Книга_3757_Библиотеки_им_академика_М_И_Перельмана

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<<< < Предыдущая 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 4243 / 4343

430

Index

Femoral-infrapopliteal bypass (cont.)

distal posterior tibial artery, 338–339 mid-segment posterior tibial

artery, 337–338 pre-operative planning, 333 proximal anastomotic site, 334 skin incision, 337 Yasergill control, 335

Femoral-popliteal (FP) PAD symptoms, 319 Femoral-popliteal bypass graft, 420

above knee popliteal artery exposure, 326 autogenous conduit, 323 CFA, 320, 325 complications, 330 conduit tunneling, 326 femoral to below-knee popliteal

bypass, 328–330 in-situ vein grafts, 328 intraoperative assessment, 330 operative technique, 324–325 popliteal artery, 320–321 preoperative planning, 321–323 preoperative vein assessment, 323 prosthetic conduit, 323–324 proximal and distal anastomosis, 327–328 wound closure, 330

Femoral-tibial bypass, 420 Fibromuscular dysplasia (FMD), 129 Flexor carpi ulnaris, 350

Garrett arterial dilators, 1 Gastric artery, 128 Gastroduodenal artery, 128 Gastrohepatic omentum, 119 General anesthesia (GA), 173, 189 Glomerular ltration rate (GFR), 291 Glossopharyngeal nerve, 187–188 Groin incision, 320 Guillotine amputation, 366

Hockey stick incision, 142 Horner’s syndrome, 163, 169 Hostile groin, 355, 422 Hybrid approach, 23 Hyperperfusion syndrome, 202 Hypoglossal nerve, 188, 200, 218, 219, 407 Hypothermic circulatory arrest (HCA), 26

Iliac and femoral artery endarterectomy, 419

complications, 315 operative steps, 313–315, 317–318 surgical anatomy, 313–318 wound complications, 318

Iliofemoral bypass, 304–306

graft, 417 Inferior epigastric artery, 301 Inferior mesenteric artery (IMA), 118, 266 Inferior vena cava (IVC), 130 Inammatory abdominal aortic

aneurysms (AAA) complications, 84 proximal aortic control, 81 retroperitoneal approach, 84 scoliosis, 84

Infrainguinal bypass graft, 421 Infrarenal abdominal aortic aneurysm, 51, 393 Infraumbilical transverse incision, 33 Inguinal lymph nodes, 143 Insitu bypass, 338 In-situ technique, 420 Insitu vein bypass, 342 Internal carotid artery (ICA), 163, 185, 203 Internal jugular vein (IJV), 187 Interposition grafting, 134

Juxtarenal abdominal aortic aneurysms, 394 Juxtarenal aortic occlusion, 266 Juxtarenal aortic plaque, 259

Hematoma of the neck, 200 Hemodynamic instability, 200 Hemostasis, 368 Heparin, 233, 277 Heparin administration, 391 Hepatic artery aneurysms, 121, 399 Hepatic interposition graft, 122 High-quality CTA, 203 Hip disarticulation, 373, 374, 377–379

Kitzmiller/Yasergill clamp, 193, 194 Kocher maneuver, 130

Large Javid clamp, 195 Left femoral artery, 265 Left internal mammary artery (LIMA), 227

Index

431

Left renal artery (LRA), 131 Lemole-Strong clamp, 254 Lower extremity major amputations, 423

AKA, 369–373 BKA, 366–369

hip disarticulation, 373, 374, 377–379 Lymphatic tissue, 35 Lymphoadipose tissue, 325

Magnetic resonance angiogram (MRA), 154,

169, 252, 333 Mannitol, 133 Medial visceral rotation (MVR), 293 Mesenteric bypasses/reconstructions

AMI, 280 complications, 289 preoperative planning, 280–289 retrograde bypass, 285, 286 SC aorto-mesenteric bypass, 281 symptomatic mesenteric artery, 279 transperitoneal approach, 284 trapdoor aortic endarterectomy, 287

un-favorable anatomic criteria, 280 Metzenbaum scissors, 101, 355 Middle cerebral artery (MCA), 187 Miller vein cuff, 324 Monolament proline, 230 Motor evoked potential (MEP) monitoring, 66

