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  • 175.00 lei

     

    Description:

    This book identifies the 50 key scientific articles in the field of vascular and endovascular surgery. It provides a commentary to each carefully selected paper and explains why these papers are so important, thus providing every surgeon with the foundation stones of knowledge in this fast-moving area. There has been an exponential increase in the volume and quality of published research relating to vascular and endovascular surgery in recent decades. Among thousands of articles, a small fraction is truly "game changing." Such studies form the foundations of vascular surgery today and the selection of papers within this book provide the 50 landmark papers every 21st-century vascular and endovascular surgeon needs to know. A valuable reference not only to the established surgeon, but also to vascular surgery residents and trainees, as well as to more experienced surgeons as they continue to learn new techniques and approaches and to improve their knowledge of vascular disorders and treatments. The papers provide an evidence-based resource for those surgeons preparing for professional exams and may inspire clinicians to produce new research. About the Editors Juan Carlos Jimenez MD, MBA Professor of Surgery Gonda (Goldschmied) Vascular Center David Geffen School of Medicine at UCLA Los Angeles, California Samuel Eric Wilson, MD Distinguished Professor of Surgery and Chair Emeritus University of California Irvine Irvine, California

     

    Table of Contents:

     

    Section One: Cerebrovascular

    1. Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis

    2. Stenting versus Endarterectomy for Treatment of Carotid-Artery Stenosis

    3. Endarterectomy for Asymptomatic Carotid Artery Stenosis

    4. A Multi-Institutional Analysis of Transcarotid Artery Revascularization Compared to Carotid Endarterectomy

    Section Two: Infrarenal Aortic Aneurysm

    5. Immediate Repair Compared with Surveillance of Small Abdominal Aortic Aneurysm

    6. Experience with 1509 Patients Undergoing Thoracoabdominal Aortic Operations

    7. Results of the United States Multicenter Prospective Study Evaluating the Zenith Fenestrated Endovascular Graft for Treatment of Juxtarenal Abdominal Aortic Aneurysms

    8. Outcomes Following Endovascular vs Open Repair of Abdominal Aortic Aneurysm: A Randomized Trial

    9. Collected World and Single Center Experience with Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms

    10. Repair of Extensive Aortic Aneurysms: A Single-Center Experience Using the Elephant Trunk Technique over 20 Years

    11. Endovascular versus Open Repair of Abdominal Aortic Aneurysm in 15-Years’ Follow-Up of the UK Endovascular Aneurysm Repair Trial 1 (EVAR Trial 1): A Randomized Controlled Trial

    12. Long-Term Survival and Secondary Procedures after Open or Endovascular Repair of Abdominal Aortic Aneurysms

    13. Twelve-Year Results of Fenestrated Endografts for Juxtarenal and Group IV Thoracoabdominal Aneurysms

    Section Three: Aortic Dissection

    14. Predictors of Failure of Medical Management in Uncomplicated Type B Aortic Dissection

    15. Predictors of Intervention and Mortality in Patients with Uncomplicated Acute Type B Aortic Dissection

    16. Endovascular Repair of Type B Aortic Dissection: Long-Term Results of the Randomized Investigation of Stent Grafts in Aortic Dissection Trial

    17. Outcomes from the Gore Global Registry for Endovascular Aortic Treatment in Patients Undergoing Thoracic Endovascular Aortic Repair for Type B Dissection

    Section Four: Aorto-Iliac Occlusive Disease

    18. Placement of Balloon-Expandable Intraluminal Stents in Iliac Arteries: First 171 Procedures

    19. The Natural History of Bilateral Aortofemoral Bypass Grafts for Ischemia of the Lower Extremities

    20. Supervised Exercise, Stent Revascularization, or Medical Therapy for Claudication Due to Aortoiliac Peripheral Artery Disease: The CLEVER Study

    21. Thirty-Year Trends in Aortofemoral Bypass for Aortoiliac Occlusive Disease

    Section Five: Endovascular Management of Infra-Inguinal Occlusive Disease

    22. Shifting Paradigms in the Treatment of Lower Extremity Vascular Disease: A Report of 1000 Percutaneous Interventions

    23. Durable Clinical Effectiveness with Paclitaxel-Eluting Stents in the Femoropopliteal Artery: 5-Year Results of the Zilver PTX Randomized Trial

    24. Drug-Eluting Balloon versus Standard Balloon Angioplasty for Infrapopliteal Arterial Revascularization in Critical Limb Ischemia: 12-Month Results from the IN.PACT DEEP Randomized Trial

    25. Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL): Multicentre, Randomised Controlled Trial

    26. Six-Year Prospective Multicenter Randomized Comparison of Autologous Saphenous Vein and Expanded Polytetrafluoroethylene Grafts in Infrainguinal Arterial Reconstructions

    27. Results of PREVENT III: A Multicenter, Randomized Trial of Edifoligide for the Prevention of Vein Graft Failure in Lower Extremity Bypass Surgery

    28. Statins Are Independently Associated with Reduced Mortality in Patients Undergoing Infrainguinal Bypass Graft Surgery for Critical Limb Ischemia

    29. Long-Term Results of In Situ Saphenous Vein Bypass: Analysis of 2058 Cases

    Section Six: Visceral Occlusive Disease

    30. Contemporary Management of Acute Mesenteric Ischemia: Factors Associated with Survival

    31. Contemporary Outcomes of Intact and Ruptured Visceral Artery Aneurysms

    32. Clinical Importance and Management of Splanchnic Artery Aneurysms

    Section Seven: Peripheral Artery Aneurysms

    33. Popliteal Artery Aneurysms: A 25-Year Surgical Experience

    Section Eight: Venous

    34. A Prospective Double-Blind Randomized Controlled Trial of Radiofrequency versus Laser Treatment of the Great Saphenous Vein in Patients with Varicose Veins

    35. Contemporary Outcomes after Venography-Guided Treatment of Patients with May-Thurner Syndrome

    36. A Randomized, Blinded, Multicenter Study to Evaluate the Efficacy and Safety of Polidocanol Endovenous Microfoam 0.5% and 1.0% Compared with Placebo for the Treatment of Saphenofemoral Junction Incompetence

    Section Nine: Vascular Medicine

    37. Rosuvastatin to Prevent Vascular Events in Men and Women with Elevated C-Reactive Protein

    38. Statin Use Improves Limb Salvage after Intervention for Peripheral Arterial Disease

    39. Major Adverse Limb Events and Mortality in Patients with Peripheral Artery Disease: The COMPASS Trial

    40. A Randomised, Blinded, Trial of Clopidogrel versus Aspirin in Patients at Risk of Ischaemic Events (CAPRIE)

    Section Ten: Miscellaneous Topics

    41. Multidisciplinary Care Improves Amputation-Free Survival in Patients with Chronic Critical Limb Ischemia1

    42. Pediatric Renovascular Hypertension: 132 Primary and 30 Secondary Operations in 97 Children

    43. Late Results Following Operative Repair for Celiac Artery Compression Syndrome

    44. Repair of Type IV Thoracoabdominal Aneurysm with a Combined Endovascular and Surgical Approach

    45. The Contemporary Management of Renal Artery Aneurysms

    46. The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk Stratification Based on Wound, Ischemia, and Foot Infection (WIfI)

    47. Long-Term Results in Patients Treated with Thrombolysis, Thoracic Inlet Decompression, and Subclavian Vein Stenting for Paget-Schroetter Syndrome

    48. Age Stratified, Perioperative, and One-Year Mortality after Abdominal Aortic Aneurysm Repair: A Statewide Experience

    49. Transaxillary Decompression of Thoracic Outlet Syndrome Patients Presenting with Cervical Ribs

    50. Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis

     

  • 175.00 lei

     

    SE TIPARESTE IN DECEMBRIE 2020

     

    This book complements and supplements the daily hands-on learning of residents and fellows in the areas of vascular surgery, interventional radiology, and interventional cardiology as they explore the world of endovascular and catheter-based procedures. Due to the complexity and growth in this field, it is vital that trainees establish a firm foundational knowledge of the basic construction of the tools they will be using, the properties that make them suited for addressing specific diseases, and their proper handling so that procedures can be completed effectively and safely.

  • 26000lei 230.00 lei

    Effectively prepare for certification, increase your knowledge, and improve your image interpretation skills using the proven and popular Case Review approach! In this new edition, Drs. John P. McGahan, Sharlene A. Teefey, and Laurence Needleman present 127 clinically relevant cases with associated images, multiple-choice questions, and rationales - organized by degree of difficulty and designed to reinforce your understanding of the essential principles needed to interpret a wide range of general and vascular ultrasound images.

  • 230.00 lei

     

    SE TIPARESTE IN NOIEMBRIE 2020

     

    Cardiac catheterization and coronary angiography are both key components to routine cardiology practice. This new edition of Cardiac Catheterization and Coronary Intervention has been fully updated since the first edition, with new sections on primary percutaneous coronary intervention, trends in vascular access, bioabsorbable stents, optical coherence tomography, and more. Filled with over 150 clinical images and schematic illustrations, the handbook is an accessible 'how-to' guide, designed to de-mystify complex cardiac catheterization investigations. Expanded to reflect developments in practice, this new edition also introduces a new chapter on the multidisciplinary team and their roles and responsibilities from pre- to post-procedural care and relevant training requirements.

    Containing detailed instructions on how to perform a comprehensive left and right heart catheterization procedure, choosing the correct catheter for coronary and graft angiography, and how to perform a diagnostic coronary angiogram and interpret the subsequent findings, Cardiac Catheterization and Coronary Intervention acts as a concise and invaluable guide for the cardiology trainee.

  • 240.00 lei

     

    Description:

     

    Effectively prepare for certification, increase your knowledge, and improve your image interpretation skills using the proven and popular Case Review approach! In this new edition, Drs. John P. McGahan, Sharlene A. Teefey, and Laurence Needleman present 127 clinically relevant cases with associated images, multiple-choice questions, and rationales – organized by degree of difficulty and designed to reinforce your understanding of the essential principles needed to interpret a wide range of general and vascular ultrasound images.

     

    Features:

    Study efficiently with content that mimics the format of board exams as well as the everyday clinical experience – offering highly effective preparation for certification, recertification, and practice.

    Build your skills in a cumulative way by progressing through three overall categories, from least to most difficult, with separate sections for Opening Round, Fair Game, and Challenge cases.

    New To This Edition:

    Gain new understanding from dozens of unknown cases reflecting the most recent changes in abdominal and small part ultrasound, including the scrotum and thyroid. 

    Understand the recent changes in the complexities of vascular ultrasound of the carotid, transplants, and extremities.

    Stay up to date with new thyroid cases and musculoskeletal cases, including rheumatoid arthritis and shoulder ultrasound.

    Expand your awareness of physics, state-of-the-art instrumentation, and common aritifacts with added new content.

    Clearly visualize what you’re likely to see on exams and in practice thanks to new images -- including color Doppler images.

     

    Table Of Contents:

    1. Opening Round Cases

    2. Fair Game Cases

    3. Challenge Cases

       

     

     

     

    Reviews the most current and novel treatment strategies for NHL

    Supplemented with numerous color illustrations, photographs, and tables

    Written by worldwide experts in the field

     

    About this book

     

    This text provides a state-of-the-art overview on Non-Hodgkin's lymphoma (NHL) in children and adolescents. The volume is divided into seven sections, each of which focuses on a critical component of pediatric NHL, including history and epidemiology, pathology and molecular biology, disease evaluation and response, common and rare sub-types of NHL, and current and novel treatment strategies. The text also comprehensively reviews the late effects of treatment, quality of patient life, and NHL treatment in countries with limited resources.

    Written by experts in the field, Non-Hodgkin's Lymphoma in Childhood and Adolescence is a valuable resource for clinicians and practitioners who treat children and adolescents with NHL.

    Table of contents (28 chapters)

    History of Diagnoses and Treatment Strategies in Pediatric Non-Hodgkin’s Lymphomas

    Pages 3-13

    Mann, Georg

    Epidemiology of Non-Hodgkin Lymphomas in Childhood and Adolescence

    Pages 15-22

    Thacker, Nirav (et al.)

    Diagnosis and Classification

    Pages 23-29

    Molina, Thierry Jo

    Pathogenesis of B-Cell Lymphoma

    Pages 33-50

    Wagener, Rabea (et al.)

    Pathogenesis of T-Non-Hodgkin’s Lymphoma

    Pages 51-56

    Bond, Jonathan (et al.)

    The Pathogenesis of Anaplastic Large Cell Lymphoma

    Pages 57-65

    Turner, Suzanne Dawn

    Pathology

    Pages 67-95

    Kornauth, Christoph (et al.)

    Genetic Predisposition to Non-Hodgkin Lymphoma

    Pages 97-110

    Haas, Oskar A. (et al.)

