Vascular and Endovascular Surgery: A Companion to Specialist Surgical Practice, 6e

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.

For this Sixth Edition the authorship team across the series has been expanded to include additional European and World experts, with an increased emphasis on global practice. Throughout all six volumes the contents have been extensively revised in line with recently published evidence. Detailed supportive key references are provided and are also included within the comprehensive list of references in the accompanying virtual edition. Links to recommended online videos have been added where appropriate.

The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within the major sub-specialties of general surgery.

Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

Vascular surgery is developing at a rapid pace, especially in the field of medical therapy and endovascular interventions. This new edition aims to put these developments into context, and give a balanced view with regard to technological advances and more traditional techniques. Vascular and endovascular practitioners will find this a very useful resource in their day to day clinical practice.

Table of Contents:

Copyright

Series Editors’ preface

Editors’ preface

Acknowledgements

Evidence-based practice in surgery

Contributors

1: Epidemiological risk factors for PAD, risk stratification and risk factor management

Introduction

Epidemiology of PAD

Natural history of PAD: limb-specific, cardiovascular morbidity and mortality

Epidemiological risk factors for PAD, risk stratification and risk factor management (Fig. 1.3)

Conclusions

2: Assessment of chronic lower limb ischaemia

Acknowledgement

Introduction

Intermittent claudication

Rare causes of ischaemia

History and examination

Risk factors

Vascular laboratory

Radiological investigations

Classification of aorto-iliac, femoral popliteal and infrapopliteal disease

3: Medical treatment of chronic lower limb ischaemia

Introduction

PAD diagnosis and screening

Modifying cardiovascular risk

Medical treatment for symptomatic PAD

Pharmacologic interventions

Intermittent Pneumatic Compression

Angiogenesis

Conclusions

4: Intervention for chronic lower limb ischaemia

Disclosure

Introduction

Presenting symptoms

Exercise therapy

Medical therapy

Global trends toward revascularisation treatment

A regional approach to intervention

Percutaneous treatment for aorto-iliac disease

The angiosome concept

Primary amputation

5: The diabetic foot

Introduction

Epidemiology

Development of foot ulceration

Management

Medical problems on the surgical ward

Charcot neuro-osteoarthropathy

6: Amputation, rehabilitation and prosthetic developments

Introduction

Epidemiology

Indications for amputation

Level selection

Surgical considerations

Rehabilitation

Prostheses

Rehabilitation for the bariatric patient

7: Revision vascular surgery

Introduction

Graft occlusion

Graft infection

Graft aneurysms

Carotid artery

Revision surgery after EVAR

Revision after TEVAR

8: Management of acute lower limb ischaemia

Introduction

Aetiology

Clinical features

Initial management

Revascularisation

Further management

Overall prognosis

Conclusions

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

10: Extracranial cerebrovascular disease

Introduction

Aetiology and risk factors

Non-atheromatous carotid diseases

Presentation of carotid disease

Investigation of carotid disease severity

Management of cerebrovascular disease

Management of carotid disease

Surgical management of carotid disease – carotid endarterectomy

Endovascular treatment of carotid disease

Periprocedural haemodynamic problems

11: Vascular disorders of the upper limb

Introduction

Clinical examination

Occlusive disease

Aneurysmal disease

Upper limb embolism

Thoracic outlet syndrome

Subclavian–axillary vein thrombosis

12: Primary and secondary vasospastic disorders (Raynaud's phenomenon) and vasculitis

Introduction

Raynaud's phenomenon

Connective tissue diseases

13: Peripheral and abdominal aortic aneurysms

Introduction

Epidemiology

Pathophysiology

Clinical features

Screening

Diagnosis

Principles of management

Repair of intact abdominal aortic aneurysm

Operative repair of ruptured abdominal aortic aneurysm

Infected aneurysms

Peripheral aneurysms

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

Treatment of chronic type B dissections

Traumatic aortic injury (TAI)

Aorto-oesophageal and aortopulmonary fistula

15: Disorders of the renal and mesenteric circulation

Renal vascular disease

Mesenteric vascular disease

Acute thromboembolic occlusion of the superior mesenteric artery

Mesenteric ischaemia

16: Central venous and dialysis access

Introduction

Central venous access

Temporary dialysis access

Permanent dialysis access

Access in children

17: Varicose veins

Introduction

Pathophysiology

Epidemiology and natural history

Clinical presentation

Thread veins and reticular veins (CEAP C1)

Clinical assessment

Venous investigations

Treatment

Evidence for varicose vein interventions

Rationing of varicose vein treatments

Atypical varicose veins

Conclusions

18: Chronic leg swelling

Chronic venous insufficiency (CVI)

Dependency and inactivity

Lymphoedema

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

Other PMT devices

The future

20: Vascular anomalies

Introduction

Classification

Vascular tumours

Tufted angioma

Kaposiform haemangioendothelioma (KHE)

Vascular malformations

Conclusions

Index