Visceral Vessels and Aortic Repair

1. Front Matter

   Pages i-xi

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2. Introductory Remarks

   1. Front Matter

      Pages 1-1

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   2. Anatomical Overview and Imaging of the Aorta and Visceral Arteries

      • Gabriele Ironi, Giorgio Brembilla, Giulia Benedetti, Francesco De Cobelli

      Pages 3-17

   3. Ischaemic Preconditioning: The Rationale and Evidence-Based Outcomes

      • George Hamilton

      Pages 19-26

3. Abdominal Aorta

   1. Front Matter

      Pages 27-27

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   2. Open Repair of Pararenal Aneurysms: Renal Vessel Surgical Management

      • Daniele Mascia, Alessandro Grandi, Luca Porcellato, Luca Bertoglio, Andrea Kahlberg, Domenico Baccellieri et al.

      Pages 29-43

   3. Aortic “Coral Reef” with Visceral Artery Involvement: Treatment Options

      • Enrico Rinaldi, Andrea Kahlberg, Daniele Mascia, Germano Melissano, Roberto Chiesa

      Pages 45-52

   4. Renal Vascular Anatomic Abnormalities During Open Abdominal Aortic Repair

      • Domenico Baccellieri, Vincenzo Ardita, Gianbattista Tshiombo, Enrico Rinaldi, Yamume Tshomba, Roberto Chiesa

      Pages 53-64

   5. Endovascular Aortic Repair: The Renal Side of the Story

      • Mirko Menegolo, Francesco Squizzato, Michele Piazza, Chiara Colacchio, Franco Grego, Michele Antonello

      Pages 65-77

   6. Device Evolution and New Concepts to Preserve Renal Artery Patency in Challenging Infrarenal Aortic Necks

      • Gianmarco de Donato, Francesco Setacci, Edoardo Pasqui, Mariagnese Mele, Domenico Benevento, Giancarlo Palasciano et al.

      Pages 79-90

   7. Hypogastric Artery Management During Open and Endovascular Aortoiliac Repair

      • Aaron Fargion, Carlo Pratesi, Fabrizio Masciello, Walter Dorigo, Giovanni Pratesi

      Pages 91-103

   8. Operative Management of Type II Endoleaks After Aortic Endovascular Repair

      • Anna Maria Ierardi, Filippo Pesapane, Francesca Patella, Enrico Maria Fumarola, Salvatore Alessio Angileri, Mario Petrillo et al.

      Pages 105-111

   9. Vascular Reconstructions in Kidney Transplantation

      • Massimiliano Veroux, Alessia Giaquinta, Giuseppe D’Arrigo, Alberto Davì, Angelo Sanfiorenzo, Pierfrancesco Veroux

      Pages 113-118

   10. Renal Transplantation and Aortic Disease: Operative Management

       • Gabriele Piffaretti, Matteo Tozzi, Marco Franchin, Patrizio Castelli

       Pages 119-125

   11. Ex Vivo Open Reconstruction of Hilar Renal Artery Aneurysms: A Single-Center Experience

       • Mirko Menegolo, Elda Chiara Colacchio, Lucrezia Furian, Paolo Rigotti, Jacopo Taglialavoro, Michele Piazza et al.

       Pages 127-134

   12. Pulsate Perfusion of Allografts

       • Matteo Tozzi, Gabriele Piffaretti, Marco Franchin, Patrizio Castelli

       Pages 135-144

4. Thoracoabdominal Aorta

   1. Front Matter

      Pages 145-145

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   2. Physiopathology of Intraoperative Visceral Ischemia and Anesthesiological Management of Supravisceral Aortic Clamping

      • Fabrizio Monaco, Barucco Gaia, Mattioli Cristina, De Luca Monica

      Pages 147-161

   3. Tissue Ischemia During Aortic Repair: The Point of View of the Perfusionist

      • De Simone Francesco, Tshiombo Gianbattista, Colombo Elisa

      Pages 163-175

   4. Perioperative Renal Pharmacological Protection During Cardiovascular Surgery

      • Alessandro Belletti, Margherita Licheri, Tiziana Bove

      Pages 177-194

This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries.
In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries.
The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the “endovascular era”, it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses.
The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery.
This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods.”

