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Central venous access devices (CVADs) are used within a variety of
areas in both hospital and community health care settings to
administer blood or fluids, to provide long term access for repeat
transfusion of blood or blood products, chemotherapy, parenteral
nutrition and antibiotic therapy, and to provide immediate access
in emergency situations.
This title is a comprehensive resource of aortic regurgitation suitable for both the novice and experienced practitioner. Detailed attention is given to the recently growing field of aortic valve-sparing surgery and aortic valve repair. Guidelines are also provided for general practitioners on how to treat patients after various aortic procedures. Also included are many operative photos, original medical illustrations and schematics. Aortic Regurgitation synthesizes current knowledge of aortic valve repair into an easy-to-follow, illustration-rich text. It is therefore an indispensable guide suitable for use by cardiologists and trainees in cardiology, cardiac surgeons, echocardiographers, general practitioners and radiologists.
The field of vascular surgery is undergoing a rapid and profound transformation - this third volume of Blackwell-Futura's monograph series "Endovascular Intervention: Today and Tomorrow" will help the reader stay ahead of the changes. New therapeutic options and innovative strategies for the management of aortic aneurysms and carotid artery disease are the most obvious examples of recent "revolutionary" advances, while infrainguinal revascularization may be next, as catheter-based femoropopliteal recanalization reemerges at the forefront of a wave of explosive growth in intervention. The availability of new drug-eluting stents is a further catalyst to progress in the field. These subjects and many more are discussed in detail by the expert authors of the book's 14 chapters.
This timely volume will be of considerable interest to practising vascular specialists. Vascular surgeons, interventional cardiologists, interventional radiologists, cardiac surgeons, and general cardiologists will all benefit from this current, insightful review.
This book spans topics in both congenital and acquired right heart disease providing readers with detailed information on the physiology, anatomy and myocardial mechanics of the right ventricle (RV), while describing the use of echo and MRI imaging to diagnose, and new developments in surgery and cardiac catheterization to treat. Right Ventricular Physiology, Adaptation and Failure in Congenital and Acquired Heart Disease includes extensive discussion of RV-pulmonary interactions, pulmonary hypertension and ventricular-ventricular interactions, including specific topics in embryology, fetal RV function, RV mechanics, pathophysiology of RV adaptation/ failure, molecular aspects of RV dysfunction, congenital heart disease, pulmonary arterial hypertension, pulmonary valve replacement, stem cell and future therapies. It is thus important reading for all cardiovascular medicine professionals, but especially pediatric cardiologists and surgeons, those who manage t hese patients in the cardiac care unit and investigators studying the RV.
This book provides an overview of the etiology of coronary artery disease and focuses on the main therapies and drug interventions currently available. It highlights drug pharmacology and therapeutic challenges, with a special emphasis on the underlying principles of available therapeutics and the on-going development of drugs for coronary artery disease. The book is divided into eight chapters, the first of which describes the classical mechanism of coronary artery disease and its clinical presentations. Chapter 2 lists the principles of and related evidence on the prevention and treatment of coronary artery disease. This includes diet and lifestyle management, and guidelines for the treatment of acute coronary syndrome and stable coronary artery disease. In turn, Chapter 3 describes revascularization treatments, covering percutaneous coronary interventions, coronary artery bypass grafts and thrombolysis. This chapter also addresses the main therapeutic challenges. The following chapters provide an overview of three major categories of coronary artery disease drugs, which target thrombosis (Chapter 4), lipid metabolism (Chapter 5), and hypertension (Chapter 6). Heart failure constitutes the major health burden in the late stage of coronary artery disease; accordingly, current heart failure therapeutics and related drug pharmacology are described in Chapter 7. In closing, Chapter 8 provides a summary of on-going clinical trials for coronary artery disease drug development and discusses a number of promising areas in which intensive research into new therapeutics is being pursued. Given its scope, the book will be of interest to clinicians, medical students and research scientists, as well as to pharmaceutical professionals who are seeking new therapies and drugs for coronary artery disease and related disorders.
