Primary and Repeat Arterial Reconstructions

Foreword
Preface
Contents
Contributors
Chapter 1: Basic Arterial Techniques
	Arterial Dissection and Mobilization
	Vascular Clamps
	Systemic Heparinization
	Arterial Incision and Closure
	Arterial Suturing Techniques and Suture Materials
	Types of Grafts to Artery Anastomosis
	End-to-End Anastomosis
	End-to-Side Anastomosis
	Endarterectomy
	Open Endarterectomy
	Semi-Closed Endarterectomy
	Eversion Endarterectomy
	Vascular Grafts
	Special Suturing Technique in Narrow Deep Spaces
Part I: Open Repair of Aneurysmal Disease
	Chapter 2: Open Repair of Descending Thoracic Aortic Aneurysm
		Introduction
		Indications for Repair
		Surgical Anatomy
		Preoperative Assessment
		Steps of Operation for Resection of the Entire Descending Thoracic Aorta
		Complications
		Summary
		References
	Chapter 3: Open Repair of Juxtarenal and Infrarenal Abdominal Aortic Aneurysm
		Surgical Anatomy
		Anatomical Relations
		Indications for Repair
		Operative Steps
			Transperitoneal Approach
			Retroperitoneal Approach
				Patient Position
		Repair of AAA with Coexisting Horseshoe and Pelvic Kidney
	Chapter 4: Paravisceral Abdominal Aortic Aneurysm Repair
		Anesthetic Considerations
		Operative Approach
		Conclusions
		References
	Chapter 5: Open Thoracoabdominal Aortic Aneurysm Repair
		Introduction
		Initial Evaluation
			Anatomic Classification
			Natural History
			Clinical Presentation
			Diagnostic Imaging
			Preoperative Evaluation
		Surgical Treatment
			Treatment Options
			Renal and Spinal Cord Protection
		Technical Components
			Operative Exposure
			Dissection of Left Pleural Space
			Clamp and Sew Versus Atrial–Femoral Bypass
			Clamping Sequence and Proximal Anastomosis
			Renal/Visceral Artery Reconstruction
			Reconstruction of Intercostal Vessels
			Distal Anastomosis
			Postoperative Care
		Results of Treatment and Complications
			Operative Mortality
			Renal Failure
			Respiratory Complications
			Spinal Cord Ischemia
			Late Outcomes
		Further Reading
	Chapter 6: Inflammatory Abdominal Aortic Aneurysm
		Retroperitoneal Approach
		Complications
	Chapter 7: Repair of Aortoenteric Fistula
		Aortoenteric Fistula: Operative Management with in-Line Replacement
		Procedure
		Use of the Cryopreserved Arterial Allograft
		Use of the Rifampin-Impregnated (Soaked) Dacron Graft
		Complications
	Chapter 8: Open Repair of Ruptured Abdominal Aortic Aneurysm
		Operative Technique
		Proximal Control
		Exposure of the Supraceliac Aorta
		Balloon Occlusion Control
		Complications
			Bleeding
	Chapter 9: Endovascular Aortic Stent Graft Explantation
		Introduction
		Indications for EVAR Explant
		Anatomy
		Treatment
			Proximal
				Transperitoneal Transabdominal Approach
				Retroperitoneal Approach
				Intraoperative Challenges
			Distal
				Complications
		References
	Chapter 10: Open Repair of Splanchnic Artery Aneurysms
		Surgical Anatomy
		Celiac Trunk
		Superior Mesenteric Artery
		Inferior Mesenteric Artery
		Splanchnic Artery Aneurysms
		Splenic Artery Aneurysms
		Incision
		Complications
		Hepatic Artery Aneurysms
		Incision
		Exposure of the Hepatic Artery
		Interposition Graft
		Celiac Axis Aneurysm Repair
		Superior Mesenteric Artery
