Descrizione

The current edition of the CACVS book collects the articles related to the presentations made during the 2011 Paris meeting “Controversies and Updates in Vascular Surgery”. CACVS remains, after 19 years, one of the leading European congresses dedicated to vascular and endovascular surgery. Although very specialized, vascular surgery covers a broad field of diseases and practices. It includes the usual arterial pathology such as aneurysms, peripheral occlusive diseases, and carotid but also pathologies which are at the confluent of various specialties such as cardiac surgery for the aortic dissection and arch pathologies, internal medicine and angiology for the venous diseases and medical therapy, nephrology for vascular accesses and of course vascular radiology and cardiology. We feel that sharing the experience of all these specialists can shed appropriate light on the ways we explore and treat our patients. IndicePUSHING THE LIMITS ON AORTIC REPAIRTechnical aspects of fenestrated endografts for juxtarenal aortic aneurysmsOff-the-shelf stent grafts for multi-branched endovascular repair of aneurysms of the thoracoabdominal aorta and aortic archIs robotic technology useful for fenestrated stent grafting?How to custom a fenestrated graft off the shelfReducing the risk of spinal cord ischaemia following endovascular repair of thoracoabdominal aneurysms – The “sac perfusion branch”Complete renovisceral debranching and EVAR for thoracoabdominal aneurysmFenestrated endograft repair for juxtarenal abdominal aortic aneurysms: the American TrialsBranched stentgrafts for TAAA: one year follow upAre devices for complete thoracoabdominbal repair stable with time?Para-renal aneurysm repair: when can we use a standard stent-graft and is it effectiveAortic stent graft and aorto-bronchial fistulaLAPAROSCOPIC SURGERYControversy: treatment of severe TASC C and D occlusive aorto-iliac occlusive diseaseEndovascular techniques can treat everythingLaparoscopic treatment is the bestTreating the median arcuate ligament syndrome with laparoscopic surgeryOther indications of laparoscopic techniques: splenic artery aneurysmsLaparoscopic treatment of the Nutcracker syndromeEvaluation of visceral ischemia in aortic dissection: role of laparoscopyVASCULAR ACCESSPrevention: the “Buttonhole” techniqueDeclotting aneurismal fistulasSurgery of angioaccess venous aneurysms and pseudoaneurismsAneurysmal degeneration after vascular access: surgery of arterial aneurysmsPuncture site skin necrosisHonorary lectureFistula first & fistula immaturity: the good, the bad, & the uglyControversy: should we save private PTFE?Should we save private PTFE? YesNo we shouldn’tBrachial vein transposition arteriovenous fistula: is it an acceptable option for chronic dialysis vascular access?Forearm basilica veinControversy: transluminal options to treat venous stenosesBalloon dilatationIdeal option to treat venous stenosis: Stent? Stent-graft?Cutting balloonHonorary lectureThe history of the DRIL procedureABDOMINAL AORTIC ANEURYSMIs it worthwhile to screen the population for vascular disease?How can the long-term outcome for patients after endovascular aortic repair be improved? The utility of Vascular CentersTen years after the EVAR I trial: what have the patients been through?Is PET-scan useful to predict AAA rupture?Relationship between atmospheric pressure and abdominal aortic aneurysm reputuresEVAR for ruptured AAA: results in real lifeCan we reduce the rate and severity of colonic ischemia following AAA-repair?EVARTips for managing bad iliac arteries during EVARAngulated neck: should we keep the old Palmaz stent ready for use?How to choose the introduction side of stent-graft?Controversy: hypogastric arteriesThey can be covered or occluded safely – even bilaterallyThey must be preservedBranched grafts for the hypogastric artery: when is it feasible and is it durable?Controversy: EVAR – What is the best surveillance modality?CT scan is still mandatoryDuplex scan is sufficientCAROTIDDoes a high risk patient for carotid endarterectomy (CEA) exist?How to avoid restenosis after carotid surgeryTechnical tips: bifurcation advancement for arteriotomy closure following carotid endarterectomyCoronary and carotid stenosis: is a combined operation justified?Carotid stenting combined with