Visceral Vessels and Aortic Repair

This book shows hownew technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and moreonthe particularly challenging segmentsfrom whichcritical branches originate. Optimal results in thisarea are obtained througha multidisciplinary approach based on crucial elements such as sophisticated imagingtechniques, advanced anesthesiologicaland pharmacologicalstrategies, as well as updated surgical techniques and devicesable to reduce ischemic injuries. The book presents problems tackled from different perspectives, by analyzingthe maintechnical aspects ofthe surgical technique but alsofunctional andmetabolicissues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusionmechanisms, as well as innovative investigational approaches. In the "endovascular era", it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses. The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant,oncologic surgery with involvement ofsplanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery. This volume represents a powerful tool for both young and experienced operators who wishto approach the complex aortic pathology either by open surgeryorthrough endovascular methods."