Table Of ContentDIAGNOSIS, SCREENING
AND TREATMENT OF
ABDOMINAL,
THORACOABDOMINAL
AND THORACIC AORTIC
ANEURYSMS
Edited by Reinhart T. Grundmann
Diagnosis, Screening and Treatment of Abdominal,
Thoracoabdominal and Thoracic Aortic Aneurysms
Edited by Reinhart T. Grundmann
Published by InTech
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Copyright © 2011 InTech
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First published August, 2011
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Additional hard copies can be obtained from [email protected]
Diagnosis, Screening and Treatment of Abdominal,
Thoracoabdominal and Thoracic Aortic Aneurysms, Edited by Reinhart T. Grundmann
p. cm.
978-953-307-466-5
free online editions of InTech
Books and Journals can be found at
www.intechopen.com
Contents
Preface IX
Chapter 1 The Abdominal Aortic Aneurysm –
Prognosis, Treatment, Screening and Cost-Effectiveness 1
Reinhart T. Grundmann
Chapter 2 Pathophysiology of Abdominal Aortic Aneurysm –
Genetic Factors and Homocysteine Metabolism 19
Christopher L Delaney, Hafees A Saleem,
Yew-Toh Wong and J Ian Spark
Chapter 3 The Pathohistology of Abdominal Aortic Aneurysm 37
Gregory T Jones
Chapter 4 Actual Pharmacological Treatment to
Reduce Growth of Small Abdominal Aneurysm 59
Guillermo Moñux Ducajú, Javier Modrego,
Antonio López Farré and Javier Serrano
Chapter 5 Diagnosis of Aortic Aneurysm 69
Serosha Mandika Wijeyaratne
Chapter 6 Ultrasound in Abdominal Aortic Aneurysm 87
Reidar Brekken, Torbjørn Dahl and
Toril A. N. Hernes
Chapter 7 Motion Calculations on Stent Grafts in AAA 109
Almar Klein, W. Klaas Jan Renema,
J. Adam van der Vliet, Luuk J.Oostveen,
Yvonne Hoogeveen, Leo J. Schultze Kool and
Cornelis H. Slump
Chapter 8 A Prospective Clinical Economic and Quality of Life Analysis
of Open Repair, Endovascular Aortic Repair and Best Medical
Treatment in High Risk Patients with AAA 129
Sherif Sultan and Niamh Hynes
VI Contents
Chapter 9 Incidence and Predictors of Clinical
Failures Following Catheter-Based
Treatment of Abdominal Aortic Aneurysms 145
Daniel R. Watson, Angela Kruse,
Jeffrey Weiner and Christina Prabhu
Chapter 10 12-Year Experience with the Endologix PowerlinkR Device in
Endovascular Repair of Abdominal Aortic Aneurysms 161
Ziheng Wu, Lefeng Qu, Dieter Raithel and
Konstantinos Xiromeritis
Chapter 11 Ruptured Abdominal Aortic Aneurysms 179
Antonello M.
Chapter 12 Endovascular Repair of the Ruptured Aneurysm 199
Jane Cross, Peter Harris and Toby Richards
Chapter 13 Late Complications Following Aortic Aneurysm Repair 211
Michiel L.P. van Zeeland and Lijckle van der Laan
Chapter 14 Abdominal Aortic Graft Infection 227
Dimitrios Tsapralis, Anestis Charalampopoulos and
Andreas M. Lazaris
Chapter 15 Gastrointestinal Complications
of Abdominal Aortic Aneurysms 245
Emmeline Nugent and Paul Neary
Chapter 16 The Importance of Venous and Renal Anomalies
for Surgical Repair of Abdominal Aortic Aneurysms 269
Roberto Jiménez and Francisco Morant
Chapter 17 Isolated Iliac Artery Aneurysm 293
Shinichi Hiromatsu, Atsuhisa Tanaka and
Kentarou Sawada
Chapter 18 Concomitant Abdominal Aortic Aneurysm and
Malignancy: Simultaneous Minimally Invasive Repair 301
Gabriele Piffaretti, Luigi Boni, Matteo Tozzi,
Nicola Rivolta, Giovanni Mariscalco and Patrizio Castelli
Chapter 19 Aortic Aneurysms in Takayasu Arteritis 311
Guido Regina, Domenico Angiletta,
Alessandro Bortone, Martinella Fullone,
Davide Marinazzo and Raffaele Pulli
Chapter 20 Conventional Surgery
in Type IV Thoracoabdominal Aortic Aneurysm 329
Arash Mohammadi Tofigh
Contents VII
Chapter 21 Spinal Cord Protection for Descending or
Thoracoabdominal Aortic Aneurysm Repair 347
Nobuyoshi Kawaharada, Toshiro Ito and Tetsuya Higami
Chapter 22 Rehabilitation for Spinal Cord Injury
Caused by Thoracic Aortic Aneurysm 363
Suguru Ohsawa and Shinji Hirabayashi
Chapter 23 Relationships Between AAA
and Cauda Equina Syndrome 385
Masood Rehman Moghul and Bassel El-Osta
Chapter 24 Anesthetic Management of Aortic Aneurysm 397
Zsófia Verzár and Sándor Szabados
Preface
This book considers mainly diagnosis, screening, surveillance and treatment of
abdominal, thoracoabdominal and thoracic aortic aneurysms. It addresses vascular
and cardiothoracic surgeons and interventional radiologists, but also anyone engaged
in vascular medicine. The high mortality of ruptured aneurysms certainly favors the
recommendation of prophylactic repair of asymptomatic aortic aneurysms (AA) and
therewith a generous screening. However, the comorbidities of these patients and their
age have to be kept in mind if the efficacy and cost effectiveness of screening and
prophylactic surgery should not be overestimated. The treatment recommendations,
which will be outlined here, have to regard on the one hand the natural course of the
disease, the risk of rupture, and the life expectancy of the patient, and on the other
hand the morbidity and mortality of the prophylactic surgical intervention. The book
describes perioperative mortality after endovascular and open repair of AA, long-term
outcome after repair, and the cost-effectiveness of treatment.
Prof. Dr. Reinhart T. Grundmann
Medical Expert
Burghausen, Germany
