Vascular and Endovascular Surgery at a Glance E-Book

Morgan McMonagle

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Serie: At a Glance
• Sprache: Englisch

Seitenzahl: 317

Veröffentlichungsjahr: 2013

Beschreibung

Following the popular and accessible at a Glance format, Vascular and Endovascular Surgery at a Glance demystifies the important concepts of vascular disease and vascular surgery. Featuring in-depth details of common vascular topics, to rarer presentations, this is an ideal guide for those interested in a variety of subjects relating to this rapidly expanding area. This is a must-read for any specialist at all levels who has an on-going commitment to vascular disease management and medical education.

Vascular and Endovascular Surgery at a Glance:
• Comprehensively covers the key concepts and core practical procedures with superb illustrations
• Is a brilliant companion to the emerging curriculum for specialist vascular training
• Is an excellent source of information and management guidelines for interdisciplinary specialties
• Includes a companion website at
www.ataglanceseries.com/vascular featuring a wide range of interactive multiple choice questions

This title forms a succinct overview of vascular disease management, giving salient points relevant to general surgery examinations, for those requiring an in-depth yet manageable introduction to vascular diseases, and for those entering this prevalent field as a stand-alone specialty.

Leseprobe

Table of Contents

Website ad

Title page

Copyright page

Preface

List of abbreviations and symbols

About the companion website

The Anytime, Anywhere Textbook

Part 1: Vascular Principles

1: Overview of Vascular Disease

2: Arterial Anatomy

Thoracic and Neck

Upper Limb

Abdomen

Lower Limbs

3: Venous Anatomy

Venous Anatomy

4: Vascular Biology

Structure of an Artery

Arterial Subtypes

Ancillary Cells and Structures

5: Vascular Pathobiology

Atherosclerosis

Neointimal (Myointimal) Hyperplasia

Arteriosclerosis

Ischaemia-Reperfusion Injury

Aneurysmal Degeneration

6: Vascular Physiology

Arterial Physiology

Peripheral Vascular Resistance (PVR)

Haemodynamics of Disease

Venous Physiology

7: Vascular Pharmacology

Arachidonic Acid Pathway

Targeting the Arachadonic Acid Pathway

Platelet Aggregation

Targeting Platelet Aggregation

Statins (HMG-CoA Reductase Inhibitors)

Renin-Angiotensin System Pathway

Ca

2+

channel Blockers

Nitric Oxide Pathway

8: Coagulation and Thrombosis

Steps in Coagulation

Steps in the Coagulation Cascade

Pharmacological Targets

Other Inhibitory Agents

9: Cardiovascular Risk Factors

Modifiable

Non-Modifiable

10: Best Medical Therapy

Overview

11: Vascular History Taking

Overview

12: Examination of the Vascular System

Peripheral Vascular Examination

13: Ankle Brachial Pressure Index Measurement

Doppler Waveforms

Procedure to Perform ABPI

14: Vascular Examination: Varicose Veins

15: Interpreting Vascular Scars

Overview

16: Vascular Investigations: Overview

General Considerations

Vascular Investigations

Bedside Investigations

Vascular U/S

Computed Tomography Angiography (CTA)

Magnetic Resonance Angiography (MRA)

17: Vascular Ultrasound I

Physics of Ultrasound

The Doppler Effect

Risks of U/S

U/S in Vascular Assessment

Vascular U/S Modes

The Normal Waveform Explained

18: Vascular Ultrasound II

Duplex Assessment of an Arterial Stenosis

Waveform Analysis

Duplex Findings in Stenosis Progression

Venous Duplex

Note

19: Vascular Ultrasound III: Specific Parameters

Lower Limb Assessment

Upper Limb Arterial Assessment

Carotid Artery Assessment

Mesenteric Vessel Assessment

Renal Artery Assessment

Renal Access Assessment

Post-Operative Lower Limb Graft Surveillance

20: Angiography I: Overview

The Angiography Suite

Personnel

Equipment

Basic Steps in Angiography

Radiation Safety

Contrast Media (Contrast Agents)

