Peripheral Artery Disease is a circulatory condition usually caused by the buildup of fatty deposits and calcium in the walls of the arteries. The condition is often painful and chronic but can be managed with lifestyle changes and medication. Chapter One describes the psychological factors associated with peripheral arterial disease. Chapter Two describes how lifestyle changes play an important role in the management of diabetes and peripheral artery disease. Chapter Three explains the role of the family physician in risk management of peripheral artery disease. Lastly, Chapter Four focuses on questionnaires for primary care physicians, which can be used for peripheral arterial disease symptom screening and assessing functional impairment and quality of life of patients.

Endovascular neurosurgery is now the most practiced therapeutic approach for most vascular lesions involving the brain and spinal cord. At the beginning, balloons were the only available technique; later coils, embolic agents, and stents are introduced. With the expansion of endovascular devices and techniques, the treatment strategies for cerebrospinal vascular diseases have been refined. Neurosurgeons must have the mindset to embrace and nurture progress and technological advances. The pioneers of endovascular neurosurgery considered the impossible and tenaciously stood by their dreams. Their revolutionary ideas and inventions truly reflected their courage, faith, and determination. The shift away from open surgical approaches has had far-reaching implications for how we train neurosurgical residents and fellows and how we certify these individuals once their training is completed. With the maturity of endovascular neurosurgery technology, we need to give the resident and fellow training for neurovascular surgery. This book describes the endovascular diagnosis and treatment of vascular lesions involving the brain and spinal cord using catheters in the DSA (digital subtraction angiography) unite. The field of endovascular neurosurgery has resulted in effective endovascular therapies for carotid-cavernous fistulas(CCFs), intracranial aneurysms, arteriovenous malformations (AVMs), dural arteriovenous fistulas, atherosclerosis of cerebral arteries, acute stroke, carotid artery disease, and vascular tumours of the head, neck, and spinal vascular malformations and tumours. The scope of practice of neurovascular endovascular surgery has become complex, requiring training in specific skill sets and techniques. The evolution of the neuroendovascular field has resulted in the development of program requirements for residency or fellowship education in endovascular neurosurgery.

Take your surgical skills to the next level with Vascular Surgery: Arterial Procedures , a volume in the Master Techniques in Surgery Series! This clinical reference provides the richly illustrated guidance you need to perfect a full range of arterial techniques in vascular surgery, avoid and manage complications, and achieve optimal outcomes.Key Features See exactly how to perform every essential arterial procedure , whether endovascular, open, or combined, thanks to a wealth of exquisite, step-by-step illustrations. Gain insights from international authorities , gleaning each expert's preferred techniques in rich detail. Efficiently review background, indications and contraindications, preoperative planning, surgical techniques, postoperative management, and results and complications for each procedure, as well as selected references for further reading. Don't miss Vascular Surgery: Hybrid, Venous, Dialysis Access, Thoracic Outlet, and Lower Extremity Procedures , the companion volume by Drs. Darling & Ozaki. Expand your repertoire with other volumes in the Master Techniques in Surgery Series! Overseen by Josef E. Fischer, MD , editor of the classic two-volume reference Mastery of Surgery , these titles cover a wide range of common and advanced procedures in the major subspecialties of general surgery, including breast surgery, colon and rectal surgery, esophageal surgery, gastric surgery, hepatobiliary and pancreatic surgery, hernia, and thoracic surgery. 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

Stroke is the fourth leading cause of death in the United States and is a leading cause of adult disability and discharge from hospitals to chronic care facilities. Despite the frequency and morbidity of stroke, there is a relative paucity of "stroke experts" such as vascular neurologists and neurocritical care physicians to care for these patients. Often, cardiologists provide the majority of care. Clinical research in the diagnosis and treatment of stroke has grown exponentially over the past two decades so there is a great deal of new clinical information for attending physicians to absorb. Including evidence-based strategies, Ischemic Stroke closes the gap in stroke care by providing a cogent and intuitive guide for all physicians caring for stroke patients. Chapters include key topics such as: Emergent Evaluation of the Suspected Stroke Patient, Clinical Signs and Symptoms of Stroke, Mechanisms of Ischemic Stroke, Neuroimaging, Cardiac-Based Evaluation, Thrombolytic Therapy, Endovascular Therapy, Critical Care Management, Rehabilitation, Cardiac Arrhythmias, and Structural Heart Disease.