This issue of Thoracic Surgery Clinics, guest edited by Drs. Vincenzo Ambrogi and Tommaso Mineo, is devoted to Nonintubated Thoracic Surgery. Drs. Ambrogi and Mineo have assembled expert authors to review the following topics: Technical issues and patient safety in nonintubated thoracic anesthesia; Management of primary and secondary pneumothorax in nonintubated VATS; Treatment of pleural effusions with nonintubated VATS; Nonintubated VATS for chest infections; Nonintubated VATS lung biopsy for interstitial lung disease; Nonintubated VATS wedge resection of peripheral early lung cancer; Anatomical segmentectomy in nonintubated VATS; VATS lobectomy for lung cancer in nonintubated anesthesia; Nonintubated VATS tracheal and bronchial sleeve resection for lung cancer; Nonintubated tracheal surgery; Management of intraoperative crisis during nonintubated thoracic surgery; Team training for nonintubated thoracic surgery; and more!
The rapid technical improvement of the extracorporeal circulation in the past decades has led to safer, more comfortable and more compatible operations in cardiac surgery and interventions which used to be an adventure are now routine practice. Although most technical variables can easily be accommo dated today, the physical influence of artificial circulation systems on blood and tissue still remains uncertain in many cases. One of our main observations in the use of the extracorporeal circulation is that the prolonged interaction with unphysiological surfaces and forces of ten releases a cascade of blood and tissue reactions, resulting in a complex type of "disease." Thus, the symptoms can range from unspecific pulmonary inflammations to a severe renal failure or from coagulation problems to a heavy cerebrovascular stroke. Based on these facts, an interdisciplinary workshop named "Current Per spectives of the Extracorporeal Circulation" took place in Duisburg, Ger many on March 26, 1999. The rationale behind the word "interdisciplinary" was to make a step for ward to establish a joint field of knowledge which would be capable of link ing the experiences and transfer the know-how of various specialists like car diac surgeons, neurologists, physiologists or the healthcare industry with their contributions to this essential topic from different perspectives."
This book is part of the Monographs in Cardiac Surgery Series - introducing 'basic science into the cardiac operating room'. It offers fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery 'tomes'. This entry into the series will provide readers with a complete review of the current understanding in brain injury and the methods used to avoid or limit its effects on patient morbidity and mortality.
In the dark years of apartheid, a boy grew up in a household with a terrible secret: although they were all of mixed origins, they had managed to `pass as white'. Young Winston Wicomb, however, was far too dark to fit in, and had to be hidden whenever someone knocked on their door. After struggling through school and even managing to obtain an university degree, he still remained unemployed due to his skin colour. To make ends meet, he serviced cars in their backyard, but never stopped dreaming about escaping the restraints of Apartheid. Then fate intervened. While distributing pamphlets advertising his mechanical skills, he found Professor Chris Barnard stranded next to the road. He offered to help even though he had no experience with the new Mercedes the professor drove. Barnard, surprised at the success of Winston's efforts and impulsive as ever, offered Winston a job in his research lab. It is here that Winston applied his knowledge and experience of matters mechanical to eventually produce the world's first apparatus to transport a living heart over long distances. `Vital Remains' tells to story of an unlikely hero, a huge risk, achievement ... and love.
In Thoracic Surgery: 50 Challenging Cases, editor Wickii T. Vigneswaran has selected 50 challenging cases presented by leading thoracic surgeons. Each case highlights a unique situation from which other surgeons can learn. The selection of Cases includes patients with diagnostic challenges, unconventional and innovative solutions, unexpected findings, and new techniques to treat old problems. The discussions after each case provide a useful starting point for further inquiry. Amply illustrated, this book reflects the wisdom and experience of world leaders in thoracic surgery and teaches junior surgeons how to approach the key thoracic surgical procedures, and how to manage in unexpected and difficult situations. This is a Masterclass in thoracic surgery. Editor Bio Wickii T. Vigneswaran is the Professor and Chief of Thoracic Surgery for the Department of Thoracic and Cardiovascular Surgery at Loyola University Health System.
