Photographic Atlas of Reconstructive Arterial Surgery

ISBN-13: 9789401164191 / Angielski / Miękka / 2012 / 357 str.

J. J. a. M. Van Dongen

Opis

Direct surgery on arteries was born at the turn of the nineteenth and twentieth century. However, it was only during the last twenty-four years, that this new chapter of clinical surgery could be weil established, owing to diverse kinds of minds and hands. The result is that limbs, organs, functions, and lives have since then been saved in increasing numbers. We may now consider that the main impulse of this new phase is over. But the material of wh ich the chapter was built is still defective, incomplete, or inadequate, and therefore surgeons and many other men will still have to spend a lot of sagacity and vigour to give this chapter its proper arrangement. Principles evolve, methods are modified as a result of technical progress, surgeons' solid opinions on a particular matter give way to other distinct but equally solid opinions on the same matter. These are the reasons why the moment we are living in is a wonderful one. As always in Iife, the great flame burns more intensely when one finds himself at the verge of attaining so me proposed design. The first phase of dream and failure has given way to a more structured ground on wh ich the final battle must be fought. Such a battle is taking place right now.

Spis treści

The Segmental Nature of Peripheral Obliterative Arterial Disease.- I — Reconstructive Surgery in Chronic Obliterative Disease of the Superficial Femoral Artery.- 1. Extensive occlusion of the superficial femoral artery.- 1.1. Discarded femoral bypass procedures.- 1.2. Autogenous saphenous vein bypass graft.- 1.3. Composite saphenous vein graft. Combination of saphenous vein bypass graft and disobliteration with venous patch graft angioplasty.- 1.4. Composite saphenous vein bypass graft. Combination of ipsilateral and contralateral saphenous vein.- 1.5. Thromboendarterectomy with venous patch graft angioplasty.- 1.6. Closed-loop endarterectomy.- 2. Segmental obstruction of the superficial femoral artery.- 2.1. Thromboendarterectomy and limited intimectomy with autogenous vein patch graft angioplasty.- 2.2. Autogenous vein graft. Bypass operation and exclusion arterioplasty with proximal end-to-end anastomosis.- 2.3. Reconstruction using a prosthesis.- 2.4. Autogenous vein bypass graft in combination with proximal endarterectomy.- 2.5. Treatment of stenosis at the origin of the superficial femoral or the profunda femoris artery.- II — Reconstructive Surgery in Popliteal Occlusive Disease.- 1.1. Endarterectomy with vein patch graft angioplasty.- 1.2. Closed-loop endarterectomy.- 1.3. Autogenous saphenous vein bypass graft.- 1.4. Exclusion arterioplasty with autogenous vein graft.- 1.5. Resection and replacement by venous autograft.- III — Reconstructive Surgery in Extensive Occlusion of the Femoro-Popliteal Artery.- 1.1. Autogenous saphenous vein bypass graft.- 1.2. Bilateral autogenous saphenous vein bypass graft.- 1.3. Composite saphenous vein bypass graft. Combination of ipsilateral and contralateral saphenous vein.- 1.4. Combination of proximal endarterectomy with venous patch graft angioplasty and distal saphenous vein bypass graft.- IV — Reconstructive Surgery in Common Femoral Occlusive Disease.- 1. Bilateral stenosis of the common femoral artery bifurcation treated by disobliteration and vein patch graft angioplasty.- 2. Bilateral obstruction of the common femoral artery treated by thromboendarterectomy and vein patch graft angioplasty.- 3. Occlusion of the common femoral artery and stenosis of the external iliac artery.- 3.1. Open and closed-loop endarterectomy with synthetic patch graft angioplasty.- 3.2. Endarterectomy and vein patch graft angioplasty.- 4.Occlusion of the common femoral artery and its bifurcation; treatment by disobstruction and Y-shaped vein patch graft angioplasty.- 5. Occlusion of the common femoral artery and inoperable occlusive disease of the femoropopliteal artery; reconstruction of the inflow tract of the profunda femoris artery.- V — Reconstructive Surgery in External Iliac Occlusive Disease/.- 1. Stenosis of the external iliac artery.- 1.1. Endarterectomy and patch graft angioplasty.- 1.2. Side-to-side anastomosis between hypogastric artery and external iliac artery.