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Endovascular Interventions uses a case-based approach to present the current methodology used for the treatment of peripheral arterial and venous diseases. Utilizing a series of case studies, the book presents readers with a range of complexities and complications encountered in daily practice, along with tips and tricks for overcoming them. Chapters are organized to give a comprehensive look at conditions involved in endovascular interventions, including intracranial strokes, lower extremity artery disease, access-related pseudoaneurysm, complications of intra-aortic balloon pumps, aortic dissections, and septic arteritis. Endovascular Interventions: A Case-Based Approach is a practical guide and valuable resource for the practicing interventional cardiologist, interventional radiologist, vascular surgeon and cardiothoracic surgeon.
Cardiovascular surgeons are being challenged by ever-increasing numbers of patients with deficient quantity, or poor quality, of conduit available for surgical coronary revascularizations. As a result, the surgeon must use alternative conduits and/or methods to provide a safe and effective coronary revascularization procedure. The aim of this book is to assist the surgeon with these less-than-ideal conditions and provide the new and/or clinically active surgeon with a source of reference for the use of alternative conduits and surgical coronary revascularization methods. A discussion of the standard bypass conduits (internal mammary artery and the greater saphenous vein) is presented in addition to a discussion of the alternative venous and arterial bypass conduits. The internal mammary artery and the saphenous vein as alternative bypass conduits are also presented in detail. In the final sections, nonconduit revascularization techniques and artificial grafts are discussed.
This book comprehensively covers the latest advances in cardiovascular medicine. Key diagnostic and treatment points are reviewed across a range of cardiovascular issues, including concurrent cardiac problems, patients with cancer, peri-operative surgical and post-trauma patients, patients in the emergency department, pregnancy in the obstetric units, and the care of critically ill patients in medical and surgical intensive care units. Cardiology Consult Manual provides a detailed and clinically relevant guide for the cardiology practitioner of the potential cardiac issues encountered within the cardiology consult service and also a range of professionals in related disciplines. It therefore provides an important resource for all cardiology trainees, fellows, practitioners and health care providers involved in the management of patients with cardiovascular disease.
This book reviews the management of right heart diseases, incorporating etiology, physiopathology, prevention, diagnosis and treatment. The frequency of this pathology has increased in recent years, while techniques for its treatment have evolved. This book therefore represents a complete, detailed and updated presentation of this pathology, reviewing the expanded treatment options while considering the management of patients in detail. Right Heart Pathology: From Mechanism to Management provides a comprehensive insight into right heart pathology, current diagnostic methods, treatments and postsurgical management. Written by experienced cardiologists and cardiovascular surgeons who have addressed significant issues in this topic area, it represents the essential reference in this specialty.
This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.
This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries. The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the "endovascular era", it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses. The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery. This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods."
Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units. This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.
Disease of the heart valves is increasingly common and frequently requires treatment, usually a combination of drug therapy and surgery to repair or replace the valve. The majority of valvular heart disease occurs in older people, and is due to degenerative disease of the valve tissue. Understanding how to diagnose, investigate and manage patients with valvular heart disease is a core skill for a wide range of doctors, including cardiologists, cardiac surgeons, general physicians, general surgeons and anaesthetists. Valvular heart disease can also occur in younger patients and can be particularly challenging to diagnose and treat in pregnant women. New advances in cardiology mean a range of valvular heart disease can be treated with percutaneous procedures avoiding the need for full cardiac surgery. This unique text covers all aspects of valvular heart disease, including normal valve anatomy and physiology, pathophysiology, modes of investigation, assessment and treatment of specific valve lesions, valve surgery (both medical and surgical aspects), treatment in pregnancy or during non-cardiac surgery, and the devastating complication of infective endocarditis, in an easy-to-read, accessible format. It contains over 150 high quality pictures and illustrations, providing contemporary diagnostic imaging (including conventional radiography, echocardiography and magnetic resonance imaging) to demonstrate the importance of imaging in diagnosis and treatment. Individual valve lesions are reviewed in turn with specific indications for intervention in line with current European guidelines. The handbook complements the curriculum for specialist training in the UK, and is relevant to candidtaes in preparation for accreditation with the British Society of Echocardiography.
This volume opens by providing a comprehensive overview of the use and regulation of metals in our society, metal properties, and available testing methodologies. Common and uncommon metal allergens and sources of exposure are then reviewed in depth, detailing allergic responses and paying special consideration to select patient populations. In the general population, the prevalence of metal allergy is high. Environmental sources of metal exposure include jewelry, clothing, electronic devices, coins, leather, diet, and occupational exposure. Metal allergy may result in allergic contact dermatitis and systemic contact dermatitis, as well as several less common manifestations. Further, metal allergy has been associated with device failure and/or dermatitis following implantation of medical devices and dental implants. As metals are ubiquitous, this book will be indispensable for a wide range of clinicians and investigators. This handy reference will meet the needs of all health professionals and investigators who are interested in metal allergy and its diagnosis and management.