		Operative Management
		Other Splanchnic Artery Aneurysms
	Chapter 11: Renal Aneurysm Repair
		Operative Steps
		Reconstruction Techniques
		Other Less Frequently Used Described Techniques
		Endovascular Repair
		Post-operative Care
		Outcomes
		Further Reading
	Chapter 12: Femoral and Femoral Anastomotic Aneurysms
		Anatomy
		Indications
		Operative Procedure
		Femoral Anastomotic Aneurysm
		Operative Repair
		Postoperative Complications
	Chapter 13: Popliteal Artery Aneurysm Repair Primary and Recurrent
		Clinical Presentation and Indications for Repair
		Preoperative Evaluation
		Anatomy
		Operative Approach
		Posterior Approach
		Medial Approach
		Recurrence and Remedial Interventions
	Chapter 14: Extracranial Carotid Artery Aneurysms
		Operative Repair
		Complications
	Chapter 15: Subclavian Artery Aneurysm
		Presentation
		Management
		Anatomy
		Open Repair
	Chapter 16: Axillary and Brachial Aneurysms
		Surgical Anatomy
			Axillary Artery
			Brachial Artery
			Axillary and Brachial Artery Aneurysms
		Operative Steps for Axillary Artery Aneurysms
			Pearls
		Operative Steps for Brachial Artery Aneurysm
			Pearls
Part II: Open Arterial Reconstructions for Arterial Occlusive Disease
	Chapter 17: Carotid Endarterectomy
		Surgical Anatomy
			Common Carotid and Internal and External Carotid Arteries
			The External Carotid Artery
			The Internal Carotid Artery
			Relationship of Nerves in the Neck to Carotid Arteries
			The Glossopharyngeal Nerve
			The Accessory Spinal Nerve
			Ramus Mandibularis
			External Laryngeal Nerve
			Hypoglossal Nerve
			Ansa Cervicalis
			Indications
			Anesthesia
			Positioning and Incision
			Incision
			Shunt Placement
			Types of Shunts
			Shunt Placement
			Eversion Carotid Endarterectomy
			Postoperative Care
		Complications
			Hematoma of the Neck
			Hemodynamic Instability
			Cranial Nerve Palsy
			Postoperative Stroke
			Postoperative Myocardial Infarction and Cardiac Arrhythmias
			Patch Graft Infection
	Chapter 18: Carotid Endarterectomy for High Plaque
		Technical Steps
		Intraoperative Carotid Stenting
	Chapter 19: Carotid Interposition Graft
		Carotid Interposition Graft for Failed Carotid Stenting
		Interposition Graft Without Shunt
		Shunt Placement
		Complications
	Chapter 20: Redo Carotid Endarterectomy
		Indications
		Preoperative Assessment
		Procedure
		Postoperative Complications
	Chapter 21: Vertebral Artery Reimplantation into the Common Carotid Artery
		Surgical Anatomy of Vertebral Artery
		Anatomic Variations
		Indications
		Technique
		Postoperative Complications
	Chapter 22: Carotid Subclavian Bypass
		Technical Aspects of the Operation
		Carotid Subclavian Transposition
		Complications
	Chapter 23: De-branching Operations on Supra-aortic Trunk
		Indications for Carotid-Carotid Bypass and Carotid-Carotid-Subclavian Debranching Procedures and Ascending Aorto-Arch Vessel Debranching Procedures
			Carotid-Carotid Bypass and Carotid-Carotid-Subclavian Bypass
			Ascending Aorto-Arch Vessel Debranching
		Preoperative Planning and Surgical Anatomy
		Operative Steps
			Ascending Aorto-Arch Vessel Debranching Procedure.
		Complications:
			Carotid-Carotid Bypass and Carotid-Carotid-Subclavian Bypass.