Untersuchungen iiber das Tonusproblem im besonderen der Hohl organe haben mich schon vor Jahren zum Begriff "Tonuskrankheit" gefiihrt. Seine Begriindung hat sich durch die Feststellung ergeben, daB es Krankheiten gibt, deren Wesen in einem pathologischen Ver halten des Tonussubstrates im Sarkoplasma gelegen ist. Es hat sich ferner gezeigt, daB in heterogenen Krankheiten in diesem Veranderungen vor sich gehen, die in entscheidender Weise in den Veriauf eingreifen. In zahlreichen Mitteilungen habe ich Experimentelles und Klinisches veroffentlicht, das mir geeignet schien, das Verstehen der Tonusveran. derungen, von welchen hier die Rede ist, zu unterstiitzen. Wiederholt hat man mir nahe gelegt, meine einschlagigen Arbeiten zusammenzu. fassen. In den letzten Jahren haben sich Momente ergeben, die mich bestimmen, dieser Anregung Folge zu Ieisten. Die vorliegende Schrift bringt neben einem allgemeinen Uberblick nur einen Abschnitt aus diesem Gebiet, die Tonuskrankheiten der Kreisiauforgane, darunter weitere Ergebnisse meiner Studien. Meinen Ausfiihrungen Hegen eigene Beobachtungen zugrunde und bringe ich von diesen vor, was mir geeignet erscheint, die weitere Entwicklung dieses Teiles der pathologiscben Biologie zu fordern. Eine abschlieBende Darstellung kann icb bei dem gegenwartigen Stand meiner Kenntnisse nicht bieten, doch auf nicht gelOste Fragen aufmerksam machen. Mir ist es darum zu tun, meinen Grundgedanken darzulegen und ihn den Erwagungen des Praktikers naher zu bringen. Es erscheint mir das im Interesse der Kranken und ihrer Behandlung gelegen. Diesem Bestreben entsprechend war ich bemiiht, den Umfang dieser Arbeit tunlicbst einzuengen. Trotzdem habe ich manche Wiederholung wegen der leichteren Verstandigung nicht vermieden."

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Der Aufforderung des Verlages, ein gemeinverstandliches kleines Buch auf streng wissenschaftlicher Grundlage iiber das gesunde und das kranke Herz und die BlutgefaBe zu schreiben, folgte ich um so lieber, als das Wissen und Verstehen des Kranken, um das, was ihm fehIt, mir die Vorbedingung fUr eine erfolgreiche Behandlung der Herz-und GefaBleiden zu sein scheint. Der Arzt ist auf die Mitarbeit des Kranken hier bewnders angewiesen; sie kann aber nur eintreten, wenn dem Kranken zunachst die Grundlagen des Ablaufes der Herztatigkeit verstandlich sind. Auch die Verhiitung von Herzkrankheiten wird dadurch auf eine ganz andere, sicherere Grundlage gestellt. Der Gesunde wird so erkennen, wodurch er sich vor Schaden bewahren kann. Der Kranke wird sehen, daB gerade bei Herz-und GefaBleiden unter richtiger, bewuBter Lebens fiihrung ein wahrhafter Optimismus angebracht ist. Von einer schematischen FremdworterausschaItung wurde abgesehen. Selbstverstandlich muB jedes Fremdwort erklart werden. Erfahrungen in Unterricht und Vortrag haben mich indes gelehrt, daB es fiir den Laien sicher leichter ist, "Arterien" und "Venen" zu unterscheiden als "Schlag-" oder "Pulsadern" und "Blutadern." Auf die Psychologie des Lernenden muB Riicksicht genommen werden. Fremdworterausmerzung solI ja das Verstandnis heben, nicht erschweren. Wo die entgegengesetzte Wirkung eintritt, muB das Fremdwort bleiben. Man wird hier allch so einfache, aber praktisch wichtige Dinge finden wie Anleitung zum Pulsfiihlen. Sie ist in keinem anderen derartigen Buch ange geben, und dabei doch mindestens so bedeutungsvoll auch fiir den Laien wie Messen der Korperwarme. Ein besonderer Abschnitt ist der heute sehr wichtigen und aktuellen Frage der Beziehungen zwischen Sport und Herz gewidmet."

