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El. knyga: Vascular Surgery: A Clinical Guide to Decision-making

Edited by (Professor of Vascular Surgery, University of Milan, Milan, Italy), Edited by (Vascular Surgeon, Fondazione Ca Granda Ospedale Policlinico Di Milano, Milan, Italy)
  • Formatas: EPUB+DRM
  • Išleidimo metai: 14-Oct-2021
  • Leidėjas: Academic Press Inc
  • Kalba: eng
  • ISBN-13: 9780128221518
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  • Formatas: EPUB+DRM
  • Išleidimo metai: 14-Oct-2021
  • Leidėjas: Academic Press Inc
  • Kalba: eng
  • ISBN-13: 9780128221518
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Vascular Surgery: A Clinical Guide to Decision Making provides a manual for vascular surgeons in practice, covering background knowledge from pathogenesis and pathologic processes, to examining how they apply from a clinical aspect. With contributions from experienced vascular surgeons around the world, the book underlines the tips and tricks of surgical and endovascular treatment and explores the pros and cons of treatments to help readers make decisions when facing difficult cases. The book concludes with updates of researches in the field and how it could be applied in a clinical aspect.

Though there are many books on the market regarding vascular surgery, none of them are devoted to young surgeons who have to make quick decisions in challenging cases, such as how to choose between using open or endo treatment.

  • Presents indications, techniques and results for various vascular surgery procedures completed with an overview about pros and cons of a treatment, allowing readers to make a quick decision when facing peculiar clinical cases
  • Adopts a translational approach, dissecting the background knowledge of vascular pathology and linking it to application in surgical techniques, along with a summary tips and tricks regarding surgical maneuvers
    • A global involvement from experienced vascular surgeons in the field, covering surgical techniques and important research from around the world, devising the future developments of the field
List of contributors
xi
Preface xv
1 Is pathology useful in vascular surgery?
1(10)
Fabio Bertani
Alice Fuggirai
Francesca Boccafoschi
Introduction
1(1)
Cellular pathology of abdominal aortic aneurysms
1(1)
Vascular endothelial and smooth muscle cells play key roles in maintaining vascular functionality
1(2)
Experimental models of AAA and therapeutic targets
3(3)
References
6(5)
2 Risk factors and pharmacological therapy in patients with vascular disease
11(14)
Giuseppe Maiolino
Marco Rossato
Roberto Vettor
Introduction
11(1)
Arterial atherosclerosis and inflammation
11(1)
Risk factors
12(1)
Non-modifiable risk factors
12(1)
Modifiable risk factors
12(2)
Medical therapy
14(1)
Modifiable risk factors correction
14(1)
Smoking cessation
14(1)
DM treatment
14(1)
Hypertension
14(1)
Dyslipidemias
15(1)
Physical activity
16(1)
Sleep disorders
16(1)
Antiplatelet treatment
16(2)
Anticoagulant therapy
18(1)
Summary
18(1)
References
19(6)
3 Carotid dissections, aneurysms, and paragangliomas
25(12)
Raffaello Dallatana
Francesco Casella
Piergiorgio Settembrini
Dissection
25(2)
Aneurysms
27(2)
Carotid body tumors
29(5)
References
34(3)
