Vascular and Endovascular Surgery

A Companion to Specialist Surgical Practice

7th Edition - July 5, 2023
Editors: Ian Loftus, Robert J. Hinchliffe
Language: English
Hardback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 4 6 2 - 1
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 4 6 3 - 8

Vascular and Endovascular Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher. The seventh e… Read more

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Vascular and Endovascular Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher.

The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It presents the main clinical updates from recent years in this evolving specialty, including new clinical trial data for aneurysm repair, lower limb revascularisation and venous interventions.

This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice.

Instructions for online access
Cover image
Title page
Table of Contents
Copyright
Series Editors’ preface
Editors’ preface
Evidence-based practice in surgery
Contributors
Chapter 1. Epidemiological risk factors and risk stratification for peripheral arterial disease
Introduction
Epidemiology of peripheral artery disease
Natural history of peripheral artery disease: limb-specific, cardiovascular morbidity and mortality
Conclusions
Chapter 2. Assessment of chronic lower limb ischaemia
Introduction
Intermittent claudication
Differential diagnosis
Chronic limb-threatening ischaemia
Staging of chronic limb-threatening ischaemia – wound, ischaemia and foot infection
Rare causes of ischaemia
Popliteal artery entrapment syndrome
Cystic adventitial disease
Persistent sciatic artery
Fibromuscular dysplasia
Endofibrosis of the iliac artery
Buerger’s disease
Diagnosis of peripheral arterial disease
Non-invasive haemodynamic tests
Chapter 3. Medical treatment of chronic lower limb ischaemia
Introduction
Undertreatment of peripheral artery disease
Peripheral artery disease diagnosis and screening
Modifying cardiovascular risk
Additional pharmacological interventions
Intermittent pneumatic compression
Angiogenesis and stem cell therapy
Conclusions
Chapter 4: Intervention for chronic lower limb ischaemia
Introduction
Presenting symptoms
Global Vascular Guidelines on the management of chronic limb-threatening ischemia
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
Chapter 5. The diabetic foot
Introduction
Epidemiology
Development of foot ulceration
Management
Medical problems on the surgical ward
Charcot neuro-osteoarthropathy
Chapter 6. Amputation, rehabilitation and prosthetic developments
Introduction
Epidemiology
Indications for amputation
Amputation level
Surgical considerations
Amputee rehabilitation
Pain management
Early post-operative rehabilitation
Sports activities for amputees
Prosthesis prescription and recent developments
Long-term sequelae of amputees
Summary
Chapter 7. Revision vascular surgery
Introduction
Graft occlusion
Supra-inguinal graft thrombosis
Infra-inguinal graft thrombosis
Graft infection
Graft aneurysms
Carotid artery
Revision surgery after endovascular aortic aneurysm reconstruction
Revision surgery after infected endovascular aortic aneurysm reconstruction
Revision after thoracic endovascular aortic aneurysm reconstruction
Chapter 8. Management of acute lower limb ischaemia
Introduction
Aetiology
Clinical features
Initial management
Revascularisation
Further management
Special considerations
Stent graft thrombosis
Acute limb ischaemia in neonates, infants and young children
Overall prognosis in acute limb ischaemia
Conclusions
Chapter 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
Chapter 10: Extracranial cerebrovascular disease
Introduction
Risk factors
Aetiology
Presentation of carotid disease
Investigation of patients
Management of cerebrovascular disease
Management of carotid disease
Surgical management of carotid disease – carotid endarterectomy
Endovascular treatment of carotid disease
Peri-procedural haemodynamic problems
Distal embolism
Chapter 11. Vascular disorders of the upper limb
Introduction
Clinical examination
Occlusive disease
Aneurysmal disease
Upper limb embolism
Thoracic outlet syndrome
Subclavian–axillary vein thrombosis
Chapter 12. Primary and secondary vasospastic disorders (Raynaud’s phenomenon) and vasculitis
Introduction
Raynaud’s phenomenon
Conclusion
Vasculitis
Chapter 13: Peripheral and abdominal aortic aneurysms
Introduction
Epidemiology
Pathophysiology
Clinical features
Screening
Principles of management
Repair of intact abdominal aortic aneurysm
Operative repair of ruptured abdominal aortic aneurysm
Juxta-renal abdominal aortic aneurysm
Peripheral aneurysms
Chapter 14. Thoracic and thoraco-abdominal aortic disease
Introduction
Imaging of the thoracic aorta
Thoracic aortic aneurysms
Thoraco-abdominal aortic aneurysms
Recent technological advances
Thoracic dissection and acute aortic syndrome
Treatment of chronic type B dissections
Traumatic aortic injury
Chapter 15. Renal and visceral arterial disease
PART 1. Disorders of The Renal and Mesenteric Circulation:
Part 2. Mesenteric vascular disease
Chapter 16. Central venous and dialysis access
Introduction
Central venous access
Renal replacement therapy
Permanent dialysis access
Access in children
Access for non-renal indications
Acknowledgement
Chapter 17. Varicose veins
Introduction
Pathophysiology
Epidemiology and natural history
Clinical presentation
Clinical assessment
Venous investigations
Treatment
Evidence for varicose vein interventions
Areas of controversy
Rationing of varicose vein treatments
Conclusions
Chapter 18. Chronic leg swelling
Chronic venous insufficiency
Summary
Dependency and inactivity
Lymphoedema
Chapter 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 pharmaco-mechanical devices
The future
Chapter 20. Vascular anomalies
Introduction
Classification
Vascular tumours
Tufted angioma
Kaposiform haemangioendothelioma
Vascular malformations
Conclusions
Index

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