- 2. Extensive occlusion of the external iliac (and common femoral) artery.- 2.1. Prosthetic bypass graft.- 2.2. Prosthetic bypass graft through the obturator foramen.- 2.3. Combination of proximal prosthetic bypass graft and distal endarterectomy with venous patch graft angioplasty.- 2.4. Endarterectomy with proximal synthetic and distal autogenous venous patch graft angioplasty.- 2.5. Autogenous saphenous vein graft.- 2.6. Closed-loop endarterectomy.- VI — Reconstructive Surgery in Unilateral Common Iliac Occlusive Disease/.- 1.1. Disobliteration and prosthetic patch graft angioplasty.- 1.2. Resection and replacement by prosthetic graft.- 1.3. Partial resection and exclusion arterioplasty with prosthesis.- 1.4. Bypass reconstruction.- VII — Reconstructive Surgery in Extensive Thrombosis of the Common and External Iliac Arteries/.- 1.1. Prosthetic exclusion arterioplasty.- 1.2. Combination of proximal prosthetic substitution and distal endarterectomy with synthetic patch graft angioplasty.- 1.3. Combination of proximal prosthetic replacement and distal endarterectomy with venous patch graft angioplasty.- 1.4. Crossover bypass with prosthetic graft.- 1.5. Crossover bypass with venous autograft.- VIII — Reconstructive Surgery in Aortoiliac Occlusive Disease.- 1. Stenosis of the aortic bifurcation treated by endarterectomy and patch graft angioplasty.- 2. Stenosis of aortoiliac arteries.- 2.1. Disobliteration and synthetic patch graft angioplasty on both sides.- 2.2. Disobliteration and synthetic patch graft angioplasty on both sides (continued).- 2.3. Endarterectomy in combination with synthetic patch graft angioplasty on one side and venous patch graft angioplasty on the other side.- 2.4. Disobliteration and Y-shaped patch graft angioplasty.- 2.5. Disobliteration with patch graft angioplasty on one side and bypass graft on the other.- 2.6. Bypass reconstruction with bifurcated tube.- 2.7. Resection and replacement by prosthetic bifurcation.- 3. Occlusion of aortoiliac arteries.- 3.1. Resection and replacement by prosthetic bifurcation.- 3.2. Resection and prosthetic replacement with distal end-to-side anastomosis.- 3.3. Bypass operation.- 4. Coarctation of the aortic bifurcation treated by resection and replacement.- IX — Reconstructive Surgery in Iliofemoral Occlusive Disease.- 1. Elective revascularizing procedures of the profunda femoris artery.- 1.1. Prosthetic aortoprofunda bypass graft.- 1.2. Combination of proximal prosthetic replacement and distal endarterectomy with venous patch graft angioplasty.- 1.3. Endarterectomy with proximal synthetic and distal venous patch graft angioplasty.- 1.4. Autogenous saphenous vein graft.- 1.5. Crossover bypass with venous autograft.- 1.6. Closed-loop endarterectomy.- 2. (Aorto-) iliopopliteal bypass procedure.- 2.1. Resection and replacement of the aortic bifurcation; bypass of the iliofemoral artery and endarterectomy of the common femoral artery.- 2.2. Iliopopliteal composite saphenous vein bypass graft.- X — Reconstructive Surgery for Ascending Thrombosis of Aortoiliac Arteries/.- 1. Ascending thrombosis of the aortoiliac arteries with partial patency of the subrenal aortic segment (Types A and B).- 1.1. Resection and replacement of the obstructed aortic bifurcation; endarterectomy of the infrarenal part of the aorta combined with patch graft angioplasty.- 1.2. Resection and replacement of the obstructed aortoiliac arteries; endarterectomy of the infrarenal aortic segment and left common femoral artery combined with patch graft angioplasty.- 1.3. Aortoiliac bypass operation; treatment of the common femoral arteries by endarterectomy and vein patch graft angioplasty.- 2. Ascending occlusion of the aortoiliac arteries to immediately below the level of the renal arteries (Type C); treatment by resection and prosthetic replacement using an infrarenal aortic anastomosis.- 3. Ascending occlusion of the aortoiliac arteries with associated stenosis of one renal artery (Type D).- 3.1. Resection and prosthetic replacement of the aortoiliac arteries; left-sided nephrectomy.- 3.2. Resection and prosthetic replacement of the aortoiliac arteries; revascularization of the left kidney by means of splenorenal anastomosis.- 3.3. Resection and prosthetic replacement of the infrarenal aorta and aortic bifurcation; re-implantation of the post-stenotic renal artery into the prosthesis with interposition of a synthetic graft.