Detailliert und praxisorientiert beschreibt dieses Buch, wie Patienten, die einen sicheren venoesen Zugang benoetigen, optimal mit einem Portsystem versorgt werden. Die unterschiedlichen Implantationstechniken und ihre Vor- und Nachteile sind ebenso ausfuhrlich dargestellt wie die Portanwendungen bei unterschiedlichen Indikationen und der Umgang mit dem Port nach der Implantation. Eine standardisierte Operationstechnik, die Auswahl des geeigneten Materials, die perfekte Kooperation der beteiligten Berufsgruppen untereinander und mit dem Patienten und die kompetente Portpflege und -nutzung sind Voraussetzungen, um eine lange UEberlebenszeit der Patienten und eine hohe Lebensqualitat zu erreichen. Bildserien zur Durchfuhrung der operativen Eingriffe und zur Portnutzung und -pflege werden zusatzlich durch instruktive Videos erganzt.

Schritt fur Schritt fuhrt Sie das Buch durch alle Standards und Fallstricke der Methode. Jedem Textteil folgt der zugehoerige Atlasteil. Den Farbduplexbildern sind immer Arterio- bzw. Phlebogramme gegenubergestellt.

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.

von Methoden und Resultaten Zu 48 ausgewahlten Fragen um die extrakorporale Zirkulation wurde eine systematische Literatursuche in zwei Datenbanken (PubMed und MedLine), die die letzten zwanzig Jahre umfasste, vorgenommen. Die hierbei von dem jeweiligen Autor verwendeten Suchbegriffe wurden von je zwei unabhangi- gen weiteren Mitarbeitern der Arbeitsgruppe, die insgesamt 38 Autoren umfasst, uberpruft, um ein moeglichst komplettes Resultat zu erzielen. Nach Durchsicht der gefundenen Abstracta wurden alle fur die jeweilige Fragestellung wesentlich erscheinenden Publikationen nach einem zuvor fest- gelegten Schema, das eine UEbersicht uber Zielsetzung, Fragestellung, Metho- dik, Resultate, Schlussfolgerungen gibt, zusammengefasst. Die adaquate An- wendung statistischer Methoden in den einzelnen Originalquellen wurde kri- tisch uberpruft und mit beratenden Statistikern diskutiert. Abschliessend wur- de fur jede Arbeit eine Einschatzung der wissenschaftlichen Evidenz gemass eines modifizierten Klassifizierungsschemas der AHA/ ACC vorgenommen: Klasse 1 Untersuchungen mit einer klaren wissenschaftlichen Evidenz, dass ein Ver- fahren sinnvoll und effektiv ist (grosse randomisierte prospektive Studien mit niedrigem Falsch-Positiven (Alpha) und Falsch-Negativen (Beta) Fehler, Metaanalysen nach Evidence-based -medicine-Kriterien). Klasse 2 Untersuchungen, die keine klare wissenschaftliche Evidenz uber die Effekti- vitat eines Verfahrens zeigen, z. B. aufgrund einer geringen untersuchten Fallzahl oder eines nicht perfekten Studiendesigns. Klasse 3 Untersuchungen, die keine wissenschaftliche Evidenz uber die Effektivitat eines Verfahrens geben koennen (Untersuchungen mit niedrigem WIssen- schaftlichen Impact, Fallreportagen-Einzelbeobachtung). Klasse 4 In-vitro-Studien, tierexperimentelle Studien, Reviews, die nicht Evidence- based-medicine-Kriterien entsprechen.

Die primare Varikose gilt in den westlichen Industriestaaten als eine Volkskrankheit; nur 20-50% der Bevoelkerung sind venengesund. In Deutschland sind die Ausgaben fur Venenleiden in der letzten Dekade auf fast das Doppelte gestiegen. Die Einfuhrung der bildgebenden Verfahren hat die diagnostischen und damit auch therapeutischen Moeglichkeiten grundlegend erweitert. Die Erfolgschancen besonders bei der chirurgischen Therapie lassen sich heute individuell beurteilen. Mit dem theoretischen Konzept der Rezirkulationskreise wurde dafur eine allgemeingultige Basis gefunden. Durch die Einordnung eines bestimmten Krankheitsbildes in den zugehoerigen Rezirkulationskreis sind die Minima und Maxima der operativen Strategie vorgegeben. Die reiche Bebilderung des Texts veranschaulicht das Konzept.

