By Christos D. Liapis, Klaus Balzer, Fabrizio Benedetti-Valentini, Jose Fernandes e Fernandes
This useful advisor is dedicated to vascular illnesses as handled via vascular surgeons basically with the collaboration of different experts getting to vascular illnesses. simply because vascular disorder calls for a holistic technique which may preferably be introduced by means of a variety of disciplines operating jointly within the kind of vascular centres, the publication depicts accurately this procedure in the direction of confronting and treating vascular ailments. The readership that would gain the main will be trainees and practitioners in vascular surgical procedure, angiology and in addition training physicians. The insurance in a entire, but effortless to keep on with, layout of so much facets of vascular illnesses also will render this ebook useful to physicians of alternative specialities. The authors contain special pros from eu Union nations hence reflecting, along with the theoretical wisdom and knowledge at the perform of vascular experts, the extent and criteria of care of vascular ailments within the eu Union.
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Extra resources for Vascular Interventional Radiology Angioplasty, Stenting, Thrombolysis and Thrombectomy
Example text
In those patients who are anticoagulated, the success rate decreases to 62% from 73%. In addition, this technique is sometimes limited by the inability to apply adequate compression because of patient discomfort or because of the wide neck of the pseudoaneurysm. Stent-grafts have been used but are costly and not without their own complications. Perhaps a safer therapy for pseudoaneurysms that cannot be treated with compression is percutaneous thrombin injection (see Chap. 15). 2 Arterial Rupture One of the most dramatic and (fortunately) infrequent complications of angioplasty and stenting is arterial rupture.
This is popular with patients and staff. 2 Complications Various ingenious technological approaches have been developed. The Perclose device deploys a suture in the arterial wall to achieve haemostasis. The Angioseal consists of an external collagen plug as well as an absorbable polymer footplate which is deployed within the artery and held in place by a thread and a tensioning device. The Vasoseal and the Duett devices consist of a collagen plug which is deployed on the external surface of the arterial wall at the puncture site.
Arterial access via the upper limb is sometimes useful for renal artery or superior mesenteric artery procedures due to the downward slope of these vessels. 1 Axillary Historically axillary (or, more likely, high brachial) puncture was favoured because of its larger diameter compared with the brachial artery at the elbow or the radial artery. The axillary (high brachial) artery can be palpated with the arm externally rotated and abducted. The humeral head lies posteriorly, so some degree of compression can be achieved at the end of the procedure.