1st Edition

Complications in Peripheral Vascular Interventions

Edited By Martin Schillinger, Erich Minar Copyright 2007
    252 Pages 278 B/W Illustrations
    by CRC Press

    Increasing evidence suggests that particularly in high-risk patients, endovascular solutions offer substantial advantages compared to vascular surgical procedures. Nevertheless, growing numbers of procedures are associated with an increased incidence of complications. Knowledge of specific complications in different vessel areas will support the interventionist in preventing such adverse events and if necessary, provide considerable reassurance if such complications need to be resolved.

    In Complications in Peripheral Vascular Interventions, typical and atypical complications are described for all peripheral vessel areas, and methods for how to handle these events are outlined.

    The book is divided in two parts. Part 1 reviews general aspects on complications in peripheral interventions, and Part II covers the specific vessel areas. Each chapter on the specific vessel area includes

    • Introduction to the frequency and kind of complications in this vessel area
    • Factors identifying high-risk patients for these complications
    • Complications of specific interventional steps and tools
    • Endovascular techniques to resolve these complications
    • Methods to avoid complications
    • Summary
    • Checklist for emergency equipment

    Offering practical tips for the interventionist in the cath lab, high-volume interventionists share their experiences by reviewing complicated cases and outlining different strategies used in real-life scenarios.

    Part I: Complications – General Considerations  1. Introduction – Overview on the Frequency of Complications, Top Five Worst Scenarios  2. Identifying high risk patients for endovascular treatment – unfavourable medical comorbidities, unfavourable vascular conditions  3. Being prepared – adequate bail-out equipment, access and standards of emergency imaging modalities, postintervention care  4. General complications of angiography  5. Radiotoxicity  6. Contrast-media associated complications

    Part II: Specific Complications by Vessel Area or Specific Scenarios  7. Arterial and venous access site complications  8. Complications of local and systemic thrombolysis  9. Carotid interventions  10. Subclavian and vertebral interventions  11. Aortic aneurymal disease  12. Renal and mesenteric arteries  13. Aortoiliac segment  14. Femoropopliteal segment  15. Tibioperoneal interventions  16. Dialysis fistulas  17. Venous interventions.

    Summary and Conclusion

    Biography

    Martin Schillinger, Erich Minar