Search

Vascular Surgery: Therapeutic Strategies brings together the best, current strategies for therapeutic and clinical practices. This text is a manual for survival in the new healthcare environment, providing a comprehensive exploration of vascular treatment options. Vascular Surgery: Therapeutic Strategy reviews all of the pertinent vascular beds, including the carotid arteries, thoracic outlet, upper extremity, abdominal and thoracic aortas, and the venous system. Additionally, the authors guide readers to a new level of understanding of the rationale for healthcare changes and how vascular surgeons can best position their practices to meet the challenges and demands of this new era, including coverage of new endovascular technologies and how they should be best applied. The authors are nationally and internationally renowned experts in their areas and frequent speakers at international conferences. Together their recent publications have changed clinical practice.

Ultraschall in der Gefäßdiagnostik fasst therapieorientiert die modernen Möglichkeiten und neuesten Erkenntnisse auf dem Gebiet der Gefäßdiagnostik zusammen. Die 3. Auflage behält das Konzept früherer Auflagen bei. Der Textteil beschreibt die Gefäßregion mit Sonoanatomie, Untersuchungsablauf und Normalbefund sowie die Indikation zur Ultraschalluntersuchung, die Interpretation pathologischer Befunde, die Wertung der Methode und die klinische Relevanz der Untersuchungsergebnisse. Im jeweils anschließenden Atlasteil werden alltägliche und seltene Krankheitsbilder von Arterien und Venen am Beispiel aussagekräftiger Ultraschallbilder diskutiert und dabei Möglichkeiten und Grenzen der Methode illustriert. Als Vergleich dienen Angiographien und intraoperative Darstellungen. Von der systematischen Darstellung und dem klinischen Bezug in angiologischen und gefäßchirurgischen Fragestellungen profitieren Einsteiger ebenso wie erfahrene Nutzer.

Gefäßerkrankungen im Kindesalter sind nicht nur kutane Veränderungen wie z.B. Hämangiome, sondern können das gesamte venöse und arterielle System vom Kopf bis zum Fuß betreffen. Oft bringen die Betroffenen eine lange Krankheitsgeschichte mit, nicht selten wird die Diagnose aufgrund der seltenen Erkrankung entweder nicht oder fehlerhaft gestellt und somit therapeutische Optionen verkannt. Im Mittelpunkt des Buches steht die Idee, die Diagnostik und Therapie von Gefäßerkrankungen nicht nur innerhalb einer Fachdisziplin zu erörtern, sondern „synoptisch'mit allen beteiligten Kollegen der Radiologie, Nephrologie, Neurologie, Kardiologie, Pädiatrie und Gerinnungsphysiologie etc. zu diskutieren. Das Spektrum der Themen reicht von der Embryologie des kindlichen Kreislaufsystems über Vaskulitiden, bis hin zu chirurgischen Behandlungsoptionen der Coarctatio aortae abdominalis. So ist ein Buch entstanden, das eine echte Lücke in der bestehenden Literatur schließt.

Organized into 14 sections and 51 chapters, the book discusses current issues regarding volume and training for open surgery in endovascular surgery. Subsequent sections focus on endovascular intervention. Contemporary clinical data regarding endovascular aortic repair is reviewed. Other topics covered include endovascular and open management of aortic branch pathology.

Le choc cardiogénique réfractaire est la cause de très nombreux décès dans les services de soins intensifs de cardiologie et de réanimation. Depuis quelques années pourtant, certains patients ont survécu à ce pronostic grâce à la mise en place d'une assistance circulatoire mécanique externe temporaire par circulation extracorporelle (ExtraCorporeal Membrane Oxygenation ou ECMO, Extracorporeal Life support ou ECLS). Bien que disponible depuis plusieurs décennies, l'ECMO était associée à de nombreuses complications et à une durée de vie courte des circuits de circulation extracorporelle. D'importants, et nécessaires progrès technologiques, l'ont remise au goût du jour à la fin des années 90. Urgentistes, réanimateurs, cardiologues et chirurgiens cardiothoraciques doivent désormais l'intégrer dans leur stratégie thérapeutique. Cette circulation extracorporelle, sortie du bloc opératoire et de longue durée - quelques jours à plusieurs semaines - permet de réduire la mortalité. Elle nécessite un personnel formé et motivé, un réseau de prise en charge ainsi que des protocoles et du matériel disponible en permanence. La défaillance respiratoire réfractaire au traitement médical optimal et à une stratégie de ventilation optimisée sera vraisemblablement une indication d'ECMO dans les années futures, après validation par des essais thérapeutiques en cours. Cet ouvrage est le premier en langue française dédié à cet outil de réanimation. Les auteurs exposent le principe de fonctionnement et le matériel nécessaire, les techniques de pose, la surveillance spécifique de ces patients, les différentes indications. Ce livre se veut résolument pratique et didactique. L'objectif est de permettre aux équipes soignantes - médicales et paramédicales - une prise en charge adaptée à ces nouveaux patients et une réponse à leurs questions.

