This book presents 100 challenging cases encountered in vascular surgery practice that were selected from the author's vascular registry of 7,000 vascular reconstructions (endovascular and open). Chapters include difficult surgical problems of patients with aortic, visceral and peripheral arterial aneurysms, with expert management of mycotic, inflammatory and ruptured aneurysms and major complications like aorto-duodenal fistula, graft infection or inferior vena cava injury. These reconstructions are representative of the "real world" experience of vascular surgery in the United States, and the selection of cases were based on either difficulty with case selection, or complex operative or an endovascular technique. The natural history of vascular reconstructions often leads to secondary reconstructions, which are far more complex and therefore are included in significant numbers in this text. Both good and unsatisfactory results have been included and the lessons learned from thepoor outcomes are emphasized. Invited commentaries from leading experts in the field have been added to a few chapters offering an alternate viewpoint in the management of patients with complex pathology.

Challenging Arterial Reconstructions: 100 Clinical Cases serves as an invaluable resource to vascular surgeons that are learning or regularly performing open surgical or endovascular interventions.

Symptomatic Proximal Anastomotic Pseudoaneurysm of Suprarenal Aorta

Repair of Juxtarenal Abdominal Aortic Aneurysm With Aortorenal Bypass
Abdominal Aortic Aneurysm Repair in a Patient With Celiac Artery Occlusion and a Large Inferior Mesenteric Artery
Abdominal Aortic Aneurysm Repair in a Patient With a Pelvic Kidney
Open Repair of Abdominal Aortic Aneurysm in a Patient With Double Inferior Vena Cava
Mycotic Aneurysm of the Abdominal Aorta
Open Abdominal Aortic and Iliac Aneurysm Repair in a Patient With Cirrhosis of the Liver
Major Venous Injury During Repair of Abdominal Aortic and Iliac Aneurysm
Secondary Aortoduodenal Fistula Following Abdominal Aortic Aneurysm Repair
Open Repair of an Inflammatory Abdominal Aortic Aneurysm
Right Subhepatic Approach for Inflammatory Aortic Aneurysm in a Patient With Scoliosis
Large Symptomatic Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm in a Patient With Chronic Lymphocytic Leukemia
Inflammatory Abdominal Aortic Aneurysm Presenting With Testicular Pain
Abdominal Aortic Aneurysm Repair in a Patient With Factor VII Deficiency
Open Repair of Ruptured Abdominal Aortic Aneurysm Complicated by Pancreatitis and Duodenal Obstruction
Rupture of Abdominal Aortic Aneurysm in a Patient With a Horseshoe Kidney
Rupture of Pararenal Aortic Aneurysm
Rupture of Abdominal Aortic Aneurysm With Tear of Inferior Vena Cava in a Patient With Prior Endograft
Prosthetic Graft Infection Following Open Repair of Ruptured Abdominal Aortic Aneurysm
Open Repair of Common Iliac Artery Aneurysm
Open Repair of Ruptured Common Iliac Artery Aneurysm
Open Repair of Ruptured Mycotic Aneurysm of the Common Iliac Artery
Rupture of Hypogastric Artery Aneurysm
Contained Rupture of Femoral Anastomotic Aneurysm
Open Repair of Right Common Femoral Artery Aneurysm
Open Repair of Contained Rupture of Right Popliteal Aneurysm
Open Repair of Giant Recurrent Popliteal Aneurysm
Open Repair of Large SymptomaticSubclavian-Axillary Artery Aneurysm With Partial Claviculectomy
Repair of Extracranial Carotid Artery Aneurysm With Mandibular Subluxation
Open Repair of the Superior Mesenteric Artery Aneurysm
Resection of a Malignant Carotid Body Tumor With Carotid Artery Resection
Resection of a Large Carotid Body Tumor With Mandibular Subluxation
Infected Dacron Patch Following Carotid Endarterectomy
Carotid Endarterectomy for a Recent Minor Stroke
Carotid Endarterectomy With Mandibular Subluxation
Carotid Endarterectomy With Intra-Operative Stroke Due to Plaque Embolization During Shunt Insertion
Intracerebral Hemorrhage Following Carotid Endarterectomy
Carotid Endarterectomy for Symptomatic Radiation Induced Carotid Stenosis
Nonconvulsive Status Epilepticus Following Carotid Endarterectomy
Carotid Endarterectomy Followed by Retrieval of Plaque Embolus from M-1 Segment of Middle Cerebral Artery
Redo Carotid Endarterectomy for Recurrent Atherosclerotic Carotid Stenosis.-Carotid Interposition Graft in a Patient With Prior Carotid Stenting for Acute Stroke
Carotid Endarterectomy in a Patient With Recent Minor Stroke Due to Unstable High Plaque
Redo Aorto-Bifemoral Graft
Aorto-Bifemoral Graft in a Patient With Horseshoe Kidney
