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Endovascular Surgery and Devices
von: Zaiping Jing, Huajuan Mao, Weihui Dai
Springer-Verlag, 2018
ISBN: 9789811082702 , 283 Seiten
Format: PDF, Online Lesen
Kopierschutz: Wasserzeichen
Preis: 96,29 EUR
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Foreword 1
5
Foreword 2
7
Preface 1
9
Preface 2
10
Preface 3
11
Contents
13
List of Contributors and Editors
15
Introduction
19
Part I: Basics of Endovascular Surgery and Devices
21
1: Development History of Endovascular Surgery and Devices
22
1.1 Percutaneous Endovascular Balloon Angioplasty
23
1.2 Endovascular Stent Angioplasty
23
1.3 Endovascular Graft Exclusion for Artery Dilatations
25
1.4 Summary
26
References
26
2: Conventional Endovascular Devices
27
2.1 The Puncture Needle
27
2.1.1 Product Structure
27
2.1.2 Models and Specifications
27
2.1.3 Brand Information
28
2.1.3.1 Cook Puncture Needle
28
2.1.3.2 Terumo Puncture Needle
28
2.2 Vascular Sheath
28
2.2.1 Product Structure
28
2.2.1.1 Vascular Sheath
28
2.2.1.2 The Dilator
28
2.2.2 Models and Specifications
28
2.2.3 Brand Information
29
2.2.3.1 Terumo Vascular Sheath
29
2.2.3.2 St. Jude Vascular Sheath
29
2.2.3.3 Cook Vascular Sheath
29
2.2.3.4 Cordis Vascular Sheath
30
2.2.3.5 Arrow Vascular Sheath
30
2.2.3.6 Gore Vascular Sheath
30
2.2.3.7 LifeTech Adjustable Curved Sheath
30
2.3 Wire
31
2.3.1 Product Structure
31
2.3.1.1 Wire Structure
31
Shaping Section
31
Transition Section
32
Support Section
32
The Shaft
32
2.3.1.2 Functions and Performance Parameters of Wire
32
2.3.1.3 Application of Wire in Different Vascular Lesions
33
2.3.2 Specifications and Models
33
2.3.2.1 Length
33
2.3.2.2 The Outer Diameter
33
2.3.2.3 External Shape
33
2.3.3 Brand Information
34
2.3.3.1 Terumo Exchanging Wire
34
2.3.3.2 Boston Scientific Wire
34
2.3.3.3 Cook Wire
35
2.3.3.4 Abbott Wire
35
2.3.3.5 Asahi Wire
35
2.4 Catheter
35
2.4.1 Product Structure
35
2.4.1.1 Catheter’s Materials
35
PE
35
PU
35
PVC
36
PTFE
36
2.4.1.2 Catheter Structure
36
2.4.2 Specifications and Models
36
2.4.3 Brand Information
37
2.4.3.1 AngioDynamics Catheter
37
2.4.3.2 Cook Catheter
37
2.4.3.3 Terumo Catheter
38
2.4.3.4 Cordis Catheter
38
2.5 Special Catheter
38
2.5.1 Support Catheter
38
2.5.1.1 Productive Structure
38
2.5.1.2 Features and Models
38
2.5.1.3 Brand Information
38
CXI Support Catheter
38
TrailBlazer Support Catheter
38
2.5.2 The Microcatheter
39
2.5.2.1 Product Structure
39
2.5.2.2 Features and Models
39
2.5.2.3 Brand Information
39
Renegade STC 18 Microcatheter
39
Echelon Microcatheter
39
2.5.3 Embolectomy Catheter
39
2.5.3.1 Product Structure
39
2.5.3.2 Features and Models
40
2.5.4 Thrombolytic Catheter
40
2.5.4.1 UniFuse Perfusion System
40
Product Structure
40
Features and Models
40
2.5.4.2 Fountain Perfusion System
41
Product Structure
41
Features and Models
41
2.6 Y Valve
41
2.6.1 The Rotary Hemostatic Valve
41
2.6.2 The Wire Introducer
41
2.6.3 The Wire Controller
41
2.7 Connector
42
2.7.1 General Connector
42
2.7.2 The High-Pressure Connector
42
2.8 Inflation Device
42
2.9 Vascular Closure Device
42
2.9.1 Angio-Seal Vascular Closure Device
43
2.9.1.1 Product Structure
43
2.9.1.2 Features and Models
43
2.9.1.3 Operation Procedures
43
2.9.2 Perclose Proglide Suture-Mediated Closure System
43
2.9.2.1 Product Structure
43
2.9.2.2 Features and Models
43
2.9.2.3 Operation Procedures
44
2.9.3 Starclose SE Vascular Closure System
44
2.9.3.1 Product Structure
44
2.9.3.2 Features and Models
44
2.9.3.3 Operation Procedures
44
2.9.4 ExoSeal Vascular Closure Device
45
2.9.4.1 Product Structure
45
2.9.4.2 Features and Models
45
2.9.4.3 Operation Procedures
45
2.9.5 Hemostat
45
2.9.5.1 Product Structure
45
2.9.5.2 Features and Models
45
2.9.5.3 Operation Procedures
46
3: Balloon Dilatation Catheter
47
3.1 Introduction
47
3.1.1 Balloon Performance
47
3.1.1.1 The Crossing Profile
47
3.1.1.2 Flexibility
47
3.1.1.3 Trackability
47
3.1.1.4 Pushability
47
3.1.2 Balloon Compliance
47
3.1.2.1 The Non-compliant Balloon
48
3.1.2.2 The Semi-compliant Balloon
48
3.1.2.3 The Compliant Balloon
48
3.1.3 Types and Features of Balloons
48
3.1.3.1 OTW
48
3.1.3.2 RX
48
3.2 OTW Balloon Dilatation Catheter
48
3.2.1 Product Structure
48
3.2.2 Specifications and Models
48
3.2.3 Brand Information
49
3.2.3.1 Mustang Balloon Dilatation Catheter
49
Product Structure
49
Features and Models
49
3.2.3.2 Admiral Xtreme Balloon Dilatation Catheter
49
Product Structure
49
Features and Models
50
3.2.3.3 Reekross 35 Balloon Dilatation Catheter
50
Product Structure
50
Features and Models
50
3.2.3.4 Savvy Long Balloon Dilatation Catheter
50
Product Structure
50
Features and Models
50
3.2.3.5 Evercross Balloon Dilatation Catheter
50
Product Structure
50
