Visceral Vessels and Aortic Repair: Challenges and Difficult Cases

409 Pages·2019·30.974 MB·English

by  Yamume Tshomba, Domenico Baccellieri, Roberto Chiesa

Visceral Vessels
and Aortic Repair
Challenges and Difficult Cases
Yamume Tshomba
Domenico Baccellieri
Roberto Chiesa
Editors
123
Visceral Vessels and Aortic Repair
Yamume Tshomba
Domenico Baccellieri • Roberto Chiesa
Editors
Visceral Vessels
and Aortic Repair
Challenges and Difficult Cases
Editors
Yamume Tshomba Domenico Baccellieri
Unit of Vascular Surgery Unit of Vascular Surgery
Fondazione Policlinico Universitario San Raffaele Scientific Institute
A. Gemelli IRCCS, Università Milan
Cattolica del Sacro Cuore Italy
Rome
Italy Roberto Chiesa
Unit of Vascular Surgery
Unit of Vascular Surgery San Raffaele Scientific Institute
San Raffaele Scientific Institute Vita-Salute University
Vita-Salute University Milan
Milan Italy
Italy
ISBN 978-3-319-94760-0 ISBN 978-3-319-94761-7 (eBook)
https://doi.org/10.1007/978-3-319-94761-7
Library of Congress Control Number: 2019932824
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Contents
Part I I ntroductory Remarks
1 Anatomical Overview and Imaging of the
Aorta and Visceral Arteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Gabriele Ironi, Giorgio Brembilla, Giulia Benedetti, and
Francesco De Cobelli
2 Ischaemic Preconditioning: The Rationale and
Evidence-Based Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
George Hamilton
Part II Abdominal Aorta
3 Open Repair of Pararenal Aneurysms:
Renal Vessel Surgical Management . . . . . . . . . . . . . . . . . . . . . . . . 29
Daniele Mascia, Alessandro Grandi, Luca Porcellato,
Luca Bertoglio, Andrea Kahlberg, Domenico Baccellieri,
Germano Melissano, and Roberto Chiesa
4 Aortic “Coral Reef” with Visceral Artery Involvement:
Treatment Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Enrico Rinaldi, Andrea Kahlberg, Daniele Mascia,
Germano Melissano, and Roberto Chiesa
5 Renal Vascular Anatomic Abnormalities During
Open Abdominal Aortic Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Domenico Baccellieri, Vincenzo Ardita,
Gianbattista Tshiombo, Enrico Rinaldi, Yamume Tshomba,
and Roberto Chiesa
6 Endovascular Aortic Repair: The Renal Side of the Story . . . . . 65
Mirko Menegolo, Francesco Squizzato, Michele Piazza,
Chiara Colacchio, Franco Grego, and Michele Antonello
7 Device Evolution and New Concepts to Preserve Renal Artery
Patency in Challenging Infrarenal Aortic Necks . . . . . . . . . . . . . 79
Gianmarco de Donato, Francesco Setacci, Edoardo Pasqui,
Mariagnese Mele, Domenico Benevento,
Giancarlo Palasciano, and Carlo Setacci
v
vi Contents
8 Hypogastric Artery Management During Open and
Endovascular Aortoiliac Repair . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Aaron Fargion, Carlo Pratesi, Fabrizio Masciello,
Walter Dorigo, and Giovanni Pratesi
9 Operative Management of Type II Endoleaks After Aortic
Endovascular Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Anna Maria Ierardi, Filippo Pesapane, Francesca Patella,
Enrico Maria Fumarola, Salvatore Alessio Angileri,
Mario Petrillo, Matteo Crippa, and Gianpaolo Carrafiello
10 Vascular Reconstructions in Kidney Transplantation . . . . . . . . . 113
Massimiliano Veroux, Alessia Giaquinta, Giuseppe D’Arrigo,
Alberto Davì, Angelo Sanfiorenzo, and Pierfrancesco Veroux
11 Renal Transplantation and Aortic Disease:
Operative Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Gabriele Piffaretti, Matteo Tozzi, Marco Franchin, and
Patrizio Castelli
12 Ex Vivo Open Reconstruction of Hilar Renal
