The first chapter comprises the key overview and very comprehensively covers the platform – the hybrid OR, the tools, the accessories, and the medium – superb, state-of-the-art imaging modalities required to perform these advanced procedures. The text then moves into more technical details including options and instruction regarding access approaches and potential pitfalls of such. This is followed in ensuing chapters by dissemination of precise information, techniques, and indications for the most popular and utilized grafts including Boston Relay Stent Graft, Cook TX2 Zenith Stent Grafts, as well as the Gore and Medtronic Aortic Stent Grafts.
Transitioning from the devices themselves, the ensuing chapters cover challenging clinical problems such as dissections, traumatic aorta injury, and hybrid debranching techniques as well as a chapter on fenestrated and branched graft technology for thoracoabdominal aortic pathology expertly written by an expert in the field Dr. Roselli. Points are well illustrated with case examples. A most essential final clinical chapter covers the identification, treatment, and avoidance of complications. The text is completed with a look into future technologies.
The Manual of Thoracic Endo-Aortic Surgery is well organized, flows efficiently, and is well written. It reflects the significant clinical experience of Dr. Kpodonu and embodies his commitment to teaching and education. It is important for any clinician in the field of cardiovascular care to be aware of the therapeutic options and imaging modalities covered in this text. Furthermore, the endo-aortic specialist will benefit most significantly by the technical details elucidated in this publication. This entire field is rapidly evolving and represents a major advance in medical therapy. Knowledge of current therapeutic options and clinical expertise in delivering these options are essential. This text provides an important element in the foundation for that process.
Contents
1 The Cardiovascular Hybrid Room
Part I Accessories Used in Thoracic Endografting
2 Balloons Used in Thoracic Aortic Endografting
3 Catheters Used in Endografting of the Thoracic Aorta
4 Equipment Required for Thoracic Aortic Endografting
5 Guidewires Used in Thoracic Aortic Endografting
6 Sheaths Used in Thoracic Aortic Endografting
7 Stents Used in Conjunction with Thoracic Aortic Endografting
8 Vascular Closure Devices
Part II Imaging Required for Thoracic Endografting
9 Fluoroscopy and Angiographic Imaging in Thoracic Aortic Endografting
10 Case-Specific CT Imaging to Evaluate Thoracic Aortic Pathologies
11 Intravascular Ultrasound Applications to the Thoracic Aorta
12 Endovascular Imaging, Planning, and Sizing for Treatment of Thoracoabdominal Aortic Aneurysms
Part III Access Techniques Required for Thoracic Endografting
13 Brachial Access Techniques Used in Thoracic Aortic Endografting
14 Transfemoral Access Techniques in Thoracic Aortic Endografting
15 Retroperitoneal Access for Thoracic Aortic Endografting
16 Techniques for Constructing an Endoconduit
Part IV Bolton Relay Thoracic Endovascular Stent Graft Device
17 Bolton Relay Thoracic Stent Graft System
Part V Cook Zenith Thoracic Stent Graft Device
18 Zenith TX2 Thoracic Endograft
19 Cook Zenith Dissection Endovascular Stent
20 COOK Medical Accessories Used for Deployment of the TX2 COOK Stent Graft
21 Clinical Data Using the Zenith TX2 Thoracic Graft
Part VI W.L. Gore TAG Thoracic Endovascular Stent Graft Device
22 The Gore TAG Endoprosthesis
23 Gore TAG Multicenter Phase II Trial
24 Five-Year Results of Endovascular Treatment with the Gore TAG Device Compared with Open Repair of Thoracic Aortic Aneurysms
25 Technique of Thoracic Endografting for ThoracicAneurysm Using the Approved Gore TAG Device
Part VII Medtronic Talent/Valiant Thoracic EndovascularStent Graft
26 Talent Thoracic Stent Graft
26.3 StentGraftSizingGuidelines
27 Valiant Thoracic Stent Graft
28 Pivotal Results of the Medtronic Vascular Talent Thoracic Stent Graft System: The VALOR Trial
Part VIII Endografting for Thoracic Aortic Aneurysms
29 Endovascular Management of Thoracic Aortic Aneurysm Using a Cook Zenith TX2 Endograft
30 Management of a Patient with Thoracic Aortic Aneurysm Using Gore TAG Device
31 Management of a Thoracic Aortic Aneurysm Using a Talent Stent Graft
32 Endovascular Management of a Thoracic Aortic Aneurysm Using a Retroperitoneal Conduit
Part IX Endografting for Thoracic Aortic Dissections
33 Endovascular Management of Acute Type B Dissection
34 Endovascular Management of Chronic Type B Thoracic Aortic Dissection
35 Retrograde Type A Dissection After Endovascular Management of Type B Dissection
Part X Endografting for Varied Thoracic Aortic Pathologies
36 Aorto-bronchial Fistula
37 Endovascular Management of Penetrating Aortic Ulcer
38 Endovascular Approach to Coarctation of the Thoracic Aorta
39 Endovascular Management of Traumatic Aortic Disruption
40 Thoracic Aortic Endografting for Traumatic Transection
41 Hybrid Management of the Thoracic Aorta: Extending Proximal Landing Zones
42 Complications of Thoracic Aortic Endografting
Part XI Future Technology
43 Endovascular Management of Ascending Aortic Pathologies
44 Use of a Remote Wireless Pressure Sensor for Post-operative Surveillance of Thoracic Endoluminal Grafts
Index