Features and Models
50
3.2.3.6 Fox Sv Balloon Dilatation Catheter
50
Product Structure
50
Features and Models
50
3.2.3.7 Passeo-35 Balloon Dilatation Catheter
51
Product Structure
51
Features and Models
51
3.2.3.8 Coda Balloon Dilatation Catheter
51
Product Structure
51
Features and Models
51
3.2.3.9 Tri-Lobe Balloon Dilatation Catheter
51
Product Structure
51
Features and Models
51
3.3 RX Balloon Dilatation Catheter
52
3.3.1 Product Structure
52
3.3.2 Specifications and Models
52
3.3.3 Brand Information
52
3.3.3.1 Sterling Monorail Balloon Dilatation Catheter
52
Product Structure
52
Features and Models
52
3.3.3.2 LitePAC Balloon Dilatation Catheter
52
Product Structure
52
Features and Models
52
3.3.3.3 Submarine Rapido Balloon Dilatation Catheter
52
Product Structure
52
Features and Models
53
3.4 Special Balloon Dilatation Catheter
53
3.4.1 Peripheral Cutting Balloon Dilatation Catheter
53
3.4.1.1 Product Structure
53
3.4.1.2 Features and Models
53
3.4.2 VascuTrak Dual-Wire Balloon Dilatation Catheter
53
3.4.2.1 Product Structure
53
3.4.2.2 Features and Models
53
3.4.3 AngioSculpt Scoring Balloon
54
3.4.3.1 Product Structure
54
3.4.3.2 Features and Models
54
3.4.4 Drug-Coated Balloon
54
4: Embolic Protection Device
56
4.1 Introduction
56
4.2 Angioguard Embolic Protection Device
56
4.2.1 Product Structure
56
4.2.2 Features and Models
56
4.3 Filterwire EZ Embolic Protection Device
57
4.3.1 Product Structure
57
4.3.2 Features and Models
57
4.4 SpiderFX Embolic Protection Device
57
4.4.1 Product Structure
57
4.4.2 Features and Models
57
4.5 Emboshield NAV6 Embolic Protection Device
57
4.5.1 Product Structure
57
4.5.2 Features and Models
58
4.6 Mo.Ma Embolic Protection Device
58
4.6.1 Product Structure
58
4.6.2 Features and Models
58
5: Peripheral Stent
59
5.1 Introduction
59
5.1.1 Classifications of Stents
59
5.1.1.1 By Stent’s Release Mode
59
Self-Expanding Stent
59
Balloon-Expandable Stent
59
5.1.1.2 By Availability of Stent Graft
59
Stent Graft
59
Bare Stent
59
5.1.1.3 By Production Process of the Stent
60
Braided Stent
60
Laser-Engraved Stent
60
5.1.1.4 By the Structure of the Engraved Cells
60
Closed-Cell Stent
60
Open-Cell Stent
60
Open- and Closed-Cell Hybrid Stent
60
5.1.1.5 By Availability with Drugs on the Stent
60
Non-drug-Eluting Stent
60
Drug-Eluting Stent
60
5.1.2 Stent Materials
60
5.1.2.1 316L Stainless Steel
60
5.1.2.2 Cobalt-Chromium Alloy
60
5.1.2.3 Nickel-Titanium Alloy
60
5.1.2.4 Degradable Polymer Materials
60
5.1.2.5 Absorbable Metal Materials
60
5.2 Self-Expanding Peripheral Stent
61
5.2.1 Product Structure
61
5.2.2 Features and Models
61
5.2.3 Brand Information
61
5.2.3.1 Complete SE Peripheral Stent
61
Product Structure
61
Features and Models
62
5.2.3.2 E-Luminexx Peripheral Stent
62
Product Structure
62
Features and Models
62
5.2.3.3 Lifestent Peripheral Stent
62
Product Structure
62
Features and Models
62
5.2.3.4 Smart Control Peripheral Stent
62
Product Structure
62
Features and Models
63
5.2.3.5 Smart Flex Peripheral Stent
63
Product Structure
63
Features and Models
63
5.2.3.6 Pulsar-18 Peripheral Stent System
63
Product Structure
63
Features and Models
63
5.2.3.7 Everflex Peripheral Stent
63
Product Structure
63
Features and Models
64
5.2.3.8 Innova Peripheral Stent
64
Product Structure
64
Features and Models
64
5.2.3.9 Wallstent Peripheral Stent
64
Product Structure
64
Features and Models
64
5.2.3.10 Absolute Pro Peripheral Stent
65
Product Structure
65
Features and Models
65
5.2.3.11 Supera Peripheral Stent
65
Product Structure
65
Features and Models
65
5.3 Self-Expanding Carotid Artery Stent
65
5.3.1 Product Structure
65
5.3.2 Features and Models
66
5.3.3 Brand Information
66
5.3.3.1 Wallstent Carotid Artery Stent
66
Product Structure
66
Features and Models
66
5.3.3.2 Acculink Carotid Artery Stent
66
Product Structure
66
Features and Models
66
5.3.3.3 Cristallo Ideale Carotid Artery Stent
67
Product Structure
67
Features and Models
67
5.3.3.4 Enterprise Revascularization Device
67
Product Structure
67
Features and Models
68
5.4 Self-Expanding Peripheral Stent Graft
68
5.4.1 Product Structure
68
5.4.2 Features and Models
68
5.4.3 Brand Information
68
5.4.3.1 Viabahn Peripheral Stent Graft
68
Product Structure
68
Features and Models
68
5.4.3.2 Fluency Peripheral Stent Graft
69
Product Structure
69
Features and Models
69
5.4.3.3 Wallgraft Peripheral Stent Graft
69
Product Structure
69
Features and Models
69
5.5 Balloon-Expandable Peripheral Stent
69
5.5.1 Product Structure
69
5.5.2 Features and Models
69
5.5.3 Brand Information
70
5.5.3.1 Hippocampus Balloon-Expandable Stent
70
Product Structure
70
Features and Models
71
5.5.3.2 Express SD Balloon-Expandable Stent
71
Product Structure
71
Features and Models
71