Artery Aneurysms: A Single-Center Experience . . . . . . . . . . . . . 127
Mirko Menegolo, Elda Chiara Colacchio, Lucrezia Furian,
Paolo Rigotti, Jacopo Taglialavoro, Michele Piazza,
Michele Antonello, and Franco Grego
13 Pulsate Perfusion of Allografts. . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Matteo Tozzi, Gabriele Piffaretti, Marco Franchin, and
Patrizio Castelli
Part III Thoracoabdominal Aorta
14 Physiopathology of Intraoperative Visceral Ischemia and
Anesthesiological Management of Supravisceral
Aortic Clamping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Fabrizio Monaco, Barucco Gaia, Mattioli Cristina, and
De Luca Monica
15 Tissue Ischemia During Aortic Repair: The Point
of View of the Perfusionist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
De Simone Francesco, Tshiombo Gianbattista, and
Colombo Elisa
16 Perioperative Renal Pharmacological Protection During
Cardiovascular Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Alessandro Belletti, Margherita Licheri, and Tiziana Bove
Contents vii
17 Renal Perfusion During Aortic Surgery: Looking for
the Ideal Substrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Y. Tshomba, E. Simonini, E. Colombo, V. Ardita, L. Apruzzi,
E. Rinaldi, L. Pasin, T. Cambiaghi, B. Catenaccio,
R. Castellano, M. Venturini, G. Landoni, P. Nardelli,
M. Leopardi, E. Espinar, S. Salvati, R. Lembo, D. Baccellieri,
L. Bertoglio, A. Kahlberg, S. Bossi, G. Melissano, and
Roberto Chiesa
18 Thoracoabdominal Aortic Aneurysm Open Repair:
Visceral Arteries Reattachment Strategies . . . . . . . . . . . . . . . . . . 207
Luca Bertoglio, Alessandro Grandi, Tommaso Cambiaghi,
Cilli Giuseppe, and Apruzzi Luca
19 Renal and Visceral Sutureless Anastomosis During
Thoracoabdominal Aortic Repair . . . . . . . . . . . . . . . . . . . . . . . . . 213
Andrea Kahlberg, Matteo Bossi, Daniele Mascia,
Enrico Rinaldi, Yamume Tshomba, Germano Melissano, and
Roberto Chiesa
20 Long-Term Patency of Visceral Vessels After
Thoracoabdominal Aortic Repair . . . . . . . . . . . . . . . . . . . . . . . . . 225
Andrea Kahlberg, Vincenzo Ardita, Angela M. R. Ferrante,
Luca Bertoglio, Daniele Mascia, Domenico Baccellieri,
Germano Melissano, and Roberto Chiesa
21 Hybrid Repair of Thoracoabdominal Aortic Aneurysm
with Rerouting of Visceral Arteries . . . . . . . . . . . . . . . . . . . . . . . . 235
Luca Apruzzi, Vincenzo Ardita, Andrea Melloni,
Yamume Tshomba, and Roberto Chiesa
22 Toward an Entirely Endovascular World for
Thoracoabdominal Aortic Disease: Myth or Reality? . . . . . . . . . 247
Piergiorgio Cao and Ciro Ferrer
23 Total Endovascular Repair of Thoracoabdominal Aortic
Aneurysm: Lessons Learned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
D. Loschi, B. Fiorucci, T. Cambiaghi, E. Centonza, and
F. Verzini
24 Recurrent Thoracoabdominal Aortic Aneurysm with
Visceral Artery Involvement: Treatment Options . . . . . . . . . . . . 275
Luca Bertoglio, Alessandro Grandi, Tommaso Cambiaghi,
Andrea Melloni, and Simone Salvati
viii Contents
25 Preoperative Assessment of the Spinal Cord Vasculature . . . . . . 285
Alexandre Campos Moraes Amato and
Noedir Antonio Groppo Stolf
26 Intercostal Artery Reattachment Guided by Intraoperative
Neurophysiologic Monitoring During Open Thoracoabdominal
Aortic Repair: Basic Principles and Clinical Experience . . . . . . 297
Ubaldo Del Carro, Francesca Bianchi, Marco Cursi, and
Heike Caravati
27 Spinal Cord Protection During Open and Endovascular
Aortic Repair: State of the Art . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Carlo Setacci, Marco Tadiello, Matteo Tozzi, Giancarlo