    Response Assessment in Pediatric Non-Hodgkin Lymphoma

    Pages 113-118

    Truong, Tony H. (et al.)

    Minimal Disseminated and Minimal Residual Disease in Pediatric Non-Hodgkin Lymphoma

    Pages 119-129

    Mussolin, Lara (et al.)

    Prognostic Factors in Childhood and Adolescent Non-Hodgkin Lymphoma

    Pages 131-149

    Pillon, Marta (et al.)

    Lymphoblastic Lymphoma

    Pages 153-164

    Burkhardt, Birgit (et al.)

    Burkitt Lymphoma and Diffuse Large B-Cell Lymphoma

    Pages 167-183

    Egan, Grace (et al.)

    Primary Mediastinal and Gray Zone Lymphomas

    Pages 185-193

    Giulino-Roth, Lisa (et al.)

    Epstein-Barr Virus-Associated Post-Transplantation Lymphoproliferative Disease

    Pages 195-211

    Geerlinks, Ashley V. (et al.)

    Pediatric-Type Follicular Lymphoma (PTFL)

    Pages 213-219

    Attarbaschi, Andishe

    Marginal Zone Lymphoma

    Pages 221-227

    Burkhardt, Birgit

    Primary Central Nervous System Lymphoma

    Pages 229-238

    Abla, Oussama (et al.)

    Rare B-Cell Non-Hodgkin’s Lymphomas in Childhood and Adolescence

    Pages 239-247

    Beishuizen, Auke (et al.)

    Anaplastic Large Cell Lymphoma in Children and Adolescents

    Pages 251-262

    Lowe, Eric J. (et al.)

    Peripheral T-Cell Lymphoma

    Pages 263-269

    Mellgren, Karin (et al.)

    Extranodal NK-/T-Cell Lymphomas and EBV+ Lymphoproliferative Diseases of Childhood

    Pages 271-279

    Wanitpongpun, Chinadol (et al.)

    Cutaneous T-Cell Lymphomas in Childhood and Adolescence

    Pages 281-291

    Willemze, Rein

    Principles of Immunotherapy

    Pages 295-304

    Goldman, Stanton (et al.)

    Hematopoietic Stem Cell Transplantation

    Pages 305-313

    Mori, Tetsuya (et al.)

    Novel Therapies in Paediatric NHL

    Pages 315-335

    Burke, Amos (et al.)

    Childhood and Adolescence Non-Hodgkin Lymphomas in Low- and Middle-Income Countries

    Pages 337-351

    Ozuah, Nmazuo W. (et al.)

    Long-Term Outcomes in Survivors of Childhood and Adolescent Non-Hodgkin Lymphoma

    Pages 353-366

    Nathan, Paul C. (et al.)

     

  • 24300lei 182.00 lei

     

    Description:

    Designed specifically for the Core Exam, Vascular and Interventional Radiology : A Core Review covers all key aspects of the field, mimicking the image-rich, multiple-choice format of the actual test. Ideal for residents preparing for the Core Examination, as well as practitioners taking recertification exams, this unique review follows the structure and content of what you’ll encounter on the test, effectively preparing you for Core Exam success!

     

    Table of Contents:

     

    Interactive Question Presentation

    1 Fundamentals of Interventional Radiology

    2 Arterial Interventions

    3 Venous Interventions

    4 Thoracic

    5 Gastrointestinal

    6 Urinary

    7 Reproductive Endocrine

    8 Noninvasive Imaging

    9 Quality and Safety

    10 Physics

    Static Presentation

    1 Fundamentals of Interventional Radiology

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    2 Arterial Interventions

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    3 Venous Interventions

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    4 Thoracic

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    5 Gastrointestinal

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    6 Urinary

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    7 Reproductive Endocrine

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    8 Noninvasive Imaging

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    9 Quality and Safety

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    10 Physics

    QUESTIONS

    ANSWERS AND EXPLANATIONS

    Index

     

  • 245.00 lei

     

    Description:

     

    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.

     

    Table of Contents:

     

    SECTION I: ASSESSMENT OF VASCULAR DISEASE

    1 The evolution of vascular surgery

    2 Pathophysiology of human atherosclerosis

    3 Hemodynamics and non-invasive testing

    4 Clinical examination of the vascular system

    5 A review for clinical outcomes research: Hypothesis generation, data strategy and hypothesis-driven statistical analysis

    SECTION II: MEDICAL TREATMENT

    6 Pathology and medical management of atherosclerotic vascular disease

    7 Thrombophilia as a cause of recurrent vascular access thrombosis in hemodialysis patients

    8 Anticoagulants

    9 Thrombolytic therapy

    10 Antiplatelet therapy

    11 Vasoactive pharmaceuticals for treatment of peripheral arterial disease

    12 Perioperative evaluation and management of cardiac risk in vascular surgery

    13 The biology of restenosis and neointimal hyperplasia

    SECTION III: PERIPHERAL OCCLUSIVE DISEASE

    14 Acute arterial insufficiency

    15 The pathophysiology of skeletal muscle reperfusion

    16 Aortoiliac occlusive disease: Endovascular and surgical therapies

    17 Femoral–popliteal–tibial occlusive disease: Open surgical therapy

    18 Results of endovascular therapy for femoral, popliteal and tibial disease

    19 In situ saphenous vein arterial bypass

    20 Adventitial cystic disease and entrapment syndromes involving the popliteal artery

    21 Extra-anatomic bypass

    22 Amputation in the dysvascular patient

    23 Rehabilitation of the vascular amputee

    24 Diabetes and peripheral artery disease

    25 Prevention and management of prosthetic vascular graft infection

    SECTION IV: ANEURYSMS

    26 Abdominal aortic aneurysm: Pathophysiology, endovascular and surgical therapy

    27 Thoracoabdominal aortic aneurysms

    28 Endovascular management of complex aortic aneurysms

    29 Aortic dissection

    30 Popliteal artery aneurysm

    31 Splanchnic artery aneurysms

    32 Infected aneurysms

    SECTION V: CEREBROVASCULAR DISEASE

    33 Extracranial vascular disease: Natural history and medical management

    34 Extracranial carotid artery occlusive disease: Surgical management

    35 Occlusive disease of the branches of the aortic arch and vertebral artery

    36 Carotid arterial tortuosity, kinks and spontaneous dissection

    37 Extracranial carotid artery aneurysms

    38 Carotid body tumours

    39 Carotid angioplasty and stenting

    SECTION VI: VISCERAL ARTERIAL DISEASE

    40 Renovascular disease

    41 Acute and chronic mesenteric vascular disease

    SECTION VII: VASCULAR DISORDERS OF THE UPPER EXTREMITY AND VASCULITIS

    42 Thoracic outlet disorders: Thoracic outlet compression syndrome and axillary vein thrombosis

    43 Raynaud’s syndrome and upper extremity small artery occlusive disease

    44 Vasculitis and dysplastic arterial lesions

    SECTION VIII: VENOUS AND LYMPHATIC DISORDERS

    45 Natural history and sequelae of deep vein thrombosis

    46 Pathophysiology of chronic venous disease

    47 Endovenous and surgical management of varicose veins: Techniques and results

    48 Deep vein thrombosis: Prevention and management

    49 Surgical management, lytic therapy and venous stenting

    SECTION IX: VASCULAR TRAUMA

    50 Thoracic and abdominal vascular trauma

    51 Thoracic outlet and neck trauma

    52 Vascular injuries of the extremities

    SECTION X: COMPARTMENT SYNDROME, VASCULAR ACCESS, MALFORMATIONS AND TRANSPLANTATION

    53 Compartment syndrome

    54 Principles of vascular access surgery

    55 Diagnosis and management of vascular anomalies: The Yakes AVM Classification System

    56 Vascular aspects of organ transplantation

    SECTION XI: SURGICAL TECHNIQUES

    57 Vascular open surgical techniques

    Index

     

  • 29000lei 260.00 lei

     
    Description:

    ·         Portable, succinct, and practical guide to all aspects of performing, analysing, and interpreting cardiovascular CT scans

    ·         Covers the curriculum requirements for all cardiology and trainees in the UK and Europe

    ·         Filled with real-life images, covering a range of everyday situations to show what to look for when making a diagnosis

    New to this Edition:

    ·         Filled with updates to guidelines, techniques, and technology

    ·         Contains a new chapter on the future directions of cardiac CT

    ·         Features over 50 new images, to aid scan interpretation

     

    Table of Contents

    1: Historical development of cardiovascular CT
    2: MSCT scanner components
    3: Technical principles of cardiovascular CT
    4: Beyond 64-detector CT
    5: Radiation physics, biology, and protection
    6: Practical aspects of cardiovascular CT
    7: Intravenous contrast media
    8: Scan protocols
    9: Difficult scenarios
    10: Image reconstruction and processing
    11: Sources of artefact
    12: Cross-sectional anatomy of the thorax
    13: The coronary arteries and cardiac veins
    14: Assessment of coronary artery disease
    15: Coronary stent imaging
    16: Coronary artery bypass graft imaging
    17: Ventricular pathology
    18: Evaluation of myocardial scarring and perfusion
    19: Evaluation of the left atrium and pulmonary veins
    20: CT workup prior to transcatheter aortic valve implantation (TAVI)
    21: Valve imaging
    22: Pericardial disease
    23: Adult congenital heart disease
    24: Non-cardiac findings on cardiac CT
    25: Thoracic aortic imaging
    26: Pulmonary artery imaging
    27: Peripheral arterial imaging
    28: Systemic veins
    29: Accreditation and certification in cardiovascular CT
    30: Comparison of multi-modality imaging
    31: Future directions of cardiac CT

     

  • 30000lei 280.00 lei

     

    Description:

    Now in full color, Handbook of Patient Care in Vascular Diseases is a concise quick-reference guide to effectively diagnosing and treating patients with common arterial and venous vascular diseases. Chapter by chapter, content is presented in a convenient online format, and covers everything from the latest diagnostic methodologies to current catheter-based basics to post-op patient management. Diseases and conditions include diabetes mellitus, atherosclerosis, obesity, and more.

     

    Table of Contents:

     

    Section I: Vascular Pathophysiology

    1: Arterial Disease

    2: Venous Disease

    Section II: Examination of the Vascular System

    3: History and Physical Examination of the Arterial System

    4: History and Physical Examination of the Venous System

    5: Noninvasive Vascular Testing

    Section III: Identification and Management of Cardiovascular Risk

    6: Risk Factors and Risk Modifications

    7: Perioperative Risk Stratification and Clinical Guidelines

    8: Perioperative Planning and Care of the Vascular Patient

    Section IV: Catheter-Based and Endovascular Concepts

    9: Indications and Preparation for Angiography

    10: Catheter-Based Technology and Postprocedure Care

    11: Basic Fluoroscopic Concepts and Applied Radiation Safety

    Section V: Disease-Specific Logical Care Outlines

    12: Great Vessel and Carotid Occlusive Disease

    13: Lower Extremity Ischemia

    14: Aneurysms and Aortic Dissection

    15: Renal Artery Diseases

    16: Mesenteric Ischemic Syndromes

    17: Upper Extremity Vascular Disorders

    18: Chronic Venous Disorders

    19: Venous Thromboembolism and Hypercoagulable Conditions

    20: Hemodialysis Access

    Index

     

  • 31500lei 290.00 lei

     

    This book provides new perspectives on the pathogenesis of atherosclerosis. Chapters cover atherosclerosis risk factors, the effect of growth and aging on vascular architecture, and the crucial role the microvasculature plays in atherosclerosis development. Microvascular dysfunction would explain why the well-known risk factors actually put individuals at higher risk. This pathomechanism would also hold true not only for obstructive atheroma formation but also for aneurysmal dilatation as well as for aortic and peripheral artery dissection. When seen through this lens, novel preventive and therapeutic opportunities can be envisioned.

    Atherosclerosis Pathogenesis and Microvascular Dysfunction proposes a single unifying mechanism of atherosclerosis development and describes potential preventative and therapeutic avenues based on this concept. It therefore represents a timely and valuable resource for internal medicine, cardiology, angiology cardiovascular surgeons, pathology clinicians, researchers, trainees, and students.

     

  • 35800lei 290.00 lei

    Features

    • Presents a hands-on, practical approach to the diagnosis of vascular disease
    • Provides an overview of performing vascular ultrasounds, the physiology of blood flow, and vascular pathology
    • Uses an easy-to-read format with concise text
    • Covers setting up a vascular ultrasound diagnostic service
    • Reviews interventional vascular ultrasound procedures
    • Includes high-resolution ultrasound images and informative line diagrams

    Summary

    Ultrasound is used to demonstrate and classify numerous vascular diseases and provides a firm basis for deciding the most appropriate interventional treatment. Practical Vascular Ultrasound: An Illustrated Guide delivers a hands-on, practical approach to the diagnosis of vascular disease.

