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| CAROTID ARTERY SURGERY
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A Problem-based Approach
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Edited By
A. Naylor, MD, FRCS, Consultant, Vascular Surgeon and Honorary Senior Lecturer, Department of Surgery, Leicester Royal Infirmary, Leicester, UK
William Mackey, MD, Professor of Surgery, Tufts University School of Medicine; Chief of Vascular Surgery, New England Medical Center Hospital, Boston, MA
Description
Here's 30 insightful debates on the most frequently encountered and controversial clinical issues related to the surgical management of
carotid artery diseases. Leading European and North American surgeons offer their views on patient selection, preoperative management,
operative technique, and post-operative care. Conclusions and management options are summarized at the end of each discussion for easy
referral. This is the perfect source for evidence-based recommendations and expert opinions on the questions and problems encountered
daily by vascular surgeons.
Contents
PATIENT SELECTION:
1. The Randomised Trials for Symptomatic Disease: How Should They Influence My Clinical Practice?
2. The Randomised Trials for Asymptomatic Disease: How Should They Influence My Clinical Practice? 3. Is There A Role for Emergency or
Urgent Carotid Endarterectomy? 4. When Should I Perform Carotid Endarterectomy after a Complete Stroke? 5. In Patients with Combined
Carotid and Coronary Disease, Should I Perform a Staged or Synchronous Procedure? 6. Is there a Role for Carotid Artery Surgery in Patients
with Non-hemisopheric or Vertebro-basila Symptoms? 7. Should Cost-effectiveness Influence Patient Selection for Carotid Surgery?
EVALUATION
AND PRE-OPERATIVE MANAGEMENT:
8. Is Duplex Ultrasound Alone Sufficient for Pre-operative Imaging? 9. Is There A Role for Pre-operative
Magnetic Resonance Angiography? 10. Which Patients Should Undergo Contrast Angiography? 11. Does Routine Pre-operative CT Scanning Alter
Patient Management? 12. Which Patients Require Pre-operative Assessment by a Neurologist? 13. Which Non-cardiac Medical Conditions Alter
the Operative Risk? 14. When is Pre-operative Cardiac Evaluation Advisable? 15. What Does Optimal Medical Management Really Entail?
OPERATIVE
CARE:
16. What Evidence is there that Regional Anaesthesia Confers Any Benefit over General Anaesthesia? 17. What Steps Can I
take to Minimise Inadvertent Cranial Nerve Injury? 18. What Practical Steps Can I Take if I a) know pre-operatively that the lesion
extends very high or b) unexpectedly encounter a high lesion during operation? 19. What is the Optimal Peri-operative Antithrombotic
Regimen? 20. Should All Patients Be Shunted: If Not How Will I Predict Which Patients Require a Shunt? 21. How Can I Achieve the Optimal
Flow Surface and Distal End-pointing Following Carotid Endarterectomy?22. Should All Patients Be Patched: If Not How Should I Select
Which Patients to Patch? 23. When Should I Abandon A Planned Endarterectomy? 24. Is There Any Evidence that Peri-operative Monitoring
and Quality Control Assessment Alters Clinical Outcome? 25. Is there a Role for Carotid Angioplasty/Stenting?
POST-OPERATIVE
MANAGEMENT:
26. How Should I Manage A Patient Who Suffers a Peri-operative Neurological Deficit? 27. How Can I Balance Patient
Safety and Cost-effectiveness in Planning Early Post-operative Care and Hospital Discharge? 28. Does Serial Post-operative Clinical or
Duplex Surveillance Reduce the Long-term Stroke Risk? 29. When Should I Re-operate for Recurrent Carotid Stenosis? 30. How Should I Manage
A Patient with an Infected Prosthetic Patch?
| Bibliographic details |
Hardbound, 432 pages, publication date: MAY-2000
ISBN-13: 978-0-7020-2432-0
ISBN-10: 0-7020-2432-5
Imprint: SAUNDERS
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Last update: 30 Nov 2009
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