This book presents 100 challenging cases encountered in vascular surgery practice that were selected from the author’s vascular registry of 7,000 vascular reconstructions (endovascular and open). Chapters include difficult surgical problems of patients with aortic, visceral and peripheral arterial aneurysms, with expert management of mycotic, inflammatory and ruptured aneurysms and major complications like aorto-duodenal fistula, graft infection or inferior vena cava injury. These reconstructions are representative of the “real world” experience of vascular surgery in the United States, and the selection of cases were based on either difficulty with case selection, or complex operative or an endovascular technique. The natural history of vascular reconstructions often leads to secondary reconstructions, which are far more complex and therefore are included in significant numbers in this text. Both good and unsatisfactory results have been included and the lessons learned from the poor outcomes are emphasized. Invited commentaries from leading experts in the field have been added to a few chapters offering an alternate viewpoint in the management of patients with complex pathology. Challenging Arterial Reconstructions: 100 Clinical Cases serves as an invaluable resource to vascular surgeons that are learning or regularly performing open surgical or endovascular interventions.
Despite accurate preoperative assessment and adequate preparation, unexpected, and sometimes disastrous, situations can occur during vascular and endovascular procedures. This latest book in the European Vascular Course series provides vascular and endovascular surgeons with the skills and techniques needed to solve these unforeseen intraoperative complications. It includes thirteen chapters on aortic neck problems during open and endovascular repair, ruptured clamp sites, ureteral lesions, unintentional covering of side branches, totally calcified aorta and embolization. Accidental conditions during carotid and lower limb revascularization are also covered in six chapters and additional challenges are described in another seven chapters.
Prevention of complications in vascular and endovascular surgery is an important consideration for all practicing surgeons. The keys to achieving clinical success are based on careful selection of both patient and procedure, along with meticulous operative and endovascular techniques. Management of complications requires careful planning and urgent intervention. This concise, practical text provides the reader with A stepwise approach to diagnosis Guidance on avoiding technical pitfalls Advice on re-interventions Case examples to aid clinical practice The early diagnosis of complications, followed by prompt action and intervention, is key to improving clinical outcomes. This well-illustrated, concise, and practical book ensures that vascular and endovascular surgeons will be able to optimize clinical results and patient care.
Fifth International Workshop, CMMI 2017, Second International Workshop, RAMBO 2017, and First International Workshop, SWITCH 2017, Held in Conjunction with MICCAI 2017, Québec City, QC, Canada, September 14, 2017, Proceedings
Author: M. Jorge Cardoso
This book constitutes the refereed joint proceedings of the International Workshop on Computational Methods for Molecular Imaging, CMMI 2017, the International Workshop on Reconstruction and Analysis of Moving Body Organs, RAMBO 2017, and the International Stroke Workshop: Imaging and Treatment Challenges, SWITCH 2017, held in conjunction with the 20th International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2017, in Québec City, QC, Canada, in September 2017. The 5 full papers presented at FIFI 2017, the 9 full papers presented at RAMBO 2017, and the 4 full papers presented at SWITCH 2017 were carefully reviewed and selected. The CMMI papers cover various areas from image synthesis to data analysis and from clinical diagnosis to therapy individualization, using molecular imaging modalities PET, SPECT, PET/CT, SPECT/CT, and PET/MR. The RAMBO papers present research from both academia and industry, They are organized into the categories "registration and tracking" and "image reconstruction and information retrieval" while application areas include cardiac, pulmonal, abdominal, fetal, and renal imaging. The SWITCH papers focus on CT(A)-based quantitative imaging biomarkers for stroke.
Vascular Surgery: Current Questions discusses the queries concerning modes of therapy, surgical practices, and management of vascular problems. This book contains 19 chapters and begins with an overview of the clinical vascular laboratory. The succeeding chapters deal with the risk factors in peripheral vascular disease and the pragmatic viewpoint of carotid body tumors and carotid endarterectomy. Considerable chapters are devoted to several surgical options and practices for specific vascular disease management. Other chapters discuss the challenges in prevention of vascular surgical sepsis, treatment for diabetic foot, and amputation. The final chapters describe the clinical features and therapeutic management of chronic venous insufficiency and deep vein thrombosis. This book will prove useful to consultants and trainee vascular and general surgeons and other specialists who share in the overall management of patients with vascular problems.
