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Vascular Surgery
A Clinical Guide to Decision-making
- 1st Edition - October 14, 2021
- Editors: Piergiorgio Settembrini, Alberto M. Settembrini
- Language: English
- Paperback ISBN:9 7 8 - 0 - 1 2 - 8 2 2 1 1 3 - 6
- eBook ISBN:9 7 8 - 0 - 1 2 - 8 2 2 1 5 1 - 8
Vascular Surgery: A Clinical Guide to Decision-making is a concise but comprehensive resource for operating vascular surgeons and clinicians. It serves as an essential reference… Read more
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Request a sales quoteVascular Surgery: A Clinical Guide to Decision-making is a concise but comprehensive resource for operating vascular surgeons and clinicians. It serves as an essential reference manual, particularly to young vascular surgeons, for consulting the basic scientific knowledge of pathogenesis of various illnesses, as well as how to approach them in a clinical setting. Adopting a translational approach, this book dissects the background of vascular pathology and links it to application in surgical techniques, as well as providing practical tips and tricks for surgical maneuvers.
With insights and suggestions from various experienced and skilled vascular surgeons, this book covers a range of topics including the origin of diseases, clinical presentation, and therapeutic options, from medical therapy to surgical or endovascular approach. Each chapter also reviews international cutting-edge research in the vascular field and its clinical application, illuminating future developments in the field.
With the contributions of first-class vascular surgeons, this book also covers uncommon and advanced case studies while exploring the pros and cons of each intervention option, helping practitioners make informed decisions when facing difficult cases. This unique reference also helps young surgeons to make quick decisions in challenging cases, such as how to choose between open and endo treatment.
- Presents indications, techniques and results for various vascular surgery procedures completed with an overview about pros and cons of a treatment, allowing readers to make a quick decision when facing peculiar clinical cases
- Adopts a translational approach, dissecting the background knowledge of vascular pathology and linking it to application in surgical techniques, along with a summary tips and tricks regarding surgical maneuvers
- A global involvement from experienced vascular surgeons in the field, covering surgical techniques and important research from around the world, devising the future developments of the field</LI></UL>
Vascular surgeons, but also cardiologists or interventional radiologists specifically in the first phase of their career or others who are approaching particular situations in the vascular field. School of specialization of vascular surgery, cardiology or radiology
- Cover image
- Title page
- Table of Contents
- Copyright
- List of contributors
- Preface
- Chapter 1. Is pathology useful in vascular surgery?
- Abstract
- Introduction
- Cellular pathology of abdominal aortic aneurysms
- Vascular endothelial and smooth muscle cells play key roles in maintaining vascular functionality
- Experimental models of AAA and therapeutic targets
- References
- Chapter 2. Risk factors and pharmacological therapy in patients with vascular disease
- Abstract
- Introduction
- Arterial atherosclerosis and inflammation
- Risk factors
- Non-modifiable risk factors
- Modifiable risk factors
- Medical therapy
- Modifiable risk factors correction
- Smoking cessation
- DM treatment
- Hypertension
- Dyslipidemias
- Physical activity
- Sleep disorders
- Antiplatelet treatment
- Anticoagulant therapy
- Summary
- References
- Chapter 3. Carotid dissections, aneurysms, and paragangliomas
- Abstract
- Dissection
- Aneurysms
- Carotid body tumors
- References
- Chapter 4. Carotid artery stenosis: endarterectomy or stenting?