Pathophysiologische Zusammenhange bilden die Grundlage fur das Verstandnis einer Krankheit. Dieses Buch beschreibt erstmalig umfassend die pathophysiologischen Zusammenhange der wichtigsten Erkrankungen des Herz-Kreislauf-Systems. Es werden sowohl die ubergreifenden pathophysiologischen Prinzipien als auch einzelne klinische Krankheitsbilder des Herzens sowie des Koerper- und Lungenkreislaufs von klinischen Kardiologen systematisch abgehandelt. Damit ist gleichzeitig der direkte Bezug zur Praxis und Klinik sichergestellt. Das umfangreiche Abbildungsmaterial, die klare Gliederung und der flussige, pragnante Text ermoeglichen die einpragsame Vermittlung auch schwieriger Zusammenhange. Das Buch ist ein unentbehrliches Nachschlagewerk und gehoert in die Handbibliothek jedes Kardiologen und Herzchirurgen.

ber 100 sorgf ltig ausgew hlte Arbeiten zeigen das breite Spektrum der deutschsprachigen chirurgischen Forschung. Behandelt werden Themen aus allen Bereichen der Chirurgie unter Ber cksichtigung der klinischen Forschung wie der Grundlagenforschung. Der Band zum neuesten Stand der chirurgischen Forschung erscheint noch vor der Pr sentation der Ergebnisse bei der 126. Jahrestagung der Deutschen Gesellschaft f r Chirurgie.

L urgenza vascolare e la vera urgenza. Data la variabilita delle presentazioni cliniche, il radiologo e sempre piu spesso chiamato in causa per problemi diagnosticodifferenziali e a lui sono demandati l inquadramento nosologico e le scelte terapeutiche dei casi dubbi. Se il tempo e l unica variabile determinante, la diagnosi deve essere tempestiva ed accurata perche si possano attuare le scelte terapeutiche idonee. Pertanto e necessario che il radiologo sappia agire con sollecitudine e precisione chirurgica . Lo scopo del volume e fornire, attraverso la presentazione di un ampia casistica, un mezzo facile, veloce e stimolante, attraverso cui il lettore possa confrontarsi.

Das Buch gibt eine kompakte UEbersicht uber AEtiologie, Klinik, Diagnostik und Therapie der iliakalen Endofibrose, einer Sonderform der peripheren arteriellen Verschlusskrankheit. Es wendet sich an AErzte und Physiotherapeuten, die Ausdauersportler betreuen, aber auch an betroffene Athleten selbst. Das Krankheitsbild wurde 1985 erstmals bei einem Radrennfahrer beschrieben. Die Symptome sind meist belastungsabhangige Oberschenkelschmerzen, die die Karriere der oft ambitionierten Athleten gefahrden. Da der Untersuchungsbefund unter Ruhebedingungen regelhaft unauffallig ist, kann es zu jahrelanger Verzoegerung der Diagnosestellung kommen.

The availability and diffusion of high-performance technologies has strengthened the role of CT angiography and MR angiography as simple and reliable techniques for the characterization and treatment planning of the main diseases of the cardiocirculatory system, an understanding of which has become essential for all radiologists. The aim of this book is to provide technical indications which are both concise and thorough regarding the main methods and examination techniques for performing high-quality CT angiography and MR angiography studies in a broad range of clinical settings. This is supported by a large number of cases and is rich with advice on image interpretation and practical suggestions for the evaluation and reporting of the examinations. The text will therefore also aim to provide a comparison of the advantages and limitations of the two techniques in various diseases and vascular regions, thus offering indications to both the expert and trainee radiologist.

Following the success of its last symposium and book entitled 'The Evidence for Vascular Surgery', the Joint Vascular Research Group (JVRG) brings you this book. The book describes recent developments and best practice in vascular surgery, with an emphasis on multi-disciplinary care pathways. It is based upon a symposium held in Sheffield in June 2002 that aimed to improve the provision and equality of care for patients with peripheral arterial and venous disease. Many members of the JVRG have contributed to this book, including vascular surgeons, anaesthetists, radiologists, nurses and vascular technologists. The book consists of five sections covering the main areas of management of patients with peripheral vascular disease: Outpatients and medical management; Vascular imaging and endovascular intervention; Vascular surgery; Anaesthesia and theatres; Organisational aspects of care.

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.

