical treatment of aortic aneurysms and dissections, inherited disorders of the aorta, aortic trauma, aortitis, and etiology and pathology of aortic malformations. Each chapter is organized in a similar fashion, with information on demographic aspects, pathology, clinical presentation, and diagnostic and therapeutic approaches. Annotation copyrighted by Book News, Inc., Portland, OR
Aortic Arch Surgery
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Author : Joseph S. Coselli
language : en
Publisher: John Wiley & Sons
Release Date : 2009-01-26
Aortic Arch Surgery written by Joseph S. Coselli and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-01-26 with Medical categories.
Focusing exclusively on the surgical management of aortic arch disease in adults, this concise reference provides authoritative guidance on both standard and alternative approaches from internationally recognized experts. Topics include: general principles of aortic diseases imaging techniques intraoperative management neurologic protection strategies options for aortic repair surgical treatment of specific problems complications Abundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies. With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.
Clinical And Basic Research On Endovascular Repair And Branch Reconstruction For The Treatment Of Lesions Involving The Aortic Arch
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Author : Hongkun Zhang
language : en
Publisher: Frontiers Media SA
Release Date : 2023-08-22
Clinical And Basic Research On Endovascular Repair And Branch Reconstruction For The Treatment Of Lesions Involving The Aortic Arch written by Hongkun Zhang and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-22 with Medical categories.
Mastering Endovascular Techniques
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Author : George Geroulakos
language : en
Publisher: Springer Nature
Release Date :
Mastering Endovascular Techniques written by George Geroulakos and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
Complications In Endovascular Surgery
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Author : Maciej Dryjski
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-12-17
Complications In Endovascular Surgery written by Maciej Dryjski and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-17 with Medical categories.
As devices, technologies, and imaging techniques continue to evolve, today’s endovascular surgical techniques have increased in both number and complexity. Complications in Endovascular Surgery provides a unique focus on potential complications encountered in the operating room, preparing you to anticipate the unexpected, identify the risk factors in individual procedures, and take steps to successfully manage complications when they occur. Helps you manage the surgical complications associated with image-guided interventional techniques used when treating patients with vascular disease, with clear descriptions of how to prevent problems and how to prevent catastrophic problems once a simple problem occurs. Provides a practical guide to device-specific tips and tricks from experts in the field, making this unique resource ideal for surgeons at all levels of training and practice. Features highly illustrated, consistent instructions that explain how to avoid and manage both common and uncommon complications. Covers EVAR, TEVAR, FEVAR, and other complex aortic work; as well as CAS, TCAR, complex LE endovascular procedures, and venous intervention-lysis/stenting. Includes tip boxes with key facts and technical recommendations, warning boxes that highlight safety precautions, and a troubleshooting guide for each procedure that helps you get back on track if things don’t go exactly as planned.