Carotid Artery Surgery

1st Edition

A Problem-based Approach

Editors:

  • Print ISBN 9780702024320

Table of 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 Endarterect

Details

No. of pages:
432
Language:
English
Copyright:
© 2000
Published:
Imprint:
Saunders Ltd.
Print ISBN:
9780702024320

About the editors