Offering patients a higher safety profile and less discomfort than radio-frequency ablation, catheter cryoablation is a safe, effective and efficient alternative for clinicians treating atrial fibrillation and other arrhythmias. In The Practice of Catheter Cryoablation for Cardiac Arrhythmias, cardiac electrophysiologists, cardiologists and cardiology fellows will be able to gain an in-depth update in this rapidly advancing field. Those who wish to offer their patients this treatment option will learn how to master various procedural techniques related to catheter cryoablation. Edited by the pioneer of cryoablation therapy in Asia, with chapters written by expert cardiac electrophysiologists from centers in Asia, Europe and the US who have extensive experience using cryoablation to treat patients, this new book: * Provides comprehensive, clinically-focused guidance on all applications of catheter cryoablation for the treatment of arrhythmias * Focuses on catheter-based techniques that can be performed in the EP laboratory * Reflects global best practices form centers with extensive experience in cryoablation techniques * Covers the use of catheter cryoablation in both adult and pediatric arrhythmias To further enhance reader's understanding of the emergent techniques covered in the text, the book's companion website features video clips of live cryoablation procedures, plus case-based self-assessment questions for selected chapters.
This book introduces classic and unique cases in 3D TEE in structural heart disease interventions. In each all the 40 cases, background information, clinical presentations, and diagnostic findings are present and followed by step-by-step approaches of interventional therapies and outcomes after the procedures. The highlight of the book is to utilize extensive illustrations, over 500, to demonstrate various cardiovascular pathologies. Most of the figures are 3D transesophageal echocardiograms, they are cooperated with 2D transesophageal echocardiograms, X rays, fluoroscopies, computed tomograms, etc. Since the echo images obtained in clinic practice are moving images, it also includes over 300 videos, which serve as a supplement to the static illustrations in this book. The atlas is organized into five chapters. In Chapters one, cases received closure of congenital and acquired cardiac defects are described. Transcatheter aortic valve implantation and its complications are discussed in Chapter two and three. Chapter four details the valve-in-valve therapy. Chapter five covers MitraClip therapy. It offers readers an insider's view of 3D transesophageal echocardiography in structural heart disease interventions and to refresh their clinical work.
This issue of Thoracic Surgery Clinics of North America, guest edited by Drs. Inderpal S. Sarkaria and Abbas E. Abbas, is devoted to Paraesophageal Hernia Repair. Drs. Sarkaria and Abbas has assembled expert authors to review the following topics: Management of Complications in Paraesophageal Hernia Repair; Surgical Anatomy of Paraesophageal Hernias; Robotic Paraesophageal Hernia Repair; Management of Paraesophageal Hernia in the Obese Patient; Technical Options and Approaches to Lengthen the Shortened Esophagus; Laparoscopic Paraesophageal Hernia Repair; Short and Long Term Outcomes of Paraesophageal Hernia Repair; Pre-operative Evaluation and Clinical Decision Making for Giant Paraesophageal Hernias: Who Gets an Operation?; Common Tenets in Repair of Primary Paraesophageal Hernias: Reducing Tension and Maximizing Length; Management of Recurrent Paraesophageal Hernia; Transthoracic Paraesophageal Hernia Repair; Anesthetic Management for Paraesophageal Hernia Repair; and more!