Die Erluankungen keines Organs bedrohen Gesundheit und Leben so haufig, 'wie Erkrankungen del' Kreislauforgane. Sie nehmen in der Pathologie eine ganz uberragende SteHung ein, da sie in ihren mannigfachen Formen jedem Arzt taglich begegnen, mag er allgemeine Praxis oder mag er eine Spezialitat betreiben. Vielfach hort man von Kollegell klagen, daB die bisher erschienenen Werke uber Herz- und GefaBkrankheiten den praktischen Bediirfnissen zu wenig entsprechen, da sie ent'weder mehr didaktischen Zwecken dienen oder aber als aHzu umfangreich nul' fur das Spezialstudium in Betracht kommen. Es erscheint mil' deshalb kein unz'weckmaBiges Unternehmen zu sein; diese Lucke auszufUllen und in knapper Form die keines'wegs leicht ubersehbare Materie del' Kreislaufpathologie darzustellen. Diese Auffassung erscheint um so berechtigter, als gerade dies Gebiet in den letzten Jahren ungemein fleiBig bearbeitet und ausgebaut wurde: viele neue, zum Teil glanzende Tatsachen hat die Physiologie gelehrt, unerwartete diagnostische Mittel sind UIlS gebracht, vor aHem abel' ist del' therapeutische Apparat in einer Weise angewachsen und kompliziert, daB nicht mehr das Bessere, sondern das Viele der Feind des Guten geworden ist, wie del' kritische F. A. Hoffmann richtig betont.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Pelvic Congestion Syndrome - Chronic Pelvic Pain and Pelvic Venous Disorders: Pelvic congestion syndrome is one of the most misunderstood and least well-known medical conditions today. Because doctors most do not look for it, nor treat it: 1 in 3 (30%) of women with chronic pelvic pain get misdiagnosed and no treatment 1 in 6 (16.7%) of women and 1 in 30 (3%) of men with leg varicose veins get incomplete treatment and a higher risk of recurrence Women with intimate varicose veins of vagina, vulva, and labia do not get offered curative treatment However, research over the last 20 years has led us to know how we can investigate it and cure most people who have it. Moreover, research is showing how hemorrhoids (piles), varicocele in men and some erectile dysfunction are also due to pelvic venous disorders, and how new treatments are being developed for each. Pelvic Congestion Syndrome - Chronic Pelvic Pain and Pelvic Venous Disorders explains the concepts, the veins, how they go wrong to cause the problem - and how specialists at The Whiteley Clinic have spent 20 years developing the optimal investigations and treatments for this condition. This book is aimed at both the public and health care professionals who want to know more about this fascinating condition that affects millions of women and men in the world today.

Bariatric or weight loss surgery is the reduction of the size of the stomach with a gastric band or through removal of a portion of the stomach, or by resecting and re-routing the small intestine to a small stomach pouch. Metabolic surgery involves weight loss treatments and procedures to treat metabolic diseases, especially, Type 2 diabetes. This book is a guide to techniques in bariatric and metabolic surgery. Divided into three sections, the text begins with an explanation of the history of bariatric surgery. The following section presents 25 clinical cases detailing necessary operative procedures for different disorders, and the final section discusses surgical techniques including sleeve gastrectomy, gastric bypass, and stapling technology. Based on the authors' own experiences, this quick reference guide is further enhanced by more than 200 surgical images, diagrams and tables. Key points Quick reference guide to procedures in bariatric and metabolic surgery Features 25 clinical cases for use of bariatric surgery Describes different surgical techniques Includes more than 200 surgical images, diagrams and tables

Cardiac catheterization and coronary angiography remain key tools in the management of patients with coronary heart disease. Although this is the most frequently used method of coronary revascularization, general training in cardiology rarely offers more than the opportunity to assist a more senior operator to perform angioplasty procedures. This textbook, covering key procedures and fully revised and updated to include the latest trials, technology, and new techniques, is essential reading. The Oxford Textbook of Interventional Cardiology, 2nd edition spans the whole spectrum of interventional cardiology procedures, including a novel section on the future of interventional cardiology, and multiple new chapters covering special devices in percutaneous coronary intervention. Written by an expert team of international authors, this book offers guidance on all aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

Advances in Phlebology and Venous Surgery Volume 1 contains chapters covering many of the most interesting areas of Phlebology. Chapters are all written by international experts in their own fields. Subjects covered include: - endovenous thermoablation (Radiofrequency / Laser / Steam) - non-thermal endovenous ablation (Glue / MOCA) - discussion of LEED - venous leg ulcers - due to superficial and deep venous disease - transvaginal duplex ultrasound for the diagnosis of venous reflux - pelvic veins - diagnosis and treatment for reflux and obstructive disease as well as other relevant subjects. This book will have something of interest for everyone who is interested in Phlebology and/or Venous Surgery. This book is produced by COP College of Phlebology and some of the contents were presented at the COP International Veins Meeting in London in March 2017. The College of Phlebology annual conference is held each March in London, UK.

The eACLS Course Manual, Revised Third Edition has been developed to assist you, the ACLS provider or instructor, in reviewing the principles and concepts of managing a patient with a respiratory or cardiovascular system emergency. The information and activities in this study guide are intended to accommodate both those who are relatively new to ACLS and the experienced provider.