21: Angiography II: Access and Imaging

General Preparation

Access and Sheath Insertion

Travel to the Target Vessel

Imaging

Sheath Removal and Haemostasis

22: Angiography III: Angiointervention

Preparation

Interventions

23: Principles of Vascular Surgery

Successful Graft Function and Longevity

Vessel Dissection

Handling the Vessel

Controlling the Vessel

Basic Vascular Surgical Techniques

Material for Grafting

Suture Material

24: Perioperative Care of the Vascular Patient

History and Examination

Investigations

Optimisation

25: Post-Operative Complications and Management

General

Specific

Part 2: Disease-Specific Topics

26: Carotid Disease: Assessment and Treatment

Overview

The Anterior and Posterior Cerebral Circulation

Investigations

Treatment

Asymptomatic Carotid Stenosis

27: Carotid Surgery

Overview

Context

Carotid Endarterectomy

Carotid Stenting

Non-Atheromatous Carotid Disease

28: Aneurysms

Definitions

True Aneurysms

Aetiopathogenesis

Presentation

Management

False Aneurysms

29: Abdominal Aortic Aneurysm I: Overview

Key Facts:

Aetiology/Risk Factors

Presentation

Investigation

Surveillance

Screening

Treatment

30: Abdominal Aortic Aneurysm II: Treatment

Elective versus Rupture

Open Surgical Repair

EVAR

31: Other Aneurysms

Popliteal

Iliac

Common Femoral

Visceral

Other

32: Thoracic Aortic Disease I: Dissection

Overview

Thoracic Dissection

Aetiology and Risk Factors

Presentation

Investigations

Treatment

33: Thoracic Aortic Disease II: Aneurysms

Thoracic Aortic Aneursym

Aetiology

Presentation

Investigations

Thoracoabdominal Aortic Aneurysm

Treatment

34: Peripheral Vascular Disease I: Overview

Pathophysiology

Aetiology

Epidemiology

Clinical Presentation

The Sunset Foot (Ischaemic Rubor)

Foot Trash

Gangrene

35: Peripheral Vascular Disease II: Assessment

Clinical History and Examination

Laboratory Investigations

Imaging

36: Peripheral Vascular Disease III: Management

Conservative (Non-surgical) Management

Revascularisation

Angiointervention

Surgery

37: The Acute Limb

Aetiology

Investigations

Management

Complications Following Reperfusion

38: Amputation and Rehabilitation

Definition

Epidemiology

Indications

Levels of Amputation

Choosing the Level of Amputation

Rehabilitation

39: Vascular Trauma: Neck and Chest

Carotid, Vertebral and Subclavian Vessels

Thoracic Aortic Transections (TATs)

40: Vascular Trauma: Abdomen and Pelvis

Retroperitoneal (RP) Injuries

Zone 1 RP Injury

Trauma in Zone 2

Trauma in Zone 3

41: Peripheral Vascular Injury

Aetiology

Physical Examination

Vascular Examination: Hard Versus Soft Signs

Minimal Vascular Injury (MVI)

Investigations

Management

42: Compartment Syndrome and Fasciotomy

Compartment Syndrome (CS)

Fasciotomy

Treatment for Rhabdomyolysis

43: Vascular Complications from IVDU

Complications in the IVDU Groin

Microbiology

Management

44: Upper Limb Vascular Disease

Aetiology of Upper Limb Vascular Disease

Upper Limb Atherosclerosis

Subclavian Steal Syndrome

Thromboembolism and Acute Ischaemia

Aberrant Right SCA + Kommerall's Diverticulum

Upper Limb Venous Disease

45: Thoracic Outlet Syndrome

Aetiology

Classification

Anatomical Spaces for Compression

Causes of compression

Anatomy of the Thoracic Outlet

Anatomy of Scalene Triangle

Clinical Examination

Investigations

Neurogenic TOS (N-TOS)

Venous TOS (V-TOS)

Arterial TOS (A-TOS)

Surgical Decompression of TOS

46: Vasculitis I: Overview

Broad Classification

Clinical Picture and Examination

Investigations

Management

47: Vasculitis II: Specific Conditions

Takayasu's Arteritis

Giant Cell Arteritis (Temporal Arteritis)

Buerger's Disease

Polyarteritis Nodosa (PAN)