4 Carotid artery stenosis: endarterectomy or stenting?
37(8)
Carlo Setacci
Domenico Benevento
Gianmarco de Donato
Francesco Setacci
Alberto M. Settembrini
Giuseppe Galzerano
M. Walter Guerrieri
Piergiorgio Settembrini
Giancarlo Palasciano
References
42(3)
5 Subclavian, vertebral, and upper limb arteries: a difficult surgical field
45(14)
Young-wook Kim
Subclavian artery
45(1)
Surgical exposure of the subclavian artery
45(3)
Vertebral artery
48(3)
Axillary artery
51(1)
Brachial artery
52(2)
Radial and ulnar arteries
54(3)
References
57(2)
6 Thoracic outlet syndrome: diagnostic and therapeutic update
59(16)
Kendall Likes
Karl A. Illig
Introduction
59(1)
Anatomy
59(1)
Neurogenic thoracic outlet syndrome---making the diagnosis
60(5)
Venous thoracic outlet syndrome---making the diagnosis
65(1)
Arterial thoracic outlet syndrome---making the diagnosis
66(1)
Neurogenic thoracic outlet syndrome---treatment
67(1)
Venous thoracic outlet syndrome---treatment
68(1)
Arterial thoracic outlet syndrome---treatment
69(1)
Postoperative care
70(1)
Unexpected outcomes
71(1)
Residual symptoms and recurrence
71(1)
Some final words
71(1)
References
71(4)
7 Artero-venous fistulas for hemodialysis: surgical and endovascular approaches
75(10)
Gianmarco de Donato
Claudia Panzano
Edoardo Pasqui
Giuseppe Alba
Giovanni Giannace
Giuseppe Galzerano
Michele Giubbolini
Giancarlo Palasciano
History of vascular access
75(1)
Time of referral for vascular access creation
75(1)
Clinical decision making of vascular access
76(2)
Surgical technical aspects: tips and tricks
78(2)
Complications
80(1)
Technical note for AV endovascular rescue
81(1)
Percutaneous endovascular creation of vascular access (endoAVF)
81(2)
Abbreviations
83(1)
References
83(2)
8 How to approach elective and urgent thoracic aortic aneurysms
85(16)
Michele Antonello
Stefano Bonvini
Elda Chiara Colacchio
Introduction
85(1)
Definition and epidemiology
85(1)
Etiology
85(1)
Diagnosis
86(1)
Treatment
87(1)
Surgical treatment
88(3)
Endovascular treatment
91(5)
Conclusions
96(1)
References
97(4)
9 Aortic dissections---the correct identification and treatment
101(10)
Daniel Miles
Cassra Arbabi
Don Baril
Ali Azizzadeh
Introduction
101(1)
Pathogenesis
101(1)
Classification
102(2)
Epidemiology
104(1)
Risk factors
104(1)
Presentation
105(1)
Diagnosis
105(1)
Treatment
105(1)
Type A aortic dissection
106(1)
Type B aortic dissection
106(2)
Lifelong management and follow-up
108(1)
References
108(3)
10 Thoraco-abdominal aortic aneurysms: when and how to do it
111(20)
Omar Selim
Thomas L. Forbes
Acronyms
111(1)
Introduction
111(1)
Preoperative management
111(1)
Anatomic classification
112(1)
Operative management---open
112(1)
Anesthesia
113(1)
Intraoperative monitoring strategies
114(1)
Intraoperative management
114(1)
Organ protection
115(1)
Crawford extent I
116(1)
Organ protective measures
116(1)
Positioning
116(1)
Exposure
117(1)
Clamping and aortic repair
117(2)
Crawford extent II
119(1)
Crawford extent III and V
120(1)
Crawford extent IV
121(1)
Operative management---endovascular
121(1)
Overview of device types
121(1)
Preoperative planning
121(1)
Organ protection
122(1)
Conduct of total endovascular repair
123(1)
Hybrid and staged repair
124(1)
Patient outcomes
125(1)
References
126(5)
11 How to treat aorto-iliac occlusions?
131(14)
Claudio Bianchini Massoni
Alessandro Ucci
Paolo Perini
Bilal Nabulsi
Antonio Freyrie
Definition
131(1)
Epidemiology
131(1)
Arterial lesion characteristics
131(1)
Anatomical classification
132(1)
Endovascular versus surgical treatment
132(10)
References
142(3)
12 Elective and emergent repair of abdominal aortic aneurysm: selection of open or endovascular strategy
145(12)
Lazar Davidovic
Igor Koncar
Introduction
145(1)
Elective repair of abdominal aortic aneurysm
145(3)
The main technical considerations during an elective open repair
148(1)
The main technical considerations during an elective endovascular aneurysm repair
149(3)
Adjunct procedures
152(1)
The main technical considerations during an endovascular aneurysm repair of rupture abdominal aortic aneurysm
152(1)
How to improve both early and long-term results of abdominal aortic aneurysm repair?