    Providing an overview of performing vascular ultrasounds, the physiology of blood flow, and vascular pathology, the book explores the various vascular conditions most investigated through ultrasound. Conditions covered range from extracranial cerebrovascular arterial diseases to chronic venous disease in the lower limbs. For each disorder, the authors discuss:

    • Anatomy
    • Pathology
    • Clinical presentations
    • Differential diagnosis
    • What doctors need to know for each condition
    • Normal findings and criteria for disease as seen by ultrasound
    • Comprehensive protocols for scanning
    • Ultrasound images and observations that should be collected for best practice reporting

    The authors also discuss interventional vascular ultrasound procedures. Using easy-to-read, point-form text, this concise text is enhanced with high-resolution ultrasound images and clear line diagrams. It provides a consistent, comprehensive, and professional approach to vascular ultrasound.

  • 36000lei 310.00 lei

    Patients with complex cardiovascular problems pose a special management challenge for both the specialist and the non-specialist. This book helps you approach difficult cases with the confidence to strategically map care, understand the risk profile of your patient, and make effective treatment decisions.

    • Dependable and succinct content provides  high yield information for the busy cardiologist
    • Take home call outs, and critical thinking boxes provide candid advice on incorporating guidelines and evidence based medicine into your practice
    • New convenient pocket-sized format
    • New chapter addressing cardiovascular problems in women
    • Discussion of high risk factors for and strategic care mapping encourage clinical focus
    • Clinical pearls offer expert advice on topical issues
    • Includes emerging trends and clinical trials keeping you up to date

    Table of contents

    List of Contributors, vii

    Foreword to the Third Edition, xvii

    Preface, xix

    Acknowledgements, xxi

    1 Hyperlipidemia, 1
    Vien T. Truong, Kim N. Huynh, Tam Ngo, Sara Shah, Hau Van Tran, Chisalu Nchekwube, Nabeel Ali and Faisal Latif

    2 Hypertension, 30
    Udho Thadani and Nguyen Duc Cong

    3 Stable Coronary Artery Disease, 50
    Mohammed Haris Umer Usman, Lê Hoàg Dúc Toàn, Lê Th.i Ngo. c Trâm, Huynh Th.i Thu Truc, An Huynh and Aman Amanullah

    4 Acute Coronary Syndrome, 86
    Udho Thadani, Quang Tuan Nguyen and Han Yaling

    5 ST Segment Elevation Myocardial Infarction, 113
    Thach Nguyen, Xu Bo, Faisal Latif, Ho Thuong Dung, Duane Pinto, Pham Manh Hung, Michael Gibson and Runlin Gao

    6 Heart Failure (Stages A, B and C), 141
    Dan Le, Trong Ha Le, Vo˜ Minh Vîe. t, Bao V. Ho, Tuan D. Nguyen, Khalid Numan Al Azza, Hau Van Tran and Gianluca Rigatelli

    7 Acute Decompensated and Chronic Stage D Heart Failure, 169
    Patrick Campbell, Selim R. Krim, Thach Nguyen, Marvin Eng, Yidong Wei and Hau Van Tran and Hector Ventura

    8 Atrial Fibrillation, 198
    Mihail Gabriel Chelu, Ali Oto, Tuan D. Nguyen, Phan Dinh Phong, Tung Mai, Tom Bump and Rajasekhar Nekkanti

    9 Ventricular Tachycardia, 233
    Sorin Lazar, Bao V. Ho, Phillip Tran, Pham Nhu Hung, Thomas Bump and Evgeny Shlyakhto

    10 Syncope, 266
    Christopher M. Bianco, Rajasekhar Nekkanti, Faisal Latif, Phan Nam Hung, Phillip Tran, Hy Tat An and Thach Nguyen

    11 Aortic Stenosis, 299
    Rajiv Goswami, Phillip Tran, Nguyen Lan Hieu, Aravinda Nanjundappa and Neal Kleiman

    12 Mitral Regurgitation, 329
    Deepak Joshi, Rajasekhar Nekkanti, Marvin H. Eng, Madhur Roberts, Ngoc Quang Nguyen, Xian Kai Li and Michael Rinaldi

    13 Cardiovascular Problems in Elderly Patients, 364
    Daniel E. Forman and Nanette Wenger

    14 Cardiovascular Problems in Women, 379
    Kahroba Jahan, Ainol Shareha Sarar, Nisa Arshad, Nguyen Phuc Nguyen, Amsa Arshad, Sajaj Agarwal, Thach Nguyen and Kwan Lee

     

  • 320.00 lei

    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.

  • 330.00 lei

     

    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.

     

  • 37300lei 340.00 lei

     

    SE TIPARESTE IN DECEMBRIE 2020

     

    Authoritative, portable, and up to date, Opie's Cardiovascular Drugs, 9th Edition, is the definitive reference for quick access to frequently used drugs in all phases of care for cardiac patients. Now a part of the Braunwald family of renowned cardiology references, this compact title provides crucial information in an easily accessible format-ideal for cardiologists, residents, cardiology fellows, medical students, nurses, and other cardiac care providers. Updated to include the latest guidelines and evidence-based implications, it offers clear and concise explanations and pertinent clinical facts for all classes of cardiac drugs, as well as all the latest clinical trial results and evidence for the pharmacologic treatment of heart disease.

    Uses a new, consistent format for each drug class: overview and guidelines for use, mechanisms of action, differences among drugs in class, data for use, side effects, and drug interactions.

    Covers key topics such as new ESC and NLA guidelines, advances in lipid-lowering therapy, new diabetes drugs that improve cardiovascular outcomes, obesity drugs and cardiovascular and metabolic effects, drugs targeting inflammation, and combinations of antithrombotic therapies with analysis of risk-benefit.

    Provides guidance on how to effectively manage comorbid diseases.

    Contains dozens of unique "Opiegram” diagrams that demystify complex mechanisms of action and other drug processes-many updated to reflect current pathologic understanding of mechanisms.

    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

     

  • 43600lei 350.00 lei

    Principles of Cardiac and Vascular Computed Tomography has everything you need to successfully obtain and interpret CT and CTA images. Stuart J. Hutchison-a premier cardiac imaging specialist-explains the dos and don'ts of CCT so you get the best images and avoid artifacts. Clinically oriented, practical information is presented in a consistent format that ensures finding everything is quick and easy, while high-quality images and online access combine to make this the one cardiovascular computed tomography resource that has it all.

    ·        Access the fully searchable contents online at Expert Consult, along with an image library and videos of CTA procedures.

    ·        Focused, clinically oriented, and practical information ensures you're equipped with the coverage that you need-from evidence-based CTA to determination of coronary calcium to noncoronary lesions.

    ·        Instructions on how to and how not to perform cardiovascular computed tomography allow you to obtain the best image quality and avoid artifacts.

    ·        High-quality images-many in color-reinforce the text and provide a clear visual understanding.

    ·        Numerous tables with useful values and settings help you master probe settings and measurements.

    ·        consistent format makes for quick and easy reference.

  • 40400lei 350.00 lei

     

    Description:

    Part of the new Clinical Approach series—which focuses on key topics in cardiology—this pragmatic, comprehensive guide is intended for residents, practitioners, advanced practice nurses, and physician assistants, and covers arterial, venous, and lymphatic diseases. Easy-to-read chapters are written by clinical experts in interventional cardiology, interventional radiology, vascular surgery, and podiatry, and begin with helpful quick-reference summaries.

     

    Table of Contents:

     

    1 History of Endovascular Intervention, Fluoroscopy, Basics of Angiography, Contrast, Patient Selection, and Informed Consent

    2 Acute Stroke Intervention

    3 Cervical Carotid and Vertebral Disease

    4 Subclavian Artery Stenosis/Interventions

    5a Coarctation of the Aorta

    5b Endovascular Management of the Ascending Aorta and the Aortic Arch

    6 Endovascular Repair of the Descending Aorta

    7 Pulmonary Artery Stenosis

    8 Renovascular Disease

    9 Endovascular Intervention of Aortoiliac Occlusive Disease

    10 Endovascular Interventions in Superficial Femoral Artery Disease

    11 Below Knee Revascularization

    12 Drug-Coated Therapies

    13 Stent Therapies in the Lower Extremity: Bare-Metal, Drug-Eluting, and Reabsorbable Stents

    14 Atherectomy for Peripheral Arterial Disease

    15 Current Use and Availability of Reentry Devices

    16 Acute Limb Ischemia: Thrombectomy and Thrombolysis

    17 Hybrid Lower Extremity Revascularization

    18 Pharmacotherapy in Peripheral Artery Disease

    19 Vascular Access Complications

    20 Limb Salvage From a Podiatric Standpoint

    21 Pulmonary Vascular Diseases and Interventions

    22 Deep Vein Thrombosis

    23 May-Thurner Syndrome

    24 Superficial Venous Disease of the Legs and Treatment

    Index

     

  • 42100lei 360.00 lei

     

    Description:

    This concise manual describes in detail how to perform a transcatheter aortic valve replacement (TAVR) procedure and provides cardiac surgeons and cardiologists with the foundation necessary to begin practicing TAVR. It includes background on the landmark data establishing the field of TAVR, instructions in the pre- and post-operative management of TAVR patients, and technical descriptions of the newest and most common devices and how to use them. Written by leaders in the field, it offers an unbiased, academic review and describes the experience of colleagues who have learned through trial and error. The Transcatheter Aortic Valve Replacement Manual is an essential resource for physicians and related professionals, residents, fellows, and graduate students in cardiology, cardiac surgery, thoracic surgery, and vascular surgery

     

    Table of contents:

     

    1. Introduction

    2. Relevant Clinical Trials

    3. Valves Available in the United States

    4. Preoperative Evaluation: Indications and Risk Analysis

    5. Preoperative Imaging

    6. Self-Expanding Versus Balloon-Expandable Devices

    7. Valve Sizing

    8. Aortic Access Planning and Procedures

    9. Wires, Catheters, and Cath Lab Rules

    10. Procedural Considerations and Technical Details

    11. Cardiopulmonary Bypass and Cardiac Surgery in TAVR

    12. Vascular Complications of TAVR

    13. Medical Management and Complications Following TAVR

    14. Conscious Sedation for TAVR

    15. Durability of TAVR

    16. Interesting and Complicated Cases

     

  • 47700lei 400.00 lei

     

    About this book

     

    This book provides a comprehensive and practical overview of treatments for endovascular endoleaks, which represent the most frequent complications after endovascular abdominal aortic repair (EVAR). Written by a highly experienced interventional radiologist, it explains in practical terms the management of endoleaks using various embolization materials and different types of stent graft.

    Highlighting a range of typical and challenging cases, the book familiarizes readers with the various treatment options currently available. As such, it offers an invaluable practical guide for experienced endovascular specialists and beginners who need to treat patients with EVAR.

     

    Table of contents (5 chapters)

     

    Endoleak Classifications

    Pages 1-4

    Duvnjak, Stevo

    Endoleak Type I

    Pages 5-125

    Duvnjak, Stevo

    Endoleak Type II

    Pages 127-210

    Duvnjak, Stevo

    Endoleak Type III

    Pages 211-241

    Duvnjak, Stevo

    Endoleak Types IV and V

    Pages 243-252

    Duvnjak, Stevo

     

  • 45200lei 410.00 lei

     

    Description:

    Get the essential tools you need to make an accurate diagnosis with Vascular and Interventional Radiology. The Requisites! This bestselling volume delivers the conceptual, factual, and interpretive information you need for effective clinical practice in vascular and interventional radiology, as well certification and recertification review. Master core knowledge the easy and affordable way with clear, concise text enhanced by at-a-glance illustrations, boxes, and tables ? all completely rewritten to bring you up to date with today?s state of the art in vascular and interventional radiology.

    "... a volume that should retain its utility for several years to come, both as a primer for radiology trainees and fellows at the start of their IR training and as a reference for more experienced interventionalists." Reviewed by Dr Simon Padley and Dr Narayanan Thulasidasan on behalf of RAD Magazine, April 2015

    Features:

    • Understand the basics with a comprehensive yet manageable review of the principles and practice of vascular and interventional radiology. Whether you’re a resident preparing for exams or a practitioner needing a quick-consult source of information, Vascular and Interventional Radiology is your guide to the field.

    New To This Edition:

     

    • Master the latest techniques for liver-directed cancer interventions; arterial and venous interventions including stroke therapy; thoracic duct embolization; peripheral arterial interventions; venous interventions for thrombosis and reflux; percutaneous ablation procedures; and much more.
    • Prepare for the written board exam and for clinical practice with critical information on interventional techniques and procedures.
    • Clearly visualize the findings you’re likely to see in practice and on exams with vibrant full-color images and new vascular chapter images.
    • Access the complete, fully searchable text and downloadable images online with Expert Consult.
         