Palasciano, Domenico Benevento, Gianmarco de Donato, and
Francesco Setacci
28 Current Trends of Treatment Options for Complex
Aortic Pathology with Visceral Artery Involvement in a
Large Single-C enter Experience . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Nicola Mangialardi, Matteo Orrico, Sonia Ronchey, and
Andrea Esposito
29 Visceral Ischemia During Type B Dissection: Incidence,
Prognostic Value, Diagnosis, and Operative Management . . . . . 329
Domenico Spinelli, Hector W. L. de Beaufort, and
Santi Trimarchi
30 Understanding Visceral Ischaemia in Acute Type B Dissection:
State of the Art, Challenges and Future Perspectives . . . . . . . . . 335
T. Donati, A. Patel, and M. Sallam
Part IV V isceral Vessels Management in Oncologic, Infectious and
Inflammatory Diseases
31 Vascular Reconstruction in Oncologic Patients with
Aortic and Visceral Artery Involvement . . . . . . . . . . . . . . . . . . . . 349
Domenico Palombo and Simone Mambrini
32 Oncovascular Surgery; Surgery of the Vena
Cava-Related Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Kareem Sallam
33 Aortic Infection with Visceral Artery Involvement in the
Endovascular Era: Treatment Options . . . . . . . . . . . . . . . . . . . . . 381
Francesco Speziale, Pasqualino Sirignano, Laura Capoccia,
Wassim Mansour, Alessandro d’Adamo, and
Carlo Filippo Porreca
Contents ix
34 Management of Aortic Infections: Role of Open Surgery
and the Value of Multidisciplinary Team Approach . . . . . . . . . . 393
Morad Sallam, Oliver Lyons, and Tommaso Donati
35 Large-Vessel Vasculitides: Takayasu Arteritis and
Giant Cell Arteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407
Giulio Cavalli, Giacomo De Luca, and Lorenzo Dagna
36 Visceral Artery Involvement in Takayasu Patients:
Treatment Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417
Laurent Chiche
List of Videos
Movie 5.1 A case of infrarenal abdominal aortic aneurysm associated
with right inferior polar artery originating from the aneurysm.
Perfusion of cold crystalloid into the orifices of the right infe-
rior polar artery was performed, the aorto-aortic bypass recon-
struction and direct reimplantation of the inferior polar artery
to the graft has been performed. Post-operative CT scan shows
the correct patency of the both renal arteries and right inferior
polar artery (MOV 228597 kb)
Movie 5.2 Infrarenal abdominal aortic aneurysm associated to Horseshoe
Kidney treated with aorto-aortic bypass reconstruction behind
the kidney with direct reimplantation of the renal artery to the
graft (MOV 1055 kb)
Video 14.1 Midesophageal four-chamber view. Severe right ventricle dys-
function (WMV 1325 kb)
Video 14.2 Midpapillary transgastric view. Severe right ventricle dysfunc-
tion with left ventricle D-shape (WMV 1568 kb)
Video 14.3 Midpapillary transgastric view. Severe left ventricle dilation
and systolic dysfunction (AVI 1916 kb)
Video 14.4 Mid-transgastric short-axis view. Empty left ventricle with
papillary muscles “kissing” (AVI 14042 kb)
Movie 19.1 Video showing Gore Hybrid Vascular Graft (GHVG) deploy-
ment during TAAA open repair. The GHVG is gently placed
into the artery for 2–3 cm. The stent is released and ballooned
after deployment. The cold renal perfusion catheter is then
immediately reinserted into the graft. Of note stiches for fixa-
tion of GHVG to the renal artery and device. Finally, the proxi-
mal anastomosis to the main aortic graft is completed (AVI
189508 kb)
Electronic supplementary material is available in the online version of the
related chapter on SpringerLink: http://link.springer.com/
xi