Wegener's Granulomatosis

Behçet's Disease

48: Raynaud's and Cold Injury

Vasospastic Disorders

Raynaud's Syndrome and Disease

Investigations

Management

49: Primary Hyperhidrosis

Medical Management

Surgical Management

50: Coagulopathy and Thrombophilia

Pathophysiology of Thrombosis

Primary Hypercoagulability

Secondary Hypercoagulability

51: Deep Venous Thrombosis

Incidence

Risk Factors, Complications and Management of DVT

Lower Limb DVT

Superficial Thrombophlebitis

52: Complications of DVT

Pulmonary Embolism

Management of PE

Post-Thrombotic Syndrome

Venous Occlusion and Ischaemia

53: Varicose Veins and Venous Hypertension

Definition

Epidemiology

Presentation

Investigations

Classification

54: Varicose Veins: Treatment

Treatment

Prognosis

55: Vascular Ulceration

Aetiology

Neuropathic Ulceration

Venous Ulceration

Arterial Ulceration

Mixed Ulceration

Investigations

Management

56: General Wound Care

Important Wound Concepts

Definitions

Evolving Microbiology of a Wound

Transition from Colonisation to Infection

Management of an Infected Wound

Organisms That Should Be Treated Regardless

57: Lymphoedema

Definition

Causes

Presentation

Investigations

Treatment

58: The Diabetic Foot

Aetiology

Neuropathy

Vasculopathy

Charcot's Joint

Clinical Features of a Charcot's Foot

59: Haemodialysis Access

Principles of Fistula Creation

Planning Which Fistula to Make

Managing Fistulae

60: Mesenteric Ischaemia I

Classification

Mesenteric Arterial Ischaemia

Chronic Mesenteric Ischaemia (CMI)

Median Arcuate Ligament (MAL) Syndrome

Acute Mesenteric Ischaemia (AMI)

61: Mesenteric Ischaemia II

Colonic Ischaemia

Mesenteric Venous Thrombosis (MVT)

Non-Occlusive Mesenteric Ischaemia

62: Renal Vascular Disease

Atherosclerosis

Fibromuscular Dysplasia (FMD)

Management of RAS

Indications for Revascularisation

63: Congenital Vascular Malformations

Haemangiomas

Vascular Malformations

Combined CVMs

64: Rare and Eponymous Vascular Disorders

Acute Aortic Syndrome

Arterial Endofibrosis

Buerger's Disease (Thromboangiitis Obliterans)

Carotid Artery Dissection

Carotid Body Tumour (CBT)

Cockett Syndrome

Cystic Adventitial Disease

Ehlers-Danlos Syndrome

Fibromuscular Dysplasia

HIV-Associated Arterial Disease

Horse-Shoe Shaped Kidney

Hypothenar Hammer Syndrome

Intramural Haematoma

Klippel-Trenaunay Syndrome (KTS)

Kommerall's Diverticulum

LeRiche Syndrome

Marfan's Syndrome

May-Thurner Syndrome

Medial Cystic Disease

Mid-Aortic Syndrome

Moyamoya Disease

Nutcracker Syndrome

Pelvic Congestion Syndrome

Penetrating Aortic Ulcer

Persistent Sciatic Artery

Popliteal Entrapment Syndrome

Paget-Schroetter Syndrome

Radiation Arterial Disease

Renal Vein Entrapment Syndrome

Replaced Hepatic Artery

Subclavian Steal Syndrome

Superior Mesenteric Artery Syndrome

Wilkies Syndrome

65: High-Yield Vascular Facts

Risk Factors and Best Medical Therapy

Abdominal Aortic Aneurysm

Repair of AAA

Peripheral Aneurysms

Stroke

Carotid Artery Disease

Lower Limb Ulceration

Peripheral Vascular Disease

Critical Limb Ischaemia

Critical Arterial Stenosis

66: Vascular Trials

Overview

Carotid

Abdominal Aortic Aneurysms

Peripheral Vascular Disease

Chronic

Acute

References

Appendix 1: Wires Commonly Used during Angiography and Angiointervention

Appendix 2: Catheters Commonly Used during Angiography and Angiointervention

Index

End User License Agreement

List of Tables

Table 51.1  Prevalence of DVT in high-risk, in-hospital population of patients.

Guide

Cover

Table of Contents

Start Reading

Preface

CHAPTER 1

Index

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