    Table Of Contents:

    1. Vascular Pathology
    2. Fundamentals of Angiography
    3. Noninvasive Vascular Imaging
    4. Vascular Interventions
    5. Carotid and Vertebral Arteries
    6. Upper-Extremity Arteries
    7. Upper-Extremity, Neck, and Central Thoracic Veins
    8. Pulmonary Circulation
    9. Thoracic Aorta
    10. Abdominal Aorta and Pelvic Arteries
    11. Visceral Arteries
    12. Renal Arteries
    13. Inferior Vena Cava and Tributaries
    14. Portal and Hepatic Veins
    15. Lower-Extremity Arteries
    16. Lower-Extremity Veins
    17. Image-Guided Percutaneous Biopsy
    18. Percutaneous Abscess and Fluid Drainage
    19. Gastrointestinal Tract Intervention
    20. Biliary Intervention
    21. Gallbladder Intervention
    22. Percutaneous Genitourinary Intervention
    23. Image-Guided Breast Intervention
    24. Musculoskeletal Intervention
    25. Image-Guided Tumor Ablation: Basic Principles
    26. Image-Guided Ablation of Renal Tumors
    27. Image-Guided Ablation as a Treatment Option for Thoracic Malignancies
    28. Image-Guided Ablation of Liver Tumors
       

     

  • Office-Based Endovascular Centers
    La comanda in aproximativ 4 saptamani
    46700lei 420.00 lei

     

    Description:

    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.

    Table Of Contents:

    1. Introduction
    Krishna Jain


    Section 1. Regulations
    2. State  
    Deepak Nair
    3. Legal issues
    Jeff Smith and Matthew Keuten


    Section 2. Opening a Center
    4. Business Plan
    Sam Ahn
    5. Building Plan
    Sam Ahn
    6. Capital Equipment
    Krishna Jain
    7. Supplies
    Sam Ahn
    8. Data, analytics and Information Management for the Office-Based Endovascular Centers
    Romi Chopra
    9. From Hospital Employed Model to Independence
    Krishna Jain


    Section 3. Running a Center
    10. Policies and Procedures
    Krishna Jain
    11. Billing and Coding
    Sean Peter Roddy
    12. Anesthesia
    Deepak Nair
    13. Quality Control
    Krishna Jain
    14. Management of Complications
    Krishna Jain
    15. Radiation Safety and Ultrasound Guided Procedures
    Enrico Ascher and Albert Pavalonis
    16. Role of IVUS in arterial and venous procedures
    Elizabeth Gagne
    17. Management of periprocedural anticoagulation
    Shikha Jain
    18. Patient Satisfaction
    Krishna Jain
    19. Registry
    Bob Tahara and Jeff Carr
    20. Marketing
    Elias Kassab


    Section 4. Specialty Specific Center
    21. Interventional Cardiologist’s Perspective
    Elias Kassab
    22. Interventional Radiologist’s Perspective
    David C. Sperling


    Section 5. Various Models
    23. Models for Structuring Office Based Endovascular Labs
    Nick Jurkowitz and Krishna Jain
    24. Opening a Center in a University
    John Blebea
    25. Opening a Center in Private Practice
    Daniel Gorin
    26. Joint Venture with Hospital
    Bhagwan Satiani
    27. Wound Care and Vascular Center
    Charles E. Ananian
    28. Limb Preservation Center
    Krishna Jain


    Section 6. Types of Procedures
    29. Management of Superficial Venous Disease
    Edward G. Mackay
    30. Management of Deep Venous Diseases
    Jose I. Almeida
    31. Management of Limb Ischemia
    Nagarsheth H. Khanjan
    32. Management of Dialysis Access
    Azher Iqbal and Asad Baig
    33. Intra Caval Filters and Ports
    Anil Hingorani and Jesse Chait
    34. Other Endovascular Procedures and Embolization
    David C. Sperling
    35. Cardiac Procedures
    Jeff Carr


    Secion 7 Other Important Considerations
    36. Certification/Accreditation
    Krishna Jain
    37. Advocacy
    Jeff Carr
    38. Conducting Research in the center
    Laura D. Bauler

       



  • 44600lei 425.00 lei

     

    Description:

    ​This book contains a compilation of the revolution of mechanical thrombectomy (MT) in the treatment of strokes. The initial chapters summarize information about the best medical management of acute ischemic stroke, imaging modalities and patient selection for MT. The book then focuses on the nuances of MT, providing detailed information about the best approaches for anesthesia during MT, access, intra-arterial thrombolysis, recent devices and catheters and technical pitfalls of MT. A specific chapter is dedicated to MT in the venous system. This is followed by a chapter about the most common complications of MT and post-procedural care of these patients. The last chapter covers different aspects of acute stroke care and MT in the developing world. The authors of this book comprise of a multidisciplinary group of world experts in the field and were encouraged to include teaching cases to deliver a book with a practical approach. Acute Stroke Management in the Era of Thrombectomy is intended for all healthcare providers who care for patients with stroke; with special emphasis for the proceduralists who are interested in technical tips to improve outcomes and minimize complications.

     

    Table of contents:

     

    1. Best Medical Management for Acute Ischemic Stroke

    2. Imaging of Acute Ischemic Stroke

    3. Indications for Mechanical Thrombectomy

    4. Anesthesia During Endovascular Treatment of Acute Ischemic Stroke

    5. Arterial Access and Intermediate Catheters: Procedural and Technical Considerations

    6. Intra-arterial Thrombolytics for Treatment of Acute Ischemic Stroke

    7. Mechanical Thrombectomy: Emerging Devices and Technologies

    8. Mechanical Thrombectomy: Techniques and Hybrid Approaches for Recanalization

    9. Acute Stenting During Acute Ischemic Stroke

    10. Tandem Occlusion Causing Acute Ischemic Stroke

    11. Mechanical Thrombectomy in Distal Vessels: M2s and Beyond

    12. Thrombectomy of the Posterior Circulation: Tips and Tricks

    13. Thrombectomy in the Venous System: Approaches and Techniques

    14. Complications During Mechanical Thrombectomy: Pitfalls and Bailouts

    15. Postoperative Care After Mechanical Thrombectomy

    16. Stroke Care and Mechanical Thrombectomy in Developing Countries

     

  • 47200lei 450.00 lei

     

    Description:

     

    This book provides clear, concise guidance on the surgical management of all kinds of emergent vascular problems and focuses in particular on open surgical strategies. The aim is to provide a combined text and hands-on guide that will permit rapid retrieval of information when treating vascular surgical patients in the emergency room.

    Emergency Vascular Surgery: A Practical Guide is organized into two sections, on specific body areas and general concepts. The first section covers the body from head to toe, with separate chapters for injuries and non-traumatic disease, while the second discusses general principles relating to emergent vascular surgical practice and provides broad vascular surgical guidelines for the inexperienced surgeon. Chapters in the first section are uniformly organized, addressing incidence, etiology, and pathophysiology; clinical presentation; suggestions for workup and diagnosis; and management and treatment. Initial management, selection of pati

    ents for emergent surgery, and the performance of common vascular surgical procedures are all carefully explained. The focus on a hands-on approach and practical tips will be invaluable in the clinical setting for both more experienced surgeons and newcomers to the field.

     

    Table of contents:

     

    Vascular Injuries to the Neck

    Pages 3-15

    Wahlberg, Eric (et al.)

     

    Vascular Injuries to the Thoracic Outlet Area

    Pages 17-33

    Wahlberg, Eric (et al.)

     

    Vascular Injuries in the Upper Extremity

    Pages 35-46

    Wahlberg, Eric (et al.)

     

    Acute Upper Extremity Ischemia

    Pages 47-51

    Wahlberg, Eric (et al.)

     

    Abdominal Vascular Injuries

    Pages 53-72

    Wahlberg, Eric (et al.)

     

    Acute Intestinal Ischemia

    Pages 73-83

    Wahlberg, Eric (et al.)

     

    Abdominal Aortic Aneurysms

    Pages 85-101

    Wahlberg, Eric (et al.)

     

    Acute Aortic Dissection

    Pages 103-114

    Wahlberg, Eric (et al.)

     

    Vascular Injuries in the Legs

    Pages 115-132

    Wahlberg, Eric (et al.)

     

    Acute Leg Ischemia

    Pages 133-147

    Wahlberg, Eric (et al.)

     

    Acute Complications Following Vascular Interventions

    Pages 151-169

    Wahlberg, Eric (et al.)

     

    Acute Venous Problems

    Pages 171-179

    Wahlberg, Eric (et al.)

     

    Acute Problems with Vascular Dialysis Access

    Pages 181-192

    Wahlberg, Eric (et al.)

     

    General Principles of Vascular Surgical Technique

    Pages 193-207

    Wahlberg, Eric (et al.)

     

     

     

     

  • 50500lei 465.00 lei

     

    Description:

    This text addresses vascular anomalies and the management of these diverse and clinically challenging set of conditions which have significant impact on patient function, quality of life and, in certain cases, survival.  The text covers each category and type of vascular anomaly and the unique diagnostic and therapeutic challenges they pose. The chapters will also include fundamental scientific literature pertaining to each specific condition to help clinicians and clinical researchers better assess and manage vascular anomalies of the head and neck. Each vascular condition will be supported with medical photographs and radiographic images, summaries of diagnostic and therapeutic options, a list of syndromes and genetic mutations known to be associated with each anomaly, case studies, and clinical and research pearls from national and international leaders in the field. 
    Management of Head and Neck Vascular Anomalies: Evidenced-based Assessment will be an invaluable resource for otolaryngologists, plastic surgeons, general and general pediatric surgeons, orthopaedic surgeons, dermatologists, interventional radiologists, residents and fellows in these fields, and researchers with interest in vascular anomalies of the head and neck.

     

    Table of contents:

     

    Evidence-Based Medicine: Key Definitions and Concepts

    Pages 1-14

    Carrie Liu, C., MD, MPH (et al.)

     

    Challenges and Opportunities for Evidence-Based Practice in Vascular Anomalies

    Pages 17-20

    Balakrishnan, Karthik, MD, MPH (et al.)

     

    Molecular Genetics and Vascular Anomalies

    Pages 21-24

    Perkins, Jonathan A., DO (et al.)

     

    Developmental Vascular Biology

    Pages 25-28

    Ganti, Sheila N., PhD (et al.)

     

    Interventional Radiology Services for Vascular Anomalies: An Update

    Pages 29-34

    Shivaram, Giridhar, MD (et al.)

     

    Vascular Tumors: Infantile Hemangioma

    Pages 37-45

    Strub, Graham, MD, PhD (et al.)

     

    Congenital Hemangiomas

    Pages 47-51

    Tollefson, Megha M., MD

     

    Pyogenic Granuloma (Lobular Capillary Hemangioma)

    Pages 53-57

    Khorsand, Kate, MD (et al.)

     

    Tufted Angioma and Kaposiform Hemangioendothelioma

    Pages 59-66

    Gupta, Deepti, MD (et al.)

     

    Juvenile Nasopharyngeal Angiofibroma

    Pages 67-72

    Kirkham, Erin, MD, MPH (et al.)

     

    Temporal Bone Paraganglioma

    Pages 73-85

    Carlson, Matthew L., MD (et al.)

     

    Cervical Paraganglioma

    Pages 87-94

    Marston, Alexander P., MD (et al.)

     

    Angiosarcoma

    Pages 95-102

    Lees, Katherine A., MD (et al.)

     

    Periocular Vascular Tumors: Infantile Hemangioma

    Pages 105-111

    Herlihy, Erin, MD (et al.)

     

    Site-Specific Considerations: Vascular Tumors and Vascular Malformations of the Ear

    Pages 113-120

    Czechowicz, Josephine A., MD

     

    Nasal and Lip Infantile Hemangiomas

    Pages 121-129

    Waner, Milton, MD (et al.)

     

    Vascular Tumors of the Airway

    Pages 131-137

    Elluru, Ravindhra G., MD, PhD

     

    Parotid and Deep Vascular Tumors

    Pages 139-145

    Miller, Craig, MD (et al.)

     

    Capillary Malformation

    Pages 149-159

    Gupta, Deepti, MD (et al.)

     

    Head and Neck Lymphatic Malformation Diagnosis and Treatment

    Pages 161-170

    Perkins, Jonathan A., DO (et al.)

     

    Venous Malformations

    Pages 171-178

    Bly, Randall A., MD (et al.)

     

    Intracranial Arteriovenous Malformations

    Pages 179-191

    Ruzevick, Jacob, MD (et al.)

     

    Arteriovenous Malformation

    Pages 193-202

    Johnson, Adam B., MD, PhD (et al.)

     

    Airway Vascular Malformations

    Pages 205-212

    Menapace, Deanna C., MD (et al.)

