A reference for surgical and medical specialists caring for patients with cerbrovascular disease. Basic science, surgical techniques and management protocols are covered in detail in sections on cerebrovascular anatomy and physiology, and the aetiology of cerebrovascular disease.
Vascular surgery has seen a remarkable evolution. A discipline focused on the natural history and treatment of vascular disease by open operation is now primarily a minimally invasive specialty. Mastery of the basic pathophysiology has been retained while the transformation by improved imaging and endovascular intervention has been integrated into practice. This fourth edition of Vascular Surgery: Principles and Practice has incorporated these advances building on the specialty’s past assets. Knowledge of natural history and open surgery will always have an essential role in optimal care of patients with vascular diseases. The authors’ exposition of the old and the new will make this edition a valuable resource for vascular surgeons and all others dedicated to the care of vascular patients.
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.
Highly illustrated text to aid understanding of best practice in carotid treatment Reflects international best practice Useful in clinical practice and to improve patient care
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.
This book addresses multiple principles of carotid endarterectomy in terms of cervical anatomy, surgical techniques, practical cases and frequent questions stemming from clinical practice. Carotid endarterectomy (CEA) is an effective way to the treatment of carotid artery stenosis, which significantly reduce the risk of stroke. This book covers the key concepts and common question in CEA. It is a practical book focusing on basic surgical technical techniques, but not covers controversial issues.
This book covers all aspects of the prevention, diagnosis, and treatment of stroke, offering an integrated perspective that will be relevant to a range of specialists. Extensive consideration is given to the different methods of stroke prevention and arterial revascularization, with up-to-date information on pharmacological measures and clear presentation of endovascular stent placement procedures and surgical techniques, including those involving the carotid artery, vertebral artery, and aortic arch. Complex procedures, such as simultaneous bilateral carotid revascularization, are discussed in depth, drawing on a large series of cases and setting out practical rules. The diagnosis and treatment of intra- and extracranial aneurysms and the management of cervical trauma are examined fully. In addition, the reader is provided with guidance on characterization of the culprit lesion by means of different imaging modalities and with advice on the importance of a multidisciplinary team and combined approaches (endovascular and surgical), identification of risk factors, anesthesia, neuromonitoring, and hemodynamic monitoring. The book will be of value not only for cardiac and vascular surgeons but also for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, specialists in diagnostic imaging, and interventional radiologists.
Written by internationally recognized experts in interventional cardiology, this comprehensive clinical reference on carotid artery stenting provides illustrated, step-by-step descriptions of techniques and details on indications, contraindications, patient selection, complications, technology, and clinical trials. The first section reviews clinical results and experience, including the CAVATAS trial findings on stroke prevention. The second section describes stenting techniques and includes information from major trials on design and application of devices. The third section presents guidelines and current regulations on establishing a carotid stenting program. The book concludes with a preview of future directions.