- 3.4. Resection and prosthetic replacement of the infrarenal aorta and aortic bifurcation; re-implantation of the post-stenotic renal artery into the prosthesis with interposition of a splenic artery segment.- 3.5. Resection and prosthetic replacement of the aortoiliac arteries; autogenous vein bypass graft between endarterectomized subrenal part of the aorta and post-stenotic renal artery.- 3.6. Resection and prosthetic replacement of the aortoiliac arteries; re-implantation of the post-stenotic renal artery into the endarterectomized subrenal part of the aorta with interposition of an autogenous vein graft.- 4. Ascending occlusion of the aortoiliac arteries with associated stenosis of both renal arteries (Type E).- 4.1. Aortoiliac bypass operation using parts of the autogenous splenic artery as renal branches.- 4.2. Resection and prosthetic replacement of the aortoiliac arteries; insertion of two autogenous vein bypass grafts between endarterectomized subrenal part of the aorta and post-stenotic renal arteries.- XI — Reconstructive Surgery of Arterial an Eu Rysms.- 1. Aneurysm of the femoropopliteal artery.- 2. Aneurysm of the common femoral artery.- 3. Aneurysm of the infrarenal aorta.- 3.1. Resection and replacement by prosthetic bifurcation.- 3.2. Resection and replacement by prosthetic bifurcation with suprarenal aortic clamping.- 4. Multiple aortic aneurysms with kinking of the pre-aneurysmal portion of the aorta.- 5. Ruptured aneurysm of the infrarenal aorta.- 6. Aneurysm of the infrarenal aorta and aortic bifurcation.- 7. Aneurysm of the aortic bifurcation.- 8. Aneurysm of the infrarenal aorta with associated stenosis of one renal artery.- 8.1. Resection of the aneurysm and prosthetic replacement; transaortic endarterectomy of the stenotic renal artery.- 8.2. Resection of the aneurysm and prosthetic replacement; insertion of autogenous vein bypass graft between subrenal part of aorta and post-stenotic renal artery.- 9. Aneurysm of the midportion of the abdominal aorta with associated occlusion of one renal artery.- 10. Aneurysm of the thoracoabdominal aorta.- 10.1. Resection of the aneurysm and prosthetic replacement using a temporary external bypass shunt.- 14.2. Resection of the aneurysm and prosthetic replacement using a temporary internal bypass shunt.- 11. Aortic aneurysm combined with iliac occlusive disease.- 11.1. Stenosis of the aortic bifurcation and aneurysm of the abdominal aorta. Resection and prosthetic replacement.- 11.2. Aneurysm of the abdominal aorta combined with iliac occlusive disease. Treatment by resection and prosthetic replacement.- XII — Reconstructive Surgery in Renal Artery Stenosis and Occlusion/.- 1. Unilateral renal artery stenosis.- 1.1. Excision of the stenotic part of the renal artery with end-to-end anastomosis.- 1.1.1. Straight end-to-end anastomosis.- 1.1.2. Oblique end-to-end anastomosis.- 1.2. Endarterectomy with patch graft angioplasty.- 1.2.1. Endarterectomy with autogenous venous patch graft angioplasty.- 1.2.2. Disobliteration with autogenous venous patch graft angioplasty.- 1.2.3. Endarterectomy with aortorenal synthetic patch graft angioplasty.- 1.2.4. Endarterectomy and aortorenal autogenous arterial patch graft angioplasty.- 1.3. Splenorenal anastomosis.- 1.3.1. Resection of the stenotic part of the renal artery; end-to-end splenorenal anastomosis.- 1.3.2. End-to-side splenorenal anastomosis.- 1.3.3. End-to-end anastomosis between the splenic artery and the right renal artery.- 1.4. Resection and replacement by autogenous vein graft.- 1.5. Aortorenal bypass reconstruction.- 1.5.1. Aortorenal prosthetic bypass graft.- 1.5.2.Aortorenal bypass with autogenous splenic artery graft.- 1.5.3. Aortorenal bypass with autogenous vein graft.- 1.5.4. Aortorenal bypass with autogenous vein graft (continued).- 1.6. Re-implantation with graft interposition.- 1.6.1. Re-implantation with interposition of splenic artery graft.- 1.6.2. Re-implantation with interposition of venous graft.- 1.6.3. Re-implantation with interposition of prosthetic graft.- 1.7. Iliac-renal reconstructive procedures.- 1.7.1. Iliac-renal prosthetic bypass.- 1.7.2. Re-implantation of the renal artery into the common iliac artery with interposition of venous graft.