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The Massachusetts General Hospital Approach to Transcatheter Arterialization of the Deep Veins for Advanced Limb Salvage Protocols and Procedures
Title
The Massachusetts General Hospital Approach to Transcatheter Arterialization of the Deep Veins for Advanced Limb Salvage [electronic resource] : Protocols and Procedures / edited by Anahita Dua, Sara Rose-Sauld, Lindsey Ferraro, Erin Sweeney.
ISBN
9783031375101
Edition
1st ed. 2023.
Publication
Cham : Springer Nature Switzerland : Imprint: Springer, 2023.
Physical Description
1 online resource (X, 136 p.)
Local Notes
Access is available to the Yale community.
Access and use
Access restricted by licensing agreement.
Summary
This book presents an in-depth guide to transcatheter arterialization of the deep veins (TADV). TADV or deep venous arterialization (DVA) is an emerging technological and clinical solution for patients with peripheral artery disease who have no options for limb salvage based on conventional vascular techniques. It serves to salvage limbs in patients who would otherwise be amputated. For TADV to be successful in preventing amputation, patient selection, pre-procedure imaging, technical expertise, and post-operative wound management must be optimized. The book takes a step-by-step approach to TADV to guide the clinical team through the patient journey from meeting a potential candidate for TADV through to saving the leg. Chapters provide a reference for patient selection, procedural steps, and post-operative wound care management. This is an ideal guide for vascular surgeons, interventional radiologists, interventional cardiologists, trainees, and all medical professionals caring for patients with severe peripheral artery disease potentially facing amputation. .
Variant and related titles
Springer ENIN.
Other formats
Printed edition:
Printed edition:
Printed edition:
Format
Books / Online
Language
English
Added to Catalog
November 02, 2023
Contents
Introduction: What is Deep Venous Arterialization (DVA): Past, Present, Future
Section I: Patient Selection
Chapter 1: Selecting the right patient candidate for DVA (clinical examination, imaging, wound location)
Chapter 2: Evaluating the Angiogram
Chapter 3: Explaining DVA to the patient and family: Managing expectation
Chapter 4: How to keep the wound stable till surgery
Section II: Patient Preparation
Chapter 4: Pedal Mapping (Duplex) and Evaluation of the Venous Anatomy of the Foot - how to do it and what am I looking for?
Chapter 5: Preoperative optimization of the patient: cardiac, respiratory, wound stability
Section III: Procedure and Acute Post-operative Care
Chapter 6: Overview of the Procedure and list of required equipment
Chapter 7: Venous pedal access: tips, tricks, and technique
Chapter 8: Arterial to Venous Crossing: tips, tricks and techniques
Chapter 9: Classic perils and pitfalls with bailout strategies
Chapter 10: Immediate Post operative Care: Pain management, Swelling Management, Offloading, Wound Care
Chapter 11: Planning for Successful discharge: What does the DVA patient need to ensure success in the home or rehab: Antibiotic plan, wound management plan, mobility plan, medical management (anticoagulation and diabetic), and follow up
Section IV: Maintenance of the DVA Circuit
Chapter 12: Imaging of the DVA circuit: who, what, where, when, and why?
Chapter 13: When do we need to re-intervene to maintain patency of the circuit?
Chapter 14: What intervention strategies will be required to maintain the circuit and how do we know it's working!
Section V: Wound Care
Chapter 15: What is the goal of wound care in the DVA patient post procedure?
Chapter 16: How to Approach Wound Care to Keep the Wound Stable
Chapter 17: Effective strategies to minimize debridement or disturbance to the wound bed
Chapter 18: What types of surgical procedures may be performed and when are they appropriate post DVA (toe & foot amputation versus debridement)
Chapter 19: When is the DVA mature enough for a transmetarasal amputation?
Chapter 20: How to perform the perfect DVA Transmetarasal amputation: Tips, tricks and technique
Chapter 21: Post operative care from a foot amputation or debridement: offloading and follow up
Section VI: Life after a successful DVA
Chapter 22: when can the patient walk again?
Chapter 24: Prosthetics to ensure balance, function, and no more wounds!
Chapter 25: Long term DVA follow up and outcomes.
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