     

    Dermatologic Considerations in Vascular Malformations

    Pages 213-217

    Tollefson, Megha M., MD

     

    Facial, facial skeleton and dental considerations in vascular malformations

    Pages 219-231

    Teresa, M. O, MD, FACS

     

    Oral Cavity and Oropharynx

    Pages 233-241

    Edmonds, Joseph L., MD, FACS, FAAP (et al.)

     

    PHACE Syndrome

    Pages 245-252

    Gupta, Deepti, MD (et al.)

     

    Hereditary Hemorrhagic Telangiectasia

    Pages 253-263

    Law, Anthony B., MD, PhD (et al.)

     

    Lymphangiomatosis: Generalized Lymphatic Anomaly, Gorham-Stout Disease, and Kaposiform Lymphangiomatosis

    Pages 265-271

    Wenger, Tara L., MD, PhD (et al.)

     

    Klippel-Trenaunay Syndrome

    Pages 273-280

    Tollefson, Megha M., MD

     

    Choanal Atresia-Lymphedema

    Pages 281-284

    Strub, Graham, MD, PhD (et al.)

     

    PIK3CA-Related Overgrowth Spectrum (PROS)

    Pages 285-296

    Conboy, Erin, MD (et al.)

     

    Blue Rubber Bleb Nevus Syndrome

    Pages 297-300

    Ma, Janice E., BS (et al.)

     

    Sturge-Weber Syndrome

    Pages 301-307

    Amlie-Lefond, Catherine, MD

     

     

  • Mechanical Circulatory Support
    La comanda in aproximativ 4 saptamani
    56000lei 485.00 lei

    Mechanical Circulatory Support: Principles and Applications, 2nd Edition, offers a thoughtful approach to patient selection, a comprehensive review of various device options, and a detailed approach to adverse event management. This textbook is an essential read for health care providers at all levels who are involved in the care of these complex patients. Preface; 1. Introduction and Historical Context; 2. Indications for MCS therapy; 3. The Role for Frailty Assessments; 4. Palliative Care Evaluation; 5. Psychosocial Considerations; 6. VAD backup for Conventional Surgery; 7. Pre-operative Optimization Strategies; 8. Assessment of Pulmonary Hypertension; 9. Pediatric Patient Selection; 10. Overview of Available Devices; 11. Abbott Heartmate II; 12. Abbott Hearmate 3; 13. Medtronic HVAD; 14. Medtronic MVAD; 15. Reliant Heart Assist 5; 16. Syncardia Total Artificial Heart; 17. Counterpulsation for Advanced CHF; 18. Abiomed Impella; 19. Tandem Life Tandemheart and Protek Duo; 20. Abbott Short Term Support: PHP and Centrimag; 21. Extracorporeal Continuous Membrane Oxygenation; 22. Berlin Heart; 23. Evaheart LVAD; 24. Anesthesia Considerations; 25. Perfusion Considerations; 26. Transesophageal Echocardiography VAD-Single; 27. Median Sternotomy Approach; 28. LATERAL/Off Pump Approach; 29. Concomitant Procedures; 30. Pediatric Support Options; 31. Critical Care Management; 32. Anticoagulation Strategies; 33. Acquired von Willebrand Syndrome; 34. Gastrointestinal Bleeding; 35. Pump Thrombosis; 36. Driveline and Pocket Infections; 37. Cerebrovascular Accidents; 38. Right Ventricular Failure; 39. Renal Failure/Dialysis Options; 40. Arrhythmia/Ventricular Tachycardia Ablation; 41. Aortic Regurgitation; 42. Hemodynamics; 43. CardioMEMS; 44. Reverse Remodeling and Recovery; 45. Physical Rehabilitation; 46. Role of VAD Coordinator/Engineer

  • 56200lei 500.00 lei

     

    Description:

     

    This book is an introduction to quality initiative for vascular surgery and medicine. Originally published in German, the book is written by leading experts who utilise their professional expertise and insight to help raise the level of patient safety, quality of care, and training of junior vascular physicians.

    This books aims to bring together the best available current treatment and information, including recent guidelines, meta-analyses, and randomised trials to help put evidence-based therapeutic recommendations into practice.

    Innovative therapeutic treatment options are not currently incorporated within standard procedure, and this book will help physicians include these methods and create more individualised treatment.

     

    Table of contents :

     

    Extracranial Carotid Stenosis

    Pages 1-27

    Debus, E. Sebastian (et al.)

     

    Distal Aortic Dissection Type Stanford B

    Pages 29-46

    Debus, E. Sebastian (et al.)

     

    Descending Thoracic Aortic (DTAA) and Thoracoabdominal Aortic Aneurysms (TAAA)

    Pages 47-67

    Debus, E. Sebastian (et al.)

     

    Abdominal Aortic Aneurysm (AAA)

    Pages 69-95

    Debus, E. Sebastian (et al.)

     

    Renal Artery Stenosis

    Pages 97-111

    Debus, E. Sebastian (et al.)

     

    Visceral Artery Aneurysms (Including Renal Artery Aneurysms)

    Pages 113-123

    Debus, E. Sebastian (et al.)

     

    Chronic Mesenteric (Intestinal) Ischemia

    Pages 125-134

    Debus, E. Sebastian (et al.)

     

    Intermittent Claudication

    Pages 135-158

    Debus, E. Sebastian (et al.)

     

    Critical Limb Ischemia

    Pages 159-180

    Debus, E. Sebastian (et al.)

     

    Acute Limb Ischemia

    Pages 181-197

    Debus, E. Sebastian (et al.)

     

    Popliteal Artery Aneurysm

    Pages 199-210

    Debus, E. Sebastian (et al.)

     

    Vascular Access for Hemodialysis

    Pages 211-231

    Debus, E. Sebastian (et al.)

     

    The Diabetic Foot

    Pages 233-253

    Debus, E. Sebastian (et al.)

     

    Varicose Veins

    Pages 255-278

    Debus, E. Sebastian (et al.)

     

     

  • 63000lei 510.00 lei

     

    Description:                            

    Management of carotid and vertebral artery disease has undergone tremendous strides since the introduction of thin section CT angiography and neurointerventions. These minimally invasive techniques continue to evolve allowing great advantages for patients. In this book we will focus on both endovascular (minimally invasive) and open arterial reconstructions as both types of procedures are still very much part of routine practice in managing extracranial carotid and vertebral artery disease. This text is designed to be a comprehensive and state-of-the art approach in managing straight forward to complex arterial reconstructions. Sections will focus on carotid/vertebral anatomy, physiology, diagnostic modalities. Subsequent chapters will focus on specific disease processes and their management with best medical therapy neurointerventions (carotid artery stenting) and open reconstructions like carotid endarterectomy and arterial reconstructions for vertebral artery disease.  In addition, management of extracranial carotid artery aneurysms, carotid body tumors and carotid trauma will be covered in detail.  Modern techniques in rehabilitation practice for  stroke patients will also be addressed. The authors will be recognized experts in their field, whether an acknowledged academic leader or a well respected community based surgeon.   Each chapter dealing with clinical pathology will address patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure will be outlined in a step-wise fashion.  Pertinent case illustrations will be described in short at the end of the chapter. Figures and illustrations will help the reader in grasping the technique of a particular procedure.

     

    Table of contents:

     

    1. Surgical Anatomy of Carotid and Vertebral Arteries

    2. Physiology of the Cerebrovascular System

    3. Pathology of the Extracranial Carotid and Vertebral Arteries

    4. History of Carotid Artery Surgery

    5. History of Vertebral Artery Surgery

    6. Noninvasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler

    7. Cerebrovascular Imaging (CT, MRI, CTA, MRA)

    8. Carotid and Vertebral Arteriography

    9. Medical Therapy for Carotid and Vertebral Artery Stenosis

    10. Carotid Endarterectomy

    11. Carotid Endarterectomy for High Plaque

    12. Eversion Carotid Endarterectomy: Indications, Techniques, Pitfalls, and Complications

    13. Natural History and Contemporary Management of Recurrent Carotid Stenosis

    14. Carotid Interposition Grafting

    15. Current Status of Carotid Endarterectomy and Carotid Stenting

    16. Technical Aspects of Carotid Artery Stenting

    17. Reconstruction for Occlusive Lesions of Aortic Arch Branches

    18. Vertebral Artery Reconstruction

    19. Fibromuscular Dysplasia, Carotid Kinks, and Other Rare Lesions

    20. Cervical (Carotid and Vertebral) Artery Dissection

    21. Carotid Body Tumors

    22. Extracranial Carotid and Vertebral Artery Aneurysms

    23. Extracranial Cerebrovascular Trauma

    24. Stroke Rehabilitation

    Correction to: Difficult Conditions in Laparoscopic Urologic Surgery

    Back Matter

     

  • 515.00 lei

     

    Description:

    Vascular and Endovascular Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

    For this Sixth Edition the authorship team across the series has been expanded to include additional European and World experts, with an increased emphasis on global practice. Throughout all six volumes the contents have been extensively revised in line with recently published evidence. Detailed supportive key references are provided and are also included within the comprehensive list of references in the accompanying ebook. Links to recommended online videos have been added where appropriate.

    The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within the major sub-specialties of general surgery.

    Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

    Vascular surgery is developing at a rapid pace, especially in the field of medical therapy and endovascular interventions. This new edition aims to put these developments into context, and give a balanced view with regard to technological advances and more traditional techniques. Vascular and endovascular practitioners will find this a very useful resource in their day to day clinical practice.

     

    Table of Contents:

     

    Copyright

    Series Editors’ preface

    Editors’ preface

    Acknowledgements

    Evidence-based practice in surgery

    Contributors

    1: Epidemiological risk factors for PAD, risk stratification and risk factor management

    Introduction

    Epidemiology of PAD

    Natural history of PAD: limb-specific, cardiovascular morbidity and mortality

    Epidemiological risk factors for PAD, risk stratification and risk factor management (Fig. 1.3)

    Conclusions

    2: Assessment of chronic lower limb ischaemia

    Acknowledgement

    Introduction

    Intermittent claudication

    Rare causes of ischaemia

    History and examination

    Risk factors

    Vascular laboratory

    Radiological investigations

    Classification of aorto-iliac, femoral popliteal and infrapopliteal disease

    3: Medical treatment of chronic lower limb ischaemia

    Introduction

    PAD diagnosis and screening

    Modifying cardiovascular risk

    Medical treatment for symptomatic PAD

    Pharmacologic interventions

    Intermittent Pneumatic Compression

    Angiogenesis

    Conclusions

    4: Intervention for chronic lower limb ischaemia

    Disclosure

    Introduction

    Presenting symptoms

    Exercise therapy

    Medical therapy

    Global trends toward revascularisation treatment

    A regional approach to intervention

    Percutaneous treatment for aorto-iliac disease

    The angiosome concept

    Primary amputation

    5: The diabetic foot

    Introduction

    Epidemiology

    Development of foot ulceration

    Management

    Medical problems on the surgical ward

    Charcot neuro-osteoarthropathy

    6: Amputation, rehabilitation and prosthetic developments

    Introduction

    Epidemiology

    Indications for amputation

    Level selection

    Surgical considerations

    Rehabilitation

    Prostheses

    Rehabilitation for the bariatric patient

    7: Revision vascular surgery

    Introduction

    Graft occlusion

    Graft infection

    Graft aneurysms

    Carotid artery

    Revision surgery after EVAR

    Revision after TEVAR

    8: Management of acute lower limb ischaemia

    Introduction

    Aetiology

    Clinical features

    Initial management

    Revascularisation

    Further management

    Overall prognosis

    Conclusions

    9: Vascular trauma

    Introduction

    Mechanism of injury

    Sequelae of vascular injuries

    Clinical assessment

    Resuscitation and initial management

    Special investigations

    General principles of management of vascular injury

    Endovascular management of vascular trauma

    Cervical vascular injuries

    Thoracic vascular injuries

    Abdominal vascular injuries

    Extremity vascular trauma

    10: Extracranial cerebrovascular disease

    Introduction

    Aetiology and risk factors

    Non-atheromatous carotid diseases

    Presentation of carotid disease

    Investigation of carotid disease severity

    Management of cerebrovascular disease

    Management of carotid disease

    Surgical management of carotid disease – carotid endarterectomy

    Endovascular treatment of carotid disease

    Periprocedural haemodynamic problems

    11: Vascular disorders of the upper limb

    Introduction

    Clinical examination

    Occlusive disease

    Aneurysmal disease

    Upper limb embolism

    Thoracic outlet syndrome

    Subclavian–axillary vein thrombosis

    12: Primary and secondary vasospastic disorders (Raynaud's phenomenon) and vasculitis