- 2. Unilateral renal artery occlusion.- 2.1. Re-implantation with interposition of venous graft.- 22. End-to-end splenorenal anastomosis.- 3. Bilateral renal artery stenosis.- 3.1. Endarterectomy and bilateral aortorenal patch graft angioplasty.- 3.2. Endarterectomy with aortorenal patch graft angioplasty on the right side; splenorenal anastomosis on the left side.- 3.3. Bilateral aortorenal bypass with splenic artery grafts.- 3.4. Bilateral re-implantation with interposition of one continuous venous graft.- XIII — Reconstructive Surgery in Celiac and Superior Mesenteric Artery Occlusive Disease.- 1. Stenosis of the superior mesenteric artery.- 1.1. Endarterectomy with synthetic patch graft angioplasty.- 1.2. Aortomesenteric bypass procedure.- 1.2.1. Aortomesenteric prosthetic bypass graft.- 1.2.2. Aortomesenteric venous bypass graft.- 1.3. Re-implantation of the superior mesenteric artery into the aorta.- 2. Compression and stenosis of the celiac trunk.- XIV — Reconstructive Surgery in Occlusive Disease of the Branches of the Aortic Arch.- 1. Stenosis of the carotid bifurcation.- 1.1. Endarterectomy with synthetic patch graft angioplasty.- 1.2. Endarterectomy with venous patch graft angioplasty.- 2. Extensive stenosis of the internal carotid artery, treated by endarterectomy and venous patch graft angioplasty.- 3. Kinking of the internal carotid artery treated by transection and re-implantation of the internal carotid artery into the common carotid artery.- 4. Obstruction of the proximal part of the left common carotid artery.- 4.1. Endarterectomy with synthetic patch graft angioplasty.- 4.2. Re-implantation into the aortic arch with interposition of prosthetic graft.- 5. Stenosis of the proximal part of the vertebral artery, treated by disobliteration and venous patch graft angioplasty.- 6. Total occlusion of the left subclavian artery, treated by endarterectomy and venous patch graft angioplasty.- 7. Stenosis of the proximal part and occlusion of the distal half of the left subclavian artery; stenosis of the proximal vertebral artery. Reconstruction by disobliteration and patch graft angioplasties.- 8. Subclavian steal syndrome in left subclavian artery obstruction.- 8.1. Resection and prosthetic replacement.- 8.2. Prosthetic bypass graft.- 8.3. Endarterectomy and synthetic patch graft angioplasty.- 9. Subclavian steal syndrome in right subclavian artery occlusion, treated by disobliteration and synthetic patch graft angioplasty.- 10. Subclavian steal carotid recovery phenomenon in innominate artery occlusion. Reconstruction of the innominate artery by endarterectomy and synthetic patch graft angioplasty.- 11. Occlusive lesions of the innominate and right subclavian and common carotid arteries, treated with bifurcated bypass graft.- XV — Reconstructive Surgery in Traumatic and Iatrogenic Arterial Lesions.- 1. Traumatic arterial lesions of the upper and lower extremities.- 1.1. Acute traumatic lesion of the brachial artery; resection and replacement by an autogenous venous graft.- 1.2. Acute traumatic lesion and thrombosis of the superficial femoral artery; resection and venous graft replacement.- 1.3. Traumatic occlusion of the femoropopliteal artery; treatment with synthetic bypass graft.- 2. Traumatic arterial lesions of the shoulder and inguinal region.- 2.1. Traumatic occlusion of the left subclavian artery, treated by resection and venous graft replacement.- 2.2. Acute traumatic lesion and thrombosis of the common femoral artery bifurcation; treatment by resection and venous graft replacement.- 3. Traumatic arterial lesions of the trunk.- 3.1. Traumatic rupture of the descending aorta; treatment by resection of an aortic segment and prosthetic graft replacement.- 3.2. Acute traumatic lesion of the left iliac artery; treatment by crossover prosthetic bypass graft through the obturator foramen.- 4. Iatrogenic aneurysms and arteriovenous fistulas.- 4.1. Traumatic false aneurysm and arteriovenous fistula of the popliteal artery, treated by resection and replacement by an autogenous vein.- 4.2. False aneurysm due to disruption of a femoral bypass anastomosis, treated by resection and replacement.- 4.3. False aneurysm of the superficial femoral artery due to disruption of the suture of a synthetic patch; resection and replacement by an autogenous vein graft.