The growth of thoracic surgery in China was much more difficult than in many industrialized countries over the first five decades because of the ever-changing political and harsh socioeconomic conditions. The struggle to establish this specialty in a developing country with more than one fifth of the world population was certainly one of the most crucial challenges in the last century. The book is the first ever published in the English language to provide a comprehensive review of the history of cardiothoracic surgery in China. It highlights the remarkable surgical heritage of which the younger generation of Chinese surgeons should be proud. A unique feature of this volume is that all contributors are acknowledged experts and leaders in the field of cardiothoracic surgery, both nationally and internationally. Many of the photographs have never been published before.
This book will consider several clinical and interventional topics for which there is uncertainty, continued debate and/or no consensus based on current guidelines. While there are numerous guidelines in cardiology, new and on-going trials that address new drugs treatments and procedures raise many unanswered questions. Furthermore, most practicing cardiologist taking care of the patients are likely unable to digest all of these studies or guidelines and necessarily correctly apply them to their patients. If one considers in the guidelines the frequent use of Level C (consensus), there are many areas or situations where no trial exists. Also, when applying the results of a trial to an individual patient, there can be uncertainty of how this patient should be managed based on the present body of evidence.
Coronary angioplasty is a procedure used to widen blocked or narrowed coronary arteries, the main blood vessels supplying the heart. The term 'angioplasty' means using a balloon to stretch open a narrowed or blocked artery. However, most modern angioplasty procedures also involve inserting a short wire-mesh tube, called a stent, into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely (NHS Choices). This book is a complete guide to the practice of coronary angioplasty for practising cardiologists and trainees. Beginning with an introduction to the evolution of the technique and the fundamentals of stent design, each of the following chapters provides in depth detail on angioplasty procedures for different disorders. The final sections discuss potential complications, rehabilitation, outcomes, and the future of angioplasty. This comprehensive text is highly illustrated with clinical photographs, diagrams and tables to enhance learning. Key Points Comprehensive guide to coronary angioplasty for clinicians and trainees Describes the complete evolution of the technique, from its beginnings to future developments Covers angioplasty procedures for many different disorders Highly illustrated with clinical photographs, diagrams and tables
Since the publication of the first edition of Cardiac Pacing for the Clinician, the use of implantable cardiac devices has expanded rapidly. Certain classes of devices such as implantable loop recorders and cardiac resynchronization pacing systems were not commonly used when the first edition was published, and recent studies have shown that implantable cardioverter defibrillators are beneficial in large, previously unrecognized patient populations at risk for sudden death. In order to meet this demand, cardiologists without special training in electrophysiology or pacing are implanting an increasing number of cardiac devices. It is in this rapidly evolving setting that Cardiac Pacing for the Clinician, Second Edition is being undertaken.
The main focus of this volume will be to provide a practical discussion of the a oenuts and boltsa of implantable cardiac devices. The target audience will be cardiologists in practice and in training as well as nurses, technologists and industry. In addition, it will benefit physicians preparing for certification.
Additions to the new edition will include: Chapters discussing new cardiac devices; Implantation of Left Ventricular Leads for Cardiac Resynchronization Pacing Systems; Identification of Candidates for Cardiac Resynchronization Therapy; Follow-Up Issues in Cardiac Resynchronization Therapy; Implantable Loop Recorders.
Updates to the existing chapters will include: New Trial Information & Follow-Up of the Newest Generation of Defibrillators; Use of Defibrillators in Patients at Increased Risk for Sudden Cardiac Death due to Long QT Syndrome, Brugada Syndrome and Congenital Heart Disease; Updates to Lead Extraction a" NewTechniques and Tools; Cardiac Pacing chapter will shift focus to Cardiac Devices.
This new edition of Cardiac Pacing for the Clinician, Second Edition will become a valuable resource to the general cardiologist and cardiology fellow by providing practical information for managing patients with complex cardiac devices.
This book describes the molecular mechanisms of lung cancer development and progression that determine therapeutic interventions in the era of genomics, when the rapid evolution in lung cancer diagnosis and treatment necessitates critical review of new results to integrate advances into practice. The text opens with background and emerging information regarding the molecular biology of lung cancer pathogenesis. Updated results regarding lung cancer prevention and screening are discussed, followed by chapters on diagnostic techniques and pathological evaluation. This leads on to a detailed presentation of treatment modalities, from surgery and radiation therapy to standard chemotherapy and targeted agents. The coverage includes resistance to therapy and the emergence of immunotherapy for lung cancer; in addition, the current evidence in respect of small cell lung cancer is summarized. The book presents insights from experts across disciplines to emphasize the importance of collaborative care. Advances in our understanding of issues in geriatric oncology and palliative care complete the comprehensive discussion of lung cancer.