    Introduction

    Raynaud's phenomenon

    Connective tissue diseases

    13: Peripheral and abdominal aortic aneurysms

    Introduction

    Epidemiology

    Pathophysiology

    Clinical features

    Screening

    Diagnosis

    Principles of management

    Repair of intact abdominal aortic aneurysm

    Operative repair of ruptured abdominal aortic aneurysm

    Infected aneurysms

    Peripheral aneurysms

    14: Thoracic and thoraco-abdominal aortic disease

    Introduction

    Imaging of the thoracic aorta

    Thoracic aortic aneurysms (TAAs)

    Thoraco-abdominal aortic aneurysms (TAAAs)

    Thoracic dissection and acute aortic syndrome

    Treatment of chronic type B dissections

    Traumatic aortic injury (TAI)

    Aorto-oesophageal and aortopulmonary fistula

    15: Disorders of the renal and mesenteric circulation

    Renal vascular disease

    Mesenteric vascular disease

    Acute thromboembolic occlusion of the superior mesenteric artery

    Mesenteric ischaemia

    16: Central venous and dialysis access

    Introduction

    Central venous access

    Temporary dialysis access

    Permanent dialysis access

    Access in children

    17: Varicose veins

    Introduction

    Pathophysiology

    Epidemiology and natural history

    Clinical presentation

    Thread veins and reticular veins (CEAP C1)

    Clinical assessment

    Venous investigations

    Treatment

    Evidence for varicose vein interventions

    Rationing of varicose vein treatments

    Atypical varicose veins

    Conclusions

    18: Chronic leg swelling

    Chronic venous insufficiency (CVI)

    Dependency and inactivity

    Lymphoedema

    19: The acutely swollen leg

    Introduction

    Pathophysiology of oedema

    Medical history

    Physical examination

    Differential diagnosis

    Deep venous thrombosis

    Post-thrombotic syndrome

    Catheter-directed thrombolysis

    New treatment modalities

    Other PMT devices

    The future

    20: Vascular anomalies

    Introduction

    Classification

    Vascular tumours

    Tufted angioma

    Kaposiform haemangioendothelioma (KHE)

    Vascular malformations

    Conclusions

    Index

     

  • 57000lei 520.00 lei

    Test your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease.
    • Contains over 90 case histories with self-test questions designed to test the reader’s knowledge and reinforce clinical best practices
    • Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities
    • Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts – so readers can work through their diagnosis using the same information as the physician who treated the patient originally • An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease

  • 62000lei 520.00 lei

     

    Description:

    Focused content, an easy-to-read writing style, and abundant illustrations make Introduction to Vascular Ultrasonography the definitive reference on arterial and venous ultrasound. Trusted by radiologists, interventional radiologists, vascular and interventional fellows, residents, and sonographers through six outstanding editions, the revised 7th Edition covers all aspects of ultrasound vascular diagnosis, including peripheral veins and arteries, carotid and vertebral arteries, abdominal vessels, and transcranial Doppler. Step-by-step explanations, all highly illustrated, walk you through the full spectrum of ultrasound sonography practice, including all that’s new in this quickly evolving field.

    Organizes sections with quick reference in mind: clinical rationale, anatomy, examination technique, findings, and interpretation.

    Includes 2,100 clinical ultrasound images and anatomic line drawings, including over 1,000 in full color.

    Features new coverage of noninvasive image-guided procedures, robotic embolization, laser therapy, new Doppler ultrasound and color images, and guidance on promoting patient relationships.

    Takes a clear, readable, and practical approach to interventions and underlying rationales for a variety of complex IR principles, such as the physics of Doppler ultrasound and hemodynamics of blood flow.

    Contains extensive tables, charts, and graphs that clearly explain examination protocols, normal values, diagnostic parameters, and ultrasound findings.

     

    Table of Contents:

     

    Section 1 Basics

    1 The Hemodynamics of Vascular Disease

    Abstract

    Overview

    Introduction

    Physiologic Factors Governing Blood Flow and Its Characteristics

    Effects of Arterial Obstruction

    Venous Hemodynamics

    Summary

    References

    2 Principles and Instruments of Ultrasonography

    Introduction

    Ultrasound Principles

    Transducers

    Sonographic Instruments

    Advanced Features

    Doppler Principles

    References

    3 Doppler Flow Imaging and Spectral Analysis

    Introduction

    Blood Flow Patterns

    Listening to the Auditory Frequency Spectrum

    What You Need to Know About Waveform Analysis

    Diagnosis of Arterial Obstruction

    Color Flow Ultrasound Imaging

    Three-Dimensional Vascular Imaging

    B-Mode Flow Imaging

    References

    Section 2 Cerebral Vessels

    4 Anatomy of the Cerebral Structure

    Abstract

    Introduction

    Vascular Anatomy

    Cerebral Hemodynamics

    Collateralization

    Summary

    References

    5 Carotid Sonography

    Abstract

    B-Mode Ultrasound of the Normal Carotid Artery Wall

    Normal Blood Flow Characteristics

    Vessel Identity

    Examination Protocol

    The Examination Sequence

    References

    6 Evaluating Carotid Plaque and Carotid Intima-Media Thickness

    Abstract

    Introduction

    Pathogenesis of Carotid Atherosclerosis

    Imaging Protocol: IMT and Plaque

    Plaque Characterization

    Plaque Classification Schemes

    Plaque Surface Features

    Plaque Neovascularity

    Perspective on Plaque Characterization

    Paradigm Shift: Intima-Media Thickness

    Carotid Plaques: Extent, Severity, and Follow-Up

    References

    7 Ultrasound Assessment of Carotid Stenosis

    Abstract

    Introduction

    Clinical Background

    Imaging of Stenosis

    Diagnostic Criteria

    Plaque Characterization

    Technical Considerations and Pitfalls

    The Common Carotid Artery

    The External Carotid Artery

    The Innominate Artery

    Summary

    References

    8 How to Assess Difficult and Uncommon Carotid Cases

    Introduction

    Carotid Occlusion

    Carotid Artery Dissection

    Carotid Pseudoaneurysm

    Carotid Arteriovenous Fistula

    Fibromuscular Dysplasia

    Carotid Body Tumor (Glomus Tumor)

    Difficult Carotid Cases

    References

    9 Ultrasound Assessment of the Vertebral Arteries

    Abstract

    Introduction

    Examination Technique

    Vertebral Artery Hemodynamics: Qualitative Assessment

    Vertebral Artery Hemodynamics: Quantitative Assessment

    Correlative Imaging With Magnetic Resonance Angiography and Computed Tomographic Angiography

    Treatment of Disease

    Summary

    References

    10 Ultrasound Assessment of the Intracranial Arteries

    Introduction

    Examination Techniques

    Diagnostic Parameters for Specific Clinical Applications

    Summary

    References

    Section 3 Extremity Arteries

    11 Anatomy of the Upper and Lower Extremity Arteries

    Abstract

    Introduction

    Upper Extremity

    Lower Extremity

    References

    12 Physiologic Testing of Lower Extremity Arterial Disease

    Abstract

    Introduction

    Instrumentation

    Physiologic Testing Procedures

    Diagnostic Algorithm

    Clinical Applications

    Summary

    References

    13 Assessment of Upper Extremity Arterial Disease

    Abstract

    Introduction

    Basic Anatomy

    Obstructive Arterial Disease

    Thoracic Outlet Evaluation

    Digital Artery Evaluation

    Raynaud Disease/Phenomenon

    Color Doppler Imaging and Duplex Ultrasound of Vasculitis

    Ultrasound Imaging of Upper Extremity Arterial Aneurysms

    Upper Extremity Arterial Access

    Radial Artery Harvest

    Summary

    References

    14 Ultrasound Evaluation Before and After Hemodialysis Access

    Abstract

    Introduction

    Basic Concepts of Hemodialysis Access

    Descriptive Terminology

    Vascular Mapping Before Hemodialysis Access Placement

    Arteriovenous Fistula Maturity Assessment

    Graft Evaluation

    Acknowledgments

    References

    15 Ultrasound Assessment of Lower Extremity Arteries

    Abstract

    Introduction

    Instrumentation

    Duplex Ultrasound Technique

    Classification of Disease

    Clinical Applications

    Summary

    References

    16 Ultrasound Assessment During and After Carotid and Peripheral Interventions

    Introduction

    Intraprocedural Duplex Ultrasound Assessment

    Surveillance After Carotid Intervention

    Surveillance After Peripheral Intervention

    Infrainguinal Bypass Assessment

    Synthetic Grafts

    Duplex-Monitored Peripheral Angioplasty/Stent Placement

    Post-Procedural Follow-Up

    Summary

    References

    17 Ultrasound in the Assessment and Management of Arterial Emergencies

    Abstract

    Introduction

    Ruptured Abdominal Aortic Aneurysm

    Carotid Artery Stenosis/Thrombosis

    Carotid Artery Dissection

    Acute Lower Extremity Ischemia

    Femoral Pseudoaneurysm

    Traumatic Arteriovenous Fistula

    Penetrating Arterial Trauma

    Summary

    References

    Section 4 Extremity Veins

    18 Extremity Venous Anatomy and Technique for Ultrasound Examination

    Introduction

    Anatomy of the Lower Extremity

    Venous Duplex Imaging Examination Technique and Protocol

    The Venous Anatomy and Examination Protocol

    Anatomy of the Upper Extremity

    Upper Extremity Examination Protocol

    Characterization of Thrombus

    Summary

    References

    19 Ultrasound Diagnosis of Lower Extremity Venous Thrombosis

    Abstract

    Introduction

    Prevalence, Etiology, and Risk Factors

    Venous Anatomy of the Lower Extremities

    Technique

    Ultrasound Findings

    Pitfalls

    May-Thurner Syndrome

    Alternative Diagnoses/Incidental Findings

    Summary

    References

    20 Risk Factors and the Role of Ultrasound in the Management of Extremity Venous Disease

    Abstract

    Introduction

    Acute Deep Vein Thrombosis Etiology and Risk Factors

    Anticoagulation and Thrombolysis in the Management of Venous Thrombosis

    Acute Deep Vein Thrombosis of Specific Extremity Veins

    Lower Extremity Duplex Scanning in Suspected Pulmonary Embolism

    Lower Extremity Superficial Thrombophlebitis

    Upper Extremity Venous Thrombosis

    Sequelae of Deep Vein Thrombosis

    Primary Varicose Veins

    Preprocedure Venous Mapping

    Summary

    References

    21 Ultrasound Diagnosis of Venous Insufficiency

    Abstract

    Introduction

    Lower Limb Venous Anatomy

    Pathophysiology of Venous Insufficiency

    Duplex Diagnosis of Venous Insufficiency

    Quantitative Measurement of Venous Incompetence

    The Role of Sonography in the Treatment of Chronic Venous Insufficiency

    Summary

    Acknowledgments

    References

    22 Nonvascular Findings Encountered During Venous Sonography

    Introduction

    Soft Tissue Edema

    Lymphedema

    Hematoma

    Muscle Injury

    Lymph Nodes

    Popliteal (Baker) Cysts

    Joint Effusion

    Infection

    Soft Tissue Tumors

    References

    Section 5 Abdomen and Pelvis

    23 Anatomy and Normal Doppler Signatures of Abdominal Vessels

    Abstract

    Introduction

    Abdominal Aorta

    Celiac Artery

    Splenic Artery

    Hepatic Artery

    Superior and Inferior Mesenteric Arteries

    Renal Arteries

    Portal Venous System

    Hepatic Veins

    Inferior Vena Cava

    Renal Veins

    References

    24 Ultrasound Assessment of the Abdominal Aorta

    Abstract

    Introduction

    Anatomy

    Normal Sizes

    Normal Doppler Velocity Profiles

    Pathologic States

    Abdominal Aortic Aneurysm

    Ultrasound Examination

    Definition of an Aneurysm: Size Thresholds

    Growth Rate of Aneurysms

    Common Iliac Artery Aneurysms

    Aneurysm Complications

    Varied Pathologies

    Postsurgical Assessment

    Summary

    References

    25 Ultrasound Assessment Following Endovascular Aortic Aneurysm Repair

    Abstract

    Introduction

    Overview of EVAR

    Ultrasound Examination

    Endoleak Detection

    Aneurysm Size

    Endovascular Graft Deformity and Native Artery Complications

    Contrast-Enhanced Ultrasound

    Aneurysm Sac Pressure Measurement

    Surveillance Intervals

    Summary

    References

    26 Doppler Ultrasound of the Mesenteric Vasculature

    Abstract

    Introduction

    Anatomy, Physiology, and Natural History of Bowel Ischemia

    Technique

    Examination Protocol

    Diagnostic Criteria

    Role of Duplex Ultrasound in Surveillance Following Mesenteric Revascularization (Stent Angioplasty and Bypass Graft Assessment)

