Peripheral Arterial Disease — Surgical Specialization Treaty

Surgery · Clinical Specialties

How it begins

An exhaustive treatise aimed at specialists in vascular surgery and endovascular medicine. It addresses in rigorous detail the hemodynamics of stenoses, the physiology of accesses, open and complex endovascular revascularization, limb salvage in critical ischemia, and the management of post-revascularization complications.

What it covers

1. Vascular Anatomy and Collateral Systems of the Lower Extremities
2. · Collateral Network Systems and Compensation Circuits
3. Pathophysiology of Atherosclerotic Plaque and Endothelial Dysfunction
4. · Molecular Phases of Atherogenesis
5. Hemodynamics of Arterial Stenosis and Fluid Mechanics
6. · Laws of Fluid Dynamics and Vascular Resistance
7. Fontaine and Rutherford Classification Systems
8. Chronic Limb Threatening Ischemia (CLTI) and WIfI Classification
9. · Breakdown of the WIfI System
10. Acute Limb Ischemia (SLAI / SLAE)
11. · Etiology of Acute Ischemia: Thrombosis vs. Embolism
12. Ankle-Brachial Index (ABI) and Segmental Pressure Measurements
13. · ITB methodology step by step
14. · Mönckeberg Medial Sclerosis and the Finger-Brachial Index (DIB)
15. Duplex Arterial Doppler Ultrasound of the Lower Limbs
16. · Spectral Analysis of the Arterial Flow Wave
17. AngioCT, AngioMR and Digital Subtraction Arteriography (DSA)
18. · Comparison of Advanced Imaging Modalities
19. Control of Systemic Risk Factors and Antiplatelet Therapy
20. · Stabilization Strategies and Metabolic Goals
21. Vasoactive Pharmacological Therapy and Supervised Walking Programs
22. · Cilostazol: Cellular Mechanism of Action
23. Vascular Access Techniques and Approach Strategies
24. · Arterial Access Strategies
25. Angioplasty (ATP), Drug Eluting Balloons (DCB) and Intravascular Prostheses (Stents)
26. · Percutaneous Transluminal Angioplasty (PTA)
27. · Drug-Coated Balloons (DCB)
28. · Stent Selection: Self-expandable vs. Expandable per Ball
29. Atherectomy and Intravascular Lithotripsy (IVL) Techniques
30. · Atherectomy Techniques
31. · Intravascular Lithotripsy (IVL - Intravascular Lithotripsy)
32. Aortoiliac Sector Revascularization Surgery
33. · Aortobifemoral Bypass: Surgical Technique
34. · Extra-Anatomical Rescue Bypasses
35. Infrainguinal Revascularization Surgery
36. · Femoro-Popliteus Superior and Inferior Bypass
37. · Femoro-Distal or Ultradistal Bypass
38. Common Femoral Endarterectomy and Profundoplasty
39. · Common Femoral Endarterectomy step by step
40. Surgical Thromboembolectomy with Fogarty Catheter
41. · Embolectomy technique step by step
42. Catheter-Directed Thrombolysis and Mechanical Thrombectomy
43. · Catheter Directed Thrombolysis (CDT)
44. · Percutaneous Mechanical Aspiration Thrombectomy
45. Pathophysiology of Reperfusion and Compartment Syndrome
46. · Compartment Syndrome and Rhabdomyolysis
47. Hybrid Procedures in Complex Revascularization
48. · Standard Hybrid Configuration
49. Amputations in Peripheral Arterial Disease
50. · Minor Amputations
51. · Major Amputations
52. Postoperative Management and Critical Surgical Complications
53. · Acute Graft Thrombosis
54. · Prosthetic Graft Infections (Szilagyi Classification)
55. Decision Algorithms and Clinical Management Protocols
56. · Therapeutic Decision Protocol in CLTI (WIfI Stage 2, 3 or 4)