In today’s healthcare environment, the real driver is value. Maximizing outcomes and minimizing costs or providing similar outcomes with lower cost in terms of actual numbers or recovery time will dominate our healthcare delivery system. An excellent example of this evolution is in the ?eld of cardiovascular intervention. Dr. Jacques Kpodonu’s Manual of Thoracic Endo-Aortic Surgery is a most timely and descriptive work in this burgeoning ?eld. It provides an excellent overview of current technology and techniques, plus the endovascular expert can drill down into the details of the devices and technologies described and signi?cantly enhance their knowledge and perspective. Procedural detail, excellent graphics, pertinent imaging studies, and relevant instruction are the mainstays of this text. The ?rst chapter comprises the key overview and very comprehensively covers the platform – the hybrid OR, the tools, the accessories, and the medium – superb, state-of-the-art imaging modalities required to perform these advanced procedures. The text then moves into more technical details including options and instruction regarding access approaches and potential pitfalls of such. This is followed in en- ing chapters by dissemination of precise information, techniques, and indications for the most popular and utilized grafts including Boston Relay Stent Graft, Cook TX2 Zenith Stent Grafts, as well as the Gore and Medtronic Aortic Stent Grafts.
Daftar Isi
The Cardiovascular Hybrid Room.- The Cardiovascular Hybrid Room.- Accessories Used in Thoracic Endografting.- Balloons Used in Thoracic Aortic Endografting.- Catheters Used in Endografting of the Thoracic Aorta.- Equipment Required for Thoracic Aortic Endografting.- Guidewires Used in Thoracic Aortic Endografting.- Sheaths Used in Thoracic Aortic Endografting.- Stents Used in Conjunction with Thoracic Aortic Endografting.- Vascular Closure Devices.- Imaging Required for Thoracic Endografting.- Fluoroscopy and Angiographic Imaging in Thoracic Aortic Endografting.- Case-Specific CT Imaging to Evaluate Thoracic Aortic Pathologies.- Intravascular Ultrasound Applications to the Thoracic Aorta.- Endovascular Imaging, Planning, and Sizing for Treatment of Thoracoabdominal Aortic Aneurysms.- Access Techniques Required for Thoracic Endografting.- Brachial Access Techniques Used in Thoracic Aortic Endografting.- Transfemoral Access Techniques in Thoracic Aortic Endografting.- Retroperitoneal Access for Thoracic Aortic Endografting.- Techniques for Constructing an Endoconduit.- Bolton Relay Thoracic Endovascular Stent Graft Device.- Bolton Relay Thoracic Stent Graft System.- Cook Zenith Thoracic Stent Graft Device.- Zenith TX2 Thoracic Endograft.- Cook Zenith Dissection Endovascular Stent.- COOK Medical Accessories Used for Deployment of the TX2 COOK Stent Graft.- Clinical Data Using the Zenith TX2 Thoracic Graft.- W.L. Gore TAG Thoracic Endovascular Stent Graft Device.- The Gore TAG Endoprosthesis.- Gore TAG Multicenter Phase II Trial.- Five-Year Results of Endovascular Treatment with the Gore TAG Device Compared with Open Repair of Thoracic Aortic Aneurysms.- Technique of Thoracic Endografting for Thoracic Aneurysm Using the Approved Gore TAG Device.- Medtronic Talent/Valiant Thoracic Endovascular Stent Graft.- Talent Thoracic Stent Graft.- Valiant Thoracic Stent Graft.- Pivotal Results of the Medtronic Vascular Talent Thoracic Stent Graft System: The VALOR Trial.- Endografting for Thoracic Aortic Aneurysms.- Endovascular Management of Thoracic Aortic Aneurysm Using a Cook Zenith TX2 Endograft.- Management of a Patient with Thoracic Aortic Aneurysm Using Gore TAG Device.- Management of a Thoracic Aortic Aneurysm Using a Talent Stent Graft.- Endovascular Management of a Thoracic Aortic Aneurysm Using a Retroperitoneal Conduit.- Endografting for Thoracic Aortic Dissections.- Endovascular Management of Acute Type B Dissection.- Endovascular Management of Chronic Type B Thoracic Aortic Dissection.- Retrograde Type A Dissection After Endovascular Management of Type B Dissection.- Endografting for Varied Thoracic Aortic Pathologies.- Aorto-bronchial Fistula.- Endovascular Management of Penetrating Aortic Ulcer.- Endovascular Approach to Coarctation of the Thoracic Aorta.- Endovascular Management of Traumatic Aortic Disruption.- Thoracic Aortic Endografting for Traumatic Transection.- Hybrid Management of the Thoracic Aorta: Extending Proximal Landing Zones.- Complications of Thoracic Aortic Endografting.- Future Technology.- Endovascular Management of Ascending Aortic Pathologies.- Use of a Remote Wireless Pressure Sensor for Post-operative Surveillance of Thoracic Endoluminal Grafts.
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