Peripheral Arterial Disease — Surgical Specialization Treaty

Surgery · Clinical Specialties

How it begins

Un tratado exhaustivo orientado al especialista en cirugía vascular y medicina endovascular. Aborda con detalle riguroso la hemodinámica de las estenosis, la fisiología de los accesos, la revascularización abierta y endovascular compleja, el salvamento de extremidades en isquemia crítica, y el manejo de las complicaciones post-revascularización.

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)