A complete, how-to-do-it guide to planning, programming, implementing, and trouble-shooting todays pacemakers and other implantable cardiac devices Edited by a team of leading clinician-educators this is a practical, go-to reference for trainees and clinical staff who are new to or less experienced with the programming and management of implantable devices. It distills device best-practices into a single, quick-reference volume that focuses on essential tasks, common pitfalls, and likely complications. Each chapter follows a hands-on, how-to-do-it approach that helps readers quickly master even the most challenging device-related taskssuch as programming and how to respond confidently when complications arise. Todays pacemakers and other implantable EP devices are to earlier versions what smart phones are to rotary phones. They are not only smaller and more comfortable; they offer complex programming options that allow clinicians to adapt a device to individual patient requirements. As they continue to become smaller, smarter, and more adaptable, these devices also become more challenging for clinicians to set up, manage and monitor. This unique, quick-reference guide dramatically reduces the learning curve for mastering this essential technology by giving doctors and technicians the how-to information they need. Focuses on tasks clinicians perform, including pre-implementation, planning, programming, management, troubleshooting, and more Shows how expert clinicians achieve optimal outcomes in their own labs with real-world examples Features more than 300 images, including ECGs, X-ray and fluoroscopy, images from device interrogation, intracardiac electrograms, and color electoanatomical maps Provides eight videos on an accompanying website demonstrating key tasks and techniques Also available in an eBook version, enhanced with instructional videos, How-to Manual for Pacemaker and ICD Devices is an indispensable tool of the trade for electrophysiologists, fellows in electrophysiology, EP nurses, technical staff, and industry professionals.
Nearly all of us will, at some point, know someone who was born with a heart defect. But, as the surgical scars so often remain hidden, we just might not realise it.; Powerfully telling of the patients and their experiences, Open Hearts is a remarkable medical story: we are often so focused on 'extraordinary' people and their achievements, we forget just how incredible the 'ordinary' achievements of living can be.; Until the 1960s 'blue babies' were a striking sight in our streets. Suffering from congenital heart disease offered a bleak outlook to young patients and a heartbreaking experience for parents. Very few would make it to adulthood; now, in the West at least, most have a much higher chance of survival.; In Open Hearts Kate Bull, formerly a cardiologist at Great Ormond Street Hospital, tells not just of the development of heart surgery in children, but of the patients, past and present, whose lives have been transformed. Besides the technology, the sociology of medicine has changed substantially since the 1950s - think of the atmosphere of children's wards.Other things have barely changed - consider the dread of kissing your child goodbye at the door of an operating theatre in any era. ; Children's heart surgery is often seen as a medical triumph; but, for all the successful operations completed, thousands of pioneering patients have gone before, perhaps facing their own uncertain futures. Today, we place great hope in the power of science. Many lives have been saved; but, sometimes, we ask medicine to do more than it can.; By turns frightening, heart-wrenching and inspiring, Open Hearts is a powerful story of medical progress, hope and survival.
The revised fourth edition of this classic textbook on cardiac anatomy written from the stance of the cardiac surgeon features many new images, including computed tomography angiography. The provision of multiple high quality surgical and pathological photographs makes it essential reading for cardiac surgeons, and of great value to cardiologists, surgical pathologists, radiologists and anaesthetists. The book will also be a valuable reference resource for any healthcare professional or researcher who needs to understand detailed cardiac anatomy. The book begins by describing the surgical approaches to the heart. It goes on to discuss the normal surgical anatomy of the cardiac chambers, the valves, and the systems for circulation and conduction within the heart. This provides the essential anatomical information required to assess and interpret the malformations, lesions and abnormalities discussed in the remainder of the book.
This text serves as a convenient one-stop resource on the pathogenesis, diagnosis and treatment of kidney diseases in context of advanced heart failure and presence of ventricular assist devices. Advances in managing heart failure, evidence-based practices and therapies are covered, along with the management of this unique and complex subset of patients. The book also provides insights into combined heart and kidney transplantation. Authored by leaders in nephrology, cardiology and transplantation, this book fills a critical knowledge gap in understanding and treating patients with acute or chronic dysfunction of the heart and kidneys and how one induces dysfunction in the other organ.
