Function and Surgery of the Carotid and Vertebral Arteries

Function and Surgery of the Carotid and Vertebral Arteries

Author: Ramon Berguer

Publisher: Lippincott Williams & Wilkins

Published: 2014

Total Pages: 160

ISBN-13: 1451192584

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More than a procedural guide, the text represents a guide to decision-making--highlighting individual anatomy, patient screening, selection of procedure, surgical technique, avoidance of pitfalls, and management of potential complications. Patient-centered approach highlights patient outcomes in the choice of surgical options. Detailed descriptions of vascular anatomy, including anatomic variations, help tailor surgical approaches to each patient. Procedural information weighs the pros and cons of open surgery, such as carotid endarterectomy (CEA), versus carotid angioplasty and stents (CAS). Comparisons of open and intravascular procedures help readers make informed therapeutic choices for each patient.


Function and Surgery of the Carotid and Vertebral Arteries

Function and Surgery of the Carotid and Vertebral Arteries

Author: Ramon Berguer

Publisher: Lippincott Williams & Wilkins

Published: 2013-10-18

Total Pages: 160

ISBN-13: 1469856689

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Vascular surgery is a discipline that has grown by trial and error—and at its core is the process by which surgeons must decide when and how to mend vessels. With this invaluable resource, readers will benefit from the author’s years of surgical experience, thorough understanding of vascular anatomy and pathology, and keen surgical judgment. More than a procedural guide, the text represents a guide to decision-making—highlighting individual anatomy, patient screening, selection of procedure, surgical technique, avoidance of pitfalls, and management of potential complications.


Perioperative Monitoring in Carotid Surgery

Perioperative Monitoring in Carotid Surgery

Author: S. Horsch

Publisher: Springer Science & Business Media

Published: 2013-03-14

Total Pages: 192

ISBN-13: 3642959903

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The efficiency of carotid surgery on an asymptomatic carotid artery stenosis and its superiority to conservative treatment was clearly demonstrated in the ACAS study. The stroke risk over a five year follow-up period could be reduced by 55 % and the combined stroke and mortality rate was shown to be a mere 2. 3 %. The efficacy of surgical treatment in also reducing stroke rates in the case of a symptomatic carotid stenosis was proven in the NASCET and ECTS prospective randomized studies. Of extreme importance in these procedures is, however, precise quality control and quality assessment. This is presently a topic of tremendous interest in reconstructive vascular surgery and is constantly being discussed in specialist circles and beyond. Documentation and the possibility of accurate reconstruction of the intraoperative situation are in high demand. Perioperative monitoring of neurological function, particularly the monitoring during carotid surgery, are the aspects underlying constant revision and reassessment to ensure quality control and assurance of a negligeable mortality and morbidity rate. The aim of this book is to discuss the presently available perioperative control methods, examinations, and quality assessments, and the critical consideration of these. We would like to express our thanks to all authors who helped achieve the sense and aim of this book. A special word of thanks to Dr. Kerstin Simons (assistant surgeon) for assisting in the editing of the numerous presentations in this book. Particularly we thank Dr.


The Vertebral Artery

The Vertebral Artery

Author: Bernard George

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 384

ISBN-13: 3709169674

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Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.


