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.

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.

Endovascular intervention - using medication and devices introduced through catheters or microcatheters placed into the blood vessels through a percutaneous approach - has emerged as a relatively new minimally invasive approach to treat cerebrovascular disease and possibly intracranial neoplasms. This textbook provides a comprehensive review of principles pertinent to endovascular treatment of cerebrovascular diseases and intracranial tumors, with a detailed description of techniques for these procedures and periprocedural management strategies. Particular emphasis is placed on expert interpretation of the quality of evidence provided and implications for practice related to endovascular procedures. This will be essential reading for clinicians working in interventional neurology and cardiology, endovascular neurosurgery, vascular surgery and neuroradiology.

The concept for this book evolved over many years of intense clinical practice during which a wide variety of vascular complications were encountered as a result of other surgical or interventional procedures. In this book, the authors describe cohesive efforts by experts in the field as they commit to advancing health care quality by all professionals. It should be noted at the outset that the book does not discuss various non-vascular or systemic complications of patients undergoing vascular interventions such as myocardial infarction, renal or respiratory failure. Instead, the content is divided into four separate sections. The material begins with an introduction to vascular anatomy and function. There follows a section addressing specific complications of the vascular system that can occur in any patient, sometimes even without intervention. The third section addresses complications specific to interventions and surgical procedures. The final section is dedicated to the delayed and long-term sequelae attributable to the most commonly encountered vascular complications. Vascular Complications of Surgery and Intervention: A Practical Guide is targeted towards dedicated health care professionals managing patients affected by inadvertent but potentially disastrous vascular complications and for those practitioners performing interventions either directly upon the vascular system or procedures that have potential for collateral impact.

Vascular surgery has seen a remarkable evolution. A discipline focused on the natural history and treatment of vascular disease by open operation is now primarily a minimally invasive specialty. Mastery of the basic pathophysiology has been retained while the transformation by improved imaging and endovascular intervention has been integrated into practice. This fourth edition of Vascular Surgery: Principles and Practice has incorporated these advances building on the specialty's past assets. Knowledge of natural history and open surgery will always have an essential role in optimal care of patients with vascular diseases. The authors' exposition of the old and the new will make this edition a valuable resource for vascular surgeons and all others dedicated to the care of vascular patients.

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.

Das klinische Wissen zu den Erkrankungen der Gefasse und zur invasiven Gefasstherapie ist umfassend und detailliert in diesem Buch zusammengefasst - eine unerschoepfliche Informationsquelle fur jeden operativ, interventionell oder konservativ tatigen Gefassspezialisten! Der aktuelle Kenntnisstand zu den physiologischen und pathophysiologischen Grundlagen ist ebenso dargestellt wie die modernen diagnostischen und therapeutischen Verfahren. Den Schwerpunkt bilden die Kapitel, in denen alle systemischen und regionalen Erkrankungen der Gefasse ausfuhrlich beschrieben werden. Auch seltene Erkrankungen und Konstellationen sind berucksichtigt. Fur jede Indikation werden die Therapieoptionen sorgfaltig abgewogen und konkrete Empfehlungen zum praktischen operativen und interventionellen Vorgehen gegeben. In der 2. Auflage wurden die Kapitel durchweg aktualisiert und zum Teil komplett neu verfasst: * neben Experten aus dem deutschen Sprachraum wurden fur einzelne Themen auch internationale Spezialisten als Autoren gewonnen. * zusatzliche Kapitel zu diagnostischen Verfahren (wie PET/CT), therapeutischen Methoden (wie allogene und xenogene Materialien) und klinischen Fragestellungen (wie Portanlage und PICC, Damage Control Surgery bei Gefassverletzungen und intestinale Aneurysmen) wurden erganzt. Parallel zur gedruckten Ausgabe erscheint erstmals eine online-Version, die als Live Reference-Ausgabe kontinuierlich aktualisiert wird.

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.

