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This book presents 100 challenging cases encountered in vascular surgery practice that were selected from the author’s vascular registry of 7,000 vascular reconstructions (endovascular and open). Chapters include difficult surgical problems of patients with aortic, visceral and peripheral arterial aneurysms, with expert management of mycotic, inflammatory and ruptured aneurysms and major complications like aorto-duodenal fistula, graft infection or inferior vena cava injury. These reconstructions are representative of the “real world” experience of vascular surgery in the United States, and the selection of cases were based on either difficulty with case selection, or complex operative or an endovascular technique. The natural history of vascular reconstructions often leads to secondary reconstructions, which are far more complex and therefore are included in significant numbers in this text. Both good and unsatisfactory results have been included and the lessons learned from the poor outcomes are emphasized. Invited commentaries from leading experts in the field have been added to a few chapters offering an alternate viewpoint in the management of patients with complex pathology.
Challenging Arterial Reconstructions: 100 Clinical Cases serves as an invaluable resource to vascular surgeons that are learning or regularly performing open surgical or endovascular interventions.
Symptomatic Proximal Anastomotic Pseudoaneurysm of Suprarenal Aorta
Pages 3-8
Hans, Sachinder Singh
Repair of Juxtarenal Abdominal Aortic Aneurysm with Aortorenal Bypass
Pages 9-13
Hans, Sachinder Singh
Abdominal Aortic Aneurysm Repair in a Patient with Celiac Artery Occlusion and a Large Inferior Mesenteric Artery
Pages 15-17
Hans, Sachinder Singh
Abdominal Aortic Aneurysm Repair in a Patient with a Pelvic Kidney
Pages 19-21
Hans, Sachinder Singh
Open Repair of Abdominal Aortic Aneurysm in a Patient with Double Inferior Vena Cava
Pages 23-26
Hans, Sachinder Singh
Mycotic Aneurysm of the Abdominal Aorta
Pages 27-30
Hans, Sachinder Singh
Open Abdominal Aortic and Iliac Aneurysm Repair in a Patient with Cirrhosis of the Liver
Pages 31-32
Hans, Sachinder Singh
Major Venous Injury During Repair of Abdominal Aortic and Iliac Aneurysm
Pages 33-34
Hans, Sachinder Singh
Secondary Aortoduodenal Fistula Following Abdominal Aortic Aneurysm Repair
Pages 35-38
Hans, Sachinder Singh
Open Repair of an Inflammatory Abdominal Aortic Aneurysm
Pages 39-41
Hans, Sachinder Singh
Right Subhepatic Approach for Inflammatory Aortic Aneurysm in a Patient with Scoliosis
Pages 43-45
Hans, Sachinder Singh
Large Symptomatic Abdominal Aortic Aneurysm
Pages 47-48
Hans, Sachinder Singh
Abdominal Aortic Aneurysm in a Patient with Chronic Lymphocytic Leukemia
Pages 49-52
Hans, Sachinder Singh
Inflammatory Abdominal Aortic Aneurysm Presenting with Testicular Pain
Pages 53-54
Hans, Sachinder Singh
Abdominal Aortic Aneurysm Repair in a Patient with Factor VII Deficiency
Pages 55-56
Hans, Sachinder Singh
Open Repair of Ruptured Abdominal Aortic Aneurysm Complicated by Pancreatitis and Duodenal Obstruction
Pages 59-60
Hans, Sachinder Singh
Rupture of Abdominal Aortic Aneurysm in a Patient with a Horseshoe Kidney
Pages 61-62
Hans, Sachinder Singh
Rupture of Pararenal Aortic Aneurysm
Pages 63-68
Hans, Sachinder Singh
Rupture of Abdominal Aortic Aneurysm with Tear of Inferior Vena Cava in a Patient with Prior Endograft
Pages 69-72
Hans, Sachinder Singh
Prosthetic Graft Infection Following Open Repair of Ruptured Abdominal Aortic AneurysmPages 73-78
Hans, Sachinder Singh
Open Repair of Common Iliac Artery Aneurysm
Pages 81-83
Hans, Sachinder Singh
Open Repair of Ruptured Common Iliac Artery Aneurysm
Pages 85-87
Hans, Sachinder Singh
Open Repair of Ruptured Mycotic Aneurysm of the Common Iliac Artery
Pages 89-92
Hans, Sachinder Singh
Rupture of Hypogastric Artery Aneurysm
Pages 93-96
Hans, Sachinder Singh
Contained Rupture of Femoral Anastomotic Aneurysm
Pages 99-101
Hans, Sachinder Singh
Open Repair of Right Common Femoral Artery Aneurysm
Pages 103-104
Hans, Sachinder Singh
Open Repair of Contained Rupture of Right Popliteal Aneurysm
Pages 107-110
Hans, Sachinder Singh
Open Repair of Giant Recurrent Popliteal Aneurysm
