Complications in Endovascular Surgery

Complications in Endovascular Surgery

Peri-Procedural Prevention and Treatment

1st Edition - December 17, 2020

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  • Authors: Maciej Dryjski, Linda Harris
  • eBook ISBN: 9780323554497
  • Hardcover ISBN: 9780323554480

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Description

As devices, technologies, and imaging techniques continue to evolve, today’s endovascular surgical techniques have increased in both number and complexity. Complications in Endovascular Surgery provides a unique focus on potential complications encountered in the operating room, preparing you to anticipate the unexpected, identify the risk factors in individual procedures, and take steps to successfully manage complications when they occur.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Dedication
  • List of Contributors
  • Foreword
  • Introduction
  • 1. Access Complications
  • Abstract
  • Introduction
  • Risk Factors
  • Ideal Puncture Site
  • Groin Hematoma and Pseudoaneurysm
  • Retroperitoneal Hemorrhage
  • Arteriovenous Fistula
  • Thrombosis
  • Groin Infection
  • References
  • 2. Other Access
  • Abstract
  • Introduction
  • Access-site-specific issues
  • References
  • 3. Vascular Closure Devices for Small Arteriotomies: How to Avoid and Deal With Complications
  • Abstract
  • Introduction: Options for Achieving Hemostasis
  • General Steps to avoiding complications with Active Vascular Closure Devices
  • Dealing With Complications
  • Conclusions
  • References
  • 4. General Complications of EVAR
  • Abstract
  • Predicting Complication
  • Systemic Complications
  • Deep vein thrombosis and pulmonary embolism
  • Ischemic complications
  • Sedation complications
  • Radiation complications
  • Post-implantation syndrome
  • Wound Infection
  • References
  • Further Reading
  • Chapter 5. Gore Excluder
  • Abstract
  • Introduction
  • Evolution of the Gore Excluder AAA Endoprosthesis
  • Excluder with C3 Delivery System Deployment
  • Critical Technical Considerations, Potential Pitfalls, Troubleshooting
  • Excluder with C3 Delivery System Failure Modes
  • Clinical Application of the Excluder with C3 Delivery System
  • Conclusion
  • References
  • Chapter 6. Complications of the Medtronic Endurant Stent Graft
  • Abstract
  • Background of the Medtronic Endurant Stent Graft Device
  • Endurant Specific Complications
  • Conclusion
  • References
  • Chapter 7. Endologix Ovation
  • Abstract
  • Deployment
  • Instructions for use (IFU)
  • Polymer-related complications
  • Type IA Endoleak
  • Incomplete filling of chambers
  • In-flow stenosis/Sealing ring in-folding
  • Two limbs in one gate
  • Difficult retrieval of the nose cone
  • Distortion/crushing of the limbs
  • References
  • Chapter 8. Endologix AFX
  • Abstract
  • Deployment
  • Instructions for use (IFU)
  • Wire wrap
  • Placement of components behind stent struts
  • Type III endoleak AND component separation
  • Difficult retrieval of the nose cone
  • Malfunction of the contralateral wire
  • Difficulty in delivering the proximal extension
  • Malfunction of the control cord
  • References
  • Chapter 9. Graft-Specific Issues for EVAR: The Aorfix Endograft
  • Abstract
  • Introduction
  • EVAR and Device-Specific Complications
  • General Comments
  • References
  • 10. Nellix
  • Abstract
  • Isolated Migration
  • Prevention
  • Treatment
  • Type 1A Endoleak
  • Coil and Liquid Embolics
  • Proximal Extension with Covered Stents Plus Coil and Liquid Embolization
  • Proximal Extension with Nellix System
  • Nellix Revisional CHIMNEY EVAS (ChEVAS): Proximal Extension with Nellix System and Parallel Grafts
  • Type 1B Endoleak
  • Aneurysm Expansion
  • Limb Occlusion
  • References
  • 11. Vascutek (Bolton) TREO Endograft
  • Abstract
  • Introduction
  • Device Information
  • Preoperative Considerations