Nasal intubation, 385 Nephrectomy, 138 Neurovascular ligation, 368

Obturator bypass, 356 Open aortic repair, 23 Open endarterectomy, 13–17 Open TTA repair

anatomic classication, 62–63

clamp and sew vs. atrial-femoral

bypass, 70–72 clamping sequence, 72 clinical presentation, 63–64 Crawford classication, 62 diagnostic imaging, 64, 65 diaphragm management, 70 dissection of left pleural space, 69–70 distal anastomosis, 75–76

endovascular repair, 61 exposure for, 67 late outcomes, 78 natural history of, 63 operative exposure, 67–69 operative mortality, 76, 77 positioning for, 68 postoperative care, 76 proximal anastomosis, 72 reconstruction of intercostal vessels, 75 renal and spinal cord protection, 66 renal/visceral artery reconstruction, 72–73 respiratory complications, 77 SCI, 77 treatment options, 65

Ostial disease, 265

Pancreaticoduodenal artery, 128 Paravisceral (PV) aorta

aortic clamp level, 54 aortic reconstruction techniques, 55–59 operative approach, 52–59 posterior beveled anastomosis, 56 proximal aortic reconstruction, 57 vital organ ischemia protection, 55

Paravisceral abdominal aortic aneurysms,

394, 395 Partial bulectomy, 346 Patch closure, 16 Pectoral artery, 307 Penrose drain, 100 Periaortic fascia, 49 Peripheral artery disease (PAD), 319 Peroneal artery, 344 Polyglactin sutures, 230, 241 Polytetrauoroethylene (PTFE) graft, 72,

142, 323 Popliteal artery aneurysms (PAA),

320–321, 402

abdominal aorta, 153 anatomy, 154 contra lateral popliteal artery, 153 medial approach, 158–159 mural thrombus, 153 operative approach, 154–155 posterior approach, 155–157

recurrence and remedial interventions, 162 Popliteal artery bifurcation, 329 Posterior inferior cerebellar artery (PICA), 228 Posterior tibial artery, 338 Potts scissors, 5, 328

432

Index

Profunda artery, 301 Profunda femoris artery (PFA), 260, 277,

316, 317 Protamine, 233, 266 Proximal anastomosis, 122, 123, 213, 276 Proximal and mid splenic artery

aneurysm, 120 Proximal aortic anastomosis, 39 Proximal posterior tibial artery, 336 Proximal prosthetic graft, 113 Proximal ulnar artery, 350 Pruitt carotid shunt, 57 Pruitt® balloon occlusion catheter, 205 Pruitt-Inahara®, 193 Pseudoaneurysms, 141, 163, 178

Radial artery, 348, 350 Ramus mandibularis, 188 Recurrent carotid artery stenosis, 219 Re-do AFB, 269, 270 Redo carotid endarterectomy, 218, 409

indications for, 218 post-operative complications, 220 preoperative assessment, 218 procedure, 218–220

recurrent stenosis, 217 Renal artery (RA), 130 Renal artery aneurysms (RAAs), 400

aneurysm plication, 137

cold renal perfusion, 133

endovascular techniques, 138

ex vivo repair and auto-transplantation, 138

exposure, 130

left RA exposure, 131, 133

nephrectomy, 138

outcomes, 139

post-operative care, 138

reconstruction techniques, 133–137

upper abdominal transverse incision, 130 Radial artery aortorenal bypass, 134 Renal artery occlusive disease (RAOD), 291 Renal artery reconstruction, 416

infra-mesocolic approach, 293–297

medial visceral rotation, 297–298

preoperative decision-making, 293

preoperative planning, 292 Renal auto transplantation, 393 Retroaortic renal vein, 392 Retrojugular approach, 206 Retroperitoneal approach, 268–269 Retroperitoneal closure over aortic graft, 267