Leitlinien sind eindeutige und substanzielle Aussagen zu medizinischen Fragestellungen und damit eine gute Grundlage für eine individualisierte und patientenbezogene Diagnostik und Therapie. Die 22 publizierten Leitlinien der Deutschen Gesellschaft für Gefäßchirurgie sind in diesem Buch zusammengefasst - sie bieten schnelle Information zu konkreten Fragen, Orientierung bei komplexen Problemen und eine gezielte Entscheidungshilfe bei der Wahl des diagnostischen und therapeutischen Vorgehens.

Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. Each disease chapter follows the same consistent format, for quick consultation and better comprehension. The revised 2nd Edition features several new chapters, increased endovascular treatment coverage, and updated data from the latest trials...bringing you the newest advances from the field. More than 1,000 photographs, line drawings and tables-including many revised illustrations now in color-depict key concepts and procedures. With its practical user friendly approach-and online access through Expert Consult functionality-this resource offers convenient access to complete guidance.Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice. Uses a highly structured, templated format in each chapter to quickly and consistently deliver information on basic science, clinical presentation, non-invasive testing, medical management, surgical management, complications, outcome, and follow up-making information easy to access and understand. Includes Key Points boxes in every chapter that allow for quick reference and efficient study. Features over 1,000 photographs, line drawings, charts and tables that make important information easy to comprehend. Integrates clinical information with basic science making the material relevant to everyday practice. Covers treatment and interventions from an evidence-based perspective, whenever possible. Provides short, clinical vignettes in the same style as those found on oral exams. Provides online access to the text via expertconsult.com where you can perform quick searches of the complete contents, download all of the images, further your study with bonus review and self assessment questions, and follow links to PubMed abstracts for convenient consultation whwere and when you need it most. Offers new chapters on vascular diagnosis, graft infections, aortic dissection, and visceral aneurysms for greater coverage of the field. Includes a significant increase in endovascular treatment coverage in many of the chapters, reflecting the growing need for experience in these procedures. Presents current data from DREAM and EVAR 1 and 2 trials. Features a revised artwork program-including many revised illustrations and former black and white images now in color-for an enhanced visual understanding of concepts. Includes bonus review and self assessment questions accompany the online version.

R. Mattassi The field of congenital vascular malformations and the unfortunate patients that s- fer from them will welcome this truly multidisciplinary international contribution to the study and treatment of a group of diseases that is gradually becoming better known, but not better liked, by the majority of our colleagues. Without question, the power of the internet with its access to world-wide medical literature, and the publication of c- plete issues of medical journals devoted to the subject of vascular malformations, have contributed to expanding knowledge and eliciting curiosity amongst physicians who some decades ago would not have wanted to deal with unusual, poorly understood and challenging diseases. A group of authors from ten different countries, experts in their respective medical and surgical specialties, who have felt the pain of the many patients afflicted with v- cular malformations, have made a combined effort to increase and update the gr- ing knowledge of these diseases. The tremendous technological advances in non - vasive as well as invasive diagnostic techniques, imaging, genetics, and therapeutic surgical and endovascular procedures, have given us new weapons with which to treat and improve the lives of many desperate patients afflicted by diseases that some years ago produced only sorrow, compassion and despair in their families and in the rare physicians who dared to tackle their problems.

The second half of the twentieth century saw vascu- agree or disagree, but will be stimulated to question lar surgery develop from a necessity for hemostasis their surgical management and explore possible - to a mature reconstructive art. However, this was ac- ternatives. companied by increasing patient expectations and The only certainty of the future is that it will bring the introduction of the alternative techniques of dila- change. An essential requirement for facing that tation and stenting. These factors have helped sur- change is multidisciplinary teamwork, and within geons to focus attention on the need for clinical audit that framework to define the roles of endovascular and to define clearly the limitations and standards of and invasive procedures, as well as the place of m- excellence that should be achieved in the specialty. ical management in the prevention and modification Vascular disease remains an extensive problem in of vascular disease.