The treatment and management of cardiovascular disease has seen rapid advances in recent years; as a trainee or practitioner of cardiovascular medicine, it can be difficult to find the time to stay abreast of recent updates in information. Unlike standard exhaustive text and reference titles, Essential Facts in Cardiovascular Medicine provides the most critical facts and clinical pearls of cardiovascular medicine, in a high-yield, concise, bulleted format that can fit in your pocket. Essential Facts in Cardiovascular Medicine is the perfect guide to enhance your cardiovascular knowledge, prepare for board examinations, and improve clinical practice. Essential Facts in Cardiovascular Medicine covers numerous important topics from the basics of Statistics, to factoids in General Cardiology, Physical Exam, EKG, Congenital Heart Disease, Valvular Heart Disease, Heart Failure/Transplant, Acute Coronary Syndromes, Pericardial Diseases, Electrophysiology, Pharmacology, Pregnancy, Pulmonary Hypertension, Peripheral Vascular Disease, Echocardiography, Formulas, Interventional Cardiology and Cardiac Tumors.

Oxford Specialist Handbooks are portable, succinct, and above all reliable guides to difficult and challenging areas of surgical practice. The second edition of Vascular Surgery has been fully revised and updated to meet the needs of the vascular surgery trainee. Providing practical advice on all commonly encountered peripheral vascular problems. It focuses on surgical detail, but also carries background information on presentation and details on preoperative investigation and postoperative management. It gives relevant information for use when seeking patient consent. Each operation carries the latest OPCS code, increasingly important in recording surgical activity.

Head and Neck Vascular Anomalies: A Practical Case-Based Approach is a useful guide to the management of lesions caused by vascular anomalies, providing specific treatment algorithms for their management. This book offers consistent and straightforward techniques to the more frequently encountered and some of the more difficult vascular anomalies. Coming from the world-renowned vascular anomalies center at the University of Arkansas for Medical Sciences, known for its clinical expertise and multi-disciplinary approach, editors Dr. Suen and Dr. Richter have over 40 years combined experience in treating these lesions. With contributed chapters from international leaders in the field, the editors present a practical guide, based upon clinical and scientific evidence, on the approach to diagnosis and management to each vascular anomaly based upon type, extent and location. The book provides a case-based approach to simple and complex lesions. Initial steps for diagnosis followed by a recommended treatment approach is presented with photographs, imaging and step-by-step illustrations to surgical or alternative therapies.All presented information is based upon current literature, providing a timeless and seamless algorithm to each lesion. Each case begins with a diagnostic approach, followed by next best steps to imaging treatment and follow up. This case-based approach is a wonderful quick resource for those physicians in a variety of specialties making clinical decisions. With the increasing number of vascular anomaly centers, and physicians participating in the care of these patients along with the recent advancements and consistency in managing these patients, the timing for this text is ideal.

The field of vascular anomalies has grown rapidly in last 25 years. Molecular genetics has led to discovery of genes that cause vascular anomalies. Interventional radiology has become a major contributor to accurate diagnosis and management of previously untreatable disorders. New pharmacologic therapies are under investigation and surgical protocols have been established. Vascular Anomalies: Hemangiomas and Malformations is a comprehensive and interdisciplinary textbook ideal for dermatologists, interventional radiologists, surgical specialists, ophthalmologists, pathologists, geneticists, paediatricians, hematologic-oncologists, and vascular biologists. With a central motif of the biologic dichotomy of vascular tumors and vascular malformations, this book is organized into chapters which address clinical presentation, diagnostic imaging, molecular genetics, pathogenesis, histopathology, and management of vascular anomalies. Generous, full-colour images compliment this extensive volume written by three colleagues and their teammates from Children's Hospital Boston and Harvard Medical School, with leading specialists from other centers.

Die extrakorporale Zirkulation kommt nicht nur fur Operationen am offenen Herzen zur Anwendung, sondern wird auch zum extrakorporalen Gasaustausch bei Patienten mit ARDS und bei Fruhgeborenen eingesetzt, sowie fur die Exstirpation ausgedehnter herznaher Tumore. Im vorliegenden Buch werden diese Verfahren dargestellt, ausserdem werden aktuelle Aspekte der zerebralen Durchblutung und der Blutkardioplegie behandelt.

Almost 1 in 2 people suffer from problems with leg veins - so if you don't have them then someone close to you will. Venous reflux (the major cause of leg vein problems) can cause tired or aching legs, swollen or itchy ankles. Many people suffering from venous reflux are unaware of the problem, until they develop unsightly varicose veins, thread veins, venous eczema or venous leg ulcers. Many doctors and nurses are not aware of the new information available and still treat their patients inappropriately with creams, bandages or support stockings. "Understanding Venous Reflux - the cause of varicose veins and leg ulcers" has been written by Mark Whiteley, an internationally renowned vein expert. With clear explanations, illustrated by over 50 easy-to-follow diagrams, this book makes the understanding of venous reflux - the underlying cause of varicose veins and most venous problems (such as thread veins, venous leg ulcers, venous eczema, discoloured ankles, etc.) - accessible to most readers, helping them decide on what treatment they should seek. For medical and nursing students, as well as all doctors, nurses and other health care workers who deal with legs and leg vein problems, this is an essential text.