This issue of Thoracic Surgery Clinics, guest edited by Dr. Bryan M. Burt, is devoted to Malignant Pleural Mesothelioma. Dr. Burt has assembled expert authors to review the following topics: Biomarkers for the Diagnosis and Monitoring of Malignant Pleural Mesothelioma; Taken Together: Effective Multimodal Approaches for Malignant Pleural Mesothelioma; Pleurectomy/Decortication for Malignant Pleural Mesothelioma; Preoperative Identification of Benefit from Surgery for Malignant Pleural Mesothelioma; The Role of Extrapleural Pneumonectomy in Malignant Pleural Mesothelioma; The Molecular Basis of Malignant Pleural Mesothelioma; Radiation Therapy for Malignant Pleural Mesothelioma; The Staging of Malignant Pleural Mesothelioma; Intraoperative Adjuncts for Malignant Pleural Mesothelioma: The Fourth Dimension; The Pathology of Malignant Pleural Mesothelioma; and more!
This clinical casebook is comprised of surgical cases involving the most important cardiovascular diseases in a concise, easy-to-read format (5x8 in trim size, like other titles in this burgeoning, informal product line in the Springer clinical medicine program).Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as questions and answers (between 8 and 10) about relevant aspects related to the diagnosis and treatment of the addressed disease. The Q&A section will broaden discussion and increase the title's pedagogical value. The casebook features 40 surgical cases in the following thematic areas: Aortic Disease, Arrhythmias, Cardiac Tumors, Coronary Insufficiency, Congenital Heart Disease, Endovascular Therapies, Heart Failure, Heart Transplantation, Mechanical Circulatory Support, Pericardial Disease, Pulmonary Embolism and Valvular Heart Disease. This book will be prepared by the Brazilian Department for Academic Leagues of Cardiovascular Surgery, within the Brazilian Society of Cardiovascular Surgery (BSCVS). This department is the section within BSCVS that consists of the academic leagues of cardiovascular surgery from each university throughout the country. In Brazil, medical academic leagues are organizations that gathers students, interns and residents to discuss a certain topic and promote research and teaching-oriented extra-class activities, supervised by a group of professors. Thus trainees will have involvement in writing the chapters and the senior professor supervisors will edit and finalize the work. Basically, each chapter is written by an intern or resident and, ultimately, his/her supervisor. As the books volume editors, doctors Almeida and Jatene will have final responsibility for the cases and overall manuscript.
This book comprehensively covers unusual and rare pathological cases in echocardiography. Chapters cover cases from diagnosis, to treatment and prognosis with engaging video clips including three dimensional video clips to enhance appreciation and understanding of echocardiography use in clinical practice. Cases covered include: pseudoaneurysm of aortic graft, congenital absence of pericardium, coarctation of aorta and patent ductus arteriosus. Clinical Cases in the Echocardiography Lab features comprehensive overviews of a wide range of rare pathologies in echocardiography, and is an essential resource for both the novice and experienced cardiology practitioner.
This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.
This book presents a series of over 50 cases in 3D transesophageal echocardiography. In each case, background information is followed by a step-by-step approach to patient diagnosis and postoperative outcomes. The book's most outstanding highlight consists in over 600 illustrations, which mainly focus on 3D transesophageal echocardiography in combination with 2D transesophageal echocardiography, X-ray fluoroscopy and computed tomography to demonstrate the various cardiovascular pathologies. Since the echo images obtained in clinic practice are moving images, it also includes more than 450 videos, which effectively supplement the static illustrations. The atlas is divided into 11 chapters. Chapters 1 through 3 describe abnormalities affecting mitral, aortic, tricuspid and pulmonary valves, while prosthetic valves are discussed in Chapter 4. Chapter 5 details abnormalities of the aorta. Chapters 6-8 examine coronary artery disease, congenital heart disease and cardiomyopathies, while Chapter 9 explores cases of infective endocarditis. Chapter 10 deals with tumor and mass lesions, and the other cases are collectively addressed in Chapter 11. Offering a valuable new resource, the book will enhance the usefulness of echocardiography during operations as a "third eye" for surgeons.
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.