This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries. The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the “endovascular era”, it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses. The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery. This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods.”
To improve the diagnosis and management of patients withvascular disease turn to the most authoritative and trustedreference for 36 years and counting . . . The role of the vascular surgeon has evolved. Vascular surgeonsnow perform minimally invasive vascular procedures and providecomprehensive care in addition to open surgery. Haimovici’s Vascular Surgery, now in its 6thedition, has been extensively updated to provide you with: Expert perspectives on how the vascular surgery fieldhas evolved so you continue to stay on the leading edge of thisdynamic field Concise and practical advice about what these changesand new areas of practice mean to you – the practitionerand trainee in the fields of vascular surgery, interventionalcardiology and interventional radiology Fundamental principles and best practices to treattraditional and new modalities that are now part of the vascularsurgeons purview What’s new in this edition? Full-color photographs and illustrations Complete coverage of the latest diagnostic imagingmodalities, including intravascular ultrasound and computedtomography Expanded information on the most effective minimallyinvasive treatment options, including those for diseases of thecarotid artery, lower extremity and abdominal aorta Full coverage of non-surgical techniques that vascularsurgeons may add to their repertoire. Time-saving feature exclusive to the 6th edition To help you identify actionable information quickly, eachchapter now highlights the most relevant clinical information.Apply what you learn to your own practice immediately.
Drs. Busuttil and Klintmalm present Transplantation of the Liver, 3rd Edition, which has been thoroughly revised to offer you the latest protocols, surgical approaches, and techniques used in this challenging procedure. Encompassing today's expert knowledge in the field, this medical reference book is an ideal single source for authoritative, up-to-date guidance on every imaginable aspect of liver transplantation. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Access valuable pearls, pitfalls, and insights from Dr. Ronald Busuttil and Dr. Goran Klintmalm, two of the world's preeminent experts in liver surgery. Understand today's full range of transplantation techniques with complete step-by-step descriptions of each, and access the background information and management options for each hepatic disease entity. Take advantage of detailed discussions of everything from pathophysiology and patient and donor selection, to transplantation anesthesia and operative procedures; immunosuppression; postoperative care; and ethical issues. Overcome your toughest challenges in liver transplantation. Many new and thoroughly revised chapters include: Deceased Organ Donation after Cardiac and Brain Death; Liver Transplantation for Non-Alcoholic Steatohepatitis; Extended Criteria Donors; Best Techniques for Biliary and Vascular Reconstruction in Living Donor Transplantation; Small for Size Syndrome; Dual Grafts for Transplantation; Arterial Reconstructions-Pitfalls; Transition of Pediatric Patients to Adulthood; Immunosuppressive Biologic Agents; Long Term Toxicity of Immunosuppressive Therapy; Stem Cell and Liver Regeneration; and Extracorporeal Perfusion for Resuscitation of Marginal Grafts. Stay current in your field and optimize patient outcomes with coverage of the most recent advances in living donor transplantation, pediatric transplantation, and gene and stem cell therapy. Access the latest information on anti-rejection/immunosuppressive drugs, as well as comprehensive discussions of each drug or combination of drugs used to suppress immune system.
