Endovascular Aortic Repair

Gustavo S. Oderich, MDDirector of Advanced Endovascular Aortic ProgramDepartment of Vascular SurgeryMayo ClinicRochester, MNUSA

• Historical Aspects and Evolution of Fenestrated and Branched Technology.- Mechanisms of Disease and Natural History.- Genetic Considerations in Patients with Aortic Disease.- Normal Aortic Anatomy and Variations of Its Branches.- Classification Systems Relevant to Complex Endovascular Aortic Repair.- Intravascular Ultrasound to Guide Complex Endovascular Aortic Repair.- The Spinal Cord Collateral Network: Implications for Endovascular Aortic Repair.- Role of Fusion Cone-Beam Computed Tomography Imaging During Complex Aortic Procedures.- 3D Printing to Create Templates for Patient-Specific Fenestrated Stent-Grafts.- Preoperative Evaluation and Clinical Risk Assessment.- Computed Tomography/ Computed Tomography Angiography for Evaluation, Planning, and Surveillance of Complex Endovascular Repair.- Duplex Ultrasound for Evaluation and Surveillance of Fenestrated, Branched, and Parallel Stent-Grafts.- Magnetic Resonance Angiography for the Initial Assessment and Follow-Up of Acute Aortic Syndromes.- Managing Endovascular Inventory.- Integration of Clinical Practice, Research, Innovation and Education.- Endovascular Training and Learning Curve for Complex Endovascular Procedures.- Regulatory Pathway for Physician-Sponsored Studies Evaluating Endovascular Aortic Repair.- Developing Physician-Sponsored Investigational Device Exemption Protocols.- Principles of Side Branch Incorporation and “Bail Out” Maneuvers.- Strategies to Minimize Risk of Spinal Cord Injury During Complex Endovascular Aortic Repair.- Strategies to Minimize Risk of Acute Kidney Injury During Complex Endovascular Aortic Repair.- Anesthetic Considerations for Complex Endovascular Aortic Repair.- Techniques of Iliofemoral Conduit for Endovascular Repair.- Current Device Designs to Incorporate Visceral Arteries.- Selection of Optimal Bridging Stents for Fenestrations and Branches.- Sizing and Planning Fenestrated and Multi-Branched Endovascular Repair.- Limitations for Branch Incorporation and Implicationson Off-the-Shelf Designs.- Techniques of Implantation of Fenestrated and Multi-Branched Stent-Grafts for Visceral Artery Incorporation.- Results of Fenestrated, Branched and Parallel Stent-Grafts for Pararenal and Thoracoabdominal Aortic Aneurysms.- Parallel Graft Techniques to Treat Complex Aortic Aneurysms Involving the Renal and Mesenteric Arteries.- Hybrid Repair Using Visceral Debranching and Aortic Stent-Grafts to Treat Complex Aortic Aneurysms.- Current Device Designs to Incorporate Supra-Aortic Arch Trunks for Endovascular Repair.- Technical Aspects and Results of Branched Endografts for Repair of Aortic Arch Aneurysms.- Techniques and Results of Endovascular In Situ Arch Fenestrations.- Parallel Stent-Graft Techniques to Facilitate Endovascular Repair in the Aortic Arch.- Techniques and Results of Aortic Arch Hybrid Repair.- Techniques and Results of Hybrid Arch Replacement with Elephant Trunk.- Iliac Branch Device Designs.- Preoperative Planning and Sizing for Iliac Branch Devices.- Techniques of Endovascular Repair of Aorto-Iliac Aneurysms Using Iliac Branch Devices.- Results of Iliac Branch Stent-Grafts.- Technical Aspects and Results of Hybrid Iliac Revascularization.- Off-Label Use of Aortic Devices and Parallel Stent-Grafts for Iliac Revascularization.- Clinical Applications and Regulatory Issues for Physician Modified Endovascular Grafts (PMEGS).- Techniques of Physician Modified Endovascular Grafts (PMEGs) for Incorporation of Renal-Mesenteric Arteries.- Thromboembolic Complications During Endovascular Repair of Complex Aortic Aneurysms.- Spinal Cord Injury Prevention and Management.- Renal Function Deterioration in Complex Aortic Repair.-

“The purpose is to provide the clinical knowledge and technical expertise to master novel endovascular approaches to complex aortic disease. … The book is written for practitioners in any field that encounters patients with complex aortic repair. Although likely most appropriate for vascular and endovascular surgeons, this book is a fundamental resource for all who treat these patients. … This much-needed book addresses a clinical gap in endovascular management in complex aortic disease in a clear, precise and comprehensive manner.” (Esther Mihindu, Doody’s Book Reviews, June, 2017)