open cardiac surgery: how to do it, is it safe?International Carotid Stentig sv Surgery Study (ICSS): the latest blow to CAS?Update on CAS versus CEA: where are we?TECHNICAL ISSUES AND QUESTIONS FOR DIFFICULT CASESDevices and techniques to cross total iliac occlusionAccess for below the knee intervention: when to up and when antegrade?How many VR simulation improve your training programme?Is EVAR justified for small aneurysms?Can we safely cover polar renal arteries during EVAR?Controversy: hospital’s rankingAre League Tables of hospitals and clinics for the general public justified?Hospital ranking in newsmagazines: selling information and selling copies?Honorary lectureMédecins Sans Frontières. Surgical challenges in recent disastersTYPE A AORTIC DISSECTIONThe fate of the distal non-repaired aortaWhat cannulation site should be used in Type A dissection: ascending aorta?Proximal repair: valve resuspension, remodeling or reimplantation?What are the indications for a frozen elephant trunk technique in Type A aortic dissection?How to stent a Type A aortic dissectionEndovascular repair of acute aortic Type A dussectuibs: what percentage of patients could be concerned?TYPE B AORTIC DISSECTIONNatural history: which patients should be treated and how?Aortic dissection: better imaging gives better resultsOverview of current thoracic stent graftsComplicated Type B dissections are beat treated endovascularlyWhen and how to treat chronic Type B dissectionBranched stent grafts for the arch: can they be used for dissection?Multilayer flow modulator for the treatment of TAAAsParaplegia and stroke during TEVAR: how to prevent and how to treat them?Endovascular fenestration: why, when and how to do it?LOWER LIMB ISCHEMIALimb salvage for patients with extensive tissue loss: combined distal bypass and free flapAre allografts and effective alternative?Do we need a compliant graft in the leg?Endovascular reconstruction of the aortic bifurcation: a new technique Can vein arterialization save a leg?Outpatient endovascular surgery: is it feasible?Controversy: critical limb ischaemiaI prefer to reopen the lumenI prefer to bypassSilverhawk for common femoral lesionsUltrasound enhanced thrombolysis for peripheral occlusions: does it work?Can peripheral stent become infected & how to deal with?Studies about quality of life after infrageniculate bypass and minor amputationVENOUS ULCER IN POST THROMBOTIC SYNDROMEEpidemiologyEtiology and pathophysiology of post thrombotic venous ulcersVenous outflow obstruction or infrainguinal reflux: which one is more important, what are the diagnostic techniques and how do we grade severity?Collateral pathways in obstructive venous syndrome (vicariousness). Pathophysiology and ultrasound investigationHow to predict evolution to postthrombotic syndromeHow to assess the chronic venous disease impact?PERFORATOR VEINS: WHY AND HOW TO TREAT THEMAnatomical study improves knowledge on perforator pattern complexityPerforating veins: why and how to treat them using SEPSPerforating veins: why and how to treat them with foam-sclerotherapyThermal ablationCURRENT TREATMENT OF ACUTE DEEP VEIN THROMBOSIS. IS EFFICIENCY TRADED FOR SAFETY? PTS: CONSERVATIVE OR OPERATING TREATMENT?Why fibrinolysis is the best option?Treatment of ilio-femoral deep venous thrombosis: conventional treatment is betterNew anticoagulants are available: will they change our practice in the treatment of acute vein thrombosis?Ballooning and stenting alone to treat deep venous obstructionBallooning and stenting alone is not enough: what should be done?Management of deep venous reflux without obstructionLATEST NEWS ON SCLEROTHERAPY AND COMPRESSIONFoam should be prepared with airFoam sclerotherapy with other gasesSclerotherapy with or without compression. Randomised studies Compression vs. no compression after endovenous ablation of the great saphenous veinValue of postoperative compression after surgical treatment of varicose veinsTHERMAL ABLATION: FEASIBLE BUT DURABLE?Is radiofrequency a lasting procedure?What is best, endovascular treatments or surgery?Is bare-tip fiber out-dated?Vein thrombosis induced by laser or radiofrequency: the winner is…Can severely dilated veins be treated effectively by endovenous laser ablation?TEST YOUR KNOWLEDGE WITH MULTIPLE CHOICE QUESTIONS