  • Intraoperative Considerations
  • Conclusions
  • References
  • 12. Grafts Outside the United States
  • Abstract
  • Introduction
  • Descriptions of the Devices
  • References
  • 13. Ruptured EVAR Complications
  • Abstract
  • References
  • 14. Complications of Fenestrated Endovascular Aneurysm Repair
  • Abstract
  • Stent Graft Design
  • Failure to Insert the Trunk of a Modular Stent Graft
  • Failure to Position the Trunk of the Stent Graft at the Correct Level
  • Failure to Catheterize the Target Artery
  • Failure to Deploy the Branch
  • Branch Artery Injury
  • Kinking or Compression of the Branch
  • Visceral Ischemia
  • Embolism
  • Paraplegia
  • Early Endoleak
  • Late-Occurring Type I Endoleak
  • Late-Occurring Type III Endoleak
  • Late-Occurring Branch Occlusion
  • Conclusion
  • References
  • 15. Complications With Branched Endovascular Devices
  • Abstract
  • Points of Attention in Branched EVAR
  • Device Planning
  • Procedural Planning
  • Operative Basics, Tips, and Tricks
  • Ischemia Monitoring: Apply Invos and Meps
  • Postoperative Management
  • Conclusion
  • References
  • 16. Complications of EVAR With Snorkels, Chimneys, and Sandwich Techniques
  • Abstract
  • Background
  • Preoperative Issues
  • Intraoperative/Early Complications
  • Gutters/Proximal Type I Endoleak
  • Access-Related Complications/Stroke
  • Early Mortality
  • Follow-Up/Late Complications
  • Acute Occlusion of Visceral Stent Graft
  • Disconnection of the Visceral Stent Graft
  • Prevention and Treatment
  • References
  • 17. Endoleaks
  • Abstract
  • Overview
  • Type Ia Endoleaks
  • Type Ib Endoleaks
  • Type III Endoleak
  • Type IV Endoleak
  • Type V Endoleak (Endotension)
  • Type II Endoleak
  • References
  • 18. Complications in Endovascular Thoracoabdominal Aortic Aneurysm Repair
  • Abstract
  • Target Vessel Dissection and Occlusion
  • References
  • 19. TAA Endoleaks
  • Abstract
  • Introduction
  • Type I Endoleaks
  • Type II Endoleaks
  • Gutter Endoleaks
  • Type III Endoleaks
  • Types IV and V Endoleaks
  • Persistent False Lumen Perfusion Following TEVAR for Thoracic Aortic Dissection
  • References
  • 20. Complications of TAG and Conformable TAG (CTAG) Thoracic Endoprosthesis
  • Abstract
  • Introduction
  • TAG Endoprosthesis
  • CTAG Endoprosthesis
  • Maldeployment
  • Migration
  • Compression and Collapse
  • Unintended Branch Vessel Occlusion
  • Summary
  • References
  • 21. Device-Specific Issues With EVAR: Cook
  • Abstract
  • Introduction
  • Endoleak
  • Access Site Complications
  • Limb Kinking and Occlusion
  • Device Migration
  • Separation of Components
  • Additional Technical Considerations
  • Conclusion
  • References
  • 22. Terumo Aortic Relay TEVAR
  • Abstract
  • Introduction
  • Device Information
  • Preoperative Considerations
  • Intraoperative Considerations
  • Conclusions
  • Reference
  • 23. Complication With Medtronic Thoracic Stent Endograft
  • Introduction and Background
  • Device Insertion and Deployment
  • Bailout Techniques
  • The Valiant Navion
  • Conclusion
  • References
  • 24. Complications and Lessons Learned From Global Use of the Streamliner Multilayer Flow Modulator (SMFM) Device
  • Abstract
  • Introduction
  • Surgical Technique
  • SMFM Complications
  • Evidence-Based Recommendations
  • Conclusion
  • References
  • 25. Transcatheter Aortic Valve Replacement
  • Abstract
  • Transcatheter Aortic Valve Replacement
  • Indications and Patient Selection
  • Management of Important Comorbidities Prior to TAVR
  • Contra-Indications for TAVR
  • Procedural Considerations, Equipment, and Technique for TAVR
  • Alternatives to Transfemoral Access
  • Perioperative Management and Adjunctive Therapies
  • Complications of TAVR
  • Conclusions
  • References
  • 26. Complications in the Endovascular Management of Aortic Dissection
  • Abstract
  • Introduction
  • Tevar Versus Open Surgery