Lernen Sie, das anästhesiologische und intensivmedizinische Management in der Herz-, Thorax- und Gefäßchirurgie zu beherrschen: Vorbereitung des Patienten, Narkose, intra- und postoperative Überwachung des Patienten, Herz-Lungen-Maschine: Praktisches Vorgehen, Komplikationen, intensivmedizinische Überwachung und Therapie und Extrakapitel zu kongenitalen Herzfehlern. Neu in der aktualisierten und erweiterten 7. Auflage: TEE, Eingriffe bei Kindern und Kurzbeschreibung der Eingriffe mit anästhesierelevanten Angaben.Klar strukturiert, mit zahlreichen Tabellen, Abbildungen und Hinweisen zur Praxis und auf Gefahren wird ein umfassender Überblick gegeben. Das einzige deutschsprachige Werk zum Thema!

Over the past three decades, carotid artery stenting has evolved to become a promising and viable alternative to carotid endarterectomy, especially for patients deemed to have high surgical risks. In Carotid Artery Stenting: The Basics, Jacqueline Saw and a panel of international experts on carotid artery stenting discuss in depth the details of all contemporary aspects of carotid stenting, while reviewing supporting studies, guidelines, technical perspectives, and peri-procedural management. This textbook serves as a learning resource on the multifaceted management of patients with carotid artery stenosis, with the key focus on extracranial carotid artery stenting. Additional sections detail the specifics of setting up and maintaining a laboratory and discuss the preparation of the carotid artery stenting procedure from both the patient and operator's perspective. Authoritative and highly practical, Carotid Artery Stenting: The Basics is an accessible guide and valuable resource for today's cardiologists, radiologists, and vascular surgeons.

Patients born with cardiac defects need to be identified early and the severity of symptoms also needs to be identified. In children with larger defects or with more symptoms, early institution of treatment is warranted, since in absence of treatment, the disease progresses to pulmonary hypertension and a simple pathology gets complicated. Presence of congestive cardiac failure in infancy or of pulmonary artery hypertension is indication for early surgical treatment (prior to 6 months of age). Untreated ASD may at times allow the child to grow and reach adulthood, but can cause complications in adulthood also. These issues related to understanding of natural history of the shunts and its implications in management decisions need to be addressed in clear terms. Also the role and timing of surgical therapy need to be emphasized. This book is designed to address such questions with supportive clinical scenarios. Thus, it provides an excellent opportunity to widen one's perspective in this area.

Surgical management of aortic pathologies has changed dramatically, and this essential book fills the void with up-to-date comprehensive information on the topic. Written by physicians at the Arizona Heart Institute, which pioneered the use of thoracic endoluminal grafts, Endovascular and Hybrid Management of the Thoracic Aorta presents clinical scenarios as well as controversies in this fascinating and rapidly developing field. Discussing the etiology, diagnostic tools and management and treatment of specific pathologies of the aorta, this book is ideal for cardiovascular and vascular surgeons from all over the world. It is also of interest to residents in vascular and cardiothoracic surgery who have an interest in thoracic aortic disease management and want to be at the forefront of endovascular technology.

Fundiert und differenziert: Die moderne Gefäßchirurgie ist die zentrale Disziplin in der Behandlung kardiovaskulär erkrankter Patienten. Diagnose und Therapie sind hier übersichtlich zusammengefasst: u.a. alle chirurgisch zugänglichen Gefäßprovinzen; arterielles, venöses und Lymphgefäßsystem; spezielle Fragen. Experten bieten Angaben zur Prognose, gezielte Hinweise auf Komplikationen und deren Beherrschung. Gezielte Information auf einen Blick.

Incluye los asuntos siguientes: historia y epidemiologia; tecnicas de reparacion, complicaciones asociadas al trauma vascular, reimplante de extremidades y lesiones vasculares iatrogenicas. Tambien estan incluidas las lesiones vasculares pediatricas y las que acontecen en la cirugia laparoscopica como parte del sistema circulatorio, no se olvidan de linfaticos y venas.