Reversed vein bypass, 338 Rifampin, 85 Rifampin-impregnated (soaked) Dacron

graft, 85, 95

Ruptured abdominal aortic aneurysm

(AAA), 398 balloon occlusion control, 104 complications, 104–105 operative technique, 97–98 proximal control, 98–100 supraceliac aorta, 100–104

Saccular aneurysms, 163 Satinsky/Glover clamp, 1 SC aorto-mesenteric bypass, 281–285 Scarpa’s fascia, 374 Secondary aortoenteric stula, 85 Semi-closed endarterectomy, 17, 18 Shelving edge, 143 Side-to-side anastomosis, 9 Silastic vessel loop, 325, 409 Skin incision, 335, 367 Small Javid clamp, 194 Spinal cord injury (SCI), 62 Spinal cord ischemia (SCI), 77–78 Splanchnic artery aneurysms, 118, 399

asymptomatic splenic artery

aneurysms, 118 celiac axis aneurysm repair, 123–125 celiac trunk, 117 complications, 120 exposure of hepatic artery, 121 gastroduodenal artery, 128 hepatic artery aneurysms, 121 incision, 119–120 inferior mesenteric artery, 118 interposition graft, 122 operative management, 127–128 pancreaticoduodenal artery, 128 splanchnic artery aneurysms, 118 superior mesenteric artery, 117, 126 surgical anatomy, 117

Splanchnic exure, 103 Sternocleidomastoid muscle (SCM), 173,

228, 240

Subclavian artery

anatomy, 172 aneurysm, 404 hemorrhage, 170 open repair, 173–175 open repair of, 170

Index

433

Sundt™ shunt, 192 Supercial femoral artery (SFA), 141, 260,

354, 355 Superior mesenteric aneurysm, 126 Superior mesenteric artery (SMA), 53, 117,

126, 279, 400 Superior mesenteric vein (SMV), 117 Supra coeliac aorta, 398 Supra-aortic trunks

ascending aorto-arch vessel debranching

procedure, 238, 243–247

carotid-carotid bypass, 240 carotid to subclavian bypass, 240, 242 complications, 247–248 preoperative planning, 239–240

surgical anatomy, 239–240 Supraceliac (SC) aortic clamping, 51 Supraceliac aorta, 100–104 Suprarenal (SR) aneurysms, 52 Supraumbilical transverse incision, 33 Synthetic polytetrauoroethylene (PTFE)

graft, 293

Taylor vein patch, 324 Telescopic proximal anastomosis, 42 Thoracic aortic aneurysms (TAA)

complications, 28–29

indications for repair, 23–24

preoperative assessment, 25–27

surgical anatomy, 24–25 Thoracic endograft, 171 Thoracic endovascular aneurysm repair

(TEVAR) graft, 227, 237

Thoracic endovascular aortic repair

(TEVAR), 23 Thoracoabdominal aortic aneurysm, 395 Thoraco femoral bypass

choice of graft, 275–277 complications, 272–274, 276, 277 graft, 414, 415 groin incisions, 273–274 indications, 271 positioning, 272–273 posterolateral thoracotomy, 274

proximal aortic anastomosis, 274 retroperitoneal tunnels, 273–274 risks stratication, 271

tunneling of graft, 275 Tibial artery, 338, 339, 343 Transperitoneal (TP) approach, 130 Trapdoor aortic endarterectomy, 287

Ulnar artery, 348, 350 Upper extremity artery bypass

bypass and conduit, 351

complications, 351

surgical anatomy, 347–348

surgical exposure, 349–350 Upper extremity bypass graft, 421

Vagus nerve injury, 190, 201 Valvulotome, 335 Vascular clamp, 145 Vascular grafts, 19 Venous and ureteral injury, 315 Vertebral arteries

anatomic variations, 221–222

head extension, 222

indications, 222

post-operative complications, 225–226

reimplantation, 410

sternocleidomastoid, 222

surgical anatomy of, 221

suture ligation, 223

Yasirgil clamp, 224 Vertical incision, 325 Visceral and renal artery, 72

Weitlaner retractor, 190, 218, 339

Yasargil clamp, 205, 213, 224 Yasargil control, 335

<<< < Предыдущая 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 4243 / 4343

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