152(1)
Conclusions
153(1)
References
153(4)
13 Limits to endovascular approaches in aortic disease
157(12)
Sherif Sultan
Yogesh Acharya
Juan Carlos Parodi
Niamh Hynes
Salient points
157(1)
Introduction
157(1)
Implications of stent-graft materials
157(5)
Discussion
162(2)
Conclusions
164(1)
References
164(5)
14 Peculiar patterns of aortic pathology: diagnosis and best treatment
169(10)
Susanne Honig
Tilo Koelbel
Eike Sebastian Debus
Aortovenous fistula
169(1)
Aortoenteric fistula
170(1)
Abdominal aortic aneurysms in transplant patients
171(1)
Horseshoe kidney, renal ectopia, and abdominal aortic aneurysm
171(1)
Abdominal aortic aneurysm and coexisting visceral/renal ischemia
172(4)
References
176(3)
15 Infection of a vascular graft: what and how to amend it?
179(8)
Salome Kuntz
Vincenzo Vento
Anne Lejay
Nabil Chakfe
Introduction
179(1)
General considerations: what is vascular graft and endograft infection? Definition and epidemiology
179(2)
Confirming VGEI: clinical presentation, laboratory and imaging modalities
181(2)
What to do with VGEI: treatment strategies
183(2)
Follow-up and prognosis
185(1)
Conclusions
185(1)
References
185(2)
16 Renal and visceral vessels lesions: how to manage them
187(12)
Kunal T. Vani
Keith D. Calligaro
Krystal Maloni
Callie E. Dowdy
Douglas A. Troutman
Matthew J. Dougherty
Introduction
187(1)
Renal artery disease
187(5)
Visceral artery lesions
192(2)
Nonatherosclerotic mesenteric arterial disease
194(2)
References
196(3)
17 Acute ischemia of the limbs: which is the correct approach?
199(14)
Umberto G. Rossi
Giulia Vettor
Alberto M. Settembrini
Introduction and etiology
199(1)
Clinical evaluation
199(1)
Decision-making
200(7)
Compartmental syndrome
207(2)
Postoperative treatment and follow-up
209(1)
Conclusions
210(1)
References
210(3)
18 Iliac-femoropopliteal district: decision-making and current statement---steno-occlusive disease
213(8)
Sergio Zaca
Lucia Di Stefano
Claudio Desantis
Paola Wiesel
Davide Marinazzo
Domenico Angiletta
Raffaele Pulli
The importance of inflow and outflow districts
213(1)
Decision-making: inflow iliac---femoral district
214(1)
Multilevel disease
215(1)
Decision-making: outflow femoropopliteal district
215(4)
Conclusions
219(1)
References
219(2)
19 Iliac-femoro-popliteal district: decision making and current statement---aneurysms and nonatherosclerotic pathology
221(10)
Francesco Speziale
Pasqualino Sirignano
Wassim Mansour
Carlo Filippo Porreca
Simone Cuozzo
Francesca Miceli
Iliac artery aneurysm
221(1)
Clinical presentation
222(1)
Diagnosis
222(1)
Surgical treatment
222(1)
Preservation of pelvic circulation
223(1)
Iliac artery endofibrosis
224(1)
Persistent sciatic aneurysm
225(1)
Femoral pseudo-aneurysms
225(1)
Treatment
226(1)
Popliteal aneurysm
226(1)
Treatment
226(1)
Popliteal entrapment syndrome
227(1)
Adventitial cystic disease
227(1)
Diagnosis
227(1)
Treatment
228(1)
References
228(3)
20 Below the knee arteries---the why and how of surgical approaches
231(14)
Daniele Adami
Raffaella Berchiolli
Mauro Ferrari
Why?
231(1)
How?