5.5.3.3 Palmaz Blue Balloon-Expandable Stent
71
Product Structure
71
Features and Models
71
5.5.3.4 Express LD Balloon-Expandable Stent
71
Product Structure
71
Features and Models
72
5.5.3.5 Omnilink Elite Balloon-Expandable Stent
72
Product Structure
72
Features and Models
72
5.6 Balloon-Expandable Drug-Eluting Stent
72
5.6.1 Product Structure
72
5.6.1.1 Paclitaxel, Rapamycin, and Their Derivatives
72
5.6.1.2 Everolimus
72
5.6.2 Features and Models
72
5.6.3 Brand Information
73
5.6.3.1 Xience Prime Balloon-Expandable Drug-Eluting Stent
73
Product Structure
73
Features and Models
73
5.6.3.2 Firebird2 Balloon-Expandable Drug-Eluting Stent
73
Product Structure
73
Features and Models
73
6: Aortic Endograft
74
6.1 Introduction
74
6.2 TAA Stent Graft
74
6.2.1 Product Structure
74
6.2.2 Features and Models
74
6.2.3 Brand Information
75
6.2.3.1 Hercules TAA Stent Graft
75
Product Structure
75
Features and Models
75
6.2.3.2 Zenith TX2 TAA Stent Graft
75
Product Structure
75
Features and Models
76
6.2.3.3 Valiant TAA Stent Graft
76
Product Structure
76
Features and Models
76
6.2.3.4 C-TAG TAA Stent Graft
76
Product Specifications
76
Features and Models
76
6.2.3.5 Ankura TAA Stent Graft
77
Product Structure
77
Features and Models
77
6.2.3.6 Relay TAA Stent Graft
77
Product Structure
77
Features and Models
77
6.2.3.7 Castor TAA Stent Graft
77
Product Structure
77
Features and Models
78
6.3 AAA Stent Graft
78
6.3.1 Product Structure
78
6.3.2 Features and Models
78
6.3.3 Brand Information
79
6.3.3.1 Aegis AAA Stent Graft
79
Product Structure
79
Features and Models
79
6.3.3.2 Hercules AAA Stent Graft
79
Product Structure
79
Features and Models
79
6.3.3.3 Zenith Flex AAA Stent Graft
79
Product Structure
79
Features and Models
80
6.3.3.4 Endurant AAA Stent Graft
80
Product Structure
80
Features and Models
80
6.3.3.5 Excluder AAA Endoprosthesis
80
Product Structure
80
Features and Models
81
6.3.3.6 Ankura AAA Stent Graft
81
Product Structure
81
Features and Models
81
6.3.3.7 Incraft AAA Stent Graft
81
Product Structure
81
Features and Models
81
6.4 CP Stent
82
6.4.1 Product Structure
82
6.4.2 Features and Models
82
7: Cardiac Aortic Valved Stent
83
7.1 Introduction
83
7.2 Sapien XT Balloon-Expandable Valved Stent
84
7.2.1 Product Structure
84
7.2.2 Features and Models
84
7.3 Core Valve Self-Expanding Valved Stent
84
7.3.1 Product Structure
84
7.3.2 Features and Models
85
7.4 Venus A Self-Expanding Valved Stent
85
7.4.1 Product Structure
85
7.4.2 Features and Models
85
7.5 J-Valve Self-Expanding Valved Stent
85
7.5.1 Product Structure
85
7.5.2 Features and Models
86
8: Vena Cava Filter
87
8.1 Introduction
87
8.2 Tempofilter II Vena Cava Filter
87
8.2.1 Product Structure
87
8.2.2 Features and Models
88
8.3 VenaTech Convertible Vena Cava Filter
88
8.3.1 Product Structure
88
8.3.2 Features and Models
88
8.4 Denali Vena Cava Filter
88
8.4.1 Product Structure
88
8.4.2 Features and Models
89
8.5 Optease Vena Cava Filter
89
8.5.1 Product Structure
89
8.5.2 Features and Models
89
8.6 Aegisy Vena Cava Filter
89
8.6.1 Product Structure
89
8.6.2 Features and Models
90
8.7 Celect Vena Cava Filter
90
8.7.1 Product Structure
90
8.7.2 Features and Models
90
8.8 Option Vena Cava Filter
91
8.8.1 Product Structure
91
8.8.2 Features and Models
91
9: Vascular Prosthesis
92
9.1 Introduction
92
9.1.1 Materials of Vascular Prosthesis
92
9.1.1.1 Dacron
92
9.1.1.2 ePTFE
92
9.1.1.3 PU
92
9.1.2 Characteristics of Vascular Prosthesis
93
9.2 Gore-Tex Vascular Prosthesis
93
9.2.1 Product Structure
93
9.2.2 Features and Models
93
9.3 Impra Vascular Prosthesis
94
9.3.1 Product Structure
94
9.3.2 Features and Models
94
10: Other Endovascular Devices
95
10.1 Aspiration Thrombectomy System
95
10.1.1 Product Structure
95
10.1.2 Features and Models
96
10.1.3 Operation Procedures
96
10.1.3.1 Prepare the Console
96
10.1.3.2 Load the Catheter
96
10.1.3.3 Aspiration Mode
96
10.1.3.4 Thrombolysis Mode
96
10.2 Mechanical Thrombectomy System
96
10.2.1 Product Structure
96
10.2.2 Features and Models
97
10.3 Peripheral Plaque Excision System
98
10.3.1 Product Structure
98
10.3.2 Features and Models
98
10.4 Reentry Catheter
98
10.4.1 Outback Reentry Catheter
98
10.4.1.1 Product Structure
98
10.4.1.2 Features and Models
98
10.4.2 OffRoad Reentry Catheter
98
10.4.2.1 Product Structure
98
10.4.2.2 Features and Models
99
10.5 Embolization
99
10.5.1 Cook Embolization
99
10.5.1.1 Product Structure
99
10.5.1.2 Features and Models
99
10.5.2 Interlock Embolization
99
10.5.2.1 Product Structure
99
10.5.2.2 Features and Models
100
10.5.3 Jasper Embolization
100
10.5.3.1 Product Structure
100
10.5.3.2 Features and Models
100
10.6 Liquid Embolic System
100
10.6.1 Onyx Liquid Embolic System
100
10.6.1.1 Product Structure
100
10.6.1.2 Features and Models