Pages 111-114
Hans, Sachinder Singh
Open Repair of Large Symptomatic Subclavian/Axillary Artery Aneurysm with Partial Claviculectomy
Pages 117-119
Hans, Sachinder Singh
Repair of Extracranial Carotid Artery Aneurysm with Mandibular Subluxation
Pages 123-127
Hans, Sachinder Singh
Open Repair of the Superior Mesenteric Artery Aneurysm
Pages 131-132
Hans, Sachinder Singh
Resection of a Malignant Carotid Body Tumor with Carotid Artery Resection
Pages 135-138
Hans, Sachinder Singh
Resection of a Large Carotid Body Tumor with Mandibular Subluxation
Pages 139-142
Hans, Sachinder Singh
Infected Dacron Patch Following Carotid Endarterectomy
Pages 145-148
Hans, Sachinder Singh
Carotid Endarterectomy for a Recent Minor Stroke
Pages 149-150
Hans, Sachinder Singh
Carotid Endarterectomy with Mandibular Subluxation
Pages 151-153
Hans, Sachinder Singh
Carotid Endarterectomy with Intraoperative Stroke Due to Plaque Embolization During Shunt Insertion
Pages 155-157
Hans, Sachinder Singh
Intracerebral Hemorrhage Following Carotid Endarterectomy
Pages 159-162
Hans, Sachinder Singh
Carotid Endarterectomy for Symptomatic Radiation Induced Carotid Stenosis
Pages 163-166
Hans, Sachinder Singh
Nonconvulsive Status Epilepticus Following Carotid Endarterectomy
Pages 167-170
Hans, Sachinder Singh
Carotid Endarterectomy Followed by Retrieval of Plaque Embolus from M-1 Segment of the Middle Cerebral Artery
Pages 171-175
Hans, Sachinder Singh
Redo Carotid Endarterectomy for Recurrent Atherosclerotic Carotid Stenosis
Pages 177-179
Hans, Sachinder Singh
Carotid Interposition Graft in a Patient with Prior Carotid Stenting for Acute Stroke
Pages 181-183
Hans, Sachinder Singh
Carotid Endarterectomy in a Patient with Recent Minor Stroke Due to Unstable High Plaque
Pages 185-187
Hans, Sachinder Singh
Redo Aorto-bifemoral Graft
Pages 191-194
Hans, Sachinder Singh
Aorto-bifemoral Graft in a Patient with Horseshoe Kidney
Pages 195-197
Hans, Sachinder Singh
Spiral Vein Graft for Radiation-Induced Right Common and External Iliac Artery Occlusion
Pages 199-201
Hans, Sachinder Singh
Infected Aorto-bifemoral Graft
Pages 203-206
Hans, Sachinder Singh
Aorto-femoral Graft: A 30-Year Follow-Up
Pages 207-209
Hans, Sachinder Singh
Aorto-Bifemoral Grafting for Infrarenal Aortic Occlusion
Pages 211-213
Hans, Sachinder Singh
Exposed Femoral Graft Following Multiple Arterial Reconstruction
Pages 215-220
Hans, Sachinder Singh
Complications (Early and Late) of Aortofemoral Grafting
Pages 221-225
Hans, Sachinder Singh
Mesenteric Revascularization in Patients with Acute on Chronic Bowel Ischemia
Pages 229-233
Hans, Sachinder Singh
Femoral-Peroneal Bypass for Critical Limb Ischemia in a Patient with Unstable Angina
Pages 237-239
Hans, Sachinder Singh
Femoral-Peroneal Bypass for Severe Calcific Disease Using Tourniquet Occlusion
Pages 241-243
Hans, Sachinder Singh
Femoral Distal Posterior Tibial Bypass for Established Gangrene
Pages 245-247
Hans, Sachinder Singh
Autogenous Composite Vein Bypass for Redo Infrainguinal Arterial Reconstruction
Pages 249-252
Hans, Sachinder Singh
Repeat Femoral Posterior Tibial Bypass Using Spliced Cephalic Vein
Pages 253-255
Hans, Sachinder Singh
Management of a Patient with Complicated Adventitial Cystic Disease of the Popliteal Artery
Pages 259-262
Hans, Sachinder Singh
Popliteal Venous Pseudoaneurysm and Associated Arteriovenous Fistula Following Knee Arthroscopy
Pages 265-267
Hans, Sachinder Singh
Endovascular Aneurysm Repair in a Patient with Severe Aortic Neck Angulation Using Aorfix™ Device
Pages 271-274
Hans, Sachinder Singh
Endovascular Aneurysm Repair in a Patient with Short Aortic Neck with Use of EndoAnchors
Pages 275-277
Hans, Sachinder Singh
Endovascular Aneurysm Repair Followed by Multiple Interventions for Endoleaks
Pages 279-282
Hans, Sachinder Singh
Aortic Neck Rupture During Endovascular Aneurysm Repair in a Patient with a Horseshoe Kidney
Pages 283-286
Hans, Sachinder Singh
Exposed Graft in the Groin Following Crossover Femoral-Femoral Graft and Aorto-Uniiliac Stent Graft
Pages 287-290
Hans, Sachinder Singh
Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm, Bilateral Common Iliac Artery Aneurysm, and Left Hypogastric Aneurysm with Right Iliac Branch EXCLUDER® Device
