By Kenneth Ouriel, Barry T. Katzen, Kenneth Rosenfield
Exploring novel equipment in endovascular intervention, this reference presents particular assurance of suggestions to prevent, deal with, and keep watch over problems in endovascular treatment with chapters by way of world-renowned pioneers and experts practiced within the prevention and keep an eye on of vascular and machine problems.
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C. d. e. Hyperacute (< 24 hours) Acute A (1–7 days) Acute B (8–14 days) Subacute (14 days–3 months) Chronic (>3 months) Quality Improvement for Endovascular Procedures 17 C. Technical success A procedure may be technically successful and clinically unsuccessful, for example if there is severe untreated disease elsewhere in the leg or if the patient’s symptoms were not due to ischemia. 1. ’’ For example, failure to cross a stenosis with a guide wire is a failure of the intended revascularization therapy (angioplasty, stent, lysis).
Indications II. Success a. Crossing the stenosis 1. Short stenosis <3 cm 2. Long stenosis >3 cm b. Crossing the occlusion 1. Short occlusion < 6 cm 2. Long occlusion >6 cm c. Attempted percutaneous stent placement d. Successful percutaneous vascular access for stent placement e. Successful stent deployment 95 98 95 85 Insufﬁcient data 98 99 98 if lesion is crossed f. Patency 1. Short stenosis 2. Long stenosis 3. Chronic occlusion III. Complications a. Stent related 1. Thrombosis (periprocedural <30 days) 2.
Chronic occlusion III. Complications a. Stent related 1. Thrombosis (periprocedural <30 days) 2. Dislodgment/malposition 3. Pseudoaneurysm at stent site b. Arterial injury prior to stent deployment 1. Pseudoaneurysm, rupture, perforation after angioplasty at the treated segment c. Puncture site (major) 1. Large hematoma, bleeding, thrombosis, pseudoaneurysm, arteriovenous ﬁstula d. Distal embolization associated with: 1. Stenosis 2. Occlusion e. Post-procedure myocardial infarction f. Mortality within 30 days III.
Complications in Endovascular Therapy by Kenneth Ouriel, Barry T. Katzen, Kenneth Rosenfield