101
10.6.2 Human Fibrin Sealant
101
10.6.2.1 Product Structure
101
10.6.2.2 Features and Models
101
10.7 Snare
101
10.7.1 Single-Loop Snare
101
10.7.1.1 Product Structure
101
10.7.1.2 Features and Models
101
10.7.2 Three-Loop Snare
101
10.7.2.1 Product Structure
101
10.7.2.2 Features and Models
101
10.8 Cerebrospinal Fluid (CSF) Drainage Kit
102
10.8.1 Product Structure
102
10.8.2 Features and Models
102
10.9 Turbo Elite Laser Fiber-Optic Catheter System
103
10.9.1 Product Structure
103
10.9.2 Features and Models
104
10.10 Memory ASDO (Atrial Septal Defect Occluder)
104
10.10.1 Product Structure
104
10.10.2 Features and Models
104
Part II: Application of Endovascular Surgery and Devices
105
11: Angiography
106
11.1 Introduction
106
11.1.1 Indications for Angiography
106
11.1.2 Contraindications for Angiography
106
11.1.3 Preoperative Preparation of Angiography
106
11.1.3.1 Physicians Who Perform the Angiography Should
106
11.1.3.2 Preparation of Patients
107
11.1.4 Angiographic Puncture Technique
107
11.2 Arteriopuncture
107
11.2.1 Puncture Site
107
11.2.1.1 Common Femoral Artery Puncture
107
11.2.1.2 Brachial Artery Puncture
107
11.2.1.3 Popliteal Artery Puncture
108
11.2.1.4 Infra-popliteal Distal Vascular Puncture
108
11.2.1.5 Special Artery Puncture
109
11.2.2 Puncture and Catheterization Methods
109
11.3 Venepuncture Technique
110
11.3.1 Percutaneous Venepuncture Technique
110
11.3.1.1 Puncture Site
110
Femoral Venepuncture
110
Jugular Venepuncture
111
11.3.1.2 Popliteal Venepuncture
111
11.3.1.3 Venepuncture and Catheterization Methods (with Femoral Venepuncture as an Example)
112
11.3.2 Anterograde Puncture Technique for Veins of Lower Extremity
112
11.3.2.1 Body Position
112
11.3.2.2 Selection of Puncture Needles
112
11.3.2.3 Selection of Insertion Angle
113
11.3.2.4 Method for Securing Puncture Needle
113
References
113
12: Cardiac Aortic Valve Stenosis
114
12.1 Introduction
114
12.2 Clinical Manifestations
115
12.2.1 Angina Pectoris
115
12.2.2 Vertigo or Syncope
115
12.2.3 Dyspnea
115
12.2.4 Hidrosis and Palpitation
115
12.2.5 Sudden Death
115
12.3 Intraoperative Coordination
115
12.3.1 Anesthesia and Surgical Position
115
12.3.2 Preparation of Items and Instruments
115
12.3.3 Preparation of Devices
115
12.3.4 Procedures and Intraoperative Coordination Process
115
12.4 Key for Intraoperative Observation
118
12.4.1 Observation of Vital Signs
118
12.4.2 Intraoperative Monitoring of Active Coagulation Time (ACT)
118
12.4.3 Observation of Puncture Site
118
References
118
13: Arteriectasia
119
13.1 Aortic Dissection
119
13.1.1 Introduction
119
13.1.2 Clinical Manifestations
120
13.1.3 Intraoperative Coordination
120
13.1.3.1 Intraoperative Coordination for Minimally Invasive Endovascular Aortic Dissection Therapy by TAA Stent Graft
120
Anesthesia and Surgical Position
120
Preparation of Routine Items and Instruments
120
Preparation of Devices
120
Selection of Minimally Invasive Endovascular Surgery
121
Procedures and Intraoperative Coordination Process
121
13.1.3.2 Intraoperative Coordination for Minimally Invasive Endovascular Surgery of Aortic Dissection with Multilayer Self-Expanding Bare Stent [2]
124
Anesthesia and Surgical Position
124
Preparation of Routine Items
124
Preparation of Devices
124
Procedures and Intraoperative Coordination Process
124
13.1.4 Key for Intraoperative Observation
125
13.1.4.1 Observe Blood Pressure
125
13.1.4.2 Observe Renal Function
126
13.1.4.3 Observe the Puncture Site
126
13.1.4.4 Observe Peripheral Artery Blood Supply
126
13.2 Abdominal Aortic Aneurysm
126
13.2.1 Introduction
126
13.2.2 Clinical Manifestations
126
13.2.2.1 Pain
127
13.2.2.2 Shock
127
13.2.2.3 Other Serious Complications
127
13.2.3 Intraoperative Coordination
127
13.2.3.1 Intraoperative Coordination for AAA Repair with Integrated Abdominal Aortic Stent
127
Anesthesia and Surgical Position
127
Preparation of Routine Items and Instruments
127
Preparation of Devices
127
Procedures and Intraoperative Coordination Process
127
13.2.3.2 Intraoperative Coordination for AAA Repair with Bifurcated Abdominal Aortic Stent
129
Anesthesia and Surgical Position
129
Preparation of Routine Items and Instruments
129
Preparation of Devices
129
Selection of Minimally Invasive Endovascular Surgery
130
Procedures and Intraoperative Coordination Process
131
13.2.3.3 Intraoperative Coordination for AAA Repair with Multilayer Self-Expanding Bare Stent
133
Anesthesia and Surgical Position
133
Preparation Routine Items and Instruments
133
Preparation of Devices
133
Procedures and Intraoperative Coordination Process
133
13.2.4 Key for Intraoperative Observation
133
13.2.4.1 Observe the Blood Supply of Lower Extremities
133
13.2.4.2 Observe Renal Function
