European Vascular Course – serie

This book contains 28 chapters representing the opinion of key vascular specialists. It covers a wide spectrum of definition and criteria of critical limb ischemia (CLI), its pathophysiology, epidemiology, assessment, and therapy. Objective criteria, which are associated with the definition of CLI, have been the source of many debates and, therefore, their disadvantages and limitations are presented and alternatives and recommendations are suggested. Present-day medical treatment of CLI includes spinal cord stimulation, antiplatelet drugs, defibrinating agents, vasoactive substances, and prostanoids. Therapies of choice, such as distal bypass surgery for extensive arterial disease, and alternative procedures are also surveyed.Clinical and surgical specialists concerned with endovascular and surgical intervention will benefit from this engaging treatise that stretches from general to specific medical conditions of CLI, quality of life, long-term morbidity and mortality, and the role of primary amputation.

Complications in Vascular and Endovascular Surgery, Part I, edited by Alain Branchereau, MD and Michael Jacobs, MD, and written by leading international experts in their fields, closely examines possible complications following surgery of the cerebrovascular arteries, the thorax and upper limbs, and other commonly operated sites. Various complications (both common and uncommon) are identified and described, along with discussions of how to treat, and better yet, prevent them. Results of clinical trials are presented, as well as the personal experience of dozens of contributing authors. Clinical and surgical specialists interested in vascular and endovascular surgery, as well as any physician, surgeon, or medical professional involved in the vascular field will benefit from this detailed, current review.

More than just a translation from the acclaimed French work Voies d'Abord des Vaisseaux, this revised and updated second edition re-examines the current problems and practices facing today's vascular surgeons. Each chapter has been updated or completely rewritten to reflect the needs of the current practice of vascular surgery. The contributing authors were selected for their world-wide surgical expertise, reflecting both a European and North American view; they share with the senior editors a vision of surgical technique as an important "everyday" resource. Each of more than 30 chapters is dedicated to finding the best approach to a specific vein, artery, or other site, with emphasis placed on thorough technical knowledge. With more than 80 illustrations new to this book, over 350 total illustrations provide excellent visual reference to the accompanying text. When appropriate, international anatomic nomenclature is used to guarantee a clear understanding of the material.Because it deals with both basic and advanced techniques, this book will prove useful for vascular surgeons still in training, as well as those more experienced surgeons wishing to consult a definitive reference work. Any physician or surgeon interested in furthering their knowledge of invasive vascular and endovascular surgery would also benefit by reading this work.

This volume is particularly valuable as a current standard reference. It covers all the major vascular operations - carotid endarterectomy, aortoiliac reconstructions and infrainguinal bypasses (in-situ and reversed vein, Dacron and PTFE prosthetic), thoracic and abdominal bypasses - matching each to its competing endovascular procedure.In addition, it provides excellent long-term data on such less common procedures as internal carotid bypass, vertebral artery revascularization, adjunctive procedures to enhance the patency of infrainguinal prosthetic bypass, and percutaneous intentional extraluminal revascularization. Finally, this framework is reinforced by in-depth chapters on current non-interventional management, surveillance programs to enhance long-term patency, and the ultimate challenge for all practicing vascular surgeons - the management of infected aortic grafts. Such clear, comprehensive, and current analysis should be of considerable and on-going value, both by helping vascular surgeons to make more effective decisions and to more knowledgeably discuss functional results, complication risks, life expectancy and surgical outcome issues with the patient and family.

Approximately 40% of vascular surgical practices are determined by vascular emergencies, hence a major volume on this subject is a valuable addition to the literature. As a multi-contributor project, this text is able to draw on the expertise of a wide number of internationally renowned practitioners, providing a comprehensive compilation of urgent and emergency vascular problems, the majority of which will be applicable to every vascular surgical practice. The text provides extensive coverage of the more common vascular pathologies such as acute limb ischemia, venous emergencies and arterial occlusion, while also devoting considerable space to less frequent, yet equally challenging situations, such as blunt trauma of the carotid artery and stab wounds to the base of the neck. A number of new insights are provided, for example, the utility of endovascular approaches to the rupture of the abdominal aorta as opposed to the traditional surgical intervention. Authors also explore the contribution of underlying pathologies such as peripheral aneurysms and diabetes to emergency situations. A range of surgical, endovascular and thrombolytic therapies are covered, alongside an appreciation of the wider bioethical concerns relevant to vascular emergencies.