- Abstract
- References
- Chapter 5. Subclavian, vertebral, and upper limb arteries: a difficult surgical field
- Abstract
- Subclavian artery
- Surgical exposure of the subclavian artery
- Vertebral artery
- Axillary artery
- Brachial artery
- Radial and ulnar arteries
- References
- Chapter 6. Thoracic outlet syndrome: diagnostic and therapeutic update
- Abstract
- Introduction
- Anatomy
- Neurogenic thoracic outlet syndrome—making the diagnosis
- Venous thoracic outlet syndrome—making the diagnosis
- Arterial thoracic outlet syndrome—making the diagnosis
- Neurogenic thoracic outlet syndrome—treatment
- Venous thoracic outlet syndrome—treatment
- Arterial thoracic outlet syndrome—treatment
- Postoperative care
- Unexpected outcomes
- Residual symptoms and recurrence
- Some final words
- References
- Chapter 7. Artero-venous fistulas for hemodialysis: surgical and endovascular approaches
- Abstract
- History of vascular access
- Time of referral for vascular access creation
- Clinical decision making of vascular access
- Surgical technical aspects: tips and tricks
- Complications
- Technical note for AV endovascular rescue
- Percutaneous endovascular creation of vascular access (endoAVF)
- Abbreviations
- References
- Chapter 8. How to approach elective and urgent thoracic aortic aneurysms
- Abstract
- Introduction
- Definition and epidemiology
- Etiology
- Diagnosis
- Treatment
- Surgical treatment
- Endovascular treatment
- Conclusions
- References
- Chapter 9. Aortic dissections—the correct identification and treatment
- Abstract
- Introduction
- Pathogenesis
- Classification
- Epidemiology
- Risk factors
- Presentation
- Diagnosis
- Treatment
- Type A aortic dissection
- Type B aortic dissection
- Lifelong management and follow-up
- References
- Chapter 10. Thoraco-abdominal aortic aneurysms: when and how to do it
- Abstract
- Acronyms
- Introduction
- Preoperative management
- Anatomic classification
- Operative management—open
- Anesthesia
- Intraoperative monitoring strategies
- Intraoperative management
- Organ protection
- Crawford extent I
- Organ protective measures
- Positioning
- Exposure
- Clamping and aortic repair
- Crawford extent II
- Crawford extent III and V
- Crawford extent IV
- Operative management—endovascular
- Overview of device types
- Preoperative planning
- Organ protection
- Conduct of total endovascular repair
- Hybrid and staged repair
- Patient outcomes
- References
- Chapter 11. How to treat aorto-iliac occlusions?
- Abstract
- Definition
- Epidemiology
- Arterial lesion characteristics
- Anatomical classification
- Endovascular versus surgical treatment
- References
- Chapter 12. Elective and emergent repair of abdominal aortic aneurysm: selection of open or endovascular strategy
- Abstract
- Introduction
- Elective repair of abdominal aortic aneurysm
- The main technical considerations during an elective open repair
- The main technical considerations during an elective endovascular aneurysm repair
- Adjunct procedures
- The main technical considerations during an endovascular aneurysm repair of rupture abdominal aortic aneurysm
- How to improve both early and long-term results of abdominal aortic aneurysm repair?
- Conclusions
- References
- Chapter 13. Limits to endovascular approaches in aortic disease
- Abstract
- Salient points
- Introduction
- Implications of stent-graft materials
- Discussion
- Conclusions
- References
- Chapter 14. Peculiar patterns of aortic pathology: diagnosis and best treatment
- Abstract
- Aortovenous fistula
- Aortoenteric fistula
- Abdominal aortic aneurysms in transplant patients
- Horseshoe kidney, renal ectopia, and abdominal aortic aneurysm
- Abdominal aortic aneurysm and coexisting visceral/renal ischemia
- References
- Chapter 15. Infection of a vascular graft: what and how to amend it?
- Abstract
- Introduction
- General considerations: what is vascular graft and endograft infection? Definition and epidemiology
- Confirming VGEI: clinical presentation, laboratory and imaging modalities
- What to do with VGEI: treatment strategies
- Follow-up and prognosis
- Conclusions
- References
- Chapter 16. Renal and visceral vessels lesions: how to manage them
- Abstract
- Introduction
- Renal artery disease
- Visceral artery lesions
- Nonatherosclerotic mesenteric arterial disease
- References
- Chapter 17. Acute ischemia of the limbs: which is the correct approach?
- Abstract
- Introduction and etiology
- Clinical evaluation
- Decision-making
- Compartmental syndrome
- Postoperative treatment and follow-up
- Conclusions
- References
- Chapter 18. Iliac–femoropopliteal district: decision-making and current statement—steno-occlusive disease
- The importance of inflow and outflow districts
- Decision-making: inflow iliac–femoral district
- Multilevel disease
- Decision-making: outflow femoropopliteal district
- Conclusions
- References
- Chapter 19. Iliac-femoro-popliteal district: decision making and current statement—aneurysms and nonatherosclerotic pathology
- Abstract
- Iliac artery aneurysm
- Clinical presentation
- Diagnosis
- Surgical treatment
- Preservation of pelvic circulation
- Iliac artery endofibrosis
- Persistent sciatic aneurysm
- Femoral pseudo-aneurysms
- Treatment
- Popliteal aneurysm
- Treatment
- Popliteal entrapment syndrome
- Adventitial cystic disease
- Diagnosis
- Treatment
- References
- Chapter 20. Below the knee arteries—the why and how of surgical approaches
- Abstract
- Why?
- How?
