complications in peripheral vascular interventions

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Complications in Peripheral Vascular Interventions

Complications in Peripheral Vascular InterventionsEdited by

MARTIN SCHILLINGER MDProfessor Department of Internal Medicine II Division of Angiology University of Vienna Medical School Vienna Austria

ERICH MINAR MDProfessor Department of Internal Medicine II Division of Angiology University of Vienna Medical School Vienna Austria

2007 Informa UK Ltd First published in the United Kingdom in 2007 by Informa Healthcare, Telephone House, 6977 Paul Street, London EC2A 4LQ. Informa Healthcare is a trading division of Informa UK Ltd. Registered Office, 37/41 Mortimer Street, London W1T 3JH. Registered in England and Wales number 1072954. Tel: +44 (0)20 7017 5000 Fax: +44 (0)20 7017 6336 Website: www.informahealthcare.com All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P 0LP. Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention. Although every effort has been made to ensure that drug doses and other information are presented accurately in this publication, the ultimate responsibility rests with the prescribing physician. Neither the publishers nor the authors can be held responsible for errors or for any consequences arising from the use of information contained herein. For detailed prescribing information or instructions on the use of any product or procedure discussed herein, please consult the prescribing information or instructional material issued by the manufacturer. A CIP record for this book is available from the British Library. Library of Congress Cataloging-in-Publication Data Data available on application ISBN-10: 1 84184 628 7 ISBN-13: 978 1 84184 628 6 Distributed in North and South America by Taylor & Francis 6000 Broken Sound Parkway, NW, (Suite 300) Boca Raton, FL 33487, USA Within Continental USA Tel: 1 (800) 272 7737; Fax: 1 (800) 374 3401 Outside Continental USA Tel: (561) 994 0555; Fax: (561) 361 6018 Email: orders@crcpress.com Distributed in the rest of the world by Thomson Publishing Services Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel: +44 (0)1264 332424 Email: tps.tandfsalesorder@thomson.com Composition by Exeter Premedia Services Private Ltd, Chennai, India Printed and bound in India by Replika Press Pvt Ltd.

ContentsList of contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Foreword Michael R Jaff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Part I: Complications general considerations 1. 2. 3. 4. Introduction to complications in peripheral vascular interventions frequency of complications and worst scenarios Martin Schillinger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Identifying (high) risk patients for endovascular treatment unfavorable medical comorbidities Erich Minar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Being prepared standards for patient care and adequate bail-out equipment Martin Schillinger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 a. Contrast media associated complications Rainer Oberbauer . . . . . . . . . . . . . . . . . . . . . . . . 27 b. General complications of angiography and peripheral interventions radiotoxicity Eberhard Kuon and Michael Wucherer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Part II: Specific complications by vessel area or specific scenarios 5. 6. Arterial and venous access site complications Martin Schillinger . . . . . . . . . . . . . . . . . . . . . . . 51 a. Complications of pharmacologic interventions: antiplatelet, antithrombotic, and anticoagulant agents Hong H Keo and Iris Baumgartner . . . . . . . . . . . . . . . . . . . . . . . . . 71

b. Complications of thrombolytic therapy in peripheral vascular interventions Jose A Silva and Christopher J White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 7. 8. 9. 10. 11. 12. 13. 14. 15. Carotid stenting complications from the femoral artery to the intracranial circulation Robert D Ecker, Horst Sievert, and L Nelson Hopkins . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Complications in percutaneous subclavian and vertebral artery interventions Julio A Rodriguez, Francisco Guerrero-Baena, Dawn M Olsen, and Edward B Diethrich . . . . . . . . 117 Aortic aneurysmal disease Joe T Huang, Takao Ohki, and Frank J Veith . . . . . . . . . . . . . . . . . . 139 Complications in renal and mesenteric vascular interventions Martin Schillinger and Thomas Zeller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Complications of aorto-iliac intervention Deepa Gopalan and Peter Gaines . . . . . . . . . . . . . . . 177 Femoropopliteal segment Richard R Heuser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 Complications of tibioperoneal interventions Erich Minar and Lanfroi Graziani . . . . . . . . . . 201 Complications in the percutaneous management of failing hemodialysis fistulas and grafts Dierk Vorwerk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 Venous interventions C Binkert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

