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Visceral Vessels and Aortic Repair - Challenges and Difficult Cases (Hardcover, 1st ed. 2019)
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Visceral Vessels and Aortic Repair - Challenges and Difficult Cases (Hardcover, 1st ed. 2019)
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This book shows how new technologies and technical skills together
with deeper understanding of pathophysiology of visceral and renal
ischemia have contributed to significant improvements in the
clinical outcomes in patients undergoing complex aortic repair
involving splanchnic arteries. In recent years, aortic repair has
expanded its borders, focusing more and more on the particularly
challenging segments from which critical branches originate.
Optimal results in this area are obtained through a
multidisciplinary approach based on crucial elements such as
sophisticated imaging techniques, advanced anesthesiological and
pharmacological strategies, as well as updated surgical techniques
and devices able to reduce ischemic injuries. The book presents
problems tackled from different perspectives, by analyzing the main
technical aspects of the surgical technique but also functional and
metabolic issues. It also discusses concepts such as ischemic
preconditioning and ischemia-reperfusion mechanisms, as well as
innovative investigational approaches. In the "endovascular era",
it highlights the most recent updates in complex endovascular
repair involving renal and visceral arteries, providing both
practical tips and tricks and outcomes analyses. The volume also
addresses specific, rarely reported problems in vascular surgery,
including issues in renal transplant, oncologic surgery with
involvement of splanchnic arteries and of the vena cava, and use of
the deep veins in aortic surgery. This volume represents a powerful
tool for both young and experienced operators who wish to approach
the complex aortic pathology either by open surgery or through
endovascular methods."
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