This book shows how new technologies and technical skills together with deeper understanding of
pathophysiology of visceral and renal ischemia have contributed to significant improvements in
the clinical outcomes in patients undergoing complex aortic repair involving splanchnic
arteries.In recent years aortic repair has expanded its borders focusing more and more on the
particularly challenging segments from which critical branches originate. Optimal results in
this area are obtained through a multidisciplinary approach based on crucial elements such as
sophisticated imaging techniques advanced anesthesiological and pharmacological strategies as
well as updated surgical techniques and devices able to reduce ischemic injuries.The book
presents problems tackled from different perspectives by analyzing the main technical aspects
of the surgical technique but also functional and metabolic issues. It also discusses concepts
such as ischemic preconditioning and ischemia-reperfusion mechanisms as well as innovative
investigational approaches. In the endovascular era it highlights the most recent updates in
complex endovascular repair involving renal and visceral arteries providing both practical
tips and tricks and outcomes analyses.The volume also addresses specific rarely reported
problems in vascular surgery including issues in renal transplant oncologic surgery with
involvement of splanchnic arteries and of the vena cava and use of the deep veins in aortic
surgery.This volume represents a powerful tool for both young and experienced operators who
wish to approach the complex aortic pathology either by open surgery or through endovascular
methods.