ContributorsIris Baumgartner MD Professor and Head of Angiology Division of Angiology Swiss Cardiovascular Center University Hospital Bern Switzerland Christoph Binkert MD Associate Professor of Radiology Associate Director of Interventional Radiology Brigham and Womens Hospital Harvard Medical School Boston, MA USA Edward B Diethrich MD Medical Director Arizona Heart Institute and Arizona Heart Hospital Phoenix, AZ USA Robert D Ecker MD Departments of Neurosurgery University at Buffalo and Toshiba Stroke Research Center School of Medicine and Biomedical Sciences University at Buffalo State University of New York and Millard Fillmore Gates Hospital Kaleida Health, Buffalo New York, NY USA Peter Gaines MB ChB, FRCP, FRCR Professor, Sheffield Vascular Institute Northern General Hospital Sheffield UK Deepa Gopalan MB BS, MSc, MRCP, FRCR Fellow, Sheffield Vascular Institute Northern General Hospital Sheffield UK Lanfroi Graziani MD Servizio di Emodinamica Instituto Clinico Citta di Brescia Brescia Italy Francisco Guerrero-Baena MD Vascular Surgery Fellow Arizona Herat Institute/Hospital Phoenix, AZ USA Richard Heuser MD Director of Cardiology St Lukes Medical Center Phoenix, AZ and Medical Director Phoenix Heart Center Phoenix, AZ and Clinical Professor of Medicine University of Arizona College of Medicine Tucson, AZ USA

viii LIST OF CONTRIBUTORS

L Nelson Hopkins MD Department of Radiology University at Buffalo and Toshiba Stroke Research Center School of Medicine and Biomedical Sciences University at Buffalo State University of New York and Millard Fillmore Gates Hospital Kaleida Health Buffalo New York, NY USA Joe T Huang MD Division of Vascular Surgery Department of Surgery Albert Einstein College of Medicine Montefiore Medical Center New York, NY USA Hong H Keo MD Division of Angiology Swiss Cardiovascular Center University Hospital Bern Switzerland Eberhard Kuon MD Department of Cardiology Klinik Fraenkische Schweiz Ebermannstadt Germany Erich Minar MD Professor Department of Internal Medicine II Division of Angiology University of Vienna Medical School Vienna Austria Rainer Oberbauer MD Professor Department of Internal Medicine III Division of Nephrology and Dialysis Vienna Austria

Takao Ohki MD, PhD Professor and Chief Department of Vascular Surgery Jikei University School of Medicine Tokyo Japan and Professor of Surgery North Shore LIJ Health System Albert Einstein College of Medicine Lake Success New York, NY USA Dawn M Olsen PAC Vascular Surgery Physician Assistant Arizona Heart Institute/Hospital Phoenix, AZ USA Julio A Rodriguez MD Director of Vascular Surgery Department Medical Director of Wound Healing Center Arizona Heart Institute/Hospital Phoenix, AZ USA Martin Schillinger MD Professor Department of Internal Medicine II Division of Angiology University of Vienna Medical School Vienna Austria Horst Sievert MD Professor Cardiovascular Center Bethanien Frankfurt Germany Jose A Silva MD Department of Cardiology Ochsner Clinic Foundation New Orleans, LA USA

LIST OF CONTRIBUTORS ix

Frank J Veith MD Division of Vascular Surgery Department of Surgery Albert Einstein College of Medicine Montefiore Medical Center New York, NY USA D Vorwerk MD Professor of Radiology Chairman Department of Diagnostic and Interventional Radiology Klinikum Ingolstadt Ingolstadt Germany Christopher J White MD Chairman Department of Cardiology Ochsner Clinic Foundation Ne