'Emergency Vascular Surgery'provides detailed guidelines to any physician treating patients with emergency vascular disorders, such as ruptured abdominal aortic aneurysms, acute limb ischemia, vascular trauma, iatrogenic vascular injuries and complications to vascular surgery. It provides an introduction to vascular surgical operations and focuses on how to manage patients from the emergency ward, through the urgent operation and all the way to the immediate postoperative period. Numerous figures illustrate the particular points in vascular techniques and diagnostic problems in the emergency situation.

When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic c- diovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making an- tomosis, will kill their profession. Actually, no medical specialty's demise has been more often predicted and, at the same time, more greatly ex- gerated than that of cardiovascular surgery. According to its detractors, - ginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more - cently with the introduction of drug-eluting stents, cardiovascular surgery has been on life support for nearly 15 years. This specialty's claimed collapse has generally been attributed to recent advantages in percutaneous procedures and devices that give the oppor- nity to non-surgeon doctors to accomplish the surgeon's work. The reality is different. Data suggest that cardiac surgery continues to survive and has not suffered the precipitous decline that was predicted. From the economical standpoint, CABG is much more of a mature market and the size of the opportunity remains impressive and relatively stable, with around 1,500,000 procedures performed annually worldwide, at a total cost approaching 2. 5 billion US$.

Gregory D. Skalkeas Professor Emeritus, Academician, President of the Foundation of Biomedical Research of the Academy of Athens Vascular surgery has acquired a well-established identity throughout the Eu- pean Union, where vascular diseases are still the leading cause (40%) of death and disability. Proper management of vascular diseases is dependent on public awareness and appropriate training of specialists. Tis stands true for every medical d- cipline. For vascular surgery it has an additional aspect because, besides the required above-average standard of technical dexterity, the vascular surgeon should also be well versed in a variety of subjects such as molecular biology, in the use of ultrasound and – with the introduction of endovascular techniques – a skilful operator of guidewires and laparoscopic instruments. All the ac- mulated know-how and skills required for proper management of the vascular patient demand a rapid change in the training of vascular surgeons and an - depth knowledge of the various manifestations of vascular diseases. Te information necessary for the above is disseminated through books, journals and the internet. Most of the time, however, articles in journals refect the experience and enthusiasm of the authors on the subject but not the level of knowledge of the medical community as a whole. Electronic information is fast and reliable but always gives the reader the impression of being short-lived. Books, on the other hand, allow a refection of what has been written and a true interactive role for the reader.

This book is designed to meet the needs of the vascular surgery trainee. It can be carried in the pocket for easy access and provides practical advice on all commonly encountered peripheral vascular problems. It focuses on surgical detail, but also carries background information on presentation and details on preoperative investigation and postoperative management. It gives relevant information for use when seeking patient consent. Each operation carries the latest OPCS code,increasingly important in recording surgical activity.Alternative interventions are given, including both radiological procedures and medical management where appropriate; an important approach given the evolving vascular surgery specialist who has responsibility in all of these fields. It informs the vascular trainee from their earliest encounter with the area to those completing their fellowship. It should also be of interest to the foundation year trainees on the vascular ward, the specialist vascular nurse, the vascular anaesthetist, theintensivist and the vascular radiologist.

Endovascular embolization therapy has made remarkable progress during the past two decades, driven primarily by improvements in digital imaging, breakthroughs in microcatheter technology and coil design, and the development of new embolic materials. Initially employed in the management of musculoskeletal trauma, embolization therapy now has a wide range of applications. It permits effective non-operative management of major hepatic, splenic, and renal injuries that once posed a tremendous challenge to the trauma surgeon and has also become an integral facet of the modern oncology center. Further important indications include uterine fibroids, vascular malformations, visceral aneurysms and GI bleeding. This volume and volume 1 present the current state of the art in this exciting and growing field. High informational content is supplemented by detailed graphics, providing a comprehensive reference work for both experts and novices in the field.