133
13.2.4.3 Observe Intestinal Blood Supply
134
13.3 Extracranial Carotid Artery Aneurysms
134
13.3.1 Introduction
134
13.3.2 Clinical Manifestations
134
13.3.3 Intraoperative Coordination
134
13.3.3.1 Anesthesia and Surgical Position
134
13.3.3.2 Preparation of Routine Items and Instruments
134
13.3.3.3 Preparation of Devices
134
13.3.3.4 Selection of Minimally Invasive Endovascular Surgery
135
13.3.3.5 Procedures and Intraoperative Coordination Process
135
13.3.4 Key for Intraoperative Observation
135
13.3.4.1 Rehemorrhagia Due to Ruptured ECAA
135
13.3.4.2 Artery Vasospasm
137
13.3.4.3 Thrombogenesis and Intracranial Arterial Embolization
137
13.3.4.4 Stent and Coil Displacement
137
13.4 Renal Artery Aneurysm
137
13.4.1 Introduction
137
13.4.2 Clinical Manifestations
137
13.4.2.1 Hypertension
137
13.4.2.2 Hematuria
138
13.4.2.3 Renal Infarction
138
13.4.3 Intraoperative Coordination
138
13.4.3.1 Anesthesia and Surgical Position
138
13.4.3.2 Preparation of Routine Items and Instruments
138
13.4.3.3 Preparation of Devices
138
13.4.3.4 Selection of Minimally Invasive Endovascular Surgery
138
13.4.3.5 Procedures and Intraoperative Coordination Process
138
13.4.4 Key for Intraoperative Observation
138
13.4.4.1 Monitor Vital Signs
138
13.4.4.2 Observe Puncture Site
138
13.4.4.3 Observe Complications
138
13.5 Splenic Artery Aneurysm
140
13.5.1 Introduction
140
13.5.2 Clinical Manifestations
140
13.5.3 Intraoperative Coordination
140
13.5.3.1 Anesthesia and Surgical Position
140
13.5.3.2 Preparation of Routine Items and Instruments
140
13.5.3.3 Preparation of Devices
140
13.5.3.4 Selection of Minimally Invasive Endovascular Surgery
140
13.5.3.5 Procedures and Intraoperative Coordination Process
141
13.5.4 Key for Intraoperative Observation
142
13.5.4.1 Observation of Vital Signs
142
13.5.4.2 Observe Abdominal Pain
142
13.5.4.3 Observe the Puncture Site
142
13.6 Iliac Artery Aneurysm
142
13.6.1 Introduction
142
13.6.2 Clinical Manifestations
142
13.6.3 Intraoperative Coordination
143
13.6.3.1 Anesthesia and Surgical Position
143
13.6.3.2 Preparation of Routine Items and Instruments
143
13.6.3.3 Preparation of Devices
143
13.6.3.4 Selection of Minimally Invasive Endovascular Surgery
143
13.6.3.5 Procedures and Intraoperative Coordination Process
144
13.6.4 Key for Intraoperative Observation
144
13.6.4.1 Observe the Puncture Site
144
13.6.4.2 Observe the Patient’s Blood Supply
145
13.6.4.3 Observe Endoleak
145
References
145
14: Artery Occlusive Diseases
146
14.1 Carotid Artery Stenosis
146
14.1.1 Introduction
146
14.1.2 Clinical Manifestations
147
14.1.2.1 Symptomatic Carotid Artery Stenosis
147
14.1.2.2 Asymptomatic Carotid Artery Stenosis
147
14.1.3 Intraoperative Coordination
147
14.1.3.1 Anesthesia and Surgical Position
147
14.1.3.2 Preparation of Items
147
14.1.3.3 Preparation of Devices
147
14.1.3.4 Selection of Minimally Invasive Endovascular Surgery
148
14.1.3.5 Procedures and Intraoperative Coordination Process
148
14.1.4 Essentials for Intraoperative Observation
149
14.1.4.1 Observe Carotid Sinus Reaction
149
14.1.4.2 Observe Hyperperfusion Syndrome
149
14.2 Subclavian Artery Stenosis
149
14.2.1 Introduction
149
14.2.2 Clinical Manifestations
150
14.2.2.1 Blood Pressure
150
14.2.2.2 Pulse
150
14.2.2.3 Limb Hypofunction and Neurological Symptoms
150
14.2.3 Intraoperative Coordination
150
14.2.3.1 Anesthesia and Surgical Position
150
14.2.3.2 Preparation of Items
150
14.2.3.3 Preparation of Devices
150
14.2.3.4 Selection of Minimally Invasive Endovascular Surgery
151
14.2.3.5 Procedures and Intraoperative Coordination Process
151
14.2.4 Essentials for Intraoperative Observation
151
14.2.4.1 Observe Vital Signs
151
14.2.4.2 Observe Neurological Symptoms
152
14.3 Renal Artery Stenosis
152
14.3.1 Introduction
152
14.3.2 Clinical Manifestations
152
14.3.2.1 Characteristics of Case History
152
14.3.2.2 Symptoms and Signs
152
14.3.3 Intraoperative Coordination
153
14.3.3.1 Anesthesia and Surgical Position
153
14.3.3.2 Preparation of Items
153
14.3.3.3 Preparation of Devices
153
14.3.3.4 Selection of Minimally Invasive Endovascular Surgery
153
14.3.3.5 Procedures and Intraoperative Coordination Process
153
14.3.4 Essentials for Intraoperative Observation
153
14.3.4.1 Monitor Blood Pressure
153
14.3.4.2 Observe Complications
153
14.4 Lower Extremity Arteriosclerosis Obliterans
155
14.4.1 Introduction
155
14.4.2 Clinical Manifestations
155
14.4.2.1 Fontaine Staging System
155
14.4.2.2 Rutherford Classification
155
14.4.3 Intraoperative Coordination
156
14.4.3.1 Anesthesia and Surgical Position
156
14.4.3.2 Preparation of Items
156
14.4.3.3 Preparation of Devices
156
14.4.3.4 Selection of Minimally Invasive Endovascular Surgery
156
