Vascular and Endovascular Surgery E-Book

Jonathan D Beard

Description

Vascular and Endovascular Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

This is a title in the Companion to Specialist Surgical Practice series whose eight volumes are an established and highly regarded source of information for the specialist general surgeon.

• The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within each major surgical sub-specialty.
• Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

• An expanded authorship team across the series includes additional European and World experts with an increased emphasis on global practice.
• The contents of the series have been extensively revised in line with recently published evidence.

• The revision of the content reflects the continued move towards non-invasive imaging, medical therapy and endovascular techniques, culminating in a new chapter on Future Developments.
• Many of the chapters reflect the collaborative nature of a modern vascular service and are co-authored by a vascular surgeon and a vascular radiologist.
• The authorship team has been expanded with input from vascular nursing and rehabilitation experts.

Informations

• Publié par: Saunders Ltd.
• Date de parution: 20 juin 2013
• Nombre de lectures: 0
• EAN13: 9780702049668
• Langue: English
• Poids de l'ouvrage: 6 Mo

Extrait

Vascular and Endovascular Surgery
A Companion to Specialist Surgical Practice
Fifth Edition

Jonathan D. Beard, ChM MEd FRCS
Consultant Vascular Surgeon, The Sheffield Vascular Institute
Professor of Surgical Education, The University of Sheffield, UK

Peter A. Gaines, FRCP FRCR
Consultant Vascular Radiologist, The Sheffield Vascular Institute
Professor of Radiology, Sheffield Hallam University, UK

Ian Loftus, MD FRCS
Consultant Vascular Surgeon, St George's Vascular Institute and Reader, St George's University of London, UK
Table of Contents
Cover image
Title page
Copyright
Contributors
Series Editors' preface
Editors' preface
Evidence-based practice in surgery
Further reading
Chapter 1: Epidemiology and risk factor management of peripheral arterial disease
Introduction
Epidemiology of PAD
Natural history of PAD: cardiovascular and lower limb outcomes
Epidemiological risk factors for PAD and randomised trials of disease-modifying therapy for secondary prevention
Conclusions
Chapter 2: Assessment of chronic lower limb ischaemia
Introduction
Intermittent claudication (IC)
Critical ischaemia
Rare causes of ischaemia
History and examination
Risk factors
Vascular laboratory
Radiological investigations
Chapter 3: Medical treatment of chronic lower limb ischaemia
Introduction
PAD diagnosis and screening
Modifying cardiovascular risk
Medical treatments for symptomatic PAD
Conclusions
Chapter 4: Intervention for chronic lower limb ischaemia
Introduction
Patient selection
Cost-effectiveness
TASC recommendations
Suprainguinal endovascular intervention
Suprainguinal open surgical intervention
Infrainguinal endovascular intervention
Non-interventional treatment for CLI
Chapter 5: The diabetic foot
Introduction
Epidemiology
Aetiology of foot ulceration
The pathway to ulceration
Management
Medical problems on the surgical ward
Charcot neuroarthropathy
Chapter 6: Amputation, rehabilitation and prosthetic developments
Introduction
Epidemiology
Indications for amputation
Level selection
Surgical considerations
Rehabilitation
Prostheses
Rehabilitation for the bariatric patient
Chapter 7: Revision vascular surgery
Introduction
Graft occlusion
Graft infection
Graft aneurysms
Carotid artery
Revision surgery after EVAR
Revision after thoracic endovascular aortic repair (TEVAR)
Chapter 8: Management of acute lower limb ischaemia
Introduction
Aetiology
Clinical features
Initial management
Revascularisation
Overall prognosis
Conclusions
Chapter 9: Vascular trauma
Introduction
Mechanism of injury
Sequelae of vascular injuries
Clinical assessment
Resuscitation and initial management
Special investigations
General principles of management of vascular injury
Endovascular management of vascular trauma
Cervical vascular injuries
Thoracic vascular injuries
Abdominal vascular injuries
Extremity vascular trauma
Chapter 10: Extracranial cerebrovascular disease
Introduction
Aetiology and risk factors
Non-atheromatous carotid diseases
Presentation of carotid disease
Investigation of carotid disease
Management of cerebrovascular disease
Surgical management of carotid disease
Surgical management of carotid disease – carotid endarterectomy
Endovascular treatment of carotid disease
Ongoing controversies
Periprocedural haemodynamic problems
Chapter 11: Vascular disorders of the upper limb
Introduction
Clinical examination
Occlusive disease
Aneurysmal disease
Upper limb embolism
Thoracic outlet syndrome
Subclavian–axillary vein thrombosis
Chapter 12: Primary and secondary vasospastic disorders (Raynaud's phenomenon) and vasculitis
Introduction
Raynaud's phenomenon
Connective tissue disease
Vasculitis
Chapter 13: Peripheral and abdominal aortic aneurysms
Definition of an aneurysm
Prevalence of arterial aneurysms
Pathogenesis of aortic aneurysms
Infrarenal abdominal aortic aneurysms
Infected aneurysms
Peripheral aneurysms
Chapter 14: Thoracic and thoraco-abdominal aortic disease
Introduction
Imaging of the thoracic aorta
Thoracic aortic aneurysms (TAAs)
Thoraco-abdominal aortic aneurysms (TAAAs)
Thoracic dissection and acute aortic syndrome
Endovascular treatment of chronic dissections
Traumatic aortic injury (TAI)
Chapter 15: Renal and intestinal vascular disease
Renal artery disease
Intestinal vascular disease
Chapter 16: Central venous and dialysis access
Introduction
Central venous access
Temporary dialysis access
Permanent dialysis access
Access in children
Chapter 17: Varicose veins
Introduction
Pathophysiology
Epidemiology and natural history
Clinical presentation
Clinical assessment
Venous investigations
Treatment
Cost-effectiveness of treatments
Atypical varicose veins
Conclusions
Chapter 18: Chronic leg swelling
Chronic venous insufficiency (CVI)
Dependency and inactivity
Lymphoedema
Chapter 19: The acutely swollen leg
Introduction
Pathophysiology of oedema
Medical history
Physical examination
Differential diagnosis
Deep venous thrombosis
Post-thrombotic syndrome
Catheter-directed thrombolysis
New treatment modalities
The future
Chapter 20: Vascular anomalies
Introduction
Vascular tumours
Vascular malformations
Conclusions
Chapter 21: Future developments
Introduction
Cholesterol-lowering and antiplatelet therapy
Angiogenesis
Cell-based therapy
Preventing neointimal hyperplasia
Overall summary
Index
Copyright

Fifth edition © 2014 Elsevier Limited. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
First edition 1997
Second edition 2001
Third edition 2005
Fourth edition 2009
Fifth edition 2014
ISBN 978-0-7020-4958-3
e-book ISBN 978-0-7020-4966-8
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.



Printed in China
Commissioning Editor: Laurence Hunter
Development Editor: Lynn Watt
Project Manager: Vinod Kumar Iyyappan
Designer/Design Direction: Miles Hitchen
Illustration Manager: Jennifer Rose
Illustrator: Antbits Ltd
Contributors

Gillian Atkinson, MCSP , Clinical Specialist Physiotherapist (Amputees), Mobility and Specialised Rehabilitation Centre, Northern General Hospital, Sheffield, UK

Jonathan D. Beard, BSc, ChM, MEd, FRCS , Consultant Vascular Surgeon, The Sheffield Vascular Institute ; Professor of Surgi