Expand your knowledge of state-of-the-art neurological surgery techniques!This text provides insights into current trends and controversial issues regarding state-of-the-art techniques in neurosurgery, interventional neuroradiology, and endovascular surgery. The authors confront such questions as: Are unruptured aneurysms managed most effectively by neurosurgical clipping or endovascular coiling? Is surgery or endovascular coiling the best treatment for ruptured cerebral aneurysms of the anterior or posterior cerebral circulation? In managing arteriovenous malformations and fistulas, should clinicians use neurointerventional techniques or surgery, or a combination of both?Highlights:More than 240 excellent illustrations, figures, and radiological images reviewing key concepts Detailed coverage of treatments for ischemic diseases, including extracranial and intracranial atherosclerosis Discussion of the organizational issues of integrating subspecialties and training subspecialists This text also offers you the opportunity to earn valuable CME credits online. Neurosurgeons, neuroradiologists, neurologists, vascular surgeons, and specialists will find the book's balanced coverage of critical current issues in neurosurgery an indispensable aid in making informed decisions.(A co-publication of Thieme and the American Association of Neurological Surgeons)

Multi-pronged approaches to pediatric neurovascular diseasesBridging the gap between the pediatric specialist unaccustomed to handling neurovascular pathologies and the neurovascular specialist unaccustomed to treating pediatric patients, this text covers the cutting-edge, multi-modal techniques for managing pediatric neurovascular disease, disorders, and malformations. It contains full descriptions and insightful perspectives on the most advanced surgical, endovascular, and medical treatments for cerebral aneurysms, arteriovenous fistulas, arteriovenous malformations, Galen's vein malformations, moyamoya disease, spinal vascular malformations, pediatric stroke, and more. Highlights: Easy-to-follow organization of disease topics according to endovascular, surgical, or medical treatment method Discussion of endovascular techniques and tools for angioplasty and stents in children, as well as how to manage possible complications such as stroke and hemorrhage More than 200 illustrations highlighting principles of disease pathology Review of the existing literature helps the clinician gain a full understanding of the fundamentals in neurovascular disease managementWith contributions from world-renowned experts, this is an exceptional clinical reference for neurosurgeons, neuroradiologists, neurointerventionalists, neurologists, and pediatricians seeking to gain expertise in a multi-pronged approach to pediatric neurovascular disease.

Vascular Surgery is an essential aid for those who need a practical understanding of the procedure when preparing for surgery examinations. Edited by prominent vascular surgeons in the USA and UK, the book tackles the epidemiology and etiology of atherosclerosis and how to evaluate patients with vascular disease. Specific vascular diseases are then covered and their treatment options discussed. Vascular Surgery adopts a transatlantic approach so that chapters are written either by a practitioner in the USA or UK, and each chapter is critically appraised by a colleague who provides a potentially alternative perspective. This book is key reading for trainees in vascular surgery, as well as for surgery trainees in general. It would also be useful to those who have already qualified but might need further knowledge of this important field.

This comprehensive and up-to-date presentation of vascular ultrasound provides a detailed account of this diagnostic modality and the exciting expansion it has seen in recent years. The emphasis is on the clinical aspects that are relevant from the angiologist's and vascular surgeon's point of view. The main chapters are subdivided into a text section and an atlas section. The text part of each chapter gives an account of the respective vascular territory in terms of its sonoanatomy, the examination procedure and normal findings, the indications for diagnostic ultrasound, and the clinical impact of the ultrasound findings. The atlas constituting the second part of each chapter presents a compilation of pertinent case material to illustrate the typical ultrasound findings not only of the more common vascular diseases but also of rare conditions that are nevertheless significant for the vascular surgeon and angiologist. The ultrasound material is compared with the angiographic and intraoperative findings. This book is a benefit for beginners as well as for experienced sonographers.

Over the past decades many surgical subspecialties have moved from traditionally open procedures towards minimally invasive approaches. With the advent of improved technology and smaller more maneuverable devices more delicate procedures have been developed. In this volume the most common neuroendovascular procedures currently practiced are discussed. Topics include management of intracranial aneurysms, arteriovenous malformations, tumors, intracranial and extracranial arterial stenoses, and arterial fistulas. This publication provides neurosurgeons, radiologists, neurologists, and trial lawyers with a concise reference that explains the background, as well as indications, and techniques for performing the most common neuroendovascular procedures.

