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Author: Ramon Berguer Publisher: Lippincott Williams & Wilkins ISBN: 1451192584 Category : Medical Languages : en Pages : 160
Book Description
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.
Author: Ramon Berguer Publisher: Lippincott Williams & Wilkins ISBN: 1451192584 Category : Medical Languages : en Pages : 160
Book Description
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.
Author: S. Horsch Publisher: Springer Science & Business Media ISBN: 3642959903 Category : Medical Languages : en Pages : 192
Book Description
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.
Author: Sachinder Singh Hans Publisher: Springer ISBN: 3319915339 Category : Medical Languages : en Pages : 301
Book Description
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.
Author: Bernard George Publisher: Springer Science & Business Media ISBN: 3709169674 Category : Medical Languages : en Pages : 260
Book Description
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.
Author: Ramon Berguer Publisher: Lippincott Williams & Wilkins ISBN: 1469856689 Category : Medical Languages : en Pages : 160
Book Description
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.
Author: Rita Rezzani Publisher: BoD – Books on Demand ISBN: 1789849810 Category : Medical Languages : en Pages : 128
Book Description
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.
Author: Charles G. Drake Publisher: Springer Science & Business Media ISBN: 3709194091 Category : Medical Languages : en Pages : 329
Book Description
It is a great privilege to write the foreword for this classical work of Professor Charles Drake. There is no doubt that intracranial aneurysms have existed since the beginning of time. This terrifying disease of the brain arteries, with its dramatic consequences for the patient, has surely been observed in all human collectives, although clear definition and description in the literature began only 300 years ago. During the last century, clinical signs and symptoms have been carefully observed and analyzed, and 100 years ago, the first attempts were made for surgical treatment, such as the ligature of external and internal carotid and vertebral arteries. With the introduction of angiography, an entirely new dimension of diagnosis and differential diagnosis of the vascular diseases of CNS, was accomplished. In the years between 1945 and 1970, the neurosurgeon was increasingly stimulated to directly eliminate intracranial aneurysms. The most respected and avoided location, the aneurysms at the bifurcation of the basilar artery, remained as a "dark corner. " Several pioneers of neurosurgery attempted to explore the interpeduncular fossa, but finally retreated. Not so Charles Drake. His vision must have been stronger than his anxiety, after experiences of initial fatalities, to persevere more decisively in this desperate fight instead of to yield. Such steadfastness requires enormous courage. But what distin guishes courage! Surgical courage is not just a fearless or unscrupulous action.
Author: Ramon Berguer
Author: Ramon Berguer
Author: Allan D. Callow
Author: S. Horsch
Author: Sachinder Singh Hans
Author: Bernard George
Author: Ramon Berguer
Author: Rita Rezzani
Author: Ernest E. Lack
Author: Andrew L. Carney
Author: Charles G. Drake