- Conclusions
- References
- Further reading
- Chapter 21. Below-the-knee arteries—the why and how of endovascular treatment
- Abstract
- Body
- Below-the-knee vessels and foot vascular anatomy
- Angiosomes of the foot and ankle
- TASC lesions classifications
- Targets in critical limb ischemia revascularization
- Preprocedal planning
- Treatment strategy
- Digital subtraction angiography with anterograde puncture of common femoral artery
- Complications in below-the-knee
- References
- Chapter 22. Management of the diabetic arteriopathy and diabetic foot
- Abstract
- Multidisciplinary approach: the key role of diabetologists/podiatrists
- Interaction hospital-territory
- Vascular management
- Infection management
- Foot surgery
- Summary
- References
- Chapter 23. Vascular Trauma
- Abstract
- Basic principles of evaluation and management
- Mechanisms and pathophysiology of vascular injuries
- Evaluation, diagnosis, and imaging
- Hemorrhage control and resuscitation
- Basic surgical principles
- Endovascular treatment of vascular trauma
- Postoperative considerations/complications
- Long-term follow-up and outcomes
- Common clinical scenarios: extremity trauma
- Common clinical scenarios: blunt cerebrovascular injuries
- Common clinical scenarios: blunt thoracic aortic injury
- Common clinical scenarios: axillosubclavian trauma
- References
- Chapter 24. Aneurysmatic degeneration of connective tissue diseases: from diagnosis to treatment
- Abstract
- Introduction
- Syndromes
- Vascular Ehlers–Danlos syndrome
- Loeys–Dietz
- Aneurysm-osteoarthritis syndrome
- Shprintzen–Goldberg syndrome (velocardiofacial syndrome)
- Arterial tortuosity syndrome
- Turner syndrome
- Familial thoracic aortic aneurysms and dissections nonsyndromic disorders
- Summary
- Conclusions
- References
- Chapter 25. Vasculitis and arteritis: how to recognize and manage them
- Abstract
- Large-vessel vasculitis
- Medial-vessel vasculitis
- Small-vessel vasculitis
- Vasculitis and COVID-19
- References
- Chapter 26. How do I handle deep vein thrombosis and acute pulmonary embolism from A to Z?
- Abstract
- Deep vein thrombosis
- Access
- Thrombus clearance
- Intravascular ultrasound
- Stenting
- Acute pulmonary embolism
- Technical alternatives
- Management tips and tricks
- Access
- Conclusion
- References
- Chapter 27. Superficial venous system: how it?
- Abstract
- Clinical evaluation
- Instrumental diagnosis
- Varicose veins treatments
- References
- Chapter 28. Wound care: how to approach venous, arterial and diabetic ulcers
- Abstract
- Introduction
- Pathophysiology of the ulcer
- Venous ulcers
- Arterial ulcers
- Diabetic ulcers
- Diagnostic approach
- Wound assessment
- How to approach wound healing
- Venous ulcers
- Arterial ulcers
- Diabetic ulcers
- Take home messages
- References
- Index
- No. of pages: 360
- Language: English
- Edition: 1
- Published: October 14, 2021
- Imprint: Academic Press
- Paperback ISBN: 9780128221136
- eBook ISBN: 9780128221518
PS
Piergiorgio Settembrini
Piergiorgio Settembrini is a professor of Vascular Surgery at the University of Milan, the President of the Emilio Trabucchi Foundation, and an advisor to Silk Biomaterials, SRL. He has previously been a professor of Vascular Surgery at the University of Modena and Milan and Chair of Vascular Surgery at San Carlo Borromeo Hospital in Milan. He is a founding member of the Italian Society of Vascular and Endovascular Surgery, a member of the European Society of Vascular Surgery, where he is a Distinguished Fellow and the Vice President of the Italian Chapter. For many years he also has been the representative of Italy to the European Board of Vascular Surgery of the Union Européenne des Médicins Specialistes (UEMS) and was named as Honorary Fellow of the European Board. He is the author of more than 250 journal publications and a reviewer for several vascular surgery journals, four books, and videos of surgical techniques.
Affiliations and expertise
Professor of Vascular Surgery, University of Milan, Milan, ItalyAS
Alberto M. Settembrini
Alberto M. Settembrini is a vascular surgeon at Fondazione Ca’ Granda Ospedale Policlinico of Milan. He is an adjunct professor of Vascular Surgery at the Residency School of Vascular Surgery at the University of Milan and a fellow of the European Board of Vascular Surgery. He is a member of the Society for Vascular Surgery, the Italian Society of Vascular and Endovascular Surgery, and the European Society for Vascular Surgery, where he has previously been the National Representative of Italy to the European Vascular Surgeon in Training group. He is author of numerous journal publications and book chapters, and is the editor of two books.
Affiliations and expertise
Vascular Surgeon, Fondazione Ca’ Granda Ospedale Policlinico Di Milano, Milan, ItalyRead Vascular Surgery on ScienceDirect