This second edition of a very successful vascular surgery text was developed in order to address significant changes that have occurred in contemporary vascular surgery and to highlight new information that has developed regarding vascular imaging, interventional and endovascular procedures. The overall length of the text is slightly shorter than the first edition with relevant core chapters being retained to emphasize the basic science nature of the text, with approximately 60% of the material undergoing major revisions or being new chapters. The significant change from the first text is an emphasis on vascular pathology and physiology that is relevant to current practice including information that is currently included on the vascular board examinations. A new emphasis on endovascular therapies has been added by including five chapters on endovascular techniques and an additional section with six chapters comparing conventional vascular reconstruction to endovascular methods. These new chapters address the most important issue in contemporary vascular surgery, i.e., the role of endovascular methods in treating vascular lesions and the impact that this has on training and credentialing. A unique aspect of this book differentiating it from other texts is a comparison of conventional methods with the endovascular techniques. Overall the text provides a comprehensive perspective of contemporary vascular surgery and future perspectives. The authors are preeminent in the field and are most capable for addressing the assigned topics with the goals being to provide an updated and forward looking text that accommodates the needs of practicing and training vascular surgeons.

Despite accurate preoperative assessment and adequate preparation, unexpected, and sometimes disastrous, situations can occur during vascular and endovascular procedures. This latest book in the European Vascular Course series provides vascular and endovascular surgeons with the skills and techniques needed to solve these unforeseen intraoperative complications. It includes thirteen chapters on aortic neck problems during open and endovascular repair, ruptured clamp sites, ureteral lesions, unintentional covering of side branches, totally calcified aorta and embolization. Accidental conditions during carotid and lower limb revascularization are also covered in six chapters and additional challenges are described in another seven chapters.

'Potential anatomical spaces'have attracted surgeons in the past and in recent years. Due to the development of modern imaging techniques and the advent of minimally invasive surgery, access to these spaces has become a real surgical option. The purpose of this book is to document the challenges related to'potential anatomical spaces', traditionally described as'hidden'spaces. The spread of video-assisted surgery and its application in the management of diseases involving organs or anatomical structures placed in the'potential spaces'(neck, mediastinum, pro-peritoneum and retro-peritoneum, subfacial space of the leg, and axilla), has rendered their surgical anatomy less abstract.

In this welcome new work, Professor Meier draws upon one of the world's finest collections of illustrative material to demonstrate the practical application of interventional procedures in managing coronary artery disease. Focusing on ten primary procedures, Professor Meier and an expert team of contributors describe, with reference to hundreds of high-quality images, the key stages of each procedure, the possible complications and contra-indications and the means by which they should be managed. Additional tables and diagrams support the text and present the reader with a'master class'on the most important techniques, as given by one of the world's leading authorities in the field.

This is the third edition of a text which analyzes non-invasive cerebrovascular diagnostic techniques and the design of clinical trials for the evaluation of new treatments and methodologies. It considers the regression and stabilization of atherosclerosis through therapy.

The fifth edition of the classic, Haimovici's Vascular Surgery has been completely revised and updated to reflect new discoveries in the field of Vascular Surgery. This edition features 28 new chapters written by leading vascular surgeons. The latest edition combines invaluable historical knowledge and perspectives of specialty together with the latest expertise including in-depth coverage of the'new'basic principles and surgical techniques for vascular system management and treatment. Haimovici's Vascular Surgery, fifth edition, offers expanded coverage in topics such as Acute Deep Vein Thrombosis of the Upper Extremities, Management of Infected Aortic Grafts, and Computed Tomography and Spiral Reconstruction.

Substantially revised to reflect the most recent surgical techniques and practices, this reference describes the most effective strategies to prevent, identify, and manage complications in vascular surgery-guiding surgeons through patient selection; instances of entrapment, malpositioning, and rupture; emerging endovascular treatments; and specific

Title from eBook title screen (viewed Jan. 11, 2007).

This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians

Given the number of specialists involved in peripheral vascular interventions-vascular surgeons, interventional radiologist and cardiologists-a wealth of experience can be unearthed in this exciting area. The author and his peers have distilled that expertise into this concise volume. Experts in the field have contributed profiles of the cases that

The incidence of treated end stage renal disease (ESRD) continues to rise, particularly in the western world. Although renal transplantation is the treatment of choice for ESRD, the decline in the number of cadaveric organs, coupled with the rising demand for transplantation, means that an increasing number of patients will have to depend on dialysis. Vascular or peritoneal access is the Achilles'heel of any dialysis service.This book offers a clear description of the state of the art in providing and preserving a durable and reliable access. It also points the way to dialysis in the 21st century. The contributing authors are drawn from a wide background, with expertise in various aspects of dialysis access, including its history, the technique of placement, anaesthesia, radiology, nursing care and training of vascular access surgeons.There is currently a dearth of books on the subject of dialysis access. The few existing books on vascular access were written in the United States, with none from the UK. This volume is intended for use by transplant surgeons, general surgeons with an interest in vascular access, vascular surgeons, nephrologists, trainees and nurses. Dialysis services are expanding worldwide and this book is an invaluable guide for those involved in daily patient care and organisation of dialysis services.

