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taneous vascular sealing devices. The obvious liability in including these topics in the text is that some may not be adopted or practical for broad clinical application. In this regard, it is not our intent to rec ommend or promote the use of investigational endovascular methods before they are proven by appropriate clinical studies, but rather to provide a detailed assessment of potential advances. To accomplish this goal, we have made timely production and publication of this book a priority so that information presented is as current as possible. Rodney A. White, M.D. Thomas 1. Fogarty, M.D. Contents Preface to the Second Edition .......................... v Preface to the First Edition ............................ vii Contributors ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . .. xiii PART I INTRODUCTION 1 Evolution of Endovascular Therapy: Diagnostics and Therapeutics ....................... 3 Thomas 1 Fogarty and Amitava Biswas 2 Pathophysiology of Vascular Disease ................. 11 Christopher K. Zarins and Seymour Glagov PART 11 COMPONENTS OF AN ENDOVASCULAR PRACTICE 3 Training and Credentialing in Endovascular Surgery ..... 33 G. Patrick Clagett and Kenneth E. McIntyre Ir.
I Introduction.- 1 Evolution of Endovascular Therapy: Diagnostics and Therapeutics.- 2 Pathophysiology of Vascular Disease.- II Components of an Endovascular Practice.- 3 Training and Credentialing in Endovascular Surgery.- 4 Assessment of Vascular Patients and Indications for Therapy.- 5 Establishing an Endovascular Service.- 6 Anesthesia for Endovascular Procedures.- 7 Intraprocedural Monitoring.- 8 Postintervention Surveillance of Endovascular Procedures.- 9 Safety Considerations for Endovascular Surgery.- III Facilities and Equipment for Endovascular Intervention.- 10 Endovascular Suite Design.- 11 Image Production and Visualization Systems: Angiography, US, CT, and MRI.- 12 Preoperative and Postoperative Spiral CT Evaluation of Patients Undergoing Placement of Endovascular Stent-Grafts.- 13 Angioscopy: Instrumentation, Techniques, and Applications.- 14 Intravascular Ultrasound Imaging.- IV Endovascular Instrumentation and Devices.- 15 Biomaterials: Considerations for Endovascular Devices.- 16 Catheter Skills.- 17 Devices and Techniques for Vascular Access: Utility and Limitations of Current Methods.- 18 Balloon Angioplasty.- 19 Catheter Thromboembolectomy.- 20 Disobliteration Techniques.- 21 Intravascular Stents.- 22 Laser Angioplasty.- 23 Intraluminal Grafts: Historical Perspectives.- 24 Endovascular Treatment of Traumatic Arteriovenous Fistulas and Pseudoaneurysms and of Arterial Occlusive Disease.- 25 Endovascular Repair of Thoracic Aortic Aneurysms.- 26 Techniques, Case Selection, and Pitfalls Associated with Endovascular Aneurysm Repair.- 27 Inferior Vena Caval Filters: Impact of Endovascular Technology.- V Specialized Endovascular Techniques.- 28 PTA and Stenting of Subclavian and Innominate Arteries.- 29 Role of Angioplasty in Limb Salvage.- 30 Carotid Angioplasty and Stenting.- 31 Complications and Troubleshooting.- 32 Thrombolysis: Peripheral Arterial Applications.- 33 Combined Surgical and Endovascular Approaches.- 34 Laparoscopic Aortic Surgery.- 35 Endovenous Surgery.- 36 Thoracic Outlet Syndrome: Endoscopic Transaxillary First Rib Resection and Thoracodorsal Sympathectomy for Causalgia.- 37 Prevention of Lesion Recurrence in Endovascular Devices.- 38 Endoluminal Radiation Therapy.- 39 Local Drug Delivery: New Approaches in Endovascular Therapies.- 40 Management of the Percutaneous Access Site.- 41 Endovascular Chemotherapy Delivery.