The book "Vascular Surgery: Procedures, Complications and Recovery'' was written by a team of vascular, cardiac and neurosurgeons working mainly in the East Slovak Institute of Cardiovascular Diseases, and also Luis Pasteur University Hospital in Kosice, Slovakia. The book is addressed to students of medicine and also as fundamental principles of vascular surgery for residents in different surgical specializations. Vascular surgery has been rapidly developing in recent decades. Although the first successful arterial reconstructions appeared the beginning of the 20th century, the active management of arterial diseases has developed since the 1950s when new techniques of arterial surgery had been established. The first attempts of vascular reconstructions were performed by Alexis Carrel, a French surgeon who was awarded the Nobel Prize in Medicine in 1912 for inventing modern vascular suture, which is used still today. Significant development of vascular surgery brought the introduction of prosthetic grafts by Vorhees in 1952. That enabled De Backey to resect abdominal aortic aneurysm and replace it with synthetic graft in 1955. The first angiography with the catheter was performed by Seldinger in 1952, and Gruntzig in 1974 was the first who did percutaneous transluminal angioplasty and started the modern era of endovascular treatment. Since this time, an essential development in the treatment of vascular diseases has been observed. Nowadays, vascular surgeons solve the most severe cases of arterial diseases, solve complications of endovascular therapy, or are a part of hybrid procedures, which are a combination of surgical and endovascular treatment. In the first chapter, elementary clinical examinations, imagine methods, and also surgical techniques are described. Aortic disorders that are the most severe vascular diseases are analysed in the second, third, and forth chapters. Open aortic surgery is technically the most difficult part of vascular surgery and is associated with the higest mortality. Open aortic surgery is now being replaced by endovascular procedures due to lesser invasivity and mortaliy. The fifth chapter is dedicated maily to surgery of carotid arteries. Stenosis of the internal carotid artery is one of the reasons for stroke. Carotid endarterectomy that removes atherosclerotic plaque from the carotid bifurcations is effective in preventing stroke in patients with stenosis of the internal carotid artery. The sixth chapter analyses the problem of surgery of periferal arteries as periferal arterial occlusive disease or acure limnb ischemia. Both conditions can lead to major amputations and life long disability. The seventh capter analyses vascular trauma that may lead to severe bleeding or limb ischemia; both situations require almost immediate diagnosis and treatment. Periferal artery trauma is treated mainly by open surgery, while the treatment of aortic injury is mostly endovascular. Basic types of vascular access and problems of venous disorders are decribed in the eighth chapter. Venous diseases are not so life threatening but much more common compared to arterial. The last chapter deals with complications and recovery that is inevitable from an excellent surgical outcome.
This text provides comprehensive coverage of aneurysms outside the cerebral circulation, with emphasis on major developments in endovascular techniques, imaging, and complex surgical problems. Nationally and internationally known authorities cover the natural history and preoperative evaluation of patients undergoing aortic aneurysm surgery; thoracoabdominal aortic aneurysms and aortic stented grafts; surgical approaches and techniques for treating challenging abdominal aortic aneurysms; prevention and treatment of complications of abdominal aortic aneurysm surgery; management of non-aortic aneurysms; and much more. Features over 230 illustrations! Explores the natural history and preoperative evaluation of patients undergoing aortic aneurysm surgery; thoracoabdominal aortic aneurysms and aortic stented grafts; surgical approaches and techniques for treating challenging abdominal aortic aneurysms; management of non-aortic aneurysms, and much more Examines advances in imaging technology as well as new surgical techniques such as endovascular grafting Offers valuable guidelines for determining which patients require treatment, solving complex surgical problems, and preventing complications Features over 395 crisp illustrations that clarify nuances of diagnostic and surgical technique
The raison d’etre for a new atlas of congenital heart surgery is based on the reality that the specialty has undergone numerous changes in the last few years resulting in improved techniques and new operations. The sheer number of new procedures and the required attendant technical skills to successfully complete an operation has become a challenge to master, especially for residents who are pursuing a career in congenital heart surgery. While the techniques that we are espousing are mostly our own, there is a great deal of similarity amongst international centers owing to the influence of video presentations, manuscript publications, and chapter reviews. We therefore believe that the techniques that are illustrated in this atlas are likely to be similar to the techniques that are taught worldwide to residents and fellows. The atlas is organized generally by diseases and procedures pertaining thereto. Two general sections involve cannulation techniques and palliative procedures, respectively. A special section depicts difficult problems in the form of clinical vignettes that may arise during cardiopulmonary bypass such as: decreased venous return, undiagnosed patent ductus arteriosus, and technical errors leading to hemodynamic complications. The reader is instructed to apply measures that will lead to resolution of these problems. We have chosen procedures, which cover the breadth of congenital heart surgery. While perhaps not totally inclusive, the reader will find the greater majority of congenital heart procedures illustrated and explained in this text.
The only in-depth source to focus specifically on surgical complications, this reference provides practical information on the incidence, management, and avoidance of complications encountered during and after surgical procedures. Spanning the vast array of complications related to a wide variety of preoperative, intraoperative, and postoperative events such as organ transplant, amputations, nerve and fracture repair, wound repair, and skin grafting, this guide offers detailed guidance and techniques to recognize and control complications in the operating room, emergency ward, and intensive care unit.