This book is a fully updated and revised second edition of a highly successful text in which a new concept of knowledge mining, based on explication and transfer of interventional knowledge of experts, has been implemented. The dedicated training program that is set out will serve the needs of all interventional operators, whether cardiologists, vascular surgeons, vascular specialists, or radiologists, enabling them to achieve a consistent expert level across the entire broad spectrum of catheter-based interventions. Operator skills - and in particular decision-making and strategic skills - are the most critical factors for the outcome of catheter-based cardiovascular interventions. Currently, such skills are commonly developed by the empirical trial and error method only. The explicit teaching, training, and learning approach adopted in this book permits the rapid transfer of interventional knowledge and enables individual operators to negotiate steep learning curves and acquire complex skills in a highly efficient manner. It will thereby offer invaluable assistance in meeting successfully the challenges of modern cardiovascular care.

This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

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.

Die Entwicklung neuer Materialien und Techniken ftir die Gefass- chirurgie hat den Horizont der gesamten Chirurgie in ungeahnter Weise erweitert und befruchtet. Stand fruher im wesentlichen die sachgemasse Versorgung von Gefassen im Vordergrund, so bieten sich heute zahllose Moeglichkeiten einer Rekonstruktion der Blut- strombahn und daruber hinaus der Schaffung neuer Blutwege bis hin zum Anschluss transplantierter oder kunstlicher Organe. Kein Zweig unseres Faches ist hiervon ausgeschlossen. Wenn sich auch besondere Schwerpunkte der Gefasschirurgie entwickelt haben, so muss doch jeder Operateur zumindest die sein eigenes Interessen- gebiet betreffenden Gefasseingriffe beherrschen. Insofern mutet der hier und da geausserte Alleinvertretungsanspruch ftir die gesamte Gefasschirurgie kurios an. Viele Chirurgen sind von dieser sturmischen Entwicklung uber- holt worden, wahrend andere mangels Weiterbildungsmoeglichkei- ten oder eines geeigneten Krankengutes Muhe haben, diesen Fort- schritt mitzuvollziehen. Diese Hemmnisse zu uberwinden, hat sich der Autor ausdrucklich zum Ziel gesetzt. Die Gefasschirurgie -wie jede andere operative Tatigkeit -steht auf drei Saulen. Einmal muss der gegenwartige Stand des Wissens uber die Moeglichkeiten und Grenzen der Gefasschirurgie vorhan- den sein. Dann gilt es, die im Grunde einfachen, wenn auch durch besondere Sorgfaltspflicht gezeichneten Methoden der atraumati- schen Handhabung von Gefassen und deren Naht zu erlernen und schliesslich muss der Zugriff zum Gefasssystem "sitzen", das heisst, eindeutig, zweckmassig und schonend sein. Diesem letzteren Ziel dient dieses Werk.

This book addresses multiple principles of carotid endarterectomy in terms of cervical anatomy, surgical techniques, practical cases and frequent questions stemming from clinical practice. Carotid endarterectomy (CEA) is an effective way to the treatment of carotid artery stenosis, which significantly reduce the risk of stroke. This book covers the key concepts and common question in CEA. It is a practical book focusing on basic surgical technical techniques, but not covers controversial issues.

Encyclopedic, definitive, and state-of-the-art in the field of vascular disease and its medical, surgical, and interventional management, Rutherford's Vascular Surgery and Endovascular Therapy offers authoritative guidance from the most respected and innovative global thought leaders and clinical and basic science experts of our time. The thoroughly revised 10th Edition, published in association with the Society for Vascular Surgery and authored by multidisciplinary and international contributors, is an outstanding reference for vascular surgeons, vascular medicine specialists, interventional radiologists and cardiologists, and their trainees who depend upon Rutherford's in their practice. Under the expert editorial guidance of Drs. Anton N. Sidawy and Bruce A. Perler, it is quite simply the most complete and most reliable resource available on the art and science of circulatory diseases. Incorporates fundamental vascular biology, diagnostic techniques, and decision making as well as medical, endovascular, and surgical treatment of vascular disease. Features numerous concise and comprehensive diagnostic and therapeutic algorithms vital to patient evaluation and management. Covers all vascular imaging techniques, offering a non-invasive evaluation of both the morphology and hemodynamics of the vascular system. Employs a full-color layout, images and online videos, so readers can view clinical and physical findings and operative techniques more vividly. Contains fully updated and more concise chapters with a focused format and summary for each that provides a quick access to key information-ideal for consultation as well as daily practice. Includes expanded coverage of the business of vascular surgery, including a new section on the use of technology platforms and social media, and new chapters on telemedicine, the development and operation of outpatient dialysis centers and multispecialty cardiovascular centers, vascular information on the internet, and much more. Provides new content on key topics such as endovascular treatment of complex aortic disease, acute vascular occlusion in the pediatric population, outpatient vascular care, and anatomic surgical exposures for open surgical reconstructions. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This is a practical guide to pediatric vascular access. It covers how to use ultrasound appropriately, how to prevent and manage early and late complications, and how to correctly place the catheter tip using ECG or radiology. It includes all the most modern approaches and devices. In particular, the best approach for some specific populations is covered, including neonates and infants, complex patients, and children with cancer or renal failure requiring long term treatments. A guide on how to establish a vascular access team in a pediatric hospital is included, including the costs and benefits of having this hospital-based team. Vascular Access in Neonates and Children is aimed at pediatric anesthesists and surgeons, and radiologists, pediatricians and other specialities may also find it of interest.