    Keys to a Successful Examination

    Pitfalls

    Other Mesenteric Artery Pathologies

    Summary

    Acknowledgments

    References

    27 Ultrasound Assessment of the Hepatic Vasculature

    Abstract

    Introduction

    Technique and Normal Hemodynamics

    Portal Hypertension

    Portal Vein Thrombosis

    Portal Vein Stenosis

    Arterioportal Fistulas

    Portal Vein Gas

    Hepatic Vein Obstruction

    Transjugular Intrahepatic Portosystemic Shunts

    Congenital Intrahepatic Portosystemic Shunts

    Hepatic Artery Stenosis/Occlusion

    Hepatic Artery Pseudoaneurysm

    References

    28 Duplex Ultrasound of Native Renal Vasculature

    Abstract

    Introduction

    Anatomy

    Principles of Examination

    Technique

    Protocol

    Vascular Disorders

    Summary

    Acknowledgments

    References

    29 Duplex Ultrasound Evaluation of the Uterus and Ovaries

    Abstract

    Introduction

    Technical Issues

    Normal Anatomy and Hemodynamics

    Current Applications

    Ectopic Pregnancy

    Pseudogestation

    Value of Doppler for Evaluation of Ectopic Pregnancy

    Pitfalls

    Summary

    Acknowledgments

    References

    30 Duplex Ultrasound Evaluation of the Male Genitalia

    Abstract

    Introduction

    The Scrotum

    The Penis

    Summary

    References

    31 Evaluation of Organ Transplants

    Abstract

    Introduction

    Renal Transplantation

    Hepatic Transplantation

    References

    Section 6 Trends in Ultrasound Vascular Imaging

    32 Credentialing, Accreditation, and Quality in the Vascular Laboratory

    Abstract

    Introduction

    Credentialing

    Accreditation

    Quality Improvement

    Appropriateness of Vascular Testing

    Efforts to Standardize Vascular Testing and Improve Quality at the National Level

    Summary

    References

    33 Ultrasound Screening for Vascular Disease

    Abstract

    Introduction

    Definition and Types of Screening

    Screening for Asymptomatic Carotid Stenosis

    Abdominal Aneurysm Screening

    Screening for Cardiovascular Disease: Risk and Subclinical Cardiovascular Disease

    Summary

    References

    34 Correlative Imaging

    Abstract

    Overview

    Catheter-Based Arteriography

    Magnetic Resonance Angiography

    Computed Tomographic Angiography

    Overview and Correlative Findings

    Summary

    References

    35 Ultrasound Contrast Agents in Vascular Disease

    Abstract

    Introduction

    Technical Aspects of Contrast-Enhanced Ultrasound

    Safety of Ultrasound Contrast Agents

    Clinical Applications of Ultrasound Contrast Agents

    Trauma

    Future Considerations

    Summary

    References

    Index

     

  • 61800lei 520.00 lei

     

    Description:

     

    ​This book presents up-to-date information on clinical and research applications of imaging in peripheral arterial disease (PAD). It provides high-quality images useful not only in the diagnosis of PAD but also for use in clinical trials aimed at the development of novel therapies such as angiogenic agents and stem cells. The book begins with coverage of the applications of the four major imaging modalities in a clinical setting: ultrasound, computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA). It also discusses the ankle brachial index (ABI) as a screening technique to establish the presence of PAD. Subsequent chapters focus on the advantages and limitations of various research applications of imaging in PAD including contrast ultrasound for measuring perfusion; MRI for assessing perfusion, energetics, plaque volume, and characteristics; and radionuclide imaging for perfusion and inflammation. Imaging in Peripheral Arterial Disease: Clinical and Research Applications is an essential resource for physicians, researchers, residents, and fellows in cardiology, radiology, imaging, nuclear medicine, diagnostic radiology, and vascular surgery.

     

    Table of contents:

     

    1. Imaging Needs of Clinicians Caring for PAD Patients

    2. Role of the Ankle Brachial Index

    3. Duplex Ultrasound in Peripheral Arterial Disease

    4. Computed Tomography Angiography (CTA)

    5. Peripheral Artery Magnetic Resonance Angiography

    6. Digital Subtraction Angiography

    7. Imaging Needs for Development of Novel Therapeutics in PAD

    8. Contrast-Enhanced Ultrasound Perfusion Imaging in Peripheral Arterial Disease

    9. Magnetic Resonance Measures of Calf Muscle Physiology in PAD

    10. MR Plaque Imaging in Peripheral Artery Disease

    11. Radionuclide Imaging

     

  • 55000lei 530.00 lei

    Intravascular ultrasound (IVUS) is an imaging technique used during coronary angiography. This book provides a systematic introduction to coronary imaging with (IVUS). It is divided into two integrated and extensively cross-referenced parts, the Atlas and

  • 66200lei 530.00 lei

    TIPARITA LA CERERE IN 4-8 SAPTAMANI



    Description:

    Focusing on the latest safe and effective techniques, Endovascular Treatment of Aortic Aneurysms: Standard and Advanced Techniques provides step-by-step, comprehensive coverage of endovascular repairs of complex aneurysms of the aorta, from basic to advanced.

    Features:

    Explains how to perform the techniques in a step-by-step manner, using high-quality images and practical tips and tricks to optimize results.

    Contains chapters devoted to the repair of leaks that may occur after a repair and the best ways to minimize radiation exposure.

    Presents information in a consistent, standardized format: introduction, indications for the technique, how to perform the technique, complications and techniques for rescue, and concluding thoughts.

    Table Of Contents:

    Endovascular Treatment Aortic Aneurysms, 1e

    Iliac aneurysm

    Aneurysm with short neck

    Aneurysm with hostile iliac arteries

    Pararenal aneurysms

    Thoracoabdominal aneurysms

    Aortic arch aneurysm

    Techniques to treat type IA, II and III endoleaks after EVAR

    Techniques to minimize radiation exposure

    Logistics

       

     

     

  • 61800lei 540.00 lei

     

    Description:

    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.

     

    Table of contents:

    1.    Part I. Aorta Disease

    2.    Aortic Dissection Associated with Ischemic Stroke

    3.    Bentall-De Bono Technique in the Ascending Aorta Aneurysm, Aortic Regurgitation, and Coronary Reimplantation

    4.    Correction of Interrupted Aortic Arch in an Adult: Ascending-to-Descending Aorta Bypass

    5.    Giant Ruptured Sinus of Valsalva Aneurysm

    6.    Retroesophageal Right Aortic Arch Associated with an Aortic Aneurysm and a Ventricular Septal Defect

    7.    Aortic Aneurysm

    8.    Hybrid Strategy on Aortic Arch Disease

    9.    Part II. Arrhythmias

    10.  Mitral Valve Disease and Atrial Fibrillation

    11.  Late Arrhythmia After Fontan Repair

    12.  Paroxysmal Atrial Fibrillation Due to Repeated Episodes of Severe Hypoglycemia in Patient with Type I Diabetes Mellitus

    13.  Part III. Cardiac Tumors

    14.  Cardiac Leiomyosarcoma

    15.  Part IV. Coronary Insufficiency

    16.  Intra-aortic Balloon Pump in Acute Myocardial Infarction and Ischemic Mitral Insufficiency

    17.  Diagnosis and Management of Takotsubo Syndrome (Broken Heart Syndrome)

    18.  Kawasaki Disease with Coronary Artery Bypass Grafting

    19.  Stable Angina and Revascularization in Type 1 Diabetic Patient

    20.  Unusual Mechanism of Myocardial Infarction in Prosthetic Valve Endocarditis

    21.  Part V. Congenital Heart Disease

    22.  Atrioventricular Septal Defect with Pulmonary Hypertension After the First Year of Life

    23.  Surgical Treatment of Atrial Septal Defect by Occluder Device

    24.  Percutaneous Occlusion of a Patent Foramen Ovale

    25.  Transposition of Great Arteries with Pulmonary Valve Stenosis After Jatene Procedure

    26.  Part VI. Endovascular Therapies

    27.  Transcatheter Aortic Valve Replacement (TAVR) and Angioplasty in a High-Risk Patient

    28.  Aortic Coarctation

    29.  Endovascular Treatment for Abdominal Aortic Aneurysm

    30.  Part VII. Heart Failure

    31.  Acute Heart Failure Without Prior History of Myocardial Dysfunction

    32.  Part VIII. Heart Transplantation

    33.  Cardiac Transplantation in Situs Inversus Totalis: A Surgical Challenge

    34.  Part IX. Mechanical Circulatory Support

    35.  Mechanical Circulatory Support in Patient with Pulmonary Dysfunction

    36.  Pediatric Ventricular Assist Device (VAD) as Successful Bridge to Heart Transplantation

    37.  Use of Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) in an Adult Patient with Septic and Cardiogenic Shock

    38.  Circulatory Assistance in a Patient with Respiratory Failure

    39.  Part X. Pericardial Disease

    40.  Constrictive Pericarditis: A Late Complication of Tuberculosis

    41.  Hodgkin’s Disease and Pericardial Effusion

    42.  Pericardiocentesis: A Lifesaving Procedure

    43.  Part XI. Pulmonary Embolism

    44.  Chronic Thromboembolic Pulmonary Hypertension (CTEPH): A Surgically Curable Cause of Pulmonary Hypertension

    45.  Intracardiac Embolization of Inferior Vena Cava Filter

    46.  Part XII. Valvular Heart Disease

    47.  Acute Mitral Valve Insufficiency Due to Multiple Trauma Accident

    48.  Endocarditis: The Precipitation of a Mitral Insufficiency

    49.  Valvular Commitment in Hunter Syndrome

    50.  Rheumatic Mitral Valve Stenosis: A Surgical Case

    51.  Sutureless Aortic Prosthesis Implantation: The First Brazilian Experience with Perceval Device

    52.  Thrombosis of a Mechanical Mitral Valve Prosthesis

    53.  Correction to: Unusual Mechanism of Myocardial Infarction in Prosthetic Valve Endocarditis

    54.  Back Matter

     

  • 560.00 lei

     

    This comprehensive reference on the fundamentals of hemodialysis access creation and advanced management for maintenance is designed to meet the needs of all surgeons and physicians responsible for the treatment and care of patients undergoing dialysis. The book opens by discussing every aspect of dialysis access planning, including selection of the right access for the individual patient and access strategies. Hemodialysis access techniques, from the most basic to the most complex and unconventional, are then described step by step, and guidance is provided on follow-up. Detailed attention is also devoted to the challenging management of specific complications of dialysis access surgery, including failing hemodialysis access. The book includes a wealth of informative, high-quality images and illustrations, and the authors are prominent vascular surgeons, transplant surgeons, general surgeons, nephrologists, and interventional radiologists from across the United States.

     

     

    Table of contents:

     

    Historical Perspectives on Hemodialysis Access

    Pages 3-12

    Shalhub, Sherene, MD, MPH

     

    The Natural History of Hemodialysis Access

    Pages 13-19

    Cormack, Fionnuala C., MD

     

    The Current State of Hemodialysis Access and Dialysis Access Initiatives in the United States

    Pages 21-29

    Rivara, Matthew B., MD (et al.)

     

    Hemodialysis Access Outcomes and Quality Improvement Initiatives in the United States

    Pages 31-42

    Zarkowsky, Devin S., MD (et al.)

     

    Coding and Billing for Hemodialysis Access Procedures in the United States

    Pages 43-47

    Roddy, Sean P., MD

     

    Vascular Access: Experiences in the Aged Japanese Society

    Pages 49-56

    Hirotani, Sachiko, MD, PhD (et al.)

     

    Hemodialysis Access: Fundamentals and Advanced Management, the Experience in Taiwan

    Pages 57-61

    Yang, Shang-Feng, MD (et al.)

     

    Ethical Issues in Hemodialysis

    Pages 63-69

    McCormick, Thomas R., MD

     

    Timing of Hemodialysis Access

    Pages 73-80

    Nehler, Mark R., MD

     

    Preoperative Considerations and Imaging

    Pages 81-92

    Kohler, Ted, MD

     

    Strategies of Arteriovenous Dialysis Access

    Pages 93-98

    Nguyen, Bao-Ngoc, MD (et al.)

     

    Anesthesia and Perioperative Management Considerations for the Patients Undergoing Hemodialysis Access Procedures

    Pages 99-103

    Nandate, Koichiro, MD, PhD (et al.)

     

    Hemodialysis Access Catheters

    Pages 107-117

    Ingraham, Christopher R., MD (et al.)

     

    The Role of Routine Venography Prior to Fistula Creation

    Pages 119-123

    Fairchild, Berry, MD (et al.)

     

    Direct Anastomosis: Cephalic Vein Hemodialysis Access

    Pages 125-132

    Heneghan, Rachel, MD (et al.)

     

    Forearm Vein Transposition

    Pages 133-140

    Worsham, Jennifer L., MD (et al.)