232(9)
Conclusions
241(1)
References
241(2)
Further reading
243(2)
21 Below-the-knee arteries---the why and how of endovascular treatment
245(8)
Antonio Rampoldi
Fabiane Barbosa
Angela Alfonsi
Francesco Morelli
Pietro Brambillasca
Marco Solcia
Body
245(1)
Below-the-knee vessels and foot vascular anatomy
245(1)
Angiosomes of the foot and ankle
245(1)
TASC lesions classifications
246(1)
Targets in critical limb ischemia revascularization
246(1)
Preprocedal planning
246(1)
Treatment strategy
247(2)
Digital subtraction angiography with anterograde puncture of common femoral artery
249(1)
Complications in below-the-knee
250(1)
References
250(3)
22 Management of the diabetic arteriopathy and diabetic foot
253(8)
Nicola Troisi
Emiliano Chisci
Stefano Michelagnoli
Multidisciplinary approach: the key role of diabetologists/podiatrists
253(1)
Interaction hospital-territory
254(1)
Vascular management
255(2)
Infection management
257(1)
Foot surgery
258(1)
Summary
258(1)
References
259(2)
23 Vascular Trauma
261(12)
Jake F. Hemingway
Benjamin W. Starnes
Basic principles of evaluation and management
261(1)
Mechanisms and pathophysiology of vascular injuries
261(1)
Evaluation, diagnosis, and imaging
262(1)
Hemorrhage control and resuscitation
263(1)
Basic surgical principles
264(2)
Endovascular treatment of vascular trauma
266(1)
Postoperative considerations/complications
266(1)
Long-term follow-up and outcomes
266(1)
Common clinical scenarios: extremity trauma
266(1)
Common clinical scenarios: blunt cerebrovascular injuries
267(1)
Common clinical scenarios: blunt thoracic aortic injury
268(1)
Common clinical scenarios: axillosubclavian trauma
268(1)
References
269(4)
24 Aneurysmatic degeneration of connective tissue diseases: from diagnosis to treatment
273(24)
Alejandro Pizano
Emanuel R. Tenorio
Akiko Tanaka
Gustavo S. Oderich
Introduction
273(3)
Syndromes
276(8)
Vascular Ehlers---Danlos syndrome
284(1)
Loeys-Dietz
285(2)
Aneurysm-osteoarthritis syndrome
287(1)
Shprintzen-Goldberg syndrome (velocardiofacial syndrome)
288(1)
Arterial tortuosity syndrome
288(1)
Turner syndrome
288(1)
Familial thoracic aortic aneurysms and dissections nonsyndromic disorders
288(1)
Summary
289(1)
Conclusions
289(1)
References
290(7)
25 Vasculitis and arteritis: how to recognize and manage them
297(10)
Ivone Silva
Armando Mansilha
Large-vessel vasculitis
298(5)
Medial-vessel vasculitis
303(1)
Small-vessel vasculitis
304(1)
Vasculitis and COVID-19
304(1)
References
305(2)
26 How do I handle deep vein thrombosis and acute pulmonary embolism from A to Z?
307(8)
Efthymios Avgerinos
Deep vein thrombosis
307(2)
Access
309(1)
Thrombus clearance
310(1)
Intravascular ultrasound
310(1)
Stenting
310(1)
Acute pulmonary embolism
310(1)
Technical alternatives
311(1)
Management tips and tricks
311(1)
Access
312(1)
Conclusion
312(1)
References
312(3)
27 Superficial venous system: how it?
315(10)
Daniele Bissacco
Alberto Caggiati
Clinical evaluation
315(2)
Instrumental diagnosis
317(2)
Varicose veins treatments
319(4)
References
323(2)
28 Wound care: how to approach venous, arterial
325(12)
Alberto M. Settembrini
Fernanda Settembrini
Introduction
325(1)
Pathophysiology of the ulcer
325(1)
Venous ulcers
326(1)
Arterial ulcers
326(1)
Diabetic ulcers
327(1)
Diagnostic approach
327(1)
Wound assessment
328(1)
How to approach wound healing
328(3)
Venous ulcers
331(1)
Arterial ulcers
331(1)
Diabetic ulcers
332(2)
Take home messages
334(1)
References
334(3)
Index 337
Piergiorgio Settembrini is a professor of Vascular Surgery at the University of Milan, the President of the Emilio Trabucchi Foundation, and an advisor to Silk Biomaterials, SRL. He has previously been a professor of Vascular Surgery at the University of Modena and Milan and Chair of Vascular Surgery at San Carlo Borromeo Hospital in Milan. He is a founding member of the Italian Society of Vascular and Endovascular Surgery, a member of the European Society of Vascular Surgery, where he is a Distinguished Fellow and the Vice President of the Italian Chapter. For many years he also has been the representative of Italy to the European Board of Vascular Surgery of the Union Européenne des Médicins Specialistes (UEMS) and was named as Honorary Fellow of the European Board. He is the author of more than 250 journal publications and a reviewer for several vascular surgery journals, four books, and videos of surgical techniques. Alberto M. Settembrini is a vascular surgeon at Fondazione Ca Granda Ospedale Policlinico of Milan. He is an adjunct professor of Vascular Surgery at the Residency School of Vascular Surgery at the University of Milan and a fellow of the European Board of Vascular Surgery. He is a member of the Society for Vascular Surgery, the Italian Society of Vascular and Endovascular Surgery, and the European Society for Vascular Surgery, where he has previously been the National Representative of Italy to the European Vascular Surgeon in Training group. He is author of numerous journal publications and book chapters, and is the editor of two books.