  • Tevar Procedure
  • Complications that may be Encountered Intraoperatively
  • Technical Recommendations for TEVAR
  • Preoperative Carotid–Left-Subclavian Bypass
  • TEVAR and Complicated TBAD (CTBAD)
  • TEVAR and UCTBAD
  • Multichanneled Aortic Dissection (MCAD)
  • Predictors of Progression of Aortic Remodeling after TEVAR
  • Conclusion
  • References
  • 27. Complications of Endovascular Septal Fenestration in the Management of Patients With Aortic Dissection
  • Abstract
  • Introduction
  • Fenestration and Acute Aortic Dissection
  • Fenestration and Chronic Aortic Dissection
  • Conclusion
  • References
  • 28. Renal and Mesenteric Aneurysms
  • Abstract
  • Introduction
  • Background
  • Indications
  • Endovascular Treatment Options
  • Endovascular Treatment Techniques
  • Renal Aneurysms
  • References
  • 29. Mesenteric Embolization: Solid Organ, Pelvic Trauma, and GI Bleeding
  • Abstract
  • Introduction
  • Particle Embolization (Gelfoam and Polyvinyl Alcohol)
  • Coil Embolization
  • Liquid Embolization Agents
  • Occlusion Devices
  • Conclusion
  • References
  • 30. Complications in Angioplasty and Stenting of Mesenteric and Renal Artery Disease
  • Abstract
  • Introduction
  • Mesenteric Angioplasty and Stenting
  • Intraoperative Complications
  • Renal Artery Angioplasty and Stenting
  • Intraoperative Complications
  • Conclusions
  • References
  • 31. Thrombolysis in Acute Limb Ischemia
  • Abstract
  • Introduction
  • Acute Limb Ischemia Treatment Alternatives
  • Complications
  • Outcomes
  • Conclusions
  • References
  • 32. Aortoiliac Interventions for Occlusive Disease
  • Abstract
  • Introduction
  • Patient Preparation
  • Crossing and Treating Aorto-Iliac Lesions
  • Concomitant Femoral Endarterectomy (Hybrid) Procedures
  • Management of Complications
  • References
  • 33. Complications of Femoropopliteal Interventions for Occlusive Disease
  • Abstract
  • Introduction
  • Patient Evaluation
  • Arterial Access
  • Femoral Interventions
  • Endovascular Treatment Options
  • Complications
  • Conclusions
  • References
  • 34. Complications of Endovascular Repair of Popliteal Artery Aneurysms
  • Abstract
  • Introduction
  • Conclusion
  • References
  • 35. Tibial Interventions for Peripheral Arterial Disease
  • Abstract
  • Introduction
  • Arterial Access
  • Treatment of Tibial Lesions
  • Conclusions
  • References
  • 36. Complications of Iliofemoral Thrombolysis and Stenting for Venous Disease
  • Abstract
  • Introduction
  • Access for Catheter-Directed Thrombolysis
  • Thrombolysis
  • Complications from Venous Lysis
  • Pharmacomechanical Catheter-Directed Thrombolysis
  • Complications Following Percutaneous Pharmacomechanical Thrombectomy
  • Stenting
  • Complications Following Stent Placement
  • Chronic Iliofemoral Venous Occlusions
  • Central Venous Occlusions Associated with Intraluminal Devices
  • References
  • 37. Complications of IVC Filters
  • Abstract
  • Introduction
  • Filter Fracture
  • IVC Filter Migration and/or Embolization
  • IVC Thrombotic Occlusion
  • Filter Tilt
  • Filter Perforation
  • Filter Retrieval
  • Conclusion
  • References
  • 38. Complications of Endovenous Treatments, Including: Thermal, Nonthermal, Sclerotherapy, and Foam Ablations
  • Abstract
  • Introduction
  • Thermal Ablations: Endovenous Laser Therapy and Radiofrequency Ablation
  • Venous Thrombosis Prophylaxis and Lidocaine Toxicity
  • Nonthermal Ablations: Liquid and Foam Sclerotherapy, Mechanical Occlusive Chemical Ablation, and Cyanoacrylate Glue
  • Conclusions
  • References
  • 39. Arteriovenous Access: Fistula and Graft Intervention
  • Abstract
  • Endovascular Treatment in the Management of Arteriovenous Access
  • Considerations for Creation of Access
  • Endovascular Treatment of Arteriovenous Access
  • Stents for Treatment of Dialysis Access
  • Conclusions
  • References