Spiral Vein Graft for Radiation Induced Right Common and External Iliac Artery Occlusion
Infected Aorto-Bifemoral Graft
Aorto-Femoral Graft - A 30 Year Follow-Up
Aorto-Femoral Grafting for Infra-Renal Aortic Occlusion
Exposed Femoral Graft Following Multiple Arterial Reconstruction
Complications (Early and Late) of Aorto-Femoral Grafting
Mesenteric Revascularization in Patients With Acute on Chronic Bowel Ischemia
Femoral-Peroneal Bypass for Critical Limb Ischemia in a Patient With Unstable Angina
Femoral-Peroneal Bypass for Severe Calcific Disease Using Tourniquet Occlusion
Femoral Distal Posterior Tibial Bypass for Established Gangrene
Autogenous Composite Vein Bypass for Redo Infrainguinal Arterial Reconstruction
Repeat Femoral Posterior Tibial Bypass Using Spliced Cephalic Vein
Management of a Patient With Complicated Adventitial Cystic Disease of the Popliteal Artery
Popliteal Venous Pseudoaneurysm and Associated Arteriovenous Fistula Following Knee Arthroscopy
Endovascular Aneurysm Repair in a Patient With Severe Aortic Neck Angulation Using Aorfix(TM) Device
Endovascular Aneurysm Repair in a Patient With Short Aortic Neck With Use of EndoAnchors
Endovascular Aneurysm Repair Followed by Multiple Interventions for Endoleaks
Aortic Neck Rupture During Endovascular Aneurysm Repair in a Patient With a Horseshoe Kidney
Exposed Graft in the Groin Following Crossover Femoral-Femoral Graft and Aorto-Uniiliac Stent Graft
Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm, Bilateral Common Iliac Artery Aneurysm, and Left Hypogastric Aneurysm With Right Iliac Branch EXCLUDER® Device
Endovascular Aneurysm Repair With Late Graft Limb Occlusion
Endovascular AneurysmRepair for Ruptured Abdominal Aortic Aneurysm
Ruptured Abdominal Aortic Aneurysms in Patient With Type III Endoleak Following Endovascular Aneurysm Repair With Endologix Graft
Ruptured Abdominal Aortic Aneurysm Due to Type 1B Endoleak
Ruptured Abdominal Aortic Aneurysm Secondary to Delayed Type 1A Endoleak
Endovascular Repair for Ruptured Abdominal Aortic Aneurysm in a Patient With Antecedent Endograft
Endovascular Repair of Large Left Iliac Anastomotic Aneurysm Following Open Abdominal Aortic Aneurysm Repair
Endovascular Repair of a Large Hypogastric Aneurysm Following Open Repair of Abdominal Aortic Aneurysm
Endovascular Repair of Hypogastric Artery Aneurysm in a Patient With Prior Endovascular Aneurysm Repair
Endovascular Aneurysm Repair for Symptomatic Abdominal Aortic Aneurysm Followed by Thoracic Endovascular Aneurysm Repair Complicated by Type IB Endoleak
Thoracic Endovascular Repair for Ruptured Aberrant Right Subclavian Artery Aneurysm Without Subclavian Artery Revascularization
Management of Stent Graft Thrombosis for Popliteal Aneurysm Following Partial Knee Arthroplasty
Endovascular Repair of a Large Ruptured Popliteal Aneurysm
Endovascular Repair of Splenic Artery Aneurysm
Carotid Stenting for Symptomatic Carotid Restenosis Secondary to Myointimal Hyperplasia
Carotid Artery Stenting for Symptomatic Radiation Induced Carotid Stenosis
Carotid Stenting for Carotid Interposition Vein Graft Stenosis
Carotid Artery Stenting for Recurrent Internal Carotid Artery Stenosis With Contralateral Internal Carotid Artery Occlusion
Carotid Stenting and Redo Carotid Endarterectomy in Patient With Bilateral Recurrent Carotid Stenosis with Type III Aortic Arch
Iliac Stenting for Chronic Total Occlusion Using Brachial Artery Access
Covered Stent Placement for Flush Occlusion of Common Iliac Artery - A 12 Year Follow Up
Covered Iliac Stenting for Acute on Chronic Ischemia Following Thoracotomy
Management of Iliac Stent Thrombosis.-Iliac Stenting Complicated by Iliac Artery Rupture
Aortic Stenting for Isolated Aortic Stenosis at the Level of the Inferior Mesenteric Artery
Covered Bilateral Iliac Artery Stenting With Extension Into Common Iliac Arteries for Near Occlusion of Distal Aorta
Percutaneous Intervention for Infrainguinal Arterial Occlusive Disease With Heel Ulcer
Angioplasty for Femoral-Tibial In Situ Vein Bypass Stenosis
Management of Radiation Induced Superior Mesenteric Artery Stenosis With Small Bowel Ischemia
Superior Mesenteric Artery In-Stent Restenosis
Endovascular Treatment of Symptomatic Celiac and Superior Mesenteric Artery Occlusive Disease
Renal Artery Stenting for Renal Vascular Hypertension in a Patient With Solitary Kidney
Subclavian Artery Stenting for Ischemic Left Index Finger
Acquired Arteriovenous Fistula of the Axillary Artery
100 Multiple Choice Questions.<br>