			Ascending Aorto-Arch Vessel Debranching Procedure
	Chapter 24: Brachiocephalic Reconstruction
		Indications
		Preoperative Planning and Anatomy
		Details of Procedure
			Preparation
		Post-Op Care and Complications
	Chapter 25: Aortofemoral Bypass
		Operative Steps
		Retroperitoneal Approach to the Aorta
		Redo AFB
		Further Reading
	Chapter 26: Thoraco Femoral Bypass for Aorto Iliac Occlusive Disease
		Indications
		Preoperative Evaluation
		Positioning
		Groin Incisions and Retroperitoneal Tunnels
		Exposure of the Thoracic Aorta
		Tunneling of the Graft
		Choice of Graft
		Complications
	Chapter 27: Mesenteric Artery Bypass and Reconstruction
		Indications for Mesenteric Artery Bypass
			Chronic Mesenteric Ischemia
			Acute Mesenteric Ischemia
		Preoperative Planning and Surgical Anatomy
			Preoperative Planning
				Surgical Anatomy
					The SC Aorto-mesenteric Bypass (Antegrade Bypass)
					Retrograde Bypass
					Trapdoor Aortic Endarterectomy
		Complications
	Chapter 28: Aortorenal Bypass and Renal Artery Reconstruction
		Indications
		Preoperative Planning
		Preoperative Decision-Making
		Surgical Anatomy and Exposure
			Infra-mesocolic Approach: (Left and Proximal Right)
			Medial Visceral Rotation (Right Renal Artery Bypass and Distal Exposure of the Left Renal Artery)
		Complications
		References
	Chapter 29: Crossover Femoral-Femoral Bypass Graft and Iliofemoral Bypass Graft
		Femoral-Femoral Bypass
			Anatomy
			Indications
			Procedure
			Diagrams of the Procedure
			Pearls and Complications
		Iliofemoral Bypass
			Anatomy
			Indications
			Procedure
				Groin Exposure
				Iliac Exposure
				Procedure
			Diagrams of the Procedure
			Pearls and Complications
	Chapter 30: Axillo-Femoral Bypass
		Anatomy
		Indications
		Procedure
		Diagrams of the Procedure
		Pearls and Complications
	Chapter 31: Iliac and Femoral Artery Endarterectomy
		Surgical Anatomy
			Common and External Iliac Artery
				Operative Steps to Iliac Endarterectomy
				Complications
			Common Femoral Artery
				Operative Steps to Femoral Endarterectomy
				Complications
	Chapter 32: Femoral-Popliteal Bypass Graft
		Introduction
		Surgical Anatomy
			Common Femoral Artery
			Popliteal Artery
		Preoperative Planning
			Proximal Anastomotic Site Assessment and Selection
			Distal Anastomotic Site Assessment and Selection
		Conduit Selection
			Autogenous Conduit
			Preoperative Vein Assessment
			Prosthetic Conduit
		Operative Technique
			Vein Harvesting
				Incision
		Femoral to Above-Knee Popliteal Bypass
			CFA Exposure
				Incision
			Above-Knee Popliteal Artery Exposure
				Incision
			Conduit Tunneling
			Proximal and Distal Anastomosis
				Incision
			In Situ Vein Grafts
		Femoral to Below-Knee Popliteal Bypass
			Below-Knee Popliteal Artery Exposure
				Incision
			Tunneling
			Proximal and Distal Anastomosis
		Intraoperative Assessment of Femoral-Popliteal Bypass
		Wound Closure
		Complications
		References
	Chapter 33: Femoral-Infrapopliteal (Crural and Paramalleolar) Bypass Graft
		Preoperative Planning
		Proximal Anastomotic Site
		Distal Anastomotic Site
		Conduit Selection
		Vessel Control
		Special Considerations
		In Situ Bypass
		Distal Anastomosis to Posterior Tibial Artery
			Exposure of Posterior Tibial Artery
			Mid-Segment Posterior Tibial Artery
			Distal Posterior Tibial Artery
			Bypass to the Anterior Tibial Artery
			Anastomosis to Peroneal Artery
		Complications
		References
	Chapter 34: Upper Extremity Artery Bypass
		Surgical Anatomy
			Axillary Artery
			Brachial Artery
			Radial Artery
			Ulnar Artery
		Surgical Exposure
			Axillary Artery
			Brachial Artery
			Radial Artery
			Ulnar Artery
		Bypass and Conduit
		Complications
	Chapter 35: Arterial Reconstructions in Patients with Hostile Groin
		Surgical Anatomy
		Common Femoral Artery
		Deep Femoral Artery
		Adductor Canal (Hunter or Subsartorial Canal)
		Anatomic Variations
		Hostile Groin
		Obturator Bypass
		Lateral Approach for Exposure of SFA
			Exposure of the SFA in its Proximal Portion
			Exposure of the SFA in the Middle Thigh
		Exposure of Profunda Femoral Artery (Deep Femoral Artery)
		Reference
Part III: Amputations
	Chapter 36: Lower Extremity Major Amputations
		Introduction
		Below-Knee Amputations (BKA)
			Indications
			Pertinent Surgical Anatomy
			Preoperative Preparation
			Operative Technique
			Potential Complications
		Above-Knee Amputation (AKA)
			Indications
			Pertinent Surgical Anatomy
			Operative Technique
			Postoperative Care
			Potential Complications
		Hip Disarticulation
			Indications
			Operative Procedure
		Complications
		References
Part IV: Misscelanous
	Chapter 37: Carotid Body Tumor Resection
		Preoperative Planning and Anatomy
		Surgical Management
	Chapter 38: Multiple-Choice Questions
Index