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.

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.

Approximation in surgery is the bringing of tissue edges into the desired position for suturing. This atlas is a step by step guide to tissue approximation, suturing and knotting, for trainees in surgery. Divided into seven sections, the books begins with discussion on the history of suturing, instruments, and suture materials and needles. The following chapters cover practical aspects of different types of suture, their advantages and disadvantages; and surgical knot tying. The book concludes with chapters on skin and soft tissue suturing, and laparoscopic suturing; essential knowledge with the preference for minimally invasive techniques in modern surgical procedures. The atlas is highly illustrated with surgical photographs and diagrams, and is supported by videos of suturing techniques. Key points Step by step guide to tissue approximation, suturing and knotting for surgical trainees Covers techniques, advantages and disadvantages of different types of suture including laparoscopic Highly illustrated with surgical photographs and diagrams Includes access to videos demonstrating surgical techniques

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.

Urologists have long used urinary stents in patients who have - or who are at risk of developing - an obstruction or blockage of the kidney. These rodlike devices are inserted into the ureter to keep the canal open or to help with healing after trauma, surgery or radiotherapy. More recently the use of stents for the prostate and urethra has also become more widespread, despite poor results in first generation models. Constant development has led to the introduction of second generation stents with a variety of designs, materials and coatings. These have gone a long way to counter the traditional side effects such as irritation, hematuria, infection and encrustation. Handbook of Urinary Stents has been written to provide urologists with a practical guide to the various new models for stenting. The book describes the various stents available; the criteria for their selection; their clinical application and potential complications of use. At the same time, the book provides thorough descriptions of relevant physiology and pathophysiology for those requiring deeper understanding of the subject. Key Points Provides a comprehensive, timely review for urologists needing an accessible guide to the range of stents available Chapters highlight the use of stents in special populations such as children and patients with transplanted ureter Emphasis on clinical complications following the use of stents and how to manage them effectively

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.

Excel at clinical IR with insightful perspectives from both current residents and senior interventionalists! Interventional radiology training has evolved rapidly during the last decade, with recent recognition as a primary medical specialty by the American Board of Medical Specialties. The number of IR residency positions continues to increase each year with a greater number of trainees rotating through the IR elective. The bar is set high and expectations of trainees have increased. Written clearly, concisely, and at a trainee's level, Pocketbook of Clinical IR: A Concise Guide to Interventional Radiology by Shantanu Warhadpande, Alex Lionberg, and Kyle Cooper is the first IR pocketbook written specifically for medical students and junior residents to help them excel on their IR rotation. This book will help trainees to intelligently field IR consults, effectively round on patients, and develop an understanding of IR disease processes. Concise yet thorough, it provides a solid clinical foundation to underlying pathologies and procedures, and embodies the authors' philosophy that the IR education paradigm should be transformed into one in which the clinical care of patients is of equal importance to technical procedural training. Key Features Clinical background on hepatobiliary, oncologic, arterial, venous, genitourinary, and neurologic diseases frequently encountered in IR Insightful clinical algorithms provide guidance on how the IR procedure fits into the big picture Concise procedure boxes provide an overview of how the procedure is performed so the trainee can be an active participant in any IR procedure This practical white-coat companion is essential for all trainees involved with interventional radiology. This book includes complimentary access to a digital copy on https://medone.thieme.com.

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.

A practical guide on the evaluation, diagnosis, and treatment of varicose veins Chronic venous disease is a common condition, with a prevalence as high as 50% in industrialized countries worldwide. Of those, about 20-25% of women and 10-15% of men have visible varicose veins. Varicose vein treatment has become an increasingly multidisciplinary field, and one that has seen cutting-edge advances and significant growth. Felipe B. Collares, Salomao Faintuch, and a team of venous disease experts have compiled, Varicose Veins, a concise book that covers the full range of interventional procedures for venous insufficiency. Following introductory chapters on anatomy and pathophysiology, the authors guide readers through the clinical exam, imaging, compression therapy, and various minimally invasive techniques. Highly practical and an affordable alternative to larger published tomes. Key Highlights Step-by-step guide on core venous interventions - from compression therapy to sclerotherapy - ambulatory phlebectomy to endovascular ablation Illustrations delineate anatomy and specific treatment modalities Clinical pearls on patient safety and preventing complications Discussion of emerging endovascular approaches that do not require administration of tumescent anesthesia This handy resource is a must-have for trainees and veteran physicians. The practical and focused layout provides a well-rounded reference for all specialists who perform varicose vein procedures - interventional radiologists, vascular surgeons, phlebologists, cardiologists, and dermatologists.

Operative Management of Vascular Anomalies Vascular anomalies are common lesions affecting at least 5% of the population. Patients often require multi-disciplinary care. This is a "how-to" text that illustrates the principles and techniques for the surgical management of vascular anomalies. The book covers the entire field of vascular anomalies. In addition, the text describes the operative management of these lesions in different anatomical locations. The book was designed so that it can be easily referenced, and contains classification, operative principles, figures, and video provided by experts in the field. Published with a free e-book.

This book offers a comprehensive review of the rapidly advancing field of endovascular therapy, written by internationally recognized authorities in the field, many of whom are the innovators of the techniques and devices involved. Broad in scope, topics covered range from how to obtain training in approved endovascular techniques to promising new lines of investigational therapies.

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.

