Descrizione

Proper treatment of abdominal aortic aneurysm (AAA) starts with the knowledge of the pathophysiology and identification of patients which are at increased risk for AAA development, and especially rupture. In this book all aspects of abdominal aortic aneurysms will be discussed in detail with focus on endovascular repair (EVAR). The field of EVAR is moving rapidly, with the introduction of the newest generation endografts, sophisticated pre- and post-EVAR imaging, as well as 3D navigation modalities to treat (complex) EVAR related complications. We are convinced that with this practical book the physicians in the vascular field will be sufficiently updated in order to optimize treatment of their AAA patients.ContentsSCREENING FOR AAA INTRODUCTION SCREENING BY ULTRASONOGRAPHY EVIDENCE FOR AAA SCREENING CURRENT SCREENING PROGRAMS AROUND THE SCREENING: STILL A MATTER OF DEBATE CONCLUSIONS RISK FACTORS FOR AAA GROWTH AND RUPTURE; MORE THAN DIAMETER ALONE INTRODUCTION AAA DIAMETER AND TIMING OF INTERVENTION PATHOPHYSIOLOGY AND RISK FACTORS OF AAA INTERACTION BETWEEN INTIMA AND INTRALUMINAL THROMBUS IN AAA AORTIC WALL PATHOPHYSIOLOGY IN AAA PHARMACOLOGICAL PATHWAYS AND POSSIBLE TREATMENT OPTIONS CONCLUSIONS AND FUTURE DIRECTIONS ASSOCIATION BETWEEN ABDOMINAL AORTIC ANEURYSM WALL BIOLOGY, RUPTURE RISK, AND POSTOPERATIVE EVENTS: THE VALUE OF BIOBANKS INTRODUCTION GENETIC COMPONENTS PROTEASES INFLAMMATION VALUE OF BIOBANKS ANEURYSM-EXPRESS BIOBANK PREDICTION OF POSTOPERATIVE CARDIOVASCULAR LOCAL VARIANCE IN AORTIC ANEURYSM WALL COMPOSITION AND RUPTURE RISK CONCLUSIONS AAA IMAGING AND PREOPERATIVE EVAR PLANNING; ESSENTIAL FOR EVAR SUCCESS INTRODUCTION AAA IMAGING PREOPERATIVE EVAR PLANNING CONCLUSIONS INDICATIONS FOR EVAR: DO WE NEED TO FOLLOW INSTRUCTIONS FOR USE? INTRODUCTION DIFFERENCES AND TRENDS IN IFU PROXIMAL NECK DIAMETER PROXIMAL NECK LENGTH PROXIMAL NECK ANGULATION THROMBUS OR CALCIFICATION AT THE ATTACHMENT SITES OVERSIZING ILIAC ACCESS AND LANDING ZONE THE KEYS FOR SUCCESSFUL IFU TRANSGRESSION CONCLUSIONS TIPS AND TRICKS FOR SUCCESSFUL EVAR INTRODUCTION PREPROCEDURAL PLANNING ALTERNATIVE TECHNIQUES TO IDENTIFY KEY ANATOMICAL LANDMARKS TECHNIQUE OF HYPOGASTRIC ARTERY EMBOLISATION TECHNIQUE FOR DIFFICULT ILIAC ACCESS CONCLUSIONS UPDATE OF THE NEWEST GENERATION ENDOGRAFTS. WILL ANCHORING HOOKS, ENDOSTAPLES, AND INFLATABLE RINGS OR BAGS IMPROVE EVAR RESULTS? INTRODUCTION HOOKS, BARBS AND COLUMNAR STRENGTH PROFILE AND RISK FOR OBSTRUCTION ENDOSTAPLING INFLATABLE RINGS SAC-SECURING ENDOGRAFT TECHNOLOGY CONCLUSIONS RESULTS OF EVAR AND OPEN SURGERY FOR INFRARENAL AAA INTRODUCTION ELECTIVE AAA REPAIR URGENT RUPTURED AAA REPAIR NEW PERSPECTIVES CONCLUSIONS TREATMENT OF JUXTARENAL AORTIC ANEURYSMS: OPEN REPAIR, FENESTRATED ENDOGRAFTS, CHIMNEY TECHNIQUE OR OTHER MODALITIES? INTRODUCTION OPEN REPAIR FENESTRATED ENDOGRAFTS CHIMNEY GRAFTS OTHER TECHNIQUES CONCLUSIONS FOLLOW-UP AFTER EVAR, MODALITY AND FREQUENCY INTRODUCTION COMPLICATIONS AFTER EVAR IMAGING MODALITIES GRAFT INFECTION LIMB OCCLUSION FOLLOW-UP STRATEGY AND FREQUENCY CONCLUSIONS TREATMENT OF ENDOLEAKS POST-EVAR INTRODUCTION ENDOLEAK TYPES DIAGNOSTIC STUDIES NATURAL HISTORY OF UNTREATED ENDOLEAKS PREDICTIVE FACTORS FOR THE DEVELOPMENT OF ENDOLEAKS ENDOLEAK TREATMENT ALGORITHM EMBOLISATION MATERIALS COMPLICATIONS FOLLOW-UP CONCLUSIONS