Pages 291-294
Hans, Sachinder Singh
Endovascular Aneurysm Repair with Late Graft Limb Occlusion
Pages 295-297
Hans, Sachinder Singh
Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm
Pages 301-304
Hans, Sachinder Singh
Ruptured Abdominal Aortic Aneurysms in Patient with Type III Endoleak Following Endovascular Aneurysm Repair with Endologix Graft
Pages 305-310
Hans, Sachinder Singh
Ruptured Abdominal Aortic Aneurysm due to Type IB Endoleak
Pages 311-313
Hans, Sachinder Singh
Ruptured Abdominal Aortic Aneurysm Secondary to Delayed Type 1A Endoleak
Pages 315-318
Hans, Sachinder Singh
Endovascular Repair for Ruptured Abdominal Aortic Aneurysm in a Patient with Antecedent Endograft
Pages 319-322
Hans, Sachinder Singh
Endovascular Repair of Large Left Iliac Anastomotic Aneurysm Following Open Abdominal Aortic Aneurysm Repair
Pages 325-326
Hans, Sachinder Singh
Endovascular Repair of a Large Hypogastric Aneurysm Following Open Repair of Abdominal Aortic Aneurysm
Pages 327-328
Hans, Sachinder Singh
Endovascular Repair of Hypogastric Artery Aneurysm in a Patient with Prior Endovascular Aneurysm Repair
Pages 331-333
Hans, Sachinder Singh
Endovascular Aneurysm Repair for Symptomatic Abdominal Aortic Aneurysm Followed by Thoracic Endovascular Aneurysm Repair Complicated by Type IB Endoleak
Pages 337-339
Hans, Sachinder Singh
Thoracic Endovascular Repair for Ruptured Aberrant Right Subclavian Artery Aneurysm Without Subclavian Artery Revascularization
Pages 341-345
Hans, Sachinder Singh
Management of Stent Graft Thrombosis for Popliteal Aneurysm Following Partial Knee Arthroplasty
Pages 349-353
Hans, Sachinder Singh
Endovascular Repair of a Large Ruptured Popliteal Aneurysm
Pages 355-357
Hans, Sachinder Singh
Endovascular Repair of Splenic Artery Aneurysm
Pages 361-363
Hans, Sachinder Singh
Carotid Stenting for Symptomatic Carotid Restenosis Secondary to Myointimal Hyperplasia
Pages 367-369
Hans, Sachinder Singh
Carotid Artery Stenting for Symptomatic Radiation-Induced Carotid Stenosis
Pages 371-374
Hans, Sachinder Singh
Carotid Stenting for Carotid Interposition Vein Graft Stenosis
Pages 375-377
Hans, Sachinder Singh
Carotid Artery Stenting for Recurrent Internal Carotid Artery Stenosis with Contralateral Internal Carotid Artery Occlusion
Pages 379-380
Hans, Sachinder Singh
Carotid Stenting and Redo Carotid Endarterectomy in Patient with Bilateral Recurrent Carotid Stenosis with Type III Aortic Arch
Pages 381-383
Hans, Sachinder Singh
Iliac Stenting for Chronic Total Occlusion Using Brachial Artery Access
Pages 387-389
Hans, Sachinder Singh
Covered Stent Placement for Flush Occlusion of Common Iliac Artery: A 12-Year Follow-Up
Pages 391-393
Hans, Sachinder Singh
Covered Iliac Stenting for Acute on Chronic Ischemia Following Thoracotomy
Pages 395-398
Hans, Sachinder Singh
Management of Iliac Stent Thrombosis
Pages 399-402
Hans, Sachinder Singh
Iliac Stenting Complicated by Iliac Artery Rupture
Pages 403-405
Hans, Sachinder Singh
Aortic Stenting for Isolated Aortic Stenosis at the Level of the Inferior Mesenteric Artery
Pages 409-411
Hans, Sachinder Singh
Covered Bilateral Iliac Artery Stenting with Extension into Common Iliac Arteries for Near Occlusion of Distal Aorta
Pages 413-415
Hans, Sachinder Singh
Percutaneous Intervention for Infrainguinal Arterial Occlusive Disease with Heel Ulcer
Pages 419-424
Hans, Sachinder Singh
Angioplasty for Femoral-Tibial in Situ Vein Bypass Stenosis
Pages 425-430
Hans, Sachinder Singh
Management of Radiation-Induced Superior Mesenteric Artery Stenosis with Small Bowel Ischemia
Pages 433-437
Hans, Sachinder Singh
Superior Mesenteric Artery In-stent Restenosis
Pages 439-441
Hans, Sachinder Singh
Endovascular Treatment of Symptomatic Celiac and Superior Mesenteric Artery Occlusive Disease
Pages 443-446
Hans, Sachinder Singh
Renal Artery Stenting for Renal Vascular Hypertension in a Patient with Solitary Kidney
Pages 449-452
Hans, Sachinder Singh
Subclavian Artery Stenting for Ischemic Left Index Finger
Pages 455-457
Hans, Sachinder Singh
Acquired Arteriovenous Fistula of the Axillary Artery
Pages 461-463
Hans, Sachinder Singh
100 Multiple Choice Questions
Pages 467-478
Hans, Sachinder Singh
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