14.4.3.5 Procedures and Intraoperative Coordination Process
157
14.4.4 Essentials for Intraoperative Observation
157
14.4.4.1 Observe Vital Signs
157
14.4.4.2 Observe Pains
159
References
159
15: Superficial Varicosis of Lower Extremity
160
15.1 Introduction
160
15.2 Clinical Manifestations
160
15.3 Intraoperative Coordination
161
15.3.1 Anesthesia and Surgical Position
161
15.3.2 Preparation of Items
161
15.3.3 Selection of Minimally Invasive Endovascular Surgery
161
15.3.4 Procedures and Intraoperative Coordination Process
161
15.4 Essentials for Intraoperative Observation
162
15.4.1 Observe Vital Signs
162
15.4.2 Observe Bleeding
162
Reference
162
16: Veno-occlusive Disease
163
16.1 Deep Venous Thrombosis of Lower Extremity
163
16.1.1 Introduction
163
16.1.2 Clinical Manifestations
163
16.1.3 Intraoperative Coordination
164
16.1.3.1 Anesthesia and Surgical Position
164
16.1.3.2 Preparation of Items
164
16.1.3.3 Preparation of Devices
164
16.1.3.4 Selection of Minimally Invasive Endovascular Surgery
164
16.1.3.5 Conventional Procedures and Intraoperative Coordination Process
165
16.1.4 Essentials for Intraoperative Observation
166
16.1.4.1 Observe Vital Signs
166
16.1.4.2 Observe Pulmonary Embolism
166
16.1.4.3 Observe Bleeding
166
16.2 Budd-Chiari Syndrome
166
16.2.1 Introduction
166
16.2.2 Clinical Manifestations
167
16.2.3 Intraoperative Coordination
167
16.2.3.1 Anesthesia and Surgical Position
167
16.2.3.2 Preparation of Items
167
16.2.3.3 Preparation of Devices
167
16.2.3.4 Selection of Minimally Invasive Endovascular Surgery
167
16.2.3.5 Procedures and Intraoperative Coordination Process
168
16.2.4 Essentials for Intraoperative Observation
168
16.2.4.1 Cardiac Failure
168
16.2.4.2 Hemorrhage
169
16.2.4.3 Pulmonary Embolism
169
References
169
17: Arteriovenous Fistula
170
17.1 Introduction
170
17.2 Clinical Manifestations
171
17.2.1 Murmur and Tremor Present in Fistula Area
171
17.2.2 Pulse Rate Increased
171
17.2.3 Cardiac Enlargement and Heart Failure
171
17.2.4 Local Temperature Rise
171
17.2.5 Venous Insufficiency
171
17.3 Intraoperative Coordination
171
17.3.1 Anesthesia and Surgical Position
171
17.3.2 Preparation of Items
171
17.3.3 Preparation of Devices
171
17.3.4 Selection of Minimally Invasive Endovascular Surgery
172
17.3.5 Procedures and Intraoperative Coordination Process
172
17.4 Essentials for Intraoperative Observation
174
17.4.1 Pulmonary Embolism
174
17.4.2 Post-embolization Distal Ischemia and Venous Thrombosis
174
References
174
18: Endovascular Operation-Related Complications and Treatment
175
18.1 Vascular Puncture-Related Complications and Treatment
175
18.1.1 Puncture Site Bleeding and Hematoma
175
18.1.1.1 Causes
176
18.1.1.2 Prevention
176
18.1.1.3 Treatment
176
18.1.2 Pseudoaneurysm
177
18.1.2.1 Causes
177
18.1.2.2 Prevention
177
18.1.2.3 Treatment
177
18.1.3 Arteriovenous Fistula
177
18.1.3.1 Causes
177
18.1.3.2 Prevention
177
18.1.3.3 Treatment
177
18.1.4 Acute Arterial Thrombosis in Limbs
178
18.1.4.1 Causes
178
18.1.4.2 Prevention
178
18.1.4.3 Treatment
178
18.1.5 Osteofascial Compartment Syndrome
178
18.1.5.1 Causes
178
18.1.5.2 Prevention
178
18.1.5.3 Treatment
178
18.1.6 Puncture Site Infection
178
18.1.6.1 Causes
179
18.1.6.2 Prevention
179
18.1.6.3 Treatment
179
18.2 Wire- and Catheter-Related Complications and Treatment
179
18.2.1 Arterial Perforation
179
18.2.1.1 Causes
179
18.2.1.2 Prevention
179
18.2.1.3 Treatment
179
18.2.2 Artery Dissection
179
18.2.2.1 Causes
179
18.2.2.2 Prevention
179
18.2.2.3 Treatment
180
18.2.3 Device Rupture or Embolism
180
18.3 Balloon- and Stent-Related Complications and Treatment
180
18.3.1 Arterial Embolism
180
18.3.1.1 Causes
180
18.3.1.2 Prevention
180
18.3.1.3 Treatment
180
18.3.2 Arteriorrhexis
181
18.3.2.1 Causes
181
18.3.2.2 Prevention
181
18.3.2.3 Treatment
181
18.3.3 Arteriospasm and Lateral Branch Occlusion
181
18.3.3.1 Causes
181
18.3.3.2 Prevention
181
18.3.3.3 Treatment
181
18.3.4 Arterial Dissection
181
18.3.4.1 Causes
181
18.3.4.2 Prevention
181
18.3.4.3 Treatment
181
References
182
19: Case Studies
183
19.1 Case 1 Chimney Graft Technique for Aortic Arch Pseudoaneurysm Repair
183
19.1.1 Patient Data
183
19.1.2 Surgical Operation
183
19.1.3 Device Preparation
183
19.1.4 Procedures and Intraoperative Coordination Process
183
19.1.5 Technical Essentials and Precautions
185
19.2 Case 2 Single-Branched Stent and Fenestration Technique for Treatment of Aortic Dissection
185
19.2.1 Patient Data
185
19.2.2 Surgical Operation
185
19.2.3 Device Preparation
186
19.2.4 Procedures and Intraoperative Coordination Process
186
19.2.5 Technical Essentials and Precautions
187
19.3 Case 3 Double-Chimney + Guglialmi Detachable Coil Embolotherapy for Endovascular Aortic Aneurysm Repair
188
