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Ultrasound-based image guidance for endovascular interventions has long been propagated as safe and (cost)-effective in many respects. IVUS guidance has also been shown to be superior to angiographic guidance in aortic disease, both in terms of imaging and radiation reduction. This book discusses the value and potential applications of IVUS in aorto-iliac pathologies. Part I explains the potential risks and side effects of using X-rays for patients and staff. The current status of IVUS imaging and the requirements for successful use of this tool are presented. Part II focuses on when and how to use IVUS guidance in the aortic and pelvic segments. In addition to the presentation of the technical equipment, recommendations are given for the implementation of IVUS in the daily routine and for image generation, procedural sequences and interpretation of the findings based on the display on the IVUS monitor. This book is a useful guide for physicians and other staff members dealing routinely with radiation-based imaging in the operative setting or the angiosuite. It will also raise the reader's awareness for the X-ray-associated risks and available solutions for improving radiation safety in the OR and the procedural and outcome quality.

Die endovaskulären Techniken haben mittlerweile einen dominanten Platz in der Gefäßtherapie eingenommen. Sie wurden kontinuierlich weiterentwickelt, die Materialentwicklung wurde intensiviert und der Zugriff auf die modernste Bildgebung ermöglicht. Das vorliegende Buch stellt die endovaskulären Optionen, die technischen Grundlagen und Materialien sowie die Herausforderungen für alle beim Einsatz Beteiligten verständlich und praktisch dar und vermittelt den wichtigen Aspekt, dass es sich bei der Gefäßtherapie nicht allein um eine technische Leistung handelt, sondern diese immer ein Teil eines klinischen Gesamtkonzeptes und einer Teamleistung sein müssen. Ein weiterer Schwerpunkt sind der Strahlenschutz sowie die Prävention von Komplikationen und deren Management. Dieses Buch richtet sich nicht nur an interventionell tätige Interventionalisten oder Gefäßchirurgen in der Weiterbildung, sondern auch an nicht ärztliche Mitarbeitende und Studierende, die sich mit diesem hochinteressanten Bereich beschäftigen wollen oder müssen.

The understanding of aneurismal disease has changed since the first description of an aneurysm by Vesalius in the 16th century. An aortic aneurysm independent from its extent is a strong marker for concomitant vascular diseases requiring further diagnostic steps and a dedicated therapy to reduce the risk of rupture and non aneurysm related death. During the last 60 years strong efforts have been undertaken to determine the best therapeutic options and to further reduce the risk of any of the operative strategies available today. This includes preoperative diagnostic steps, perioperative optimization of medical treatment and the choice of the most suitable operative approach, which might be either open surgery (OAR) or endovascular repair (EVAR/FEVAR). Aneurysm treatment will remain a team challenge and it mandates the highest level of the Rasmussen learning model: identification, analysis, planning, decision making, performance, feedback, problem analysis and solution. This more practically than scientifically orientated textbook presents the different options and pitfalls of aneurysm treatment based on the current guidelines and recommendations derivable from recently published scientific papers, studies and multicentric studies.