Achieve the best outcomes with expert, practical, highly visual guidance! Operative Techniques in Thoracic and Esophageal Surgery features just the thoracic and esophageal surgery content from Operative Techniques in Surgery, the comprehensive 2-volume set edited by Michael W. Mulholland, MD, PhD. Ideal for practitioners who wish to focus on mastering today's best thoracic and esophageal surgery procedures, it takes you step-by-step through each technique in a consistent manner, using concise, bulleted text, full-color illustrations, and full-color intraoperative photographs to clearly convey exactly what to look for and how to proceed. Key Features Master the full range of essential procedures with comprehensive coverage of surgery of the trachea, lungs, esophagus, diaphragm, mediastinum, paraesophageal hernias, GERD, esophageal cancer, and esophageal perforation. Select the best open, laparoscopic, or endoscopic approach for each patient with balanced coverage of the available options. Gain rich, complete grasp of key nuances of technique by viewing photographs and medical illustrations side by side. Review intraoperative considerations for each procedure before making your way through the technique. Now with the print edition, enjoy the bundled interactive eBook edition , which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation A powerful search that pulls results from content in the book, your notes, and even the web Cross-linked pages , references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use
This well-illustrated handbook provides answers to important questions that may arise during the retrieval of multiple organs for transplantation and offers step-by-step descriptions of current surgical techniques for procurement of the various thoracic and abdominal organs, including heart, lung, liver, intestine, pancreas, and kidney. The coverage includes detailed instruction on liver splitting techniques and on living donor liver hepatectomies and laparoscopic and robot-assisted nephrectomy for transplantation. In addition, guidance is provided on preoperative evaluation for multiorgan donation, contraindications, management for organ retrieval in deceased donors, and organ preservation. The advice offered and the questions addressed will be of relevance not only to transplant surgeons, trainees, and fellows but also to all other professionals involved in organ transplantation, including nursing staff in intensive care units and emergency rooms.
This book reviews current knowledge and recent advances in the diagnosis and management of myopericardial diseases, a spectrum of medical diseases and syndromes affecting a significant proportion of patients in clinical practice and presenting either as an isolated process or as a manifestation of a systemic disease. Unlike in other books, both pericardial and myocardial diseases are fully covered. Detailed guidance is provided on diagnosis and the role of integrated cardiovascular imaging, medical therapy, interventional diagnosis and therapy, and surgical diagnosis and therapy. Importantly, up-to-date original information is presented on indications and guidelines/recommendations planned for publication in 2015. This well-illustrated book will be an invaluable aid to diagnosis and management for practitioners in a range of medical specialties, including cardiology, internal medicine, rheumatology, family medicine, cardiac surgery, nephrology, and endocrinology.
This book will aid surgeons in mastering the essential skills necessary in the ever expanding field of cardiac surgery. As well as presenting basic surgical principles, emphasis throughout the book has been placed on providing essential tips to make every cardiac surgical operation easy, reproducible and safe to perform, and tricks to enable surgeons to manage the difficult situations they are likely to encounter and prevent serious complications. Essentials of Operative Cardiac Surgery is an indispensable text for trainees and established consultants in adult cardiac surgery.
This book is intended for medical students unfamiliar with electrocardiograms (ECG); anyone just getting started with ECG can use this book to start from scratch. After familiarizing themselves with this simple and practical method for interpreting ECG, readers will discover how to quickly and easily read ECG strips without overlooking potentially abnormal conditions. Based on the authors' substantial experience, which is compared with other ECG interpretation methods and combined with traditional guidelines, the book equips readers with the fundamental knowledge and skills needed to rapidly and accurately read and interpret ECG.
This book on cardiac extracellular matrix (ECM) features three sections, Fundamental Science, Pre-Clinical and Translational Science, and Clinical Applications. In the Fundamental Science section, we will cover the spectrum of basic ECM science from ECM's role in development, biomechanical properties, cardiac ECM influence of cardiomyocyte biology, pathophysiology of ECM in heart disease, and ECM in tissue engineering. Section two, Preclinical and Translational Science, will discuss cardiac ECM technologies in the clinical pipeline including approaches to ECM as a therapeutic, animal models of cardiac research, tracking and imaging methods of cardiac ECM, and cGMP manufacturing and regulatory considerations for ECM based therapeutics. Finally, the third section, Clinical Applications, will highlight the clinical experience around cardiac ECM including therapeutic strategies targeting scar tissue in the heart, Clinical trial design and regulatory considerations, current human clinical trials in cardiovascular medicine and the role of pharmaceutical and biotech companies in the commercialization of ECM technologies for cardiovascular indications. This book provides a comprehensive review for basic and translational researchers as well as clinical practitioners and those involved in commercialization, regulatory and entrepreneurial activities.
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