• Endovascular repair
• Thoracoabdominal
• Aorta
• Renal
• Mesenteric

• Unit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

  Yamume Tshomba

• Unit of Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy

  Yamume Tshomba, Roberto Chiesa

• Unit of Vascular Surgery, San Raffaele Scientific Institute, Milan, Italy

  Domenico Baccellieri

Yamume Tshomba, MD, graduated from the University of Milan (Italy) and was awarded the Specialization in Vascular Surgery cum laude by the University of Siena (Italy). He’s currently Professor of  Vascular Surgery and Vascular Surgery Residency Program Director at Catholic University of the Sacred Heart Roma, (Italy). He’s also Head of Vascular Surgery at Policlinico A. Gemelli, Roma, (Italy). Until April 2018 he has been Associate Professor of Vascular Surgery at the Università Vita-Salute San Raffaele, Milano (Italy). He’s a member of the Society for Vascular Surgery (SVS), the European Society for Vascular and Endovascular Surgery (ESVS), the Italian Society for Vascular and Endovascular Surgery (SICVE), and the French Society for Vascular and Endovascular Surgery (SCVE). He’s Associate Editor of the International Journal of Cardiology and member of the editorial board of the Journal of Cardiothoracic and Vascular Anesthesia. He has authored more than 270 scientific publications including peer-review papers, books and book chapters. He’s principal or co-investigator of several clinical trials in the field of robotic, vascular and endovascular surgery.

Domenico Baccellieri, MD, graduated from the University of Messina (Italy) and was awarded the Specialization in Vascular Surgery cum laude by the Vita-Salute San Raffaele University of Milan (Italy). During his residency he was fellow at Leicester University (UK) in 2005. In 2008 he completed the postgraduate Master Course in Aortic Surgery. He is currently working as Staff Surgeon at the Vascular Surgery Department of the San Raffaele Hospital, Milano (Italy) and is Head of San Raffaele’s Vascular Diagnostic Center.

Since 2015 he has been Adjunct Professor of Vascular Surgery at Vita-Salute San Raffaele University and Scientific Coordinator of the postgraduate Master Course in Aortic Surgery. He’s Principal or Co-investigator of several clinical trials in the field of vascular and endovascular surgery. He is member of the most prestigious Italian and International Vascular Surgery Societies.

Roberto Chiesa, MD, graduated from the University of Milan (Italy) and was awarded the Specialization in General Surgery and Vascular Surgery cum laude by the same university. He also completed Specialization in Cardiac Surgery. He’s Full Professor of Vascular Surgery and Vascular Surgery Residency Program Director at Vita-Salute San Raffaele University, Milano (Italy). He’s also Head of Vascular Surgery at San Raffaele Hospital, Milano (Italy). Member of the most prestigious Italian and International Vascular Surgery Societies, he was also president of the French Society for Vascular and Endovascular Surgery (SCV) in 2013 and of the Italian Society for Vascular and Endovascular Surgery (SICVE) in 2015. He’s Associate Editor of Annals of Vascular Surgery and the International Journal of Cardiology and member of the Editorial board of the Journal of Cardiovascular Surgery and the Italian Journal of Vascular and Endovascular Surgery. He has authored more than 700 scientific publications including peer-review papers, books and book chapters. He’s Principal or Co-investigators of several clinical trials in the field of robotic, vascular and endovascular surgery. Participant in several trials and registries for development and evaluation of thoracic and abdominal aortic stent-grafts for the treatment of aneurysms and dissections. Currently he has the largest series of thoracoabdominal aortic aneurysms and dissections open repair in Italy.

Policies and ethics