Cardiac Surgery: Operative Technique, by Drs. Donald B. Doty and John R. Doty, is your essential source on how to perform today's full range of cardiac surgical techniques. Over 1,000 crisp illustrations and expert, evidence-based discussions guide you step by step, equipping you to perform all of the latest procedures and get the best outcomes. Focus on the practical how-tos you need to perform each operation. Know what to do, what to avoid, and how to manage complications with the authors' discussions of their preferred methods. Benefit from the seasoned expertise of two master cardiac surgeons with decades of experience. Keep your skills current with state-of-the-art coverage of coronary artery surgeries, heart-lung transplantation, lung transplantation, and much more - including the latest evidence for each procedure. Know what to look for and how to proceed with over 1,000 remarkable illustrations and photographs - many new, many in full color - that capture exactly what you will see during surgery. Access the complete contents and illustrations online, fully searchable. Step-by-step surgical guidance for cardiac operations!
Representing the first book to offer complete coverage of all related topics, this title provides up-to-date guidance on exactly why, when, and how to perform transcatheter paravalvular leak closure. An international panel of leading experts in the field address the entire spectrum of associated problems, from relevant anatomy, to imaging methods, to implantation techniques, to a comprehensive presentation of clinical data. Specific topics covered in this book include the mechanisms of artificial valve dehiscence, with a focus on local anatomical conditions; data on conservative and surgical treatment; qualification for paravalvular leak closure; multimodality imaging techniques; a step-by-step description of access, device selection and implantation; practical tips and tricks for troubleshooting; and the latest clinical data on transcatheter paravalvular leak closure. The book facilitates the application of contemporary knowledge in clinical cardiology, cardiac surgery, imaging and interventional cardiology in the management of patients with this challenging clinical problem.
Advanced ischemic heart disease is fast becoming one of the most challenging problems facing the modern cardiovascular physician and current established therapies often fail to adequately address this population of patients. As therapy of heart disease evolves, we need to address the challenging questions posed by this clinical problem. Treatment of Advanced Ischemic Heart Disease brings together the most recent advances in surgical techniques, protection of the heart and postoperative care, to aid the study and treatment of these patients who deserve the best that modern medicine can provide them.
The diagnosis and treatment of coronary artery disease and heart failure has now been standardized to the point that there are very well established guidelines promoted by the American Heart Association and The American College of Cardiology. This text will pick up where the guidelines leave off and address the real challenge of patients with advanced ischemic heart disease. Though therapy is clearly challenging, new advances are making effective therapy of these patients truly possible. This text embodies that notion. Finally, there is much still to learn about the basic mechanisms of the progression of heart failure due to coronary artery disease and how best to assess these therapeutic options. The text will address these with a focus on treatment so that it may be a practical reference for the practicing clinician as well as the basic or clinical researcher and student.
This practical book describes a systematic approach to the ultrasound examination of the fetal heart based on accepted screening recommendations. The written content is enhanced by images and videos of both normal and abnormal sonographic findings. Fetal Cardiology: A Practical Approach to Diagnosis and Management goes further than simply describing core screening views. It includes extended views of the fetal heart, the use of Doppler techniques and assessment of fetal cardiac function. "Variants" which can be encountered in practice are described as well as the features of the major groups of cardiac abnormalities and fetal arrhythmias. Because the authors include experienced fetal and paediatric cardiologists, the focus is not only on diagnostic features but also the approach to postnatal care and prognosis. This content is enhanced by inclusion of chapters relating to associated fetal abnormalities, the genetics of congenital heart disease and new imaging modalities such as MRI of the fetal heart. The book equips all those using ultrasound to image the fetus with a clear concise reference to meet the challenge of new guidelines and to expand their knowledge of complementary echocardiographic techniques and management. It details why prenatal recognition of congenital heart disease is being prioritised to allow for parental choice, recognition of associated abnormalities and improvement of postnatal outcome. As such, this book will be important for all professionals, whether they be a cardiologist, fetal medicine specialist, sonographer or midwife.
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