19.3.1 Patient Data
188
19.3.2 Surgical Operation
188
19.3.3 Device Preparation
188
19.3.4 Procedures and Intraoperative Coordination Process
188
19.3.5 Technical Essentials and Precautions
190
19.4 Case 4 Cuff Graft Technique for Endovascular Repair of Ascending Aortic Dissection Artery Aneurysm
190
19.4.1 Patient Data
190
19.4.2 Surgical Operation
191
19.4.3 Device Preparation
191
19.4.4 Procedures and Intraoperative Coordination Process
191
19.4.5 Technical Essentials and Precautions
192
19.5 Case 5 Balloon Occlusion and Endovascular Accelerated Blood Coagulation Technique for Ruptured Abdominal Aortic Aneurysm Repair
193
19.5.1 Patient Data
193
19.5.2 Surgical Operation
193
19.5.3 Device Preparation
193
19.5.4 Procedures and Intraoperative Coordination Process
193
19.5.5 Technical Essentials and Precautions
195
19.6 Case 6 Sandwich Technique for Endovascular Repair of Abdominal Aortic Aneurysm with Iliac Artery Aneurysm
195
19.6.1 Patient Data
195
19.6.2 Surgical Operation
195
19.6.3 Device Preparation
196
19.6.4 Procedures and Intraoperative Coordination Process
196
19.6.5 Technical Essentials and Precautions
198
19.7 Case 7 Self-Expanding Bare Stent-Assisted Spring Coil Embolotherapy for Endovascular Repair of Visceral Abdominal Aortic Pseudoaneurysm
199
19.7.1 Patient Data
199
19.7.2 Surgical Operation
199
19.7.3 Device Preparation
199
19.7.4 Procedures and Intraoperative Coordination Process
199
19.7.5 Technical Essentials and Precautions
200
19.8 Case 8 Hybrid Technique for Repair of Vertebral Artery Pseudoaneurysm Complicated with Brachial Plexus Compression
201
19.8.1 Patient Data
201
19.8.2 Surgical Operation
201
19.8.3 Device Preparation
201
19.8.4 Procedures and Intraoperative Coordination Process
201
19.8.5 Technical Essentials and Precautions
203
19.9 Case 9 Double-Protection Device Technique for Minimally Invasive Endovascular Repair of Left Carotid Subtotal Occlusive Lesion
203
19.9.1 Patient Data
203
19.9.2 Surgical Operation
204
19.9.3 Device Preparation
204
19.9.4 Procedures and Intraoperative Coordination Process
204
19.9.5 Technical Essentials and Precautions
207
19.10 Case 10 Catheter-Directed Thrombolysis and Rotarex Mechanical Aspiration Thrombectomy Technique for Treatment of Acute Superior Mesenteric Artery Embolization
208
19.10.1 Patient Data
208
19.10.2 Surgical Operation
208
19.10.3 Device Preparation
208
19.10.4 Procedures and Intraoperative Coordination Process
208
19.10.5 Technical Essentials and Precautions
210
19.11 Case 11 Coil Embolization Technique for Treatment of Giant Splenic Artery Aneurysm
211
19.11.1 Patient Data
211
19.11.2 Surgical Operation
211
19.11.3 Device Preparation
211
19.11.4 Procedures and Intraoperative Coordination Process
211
19.11.5 Technical Essentials and Precautions
213
19.12 Case 12 Coil Embolization-Assisted Abdominal Aortoiliac Stent Technique for Endovascular Repair of Iliac Artery Aneurysm
213
19.12.1 Patient Data
213
19.12.2 Surgical Operation
213
19.12.3 Device Preparation
213
19.12.4 Procedures and Intraoperative Coordination Process
213
19.12.5 Technical Essentials and Precautions
215
19.13 Case 13 Muff Coupling Technique for Lower Extremity Popliteal Aneurysm Repair
215
19.13.1 Patient Data
215
19.13.2 Surgical Operation
215
19.13.3 Device Preparation
216
19.13.4 Procedures and Intraoperative Coordination Process
216
19.13.5 Technical Essentials and Precautions
218
19.14 Case 14 Retrograde Approach with Stent Graft Technique for Treatment of Popliteal Arteriosclerosis Obliterans
218
19.14.1 Patient Data
218
19.14.2 Surgical Operation
218
19.14.3 Device Preparation
218
19.14.4 Procedures and Intraoperative Coordination Process
218
19.14.5 Technical Essentials and Precautions
223
19.15 Case 15 Direct Stent Puncture Technique for Treatment of In-Stent Restenosis of Femoropopliteal Artery
223
19.15.1 Patient Data
223
19.15.2 Surgical Operation
223
19.15.3 Device Preparation
223
19.15.4 Procedures and Intraoperative Coordination Process
223
19.15.5 Technical Essentials and Precautions
227
19.16 Case 16 Retrograde Puncture and Bionic Stent Technique for Treatment of Seriously Calcified Femoral Artery Bifurcation Lesion
228
19.16.1 Patient Data
228
19.16.2 Surgical Operation
228
19.16.3 Device Preparation
228
19.16.4 Procedures and Intraoperative Coordination Process
228
19.16.5 Technical Essentials and Precautions
233
19.17 Case 17 AngioJet Thrombus Aspiration Technique for Treatment of Acute Deep Vein Thrombosis
234
19.17.1 Patient Data
234
19.17.2 Surgical Operation
234
19.17.3 Device Preparation
234
19.17.4 Procedures and Coordination Process
234
19.17.5 Technical Essentials and Precautions
236
19.18 Case 18 Coil Embolization and Peripheral Stent Graft Technique for Treatment of Left Subclavian Arteriovenous Fistula