This book presents a practical overview of the widely used endovascular treatment of arterial emergencies, covering the majority of cases encountered in praxis. Including a wealth of high-quality images of arterial emergencies and treatment descriptions, it provides readers with essential information and shares insights into endovascular options. However, the book focuses on presenting common arterial emergencies from diagnosis to treatment only, without exhaustively describing all endovascular options. The clinical cases explore thoracic arterial emergencies, followed by abdominal emergencies and peripheral arterial emergencies. Rare clinical cases are also examined. The book offers interventional radiologists, vascular surgeons and cardiologists, as well as residents in these disciplines, a valuable tool for use in their everyday clinical praxis.

The knowledge of the morphofunctional features from the coronary microcirculation is essential for understanding its role in cardiac physiological work and in the pathogenesis of coronary microvascular dysfunction (CMD). The cardiovascular system comprises the heart and blood vessels, including arteries, veins, and capillaries, both systemic and pulmonary. Arterioles are the primary site of vascular resistance and have only one to two layers of smooth muscular walls. Chapter One will provide an overview of the coronary microcirculation, its functions and regulatory mechanisms. The importance of CMD will be summarised in the context of diverse clinic scenarios, considering its pathogenesis, assessment and therapeutic management. The purpose of Chapter Two is to understand the role of arteriolar endothelial dysfunction in CVDs and its underlying mechanisms. Chapter Three will explore the physiopathology, epidemiology, and the diagnosis and treatment of hypertensive retinopathy. Chapter Four reports on angiogenesis, a critical process for reproduction in mammals, which consists of arterioles and blood vessels formation from the existing ones.

In diesem Buch erfahren Betroffene alles Wissenswerte uber Krampfadern, Beinschwellung und Beinvenenthrombose: Ursachen der Erkrankung, Krankheitserscheinungen, Unterschiede zu anderen Erkrankungen der Beine, Diagnose- und Therapiemoeglichkeiten. Die Wahl des richtigen Arztes und die Vorbereitung auf das Gesprach mit dem Arzt werden detailliert beschrieben, ebenso die Untersuchungen, die der Arzt durchfuhrt. Ausfuhrlich und ausgewogen sind die zahlreichen Behandlungsmoeglichkeiten dargestellt und wird erlautert, welche der Verfahren in welcher Situation hilfreich sind; Medikamente und Kompressionsbehandlung sind ebenso berucksichtigt wie Venenveroedung, chirurgische Eingriffe und naturheilkundliche Verfahren. In einem eigenen Kapitel werden Tipps zum Leben mit Krampfadern und Empfehlungen zu Sport und Freizeitgestaltung gegeben.

The Year Book of Vascular Surgery brings you abstracts of the articles that reported the year's breakthrough developments in vascular surgery, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Hot topics include: Coronary Disease, Epidemiology, Vascular Laboratory and Imaging, Carotid and Cerebrovascular Disease, and Grafts and Graft Complications.

The Year Book of Vascular Surgery brings you abstracts of the articles that reported the year's breakthrough developments in vascular surgery, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Hot topics include: Coronary Disease, Epidemiology, Vascular Laboratory and Imaging, Carotid and Cerebrovascular Disease, and Grafts and Graft Complications.