  • 40. Central Venous Stenosis Associated With Arteriovenous Access
  • Abstract
  • Introduction
  • Presentation, Diagnosis, and Treatment
  • Complications
  • Conclusions
  • References
  • 41. Catheter Issues
  • Abstract
  • Introduction
  • References
  • 42. Complications of ECMO and IABP
  • Abstract
  • Introduction
  • References
  • 43. Angiography
  • Abstract
  • Introduction
  • Selection of Access Site and Approach
  • Access Complications
  • Contrast-Related Complications
  • Radiation Exposure
  • Conclusion
  • References
  • 44. Complications Associated With Carotid Artery Stenting
  • Abstract
  • Introduction
  • Procedural Planning
  • Access Difficulties
  • Crossing Preocclusive Stenotic Lesions
  • Problems Associated with Embolic Protection
  • Transient Intraoperative Neurologic Compromise
  • Intraoperative Hemodynamic Instability
  • Carotid Artery Spasm
  • Cerebral Hyperperfusion Syndrome
  • Intracranial Hemorrhage
  • Stroke
  • Restenosis
  • Conclusion
  • References
  • 45. Embolic Protection Issues
  • Abstract
  • Introduction
  • Types of Embolic Protection: Proximal, Distal, and Complete Flow Reversal
  • Stenting and Angioplasty of the Brachiocephalic and Subclavian Arteries
  • Common Complications
  • Avoiding Complications
  • Getting Out of Trouble
  • Acknowledgments
  • References
  • 46. Complications Specific to Closed and Open Cell Nitinol Stents in Carotid Artery Stenting
  • Abstract
  • Introduction
  • Complications
  • Conclusions
  • References
  • 47. Carotid Stent: Device-Specific Complications With the Wallstent
  • Abstract
  • Introduction
  • Endoluminal stent coverage
  • Classification of carotid stent complication
  • Other Types of Late Complications
  • Avoiding and Correcting Complications
  • References
  • 48. Transcarotid Artery Revascularization With the ENROUTE Transcarotid Neuroprotection System
  • Abstract
  • Procedure
  • Complications
  • Pitfalls
  • References
  • 49. Subclavian Steal
  • Abstract
  • Introduction
  • Procedural Overview
  • Complication Avoidance And Management
  • Conclusion
  • Acknowledgments
  • References
  • 50. Complications in the Endovascular Treatment of Intracranial Arteriovenous Malformations
  • Abstract
  • Introduction
  • Common Complications
  • Avoiding Complications
  • Treatment Paradigm
  • Getting Out of Trouble
  • Conclusion
  • Acknowledgments
  • References
  • 51. Complication of Endovascular Treatment of Intracranial Stenosis
  • Abstract
  • Introduction
  • Pathophysiology of Strokes in Intracranial Stenosis
  • Treatment
  • Current and Future Directions
  • Conclusions
  • References
  • 52. Complications in the Endovascular Treatment of Intracranial Aneurysms
  • Abstract
  • Introduction
  • Coiling
  • Stent-Assisted/Balloon-Assisted Coiling
  • Flow Diversion
  • Conclusion
  • Acknowledgments
  • References
  • 53. Acute Ischemic Stroke
  • Abstract
  • Introduction
  • Access-related Complications
  • Thromboembolic Complications
  • Embolization of New Territories
  • Reperfusion Injury/Reperfusion Hemorrhage/Hemorrhagic Conversion
  • Complication Avoidance
  • Vasospasm, Dissection, and Arterial Perforation
  • Conclusion
  • Acknowledgments
  • References
  • Index

Product details

  • No. of pages: 368
  • Language: English
  • Copyright: © Elsevier 2021
  • Published: December 17, 2020
  • Imprint: Elsevier
  • eBook ISBN: 9780323554497
  • Hardcover ISBN: 9780323554480

About the Authors

Maciej Dryjski

Affiliations and Expertise

Professor and Vice Chairman, Department of Surgery, University at Buffalo; Director, Vascular and Endovascular Surgery Kaleida Health

Linda Harris

Affiliations and Expertise

Associate Professor of Surgery; Chief, Division of Vascular Surgery; Program Director, Vascular Surgery Residency and Fellowship, SUNY Buffalo, Buffalo General Medical Center, Buffalo, New York

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