Recent years have seen a rapidly increasing movement of endovascular treatment and procedures away from hospital settings to outpatient venues (office-based labs). New technologies offer enhanced capabilities that make it easier and more cost-effective to treat even complex cases on an outpatient basis. Office-Based Endovascular Centers synthesizes the entire process of operating an office-based practice - from regulation and legal issues through to business models and optimal endovascular procedures - helping you ensure the best the possible outcomes for your patients. Provides expert guidance from Dr. Krishna M. Jain, an experienced vascular surgeon and founding member of the Outpatient Endovascular and Interventional Society. Covers all aspects of opening and running an office-based endovascular center, including various models, regulations, capital equipment, quality control, management of safety and complications, marketing and patient satisfaction, and much more. Discusses perspectives of the interventional cardiologist and interventional radiologist, various types of procedures, certification and accreditation, and conducting research in the center. Consolidates today's available information and experience in this timely area into one convenient resource.

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.

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.

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.

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.

Personalized Computational Hemodynamics: Models, Methods, and Applications for Vascular Surgery and Antitumor Therapy offers practices and advances surrounding the multiscale modeling of hemodynamics and their personalization with conventional clinical data. Focusing on three physiological disciplines, readers will learn how to derive a suitable mathematical model and personalize its parameters to account for pathologies and diseases. Written by leading experts, this book mirrors the top trends in mathematical modeling with clinical applications. In addition, the book features the major results of the "Research group in simulation of blood flow and vascular pathologies" at the Institute of Numerical Mathematics of the Russian Academy of Sciences. Two important features distinguish this book from other monographs on numerical methods for biomedical applications. First, the variety of medical disciplines targeted by the mathematical modeling and computer simulations, including cardiology, vascular neurology and oncology. Second, for all mathematical models, the authors consider extensions and parameter tuning that account for vascular pathologies.

This book looks at specific vascular surgery questions that have arisen and where careful analysis is given according to the level of supporting evidence available. As new technology is introduced to treat the cardiovascular system, alternative therapies begin to challenge and also complement traditional vascular surgery. All chapters contain the PICO table to summarise specific characteristics relative to the questions posed in each chapter. Difficult Decisions in Vascular Surgery- An Evidence-Based Approach is a current and timely reference source for practicing surgeons, surgeons in training, and educators, that describes the recommended ideal approach, rather than customary care, in selected clinical situations.

Das Buch hebt auch in der 2. komplett uberarbeiteten und aktualisierten Auflage den interdisziplinaren Charakter der Behandlung des diabetischen Fusssyndroms hervor. Nur in einem ausgewogenen Zusammenspiel von operativ und nicht-operativ tatigen AErzten sowie den entsprechenden medizinischen Assistenzberufen ist eine umfassende und die Extremitat erhaltende Therapie moeglich. Die Umsetzung des Gelesenen in die Praxis erleichtern die therapeutischen Algorithmen und die vielen Handlungsempfehlungen, die die Autoren geben. Zahlreiche Abbildungen/Bildserien veranschaulichen daruber hinaus die Inhalte.

As the dialysis population grows, an expert medical resource on the percutaneous creation and maintenance of vascular access is much needed. This book fulfills exactly that need, engaging interventional radiologists, vascular surgeons, interventional nephrologists, and the medical support personnel serving these patients. Providing a clear understanding of best techniques and practices, the authors present an unbiased discussion of patient preparation, procedures, and new devices and equipment. Logically organized and concluding with a compelling collection of 15 noteworthy cases, the book is the culminating work of leading experts in their specialties. The first truly practical reference dedicated to this topic, Essentials of Percutaneous Dialysis Interventions extends across multiple medical specialties to address a global health problem. Easy to use, reader-friendly, and portable, experienced practitioners and trainees alike will find this book to be of daily value.

This book is designed to meet the needs of the vascular surgery trainee. It can be carried in the pocket for easy access and provides 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. Alternative interventions are given, including both radiological procedures and medical management where appropriate; an important approach given the evolving vascular surgery specialist who has responsibility in all of these fields. It informs the vascular trainee from their earliest encounter with the area to those completing their fellowship. It should also be of interest to the foundation year trainees on the vascular ward, the specialist vascular nurse, the vascular anaesthetist, the intensivist and the vascular radiologist.

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.

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 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.