Vascular Surgical Techniques describes a number of complex and controversial operations performed by the most eminent vascular surgeons from around the world. This book focuses on operations in which special maneuvers or aspects of technique are important in determining a successful outcome, such as arterial surgery that includes procedures for revascularization of the brain, operations on the larger arteries, and microvascular surgery. The problems associated with aortic surgery and its important branches to the kidneys and viscera are also covered. This text likewise considers surgery to the profunda femoris artery and lower limb revascularization that involves a bypass technique of one sort or another. The method s of performing one of surgery's main controversies that concerns the most effective way to reconstruct the femorodistal segment are also deliberated. This publication is intended for practicing general and vascular surgeons, but is also valuable to general surgical trainees with an interest in the field of vascular surgery.

On Gunshot Injuries to the Blood-Vessels covers papers written about gunshot injuries to the blood-vessels. The book discusses the distribution and anatomical characters of gunshot injuries to the blood vessels; symptoms and signs of gunshot wounds of the blood-vessels; and the treatment of hemorrhage. The text then describes arterial hematoma and traumatic false aneurysm and the immediate and remote effects of occlusion of the main blood vessels on the vitality of parts supplied. The general lines of operative treatment applicable to gunshot injuries to the blood vessels; the great vessels of the trunk; and the vessels of the neck and the upper and lower extremity are also considered. Surgeons will find the book invaluable.

Reconstructive microvascular surgery is now in its teens. At first many thought this new child was a whim and would fail to thrive. Some were un­ certain, others with vision either supported or became actively involved in this new area of surgical endeavour. Although initial interest was focused on the replantation of amputated parts, it has been the one stage free trans­ fer of living tissue to a distant site which has launched microsurgery into the surgical spotlight. From its humble beginnings we have witnessed a revolution in this branch of plastic surgery; many of the long established methods of recon­ struction have, like barricades, fallen before the advances made in this field. In its infancy there were relatively few procedures available. There was a tendency to make the patient's problem fit the operation, rather than the reverse, and this frequently led to an inferior result. The then known flaps, such as the groin flap and the deltopectoral flap, were employed. Unfortunately they were sites which posed many technical problems; namely those of vascular anomaly, a short pedicle and vessels of small cal­ ibre. Long operations were the norm, and vascular thrombosis was not un­ common. Hospital routine often was disrupted and there was a danger that these new techniques would fall into disrepute. Over the last decade this state of affairs has changed dramatically.

Vascular Surgery: Current Questions discusses the queries concerning modes of therapy, surgical practices, and management of vascular problems. This book contains 19 chapters and begins with an overview of the clinical vascular laboratory. The succeeding chapters deal with the risk factors in peripheral vascular disease and the pragmatic viewpoint of carotid body tumors and carotid endarterectomy. Considerable chapters are devoted to several surgical options and practices for specific vascular disease management. Other chapters discuss the challenges in prevention of vascular surgical sepsis, treatment for diabetic foot, and amputation. The final chapters describe the clinical features and therapeutic management of chronic venous insufficiency and deep vein thrombosis. This book will prove useful to consultants and trainee vascular and general surgeons and other specialists who share in the overall management of patients with vascular problems.

Peripheral Vascular Surgery aims to provide an updated and authoritative introduction to peripheral vascular surgery. Most arterial and venous diseases appear to be mainly the result, directly or indirectly, of mural deposition of solid material within a rapidly moving stream of blood. The vascular surgeon must therefore have a working knowledge of blood platelet interactions and probable mechanisms of thrombosis. He must also understand both the value and the limitations of present methods of blood flow measurement. This book provides an updated description of these complexities and presents essential basic knowledge that will prove valuable to surgeons and researchers working in this field. This text will be useful for post graduate surgeons, as well as for those in need of a reference useful for doctors in related fields such as general medicine and cardio-thoracic and orthopedic surgery.