     

    Brachiobasilic Arteriovenous Fistula

    Pages 141-145

    Shalhub, Sherene, MD, MPH

     

    Hemodialysis Grafts

    Pages 147-158

    Gage, Shawn M., PA (et al.)

     

    Current Hemodialysis Techniques

    Pages 161-171

    Ball, Lynda K., MSN, RN, CNN

     

    Outpatient Surveillance at the Dialysis Center

    Pages 173-182

    Ahmad, Suhail, MD

     

    Detecting Pending Hemodialysis Access Failure: The Physical Exam

    Pages 183-190

    Vladimir, Felix, MD (et al.)

     

    Point-of-Care Ultrasound for Creation and Maintenance of Hemodialysis Access

    Pages 191-198

    Tang, Gale L., MD

     

    Duplex Examination of the Hemodialysis Access

    Pages 199-215

    Zierler, R. Eugene, MD

     

    Considerations in Pediatric Hemodialysis Access

    Pages 219-224

    Leong, Beatriz V., MD (et al.)

     

    Hemodialysis in the Morbidly Obese

    Pages 225-231

    Causey, Marlin Wayne, MD (et al.)

     

    Creating Hemodialysis Access in Intravenous Drug Users: A Vascular Surgeon’s Perspective

    Pages 233-235

    Tran, Nam T., MD

     

    The Immature Arteriovenous Fistula

    Pages 239-244

    Klinger, Dean, MD

     

    Understanding Intimal Hyperplasia Biology in Hemodialysis Access

    Pages 245-248

    Purcell, Seth T. (et al.)

     

    Arterial Inflow Stenosis

    Pages 249-256

    Ingraham, C. (et al.)

     

    Hemodialysis Outflow Vein Stenosis

    Pages 257-264

    Rodriguez, Eduardo, MD (et al.)

     

    Central Venous Stenosis and Occlusion

    Pages 265-271

    Leake, Andrew E. (et al.)

     

    The Hemodialysis Reliable Outflow (HeRO) Graft

    Pages 273-280

    Gage, Shawn, PA, MD (et al.)

     

    Hemodialysis Access: Fundamentals and Advanced Management

    Pages 281-288

    Rodriguez, April, MD (et al.)

     

    The Infected Hemodialysis Access

    Pages 289-292

    Rathore, Animesh, MBBS (et al.)

     

    The Thrombosed Hemodialysis Access

    Pages 293-302

    Caldwell, Edward, DO (et al.)

     

    Understanding Hemodialysis Access Recirculation

    Pages 303-305

    Shin, Susanna H., MD

     

    Dialysis Access-Related Steal Syndrome and Neuropathy

    Pages 307-313

    Ham, Sung Wan, MD (et al.)

     

    Cardiopulmonary Complications of Hemodialysis Access

    Pages 315-323

    Rivero, Mariel, MD (et al.)

     

    Renal Transplant Referral and Criteria

    Pages 327-332

    Sibulesky, Lena, MD (et al.)

     

    Peritoneal Dialysis

    Pages 333-343

    Kray, Jared, DO (et al.)

     

    Home Hemodialysis

    Pages 345-348

    Miller, Brent W., MD

     

    Portable and Wearable Dialysis Devices for the Treatment of Patients with End-Stage Renal Disease

    Pages 349-353

    Lee, Cheong J., MD (et al.)

     

    The Outpatient Dialysis Access Center

    Pages 355-361

    Nair, Deepak, MD, MS, MHA, RVT, FACS

     

  • 68800lei 560.00 lei

     

    SE TIPARESTE IN IANUARIE 2021

     

    Endothelial Signaling in Vascular Dysfunction and Disease: From Bench to Bedside provides a detailed understanding of the endothelium, its activation and their link to some common clinical disorders. In addition, the book covers earlier discoveries, including those from the last and 19th centuries. It is split into five sections that cover the vascular tree as an integrative structure, the endothelium in inflammation, endothelial signaling, activation and toxicity with chemotherapy, radiation induced endothelial dysfunction and vascular disease, and therapies in combating vascular diseases. Each section is discussed with a translational approach in order to make the content truly applicable.

    This book is a valuable source for basic researchers, clinicians in the fields of Oncology, Cardiovascular Medicine and Radiology, and members of the biomedical field who are conducting studies related to the endothelium and vascular disease.

     

  • 560.00 lei

     

    Description:

    This book addresses an urgent need, offering an updated, detailed and multidisciplinary review of surgery of the inferior vena cava (IVC). Over the past two decades, tremendous advances have been made in this field and related specialties. Many journals and/or textbooks on different surgical or medical specialties have reported on individual aspects, so it is high time to gather all of them in a single resource. To date, surgery of the IVC remains a major challenge, not only in terms of technical difficulties, but also in terms of perioperative management.  The book sheds new light on cutting-edge developments, including: Innovations in imaging; Neoadjuvant and adjuvant treatments for tumors of or involving the IVC; Intraoperative anesthetic management; and Technical and technological advances in surgery. As such, it will be of a great interest to surgeons (cardiac, vascular and digestive) and urologists, as well as radiologists and anesthesiologists.

     

    Table of Contents:

     

    1: Imaging and Radiological Assessment of the Inferior Vena Cava

    1.1 Introduction

    1.2 IVC Imaging Techniques

    1.2.1 Conventional Venography

    1.2.2 Ultrasound

    1.2.3 Multi-Detector Computed Tomography (MDCT)

    1.2.4 Magnetic Resonance Imaging (MRI)

    1.2.5 PET-CT

    1.3 Main Imaging Diagnostic Feature

    1.3.1 IVC Obstruction

    1.3.1.1 Artifactual Filling Defect and Bland Thrombus

    1.3.1.2 Benign Tumor Invasion Within the IVC

    1.3.1.3 Malignant Tumor Invasion Within the IVC

    1.3.1.4 IVC Obstruction Consequences and Therapeutic Implications

    Budd-Chiari Syndrome

    Collateral Pathways

    1.3.2 IVC Anatomical Variants

    1.3.2.1 Left IVC

    1.3.2.2 Double IVC

    1.3.2.3 Retrocaval Ureter

    1.3.2.4 Retroaortic and Circumaortic Left Renal Vein

    1.3.2.5 Interruption of the IVC and Azygos/Hemiazygos Continuation

    1.3.2.6 Absence of the IVC

    1.3.2.7 Portocaval Shunt

    1.3.2.8 IVC Webs

    1.3.3 IVC Trauma

    1.3.4 Postoperative Imaging

    1.3.4.1 Post-Liver Transplantation

    1.3.4.2 Post-Portocaval Shunt

    1.4 Interventional Imaging of the IVC

    1.4.1 Inferior Vena Cava Filter

    1.4.2 IVC Obstruction and Endovascular Management

    References

    2: Anesthetic and Hemodynamic Considerations of Inferior Vena Cava Surgery

    2.1 Introduction

    2.2 Anatomic and Physiologic Considerations on the IVC Circulation

    2.2.1 Spontaneous Portocaval Shunts

    2.2.1.1 Congenital Physiologic Bypasses

    2.2.1.2 Acquired Shunts

    2.2.2 Circulatory Models

    2.2.2.1 Generalities

    2.2.2.2 The “One-Compartment” Circulatory Model

    2.2.2.3 The “Two-Compartment” Circulatory Model

    2.3 The Different Venous Clampings

    2.3.1 IVC Clamping Below the Renal Venous Confluence

    2.3.2 IVC Clamping Above the Renal Venous Confluence (Below the Liver)

    2.3.3 IVC Clamping Above the Hepatic Venous Confluence

    2.3.4 Total Hepatic Vascular Exclusion

    2.3.4.1 Hemodynamic Effects (Fig. 2.8)

    2.3.4.2 Neurohormonal Effects

    2.3.5 Inferior Vena Cava Clamping Combined with Supra-Celiac Aortic Clamping

    2.4 The Role of the Anesthesiologist

    2.4.1 Preoperative

    2.4.2 Intraoperative

    2.4.2.1 The Risk of Hemorrhage

    2.4.2.2 The Risk of Gaseous Embolism

    2.4.2.3 The Management of the Consequences of the Clamping

    2.4.3 Postoperative

    References

    3: Primary Leiomyosarcoma of the Inferior Vena Cava

    3.1 Introduction

    3.2 Epidemiology, Etiology, and Predisposing Factors

    3.3 Histopathology, Genetics, and Staging

    3.4 Localization, Clinical Presentation, and Symptoms

    3.5 Diagnostics

    3.6 Treatment

    3.6.1 Resection

    3.6.2 A Resection Techniques

    3.6.2.1 Limited Resection

    3.6.2.2 Extended Resection (Single Organ Versus Multi-organ Resection)

    3.6.3 Reconstruction Techniques

    3.6.4 Morbidity and Mortality Rates

    3.6.5 Neoadjuvant/Adjuvant Treatment

    3.6.5.1 Chemotherapy

    3.6.5.2 Radiotherapy

    3.7 Oncological Outcomes and Prognostic Factors

    References

    4: Retroperitoneal Sarcoma Involving the Inferior Vena Cava

    4.1 Introduction

    4.2 Retroperitoneal Sarcoma

    4.3 Technical Considerations on IVC Management

    4.4 IVC Resection and Reconstruction

    References

    5: Renal Cell Carcinoma Involving the Inferior Vena Cava

    5.1 Introduction

    5.2 Clinical Presentation

    5.3 Prognostic Factors

    5.4 Imaging Diagnosis

    5.5 Staging and Classification of Intracaval Extension

    5.6 Patient Selection

    5.7 Factors Determining the Choice of Surgical Technique

    5.8 Preoperative Considerations

    5.9 Surgical Steps and Technical Details

    5.10 Adjunct Procedures: IVC Resection and Reconstruction

    5.11 Postoperative Complications

    5.12 Oncologic Outcomes After Radical Nephrectomy and Tumor Thrombectomy

    References

    6: Surgery of the Inferior Vena Cava Combined to Liver Resection

    6.1 Introduction

    6.2 General Principles

    6.2.1 Caval Cross Clamping

    6.2.2 Hemodynamic Changes of the Caval Cross Clamping

    6.2.3 Hypothermic Perfusion Techniques

    6.2.4 Venovenous Bypass

    6.3 Perioperative Management

    6.3.1 Anesthetic Management

    6.3.2 Anticoagulation Protocol

    6.4 Specific Technical Aspects

    6.4.1 Total Vascular Exclusion of the Liver [4, 6, 7]

    6.4.2 Hypothermic In Situ Liver Resection [10, 20, 25, 41]

    6.4.3 Hypothermic Ante Situm Liver Resection [21, 24, 42–51]

    6.4.4 Reperfusion

    6.5 Surgical Indications and Outcomes

    References

    7: Ex Situ Resection of the Inferior Vena Cava with Hepatectomy

    7.1 Introduction

    7.2 Alternative Complex Techniques to Ex Situ Resection

    7.2.1 In Situ Hypothermic Perfusion

    7.2.2 The Ante Situm Procedure

    7.3 Patient Assessment

    7.3.1 Cardiorespiratory Assessment

    7.3.2 Hepatic Reserve Assessment

    7.3.3 Radiology Assessment

    7.4 Preoperative Preparation

    7.5 Anaesthesia

    7.6 Operative Technique

    7.6.1 Operability Assessment

    7.6.2 Liver Mobilisation and Excision

    7.6.3 Hepatic Perfusion and Preservation

    7.6.4 Ex Situ Resection and Reconstruction

    7.6.5 Hepatic Reimplantation and Reperfusion

    7.7 Postoperative Care

    7.8 Complications of Ex Situ Liver and IVC Resection

    7.8.1 Vascular Thrombosis and Stenosis

    7.8.2 Graft-Associated Sepsis

    7.8.3 Biliary Strictures

    7.9 Follow-Up

    7.10 Long-Term Results

    References

    8: Surgical Treatment of Adrenocortical Carcinoma with Caval Invasion

    8.1 Introduction

    8.2 ACC and Inferior Vena Cava Extension

    8.3 Preoperative Workup

    8.4 Neoadjuvant Treatment

    8.5 Surgical Management

    8.5.1 Tumor Thrombus Located Below the Suprahepatic Veins

    8.5.1.1 Thrombus Extension Limited to Infrahepatic IVC

    8.5.1.2 Thrombus Extension to Retrohepatic IVC

    8.5.2 Tumor Thrombus Extending Above the Suprahepatic Veins and Below the Cavo-Atrial Junction

    8.5.3 Tumor Thrombus Is Located Above the Cavo-Atrial Junction

    8.6 Results

    References

    9: Malignancy with Cavoatrial Extension

    9.1 Introduction

    9.2 Preoperative Staging

    9.3 Surgical Technique

    9.4 Postoperative Management

    9.5 Discussion

    References

    10: Injuries of the Juxtahepatic Vena Cava

    10.1 Introduction

    10.2 Pattern of Injