This comprehensive reference details the techniques for establishing vascular access for hemodialysis and other acute and chronic conditions that require access to the circulation along with peritoneal dialysis access methods. Includes over 960 references and more than 160 tables, figures, and photographs. Vascular Access in Clinical Practice contains the latest material on -autogenous AV fistula formation and maintenance methods -diagnosis of fistula problems prior to thrombosis -salvaging acutely thrombosed grafts -percutaneous methods of salvaging access sites -preoperative assessment of the access patient -materials used for vascular access and their healing responses -access techniques for pediatric patients and features extensive coverage of central venous catheters including -catheter selection -catheter placement techniques -catheter related complications -operative imaging -catheter care and maintenance Vascular Access in Clinical Practice is an essential reference for general and vascular surgeons, residents, and fellows; nephrologists; dialysis practitioners; intravenous infusion practices; and medical, physician assistant, and nursing students who have contact with dialysis and other critically ill patients.

The 16th volume in this series provides surgeons and trainees with the latest advances in their field. Beginning with a chapter on energy sources in surgical practice, the following sections discuss surgical techniques for diseases and disorders in different parts of the body. Each topic is described in a step by step format, explaining preoperative evaluation, imaging and post-operative management as well as the procedure itself. This new volume is highly illustrated with surgical images, figures and tables to assist learning. Key points New volume covering latest advances and techniques in general surgery Topics explained in step by step format Highly illustrated with surgical images, figures and tables Previous volume (9789352703630) published in 2018

This book provides simple and practical instructions on how to perform safe and easy venous cannulation, and how to insert midlines and PICC lines using ultrasound. It aidsunderstanding of the relevant anatomy, shows how to use the ultrasound machine, and how to insert such lines using ultrasound guidance. Readers will feel confident and well prepared to deal with patients requiring difficult venous access, giving them simple solutions that can be learned very quickly. These skills will also be globally beneficial for patients and healthcare institutions alike. Follows the trends of the NHS and riding the wave of the midline/PICC line revolution Compact and affordable highly relevant to daily practice Useful for specialists and generalists alike, truly multi-disciplinary

The Manual of Venous and Lymphatic Diseases constitutes a concise but comprehensive and contemporary description of the nature and management of venous and lymphatic diseases. This innovative book instructs the post-graduate trainee in phlebology and is also valuable to undergraduate students wishing to gain a broader knowledge than is available in general surgical texts. Addtionally, it is a useful reference for practising phelebologists, vascular surgeons and imaging specialists. The text covers basic principles, diagnosis and treatment of chronic venous disease, venous thrombo-embolism, lymphoedema and vascular malformations.

This text provides a comprehensive, state-of-the-art review of catheter based approaches to valve and aortic diseases. The scope encompasses involve all the current and upcoming transcatheter aortic valve technologies as well as mitral, pulmonary and tricuspid valve technologies. Aortic diseases including transcatheter repair of descending aneurysms are included and the upcoming technologies designed to repair aortic dissections, traumatic injury, and ascending arch stent repair are highlighted. Catheter Based Valve and Aortic Surgery will be a useful tool for cardiac and vascular surgeons, interventional cardiologists, general cardiologists, and clinicians and researchers with an interest in these exciting new developments in structural heart and vascular diseases.

Key features:
REVISION OF A BESTSELLER - the "Second Edition" is a critical guide on the rationale, techniques, and effectiveness of direct percutaneous mechanical revascularization for acute myocardial infarction, to help physicians keep up with the changing times
COMPREHENSIVE - Guides experienced interventional cardiologists, as well as trainees, through the angioplasty process safely and effectively, helping physicians improve patient outcomes
BROAD TREATMENT TECHNIQUES - on stenting, thrombectomy, atherectomy, and others, help physicians combat atherosclerotic plaque and give patients the best care possible
DETAILED MANAGEMENT STRATEGIES - for traditional cases, as well as for the special needs of diabetic, elderly, and female patients, equip clinicians with valuable knowledge to handle difficult situations
ACCOMPANYING DVD - with 47 case study video clips provides clinicians with the visual aids they need to better understand the technique and enhance their practice

Increasing evidence suggests that particularly in high-risk patients, endovascular solutions offer substantial advantages compared to vascular surgical procedures. Nevertheless, growing numbers of procedures are associated with an increased incidence of complications. Knowledge of specific complications in different vessel areas will support the interventionist in preventing such adverse events and if necessary, provide considerable reassurance if such complications need to be resolved. In Complications in Peripheral Vascular Interventions, typical and atypical complications are described for all peripheral vessel areas, and methods for how to handle these events are outlined. The book is divided in two parts. Part 1 reviews general aspects on complications in peripheral interventions, and Part II covers the specific vessel areas. Each chapter on the specific vessel area includes Introduction to the frequency and kind of complications in this vessel area Factors identifying high-risk patients for these complications Complications of specific interventional steps and tools Endovascular techniques to resolve these complications Methods to avoid complications Summary Checklist for emergency equipment Offering practical tips for the interventionist in the cath lab, high-volume interventionists share their experiences by reviewing complicated cases and outlining different strategies used in real-life scenarios.

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.

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.

A highly pragmatic, high yield concise guide that is relatively easy to digest . It is heavily geared to actually doing the job of a day one vascular consultant, which is what the FRCS exam is all about. Written by a recently qualified vascular surgeon with a commitment to teaching.

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.

Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper's place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge.

As devices, technologies, and imaging techniques continue to evolve, today's endovascular surgical techniques have increased in both number and complexity. Complications in Endovascular Surgery provides a unique focus on potential complications encountered in the operating room, preparing you to anticipate the unexpected, identify the risk factors in individual procedures, and take steps to successfully manage complications when they occur. Helps you manage the surgical complications associated with image-guided interventional techniques used when treating patients with vascular disease, with clear descriptions of how to prevent problems and how to prevent catastrophic problems once a simple problem occurs. Provides a practical guide to device-specific tips and tricks from experts in the field, making this unique resource ideal for surgeons at all levels of training and practice. Features highly illustrated, consistent instructions that explain how to avoid and manage both common and uncommon complications. Covers EVAR, TEVAR, FEVAR, and other complex aortic work; as well as CAS, TCAR, complex LE endovascular procedures, and venous intervention-lysis/stenting. Includes tip boxes with key facts and technical recommendations, warning boxes that highlight safety precautions, and a troubleshooting guide for each procedure that helps you get back on track if things don't go exactly as planned. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

50 Studies every Vascular Surgeon Should Know presents key studies that have shaped the practice of Vascular Surgery. Selected using a rigorous methodology, the studies cover topics including carotid artery disease, aortic aneurysm, peripheral artery disease, trauma, venous disease and vascular access. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implication for practice. An illustrative clinical case concludes each review to highlight the impact of the study on clinical practice. This book is a must read for vascular surgeons, especially those in training and preparing for board exams, as well as anyone who wants to learn more about the data behind clinical practice.

ABC of Arterial and Venous Disease provides a structured, practical approach to clinical assessment, investigation and management of the most commonly presenting arterial and venous disorders. Structural and functional abnormalities of arteries and veins manifest clinically in a broad spectrum of disorders, including cerebrovascular and carotid artery disease, abdominal aortic aneurysms, acute and chronic limb ischaemia, vasculitis and varicose veins. This revised edition incorporates new chapters on coronary artery disease and acute coronary syndrome, visceral artery stenosis and mesenteric ischaemia, and arteriovenous malformations. Many of these common or chronic conditions first present for initial assessment by primary health care professionals. Case vignettes have been added to relevant chapters to aid understanding and decision making. Fully up to date and from an expert editor and contributor team, ABC of Arterial and Venous Disease remains a useful resource for non-specialist doctors such as general practitioners, family physicians and junior doctors in training. It is also a relevant guide for all other primary health care professionals working within the multidisciplinary teams responsible for patients with chronic arterial and venous disorders.

Historically, vascular disease has been treated by a combination of open surgical procedures and medical management. Since the first description of a percutaneous procedure to dilate diseased lower limb arteries, the treatment of vascular disease has changed. Endovascular Intervention for Vascular Disease: Principles and Practice offers a diverse and comprehensive review of the current status of endovascular therapy for peripheral vascular disease. Setting a gold-standard in industry, it describes the entire spectrum of current techniques and emerging technologies including aneurysm repair, the management of occlusive disease, and vascular trauma. Providing step-by-step guidance on arterial and venous interventions by anatomical site, the book collects expert discussions on recent clinical trials and procedures for venous disease, reconstruction, and repair. In addition to summarizing the current techniques and available evidence, it discusses likely future advances in the field, taking into consideration both the natural history of the disease and alternative therapies that may involve cell- or gene-based approaches.

This new book on vascular malformations brings together international experts to present advances and discuss controversies in the multidisciplinary management of patients with congenital vascular malformations. Major advances in recent years in medical genetics, and tremendous progress in the fields of imaging and minimally invasive percutaneous interventions have revolutionized both evaluation and management of vascular malformations. The six major parts of this state of the art book ensure that the reader has the most up to date valuable clinical information to ensure the delivery of world class clinical practice. Beautifully illustrated with color line drawings, numerous photographs and informative tables, the advances and controversies of the full spectrum of vascular malformations are presented in 90 definitive chapters. Vascular Malformations brings new information and unparalleled insights to vascular specialists and physicians, trainees and allied health professionals who participate in the care of patients with vascular malformations, either in a private practice setting or at a major institution in an interdisciplinary vascular center.

This book discusses geometric and mathematical models that can be used to study fluid and structural mechanics in the cardiovascular system. Where traditional research methodologies in the human cardiovascular system are challenging due to its invasive nature, several recent advances in medical imaging and computational fluid and solid mechanics modelling now provide new and exciting research opportunities. This emerging field of study is multi-disciplinary, involving numerical methods, computational science, fluid and structural mechanics, and biomedical engineering. Certainly any new student or researcher in this field may feel overwhelmed by the wide range of disciplines that need to be understood. This unique book is one of the first to bring together knowledge from multiple disciplines, providing a starting point to each of the individual disciplines involved, attempting to ease the steep learning curve. This book presents elementary knowledge on the physiology of the cardiovascular system; basic knowledge and techniques on reconstructing geometric models from medical imaging; mathematics that describe fluid and structural mechanics, and corresponding numerical/computational methods to solve its equations and problems. Many practical examples and case studies are presented to reinforce best practice guidelines for setting high quality computational models and simulations. These examples contain a large number of images for visualization, to explain cardiovascular physiological functions and disease. The reader is then exposed to some of the latest research activities through a summary of breakthrough research models, findings, and techniques. The book’s approach is aimed at students and researchers entering this field from engineering, applied mathematics, biotechnology or medicine, wishing to engage in this emerging and exciting field of computational hemodynamics modelling.

This SpringerBrief analyzes varicocele from a novel approach, and provides the reader with a comprehensive view of its scientific and clinical significance. The Brief covers all the important aspects of varicocele related to infertility, from epidemiology to assisted reproduction techniques, contemplating pathophysiology, semen analysis, specialized sperm function tests, and clinical management including all available treatment options form three distinct perspectives, i.e., current concepts, consensus and controversies. Each topic is addressed using the same template, offering the best information from all angles to readers. This SpringerBrief is aimed at both clinicians and scientists involved in the study and care of male and female fertility, and is written by a team of three internationally recognized authors with expertise in andrology and male infertility. The text is the first of its kind, and presents an invaluable tool both for the basic scientists with an interest in reproductive medicine and for clinicians working in the field of infertility.

Endovascular neurosurgery is a recently introduced but rapidly evolving medical field, which uses minimally invasive interventions to treat major life-threatening vascular lesions of the Central Nervous System. Although its history counts less than 15 years of worldwide acceptance, it has rapidly displaced the traditional open neurosurgical techniques, being nowadays the first treatment choice for brain aneurysms and vascular malformations. Thus, the experience of each neuroendovascular center and performer is invaluable, offering the base for learning and teaching the new generation of interventionalists as well as for the evolvement of the method itself. This book presents the basic principles of endovascular neurosurgery starting from clinical cases. Through this close-to-clinical-reality-process, the reader will be able to more thoroughly understand the pathophysiology of the brain and spine vascular lesions as well as the decision-making strategy, related to the indications, endovascular methods and results, finding suggestions and solutions to his/her clinical questions and problems. Besides chapters devoted to CNS vascular embryology and anatomy, clinical cases organized in groups based on the treated lesions are introduced: ruptured and unruptured cerebral aneurysms of the anterior and posterior circulation, side-wall and bifurcation aneurysms, arteriovenous malformations (AVM), dural arteriovenous fistulae (dAVF), arterial stenosis and angioplasty as well as spinal vascular lesions. A separate chapter is devoted to the organization and necessary equipment of the angio room and the department offering neuroendovascular service. This volume will be of interest to neurosurgeons, interventional neuroradiologists, vascular surgeons, neurologists and ICU physicians as well as health care providers who are involved in the diagnosis and management of the vascular lesions of the brain and spine.

This book is designed to provide the practicing interventionist with a comprehensive list of procedural reports that covers the vast majority of the currently performed interventional procedures outside the cardiac system. It offers up-to-date explanatory notes, synopsis of the indications, contraindications and potential complications in an organized and practical format that follows the various body systems and progresses from the simple image guided FNA to the most complex procedures and incorporates the current societal guidelines. The book is divided for ease of reference into three main parts: Non vascular, Vascular and Neurovascular interventions. This information is not currently available in any single publication. The text provides residents, fellows as well as staff members with a quick, detailed and user-friendly resource for documentation of image-guided interventional procedures that will facilitate their tasks, improve the standard of documentation and reduce errors. The text can serve as a valuable tool for a quick review prior to a procedure or in preparation for an oral board certifying examination. The entries are vetted by recognized experts in the field of image-guided intervention. Procedural Dictations in Image-Guided Intervention: Non-Vascular, Vascular & Neuro Interventions covers the vast majority of the currently practiced image-guided interventions in the various body systems. This information is supported by up-to-date references and international guidelines. This book is a must-have for residents and fellows undergoing training and all specialists in image-guided intervention.

Peripheral and Cerebrovascular Intervention draws upon experts from diverse fields to provide readers with a comprehensive foundation for understanding and performing endovascular procedures -- from the basic steps to the most current and advanced techniques. Individual chapters focus on primary intervention sites, including lower extremity, renal/mesenteric, subclavian/upper extremity, carotid/vertebral, intracranial, and venous interventions. Additionally, chapters covering critical limb ischemia and abdominal and thoracic aortic aneurysms are included. By incorporating valuable clinical information, such as indications, contraindications, complications, and discussions of surgical techniques and procedures, this book is a valuable resource for the busy practitioner and will be of interest to all interventional and general cardiologists, radiologists, and neurologists; vascular surgeons; internists; and residents and fellows.

New Techniques for Thoracic Outlet Syndromes presents in a comprehensive format an up-to-date, state of the art reference that physicians can use in consultation to properly treat patients using the resources that modern medicine offers. This book offers the newer surgical approaches that have been developed during the past 30 years. Some of these techniques are modification of operations that were proposed previously but were not fully affective and left many patients suffering with permanent disability. This textbook is a compendium of the proper management of these patients that cannot be found in isolated reports of literature. The neurogenic-arterial thoracic outlet syndrome section covers how to diagnosis the illness using the proper tests, therefore eliminating the use of expensive, uncomfortable and inconvenient tests. The text is organized in three basic sections that cover all the aspects of the thoracic outlet syndromes. The first section addresses the neurogenic-arterial type, with the pertinent subsections: symptoms, diagnosis. A list of the useful tests is provided to make a correct diagnosis of this syndrome. This is followed by the sections on treatment, using the surgical approaches with historical aspects and evolution of the operations proposed. The second section involves the venous thoracic outlet syndrome divided into the corresponding subsections comprising: symptoms and physical findings, etiology, diagnosis. This section also includes a list of the usual tests to make the proper diagnosis. The last section of this text is dedicated to the presence of cervical ribs and their classification of the different types that occur, and also the proper surgical treatment when fusion of the upper ribs is present. New Techniques for Thoracic Outlet Syndromes offers the current, acceptable and most effective methods to handle thoracic outlet syndromes. It will be of great value to thoracic surgeons, vascular surgeons, interventional radiologists as well as fellows and residents in training for cardiothoracic and vascular surgery.

Highly illustrated text to aid understanding of best practice in carotid treatment Reflects international best practice Useful in clinical practice and to improve patient care