236
19.18.1 Patient Data
236
19.18.2 Surgical Operation
237
19.18.3 Device Preparation
237
19.18.4 Procedures and Intraoperative Coordination Process
237
19.18.5 Technical Essentials and Precautions
238
19.19 Case 19 Reinforced Bar and Concrete Technique for Treatment of Lower Extremity Arteriovenous Fistula
239
19.19.1 Patient Data
239
19.19.2 Surgical Operation
239
19.19.3 Device Preparation
239
19.19.4 Procedures and Intraoperative Coordination Process
239
19.19.5 Technical Essentials and Precautions
241
19.20 Case 20 High Ligation + Punctate Stripping + Sclerotherapy for Treatment of Great Saphenous Varicose with Superficial Thrombophlebitis
241
19.20.1 Patient Data
241
19.20.2 Surgical Operation
242
19.20.3 Device Preparation
242
19.20.4 Procedures and Intraoperative Coordination Process
242
19.20.5 Technical Essentials and Precautions
244
References
244
Part III: Management Over Endovascular Devices
245
20: Management Theories and Methods
246
20.1 Agile Supply Chain Management of Endovascular Devices
246
20.1.1 Diversity, Complexity, and Professionalism
246
20.1.2 Dynamic Change and Emergency Delivery Demand
247
20.1.3 Personalized Preference and Intelligent Recommendation
247
20.1.4 Adverse Reaction Predication and Safety Precautions
247
20.2 Autonomous Intelligent Decision-Making for Coordinated Delivery
248
20.2.1 Device Selection Scheme Decision
249
20.2.2 Device Delivery Scheme Decision
249
References
252
21: Device Management
254
21.1 Storage Management of Endovascular Devices
254
21.1.1 Medical Consumable Storage Unit
254
21.1.2 Stent Storage Cabinet
255
21.1.3 Aortic Stent Hanging Piece
255
21.2 Information-Based Management of Endovascular Devices
256
21.2.1 Current Status of Information-Based Management of Endovascular Devices
256
21.2.2 Information-Based Management Model for High-Value Endovascular Devices
257
21.2.3 Information-Based Management System for High-Value Endovascular Devices
258
21.2.4 System Functions and Operation Procedures
258
21.3 Registration Management of Endovascular Devices
261
21.4 Management System for Using Endovascular Devices
262
21.4.1 Management System for Using Low-Value Endovascular Devices
264
21.4.2 Management System for Implantable High-Value Endovascular Devices
264
References
269
22: Personnel Management
270
22.1 Supplier Management
270
22.2 Patient Management
271
22.2.1 Emotion Management
271
22.2.2 Temperature Management
272
22.2.3 Skin Management
272
22.2.4 Safety Management
272
22.3 Neuromanagement and Smart Medical Services
272
22.4 Management of Device Platforms and Device Management Engineers
275
22.4.1 Establishing Endovascular Device Platform
275
22.4.1.1 Poor Professionalism
275
22.4.1.2 Lack of Frontier Knowledge
275
22.4.1.3 Failure to Meet Dynamic Demands
275
22.4.1.4 Delayed Information Exchange with Suppliers
275
22.4.1.5 Chaotic Device Management
275
22.4.2 Managing Professional Skills of Device Management Engineers
276
22.4.3 Professional Requirements for Device Management Engineers
276
22.4.3.1 Size of Devices
276
22.4.3.2 Models of Devices
276
22.4.3.3 Types of Devices
276
22.4.3.4 Features of Devices
276
22.4.3.5 Use of Devices
276
22.4.3.6 Development and Frontier Knowledge of Devices
276
22.4.4 Essentials for Intraoperative Coordination by Device Management Engineers
276
22.4.4.1 Planning
276
22.4.4.2 Flexibility
277
22.4.4.3 Professionalism
277
22.4.4.4 Adaptability
277
22.4.4.5 Creativity
277
22.4.4.6 Economy
277
22.5 Radiological Safety Management
277
22.5.1 Basic Requirements for Interventional Radiological Protective Articles
277
22.5.2 Use and Management of Interventional Radiological Protective Articles
278
22.5.2.1 Principles in Using Radiation-Proof Clothes and Collars
279
22.5.2.2 Management of Radiation-Proof Clothes and Collars
279
22.5.3 Common Protective Measures
280
22.5.3.1 General Protection
280
Inherent Protection of X-Ray Machine
280
Time Protection
280
Distance Protection
280
Shielding Protection
280
22.5.3.2 Patient Protection
280
22.5.3.3 Staff Protection
281
Wear Dose Detector
281
Observe Protective Regulations
281
Regularly Inspect Protection
281
Others
281
22.5.3.4 Protection of DSA Room
281
22.5.4 Healthcare System for Interventional Radiotherapy Personnel
281
22.5.4.1 Health Management
281
22.5.4.2 Items for Regular Physical Examination
281
22.5.4.3 Nutrition Healthcare for Interventional Radiotherapy Personnel
281
Special Nutritional Requirements for Interventional Radiotherapy Workers
282
Drugs and Healthcare Products Conducive to Reducing Radiation Damage
282
22.5.4.4 Health Standard for Interventional Radiotherapy Personnel
282
22.5.5 Regulations on Catheter Room X-Ray Protection Management
282
References
283