Postgraduate Vascular Surgery is your concise pocket guide to the FRCS and MRCS exams. Covering the full range of surgical interventions, including diagnosis, management, clinical investigation and treatment, all chapters have been written by specialists in their field. The chapters are structured with key bullet points for easy reference, as well as tables, figures and charts to aid understanding. Relevant references are included for further exploration of a particular topic. Tips and tricks on passing the exam are included. This book is aimed at candidates for the FRCS and intercollegiate MRCS exams, surgical trainees and those following a sub-speciality of vascular surgery.

Bildgebung bei Erkrankungen des Lymphgefasssystems - Das Wichtigste fur alle AErztinnen und AErzte Erkrankungen des Lymphgefasssystems sind haufig, werden jedoch oft nicht erkannt oder in Ihrer Tragweite unterschatzt. Kenntnisse uber die diagnostischen Moeglichkeiten mittels bildgebender Verfahren sind selbst bei lymphologisch orientierten, aber auch in der Tumornachsorge tatigen AErztinnen und AErzten oft nur eingeschrankt vorhanden. Umfassend, praxisbezogen und anwendungsorientiert stellen die Autoren die bildgebenden diagnostischen Verfahren des Lymphgefasssystems, deren technische Durchfuhrung, Moeglichkeiten und Grenzen dar. Das Buch wendet sich an Facharztinnen und AErzte sowie AErztinnen und AErzte in Ausbildung, zu deren Fachrichtung Erkrankungen des Lymphgefasssystems gehoeren, also Allgemeinmediziner, Angiologen, Chirurgen, Dermatologen, Internisten, Lymphologen, Phlebologen. Aus dem Inhalt: Funktionelle Anatomie des Lymphgefasssystems Lymphszintigraphie/Funktionslymphszintigraphie Magnetresonanz-Lymphangiographie Indirekte Lymphangiographie und Direkte Lymphographie Sonographische Diagnostik der Lymphknoten und Lymphgefasse Sonographische Befunde bei OEdemen und Lymphoedemen und anderen interstitiellen Flussigkeitseinlagerungen Zystische lymphatische Malformation (LM) - Diagnose und Therapie Indocyaningrun (ICG)-Lymphographie in der Lymphchirurgie Nuklearmedizinische Wachterlymphknoten-Diagnostik Positronenemissionscomputertomografie (PET) - Detektion pathologischer Lymphknoten Fluoreszenz-Mikrolymphographie - eine wichtige Methode zur Fruhdiagnose des Lymphoedems

Allen AErzten, die Venen operativ oder konservativ behandeln, bietet dieses Buch eine praxisorientierte Anleitung zur Sonographie der oberflachlichen Venen. Die einzelnen Venensegmente werden mit Normalbefund, haufigen und seltenen pathologischen Bildern und differenzialdiagnostisch wichtigen Nebenbefunden ausfuhrlich dargestellt. In der Neuauflage sind die aktuelle anatomische Nomenklatur und die Stadieneinteilung berucksichtigt, zudem werden neue therapeutische Verfahren besprochen. Die beigefugte DVD enthalt zusatzliches Bild- und Videomaterial.

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.

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.

Die CD-ROM bietet eine aktuelle Bestandsaufnahme zur Prophylaxe des carotis-assoziierten Schlaganfalles.

Mindestens 30.000 aller ischAmischen SchlaganfAlle im vorderen Hirnkreislauf werden pro Jahr in Deutschland durch Stenosen oder VerschlA1/4sse der extrakraniellen A. carotis verursacht. Prospektive Studien (NASCET, ECST) haben bereits 1991 die EffektivitAt der Carotischirurgie bei symptomatischen Patienten mit extrakranieller Carotisstenose unter Beweis gestellt. Ein vergleichbarer Wirksamkeitsnachweis steht fA1/4r das "Stenting" von Carotisstenosen aus, da entsprechende randomisierte Studien (SPACE) noch nicht abgeschlossen sind. Durch die VerfA1/4gbarkeit von endovaskulAren Stents scheint sich jedoch die Behandlung des carotis-assoziierten Schlaganfalls immer mehr aus der GefAAchirurgie in benachbarte Fachdisziplinen zu verlagern. Die Thematik ist deshalb von fachA1/4bergreifendem Interesse.

Postgraduate Vascular Surgery is your concise pocket guide to the FRCS and MRCS exams. Covering the full range of surgical interventions, including diagnosis, management, clinical investigation and treatment, all chapters have been written by specialists in their field. The chapters are structured with key bullet points for easy reference, as well as tables, figures and charts to aid understanding. Relevant references are included for further exploration of a particular topic. Tips and tricks on passing the exam are included. This book is aimed at candidates for the FRCS and intercollegiate MRCS exams, surgical trainees and those following a sub-speciality of vascular surgery.

Chronic venous insufficiency, manifesting as disabling open leg ulcers, lipodermatosclerosis and severe cutaneous hyperpigmentation is thought to affect five percent of the population over age 80 and a significant proportion, probably greater than one percent, of Western populations under age 65. To date little has been known about how to treat this condition cost-effectively beyond supportive and palliative care. Thus, the most important feature of Chronic Venous Insufficiency is that it describes the interventions which markedly ameliorate, and in some cases cure, the condition. The authoritative text has been skilfully illustrated to show how new methods of endovascular and endoscopic interventions can be integrated with radiologic techniques to correct totally the abnormalities which produce chronic venous insufficiency. Taken as a whole this volume will enable general surgeons, vascular surgeons, dermatologists and interventional radiologists to treat a condition that was, until recently, thought to be untreatable.