Extracranial Carotid and Vertebral Artery Disease

Extracranial Carotid and Vertebral Artery Disease

Author: Sachinder Singh Hans

Publisher: Springer

Published: 2018-08-03

Total Pages: 302

ISBN-13: 3319915339

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Management of carotid and vertebral artery disease has undergone tremendous strides since the introduction of thin section CT angiography and neurointerventions. These minimally invasive techniques continue to evolve allowing great advantages for patients. In this book we will focus on both endovascular (minimally invasive) and open arterial reconstructions as both types of procedures are still very much part of routine practice in managing extracranial carotid and vertebral artery disease. This text is designed to be a comprehensive and state-of-the art approach in managing straight forward to complex arterial reconstructions. Sections will focus on carotid/vertebral anatomy, physiology, diagnostic modalities. Subsequent chapters will focus on specific disease processes and their management with best medical therapy neurointerventions (carotid artery stenting) and open reconstructions like carotid endarterectomy and arterial reconstructions for vertebral artery disease. In addition, management of extracranial carotid artery aneurysms, carotid body tumors and carotid trauma will be covered in detail. Modern techniques in rehabilitation practice for stroke patients will also be addressed. The authors will be recognized experts in their field, whether an acknowledged academic leader or a well respected community based surgeon. Each chapter dealing with clinical pathology will address patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure will be outlined in a step-wise fashion. Pertinent case illustrations will be described in short at the end of the chapter. Figures and illustrations will help the reader in grasping the technique of a particular procedure.


Carotid Artery

Carotid Artery

Author: Rita Rezzani

Publisher: BoD – Books on Demand

Published: 2019-09-18

Total Pages: 128

ISBN-13: 1789849810

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This book collects recent experimental and clinical studies on gender influence in carotid artery compliance in health and pathological states, discussing also the usefulness and appropriateness of specific and personal medical therapy. Additionally, it provides an overview of the growing importance of ongoing studies on the benefit and risk of gender-specific therapy.


Carotid Artery Disease

Carotid Artery Disease

Author: Min S. Park

Publisher: Springer Nature

Published: 2020-05-26

Total Pages: 294

ISBN-13: 3030411389

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This truly comprehensive title addresses all aspects of the evaluation and management of carotid artery disease. The extracranial carotid artery is an area of confluence for both medical and surgical specialists. Given its unique position and function in the body, disease states that involve the carotid artery require a unique approach to ensure the best outcomes for patients. Developed by a multidisciplinary team of thought leaders from across medical, surgical, and radiological disciplines, Carotid Artery Disease: Evaluation and Management provides a diverse resource where readers can find presentation, evaluation, and management recommendations for any process involving the extracranial carotid artery, be it related to atherosclerotic, traumatic, inflammatory, or even oncologic disease. Indeed this title is a unique offering in that one can find traditional, and even exclusively medical, conditions within the same binding as surgical or interventional ones. Typically, access to this type of information requires the purchase of multiple different texts, but this complete title distills the evaluation and management of carotid artery disease into a one-of-a-kind, practical, accessible reference. A much-needed and invaluable contribution to the clinical literature, Carotid Artery Disease: Evaluation and Management will be of great interest to anyone early in his or her career and needing an introduction to the field, as well as seasoned clinicians in need of state-of-the-art, refresher information.


Pathology and surgery around the vertebral artery

Pathology and surgery around the vertebral artery

Author: Bernard George

Publisher: Springer Science & Business Media

Published: 2013-02-11

Total Pages: 670

ISBN-13: 2287897879

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This is the first comprehensive book about surgery on and around the vertebral artery all along its cervical and intracranial course. This vessel has been considered for long as out of surgical reach leaving many different pathologies not or incompletely treated. The surgical exposure and control of the vertebral artery not only permit to treat lesions of the vertebral artery wall or developed in contact to it but also to improve the access to the intervertebral foramen (tumors, osteophytes), to the anterior aspect of the spinal cord (tumors, spondylotic spurs), to the foramen magnum and to the jugular foramen. This book written by leading experts includes all aspects of vertebral artery surgery from anatomy to imaging, surgical techniques and pathologies; it is illustrated by many figures especially operative views and schematic drawings so that the beginner as well as the experienced surgeon find useful information. One of the editors of this book (B. GEORGE) was recently awarded the Olivecrona award for his work on the surgery of the vertebral artery.


Surgery of the Arteries to the Head

Surgery of the Arteries to the Head

Author: Ramon Berguer

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 246

ISBN-13: 1461228808

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Surgery of tje Arteries to the Head provides residents and practicing surgeons with detailed descriptions and explanations of various surgical techniques. Written in essay style, it presents an opinionated discourse based on the collective experiences of leading vascular surgeons.