Since the first edition of this text was published, endovascular technique has become a mainstay of vascular care, treating disease that would have previously required open surgery. This book provides a step-by-step approach to endovascular intervention and aims to assist clinicians in the development and refinement of skills that are now essential to modern vascular practice. It begins with an overview of vascular access, guidewire-catheter handling, and arteriography in a multitude of vascular beds. It then discusses endovascular therapy, including sheath access, balloon angioplasty, stents, and other treatment modalities.
Part I: Basic Endovascular Skills Endovascular Concepts Case Preparation and Room Setup Getting In: Percutaneous Vascular Access Basic Sheath Access Guidewire-Catheter Skills Small Platform Guidewires and Monorail Systems Guidewire and Catheter Passage Imaging: The Key to Future Success Selective Catheterization Arteriography Setting Up the Therapeutic Maneuver: Crossing Lesions Part II: Endovascular Therapy Strategy for Endovascular Therapy Endovascular Workshop Access for Endovascular Therapy Medications for Endovascular Therapy Balloon Angioplasty: Minimally Invasive Autologous Revascularization More About Balloon Angioplasty: Keeping Out of Trouble Stents: Minimally Invasive Relining The Infrarenal Aorta, Aortic Bifurcation, and Iliac Arteries: Advice about Balloon Angioplasty and Stent Placement The Infrainguinal Arteries: Advice about Balloon Angioplasty and Stent Placement Advice About Endovascular Salvage of Previous Reconstructions Part III: Advanced Endovascular Therapy New Tools and Devices and How to Use Them Brachiocephalic Interventions Visceral and Renal Arteries: Advice about Balloon Angioplasty and Stent Placement Complex Lower-Extremity Revascularization Coiling of Peripheral Aneurysms Making a Clean Getaway: Puncture Site Management Endovascular Complications Can Be Avoided Index