Fully updated, now in full color, this latest edition of Levin and O'Neal's The Diabetic Foot provides diagnostic and management information for the challenging problems faced by patients with diabetic foot problems. The book has a team care focus and offers tips and pearls in every chapter.
Through nine outstanding editions, Rutherford's Vascular Surgery and Endovascular Therapy has been the gold standard text in this fast-changing, complex field. Published in association with the Society for Vascular Surgery, this state-of-the-art reference by Drs. Anton N. Sidawy and Bruce A. Perler is a must-have for vascular surgeons, interventionalists, vascular medicine specialists, and trainees, as well as general surgeons, interventional radiologists, and cardiologists that depend upon "Rutherford’s" in their practice. It offers authoritative guidance from the most respected and innovative global thought leaders and clinical and basic science experts in the diagnosis and treatment of circulatory disease. Incorporates medical, endovascular, and surgical treatment, as well as diagnostic techniques, decision making, and fundamental vascular biology. Features all vascular imaging techniques, offering a non-invasive evaluation of both the morphology and hemodynamics of the vascular system. Provides unparalleled insight from multidisciplinary leaders worldwide, who share their expertise on the most appropriate contemporary and future treatment of circulatory disease. Employs a full-color layout and images so you can view clinical and physical findings and operative techniques more vividly. Includes 40 new chapters incorporating a shorter, more focused format with a summary for each chapter that provides a quick access to key information – ideal for consultation situations as well as daily practice. Some of these chapters are organized in new sections dedicated to open operative exposure and vessel dissection techniques, diabetic foot, Pediatric Vascular Disease, and practice management issues; areas in the specialty that clinicians frequently face but seldom detailed in other vascular texts nor in earlier Rutherford editions. Covers hot topics such as endovascular therapy of aortic arch and thoracoabdominal aortic aneurysm disease, including the evolving management of aortic dissections.
Master the cardiology boards and save money, with our new convenient Mayo Clinic Cardiology: Course Pack. Packed with hundreds of board-focused questions, this new course pack saves over $19.00 and includes the complete Mayo Clinic Cardiology: Concise Textbook, Third Edition PLUS the Mayo Clinic Cardiology: Board Review Questions and Answers. Focus on the right questions for the cardiology boards and recertification exam with the latest addition to the popular Mayo Clinic board review collection. Easy-to-use and organized by sections, this book includes more than 600 board-focused questions, full-color illustrations and explained answers focused on cutting-edge knowledge of accepted diagnostic methods, pharmacotherapy, and interventional, and non-interventional treatment options. Use this book to sharpen your board knowledge skills and improve your score. For further study and reference, use this book with the Mayo Clinic Cardiology Concise Textbook, Third Edition-a special value course pack is also available.
This book, written by leading international experts in the field, offers a comprehensive overview of the latest developments in breast reconstruction. A particular feature is the presentation of a multitude of new clinical techniques, with high-quality supporting illustrations. The opening sections document the history of breast reconstruction, describe the anatomy of the pectoral muscles, pectoral nerves and perforator flaps and provide guidance on preoperative imaging and planning. After full documentation of techniques (including use of autogenous tissues and prosthetic implants), further sections are devoted to the effects of chemotherapy and radiation, the role of angiography and thermography, monitoring, quality of life outcomes and complications and their management. The book will be invaluable both for residents and fellows and for practicing and highly experienced cosmetic surgeons, plastic surgeons, general surgeons, and those in cosmetic surgical subspecialties.
19th International Conference, Athens, Greece, October 17-21, 2016, Proceedings
Author: Sebastien Ourselin
The three-volume set LNCS 9900, 9901, and 9902 constitutes the refereed proceedings of the 19th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2016, held in Athens, Greece, in October 2016. Based on rigorous peer reviews, the program committee carefully selected 228 revised regular papers from 756 submissions for presentation in three volumes. The papers have been organized in the following topical sections: Part I: brain analysis, brain analysis - connectivity; brain analysis - cortical morphology; Alzheimer disease; surgical guidance and tracking; computer aided interventions; ultrasound image analysis; cancer image analysis; Part II: machine learning and feature selection; deep learning in medical imaging; applications of machine learning; segmentation; cell image analysis; Part III: registration and deformation estimation; shape modeling; cardiac and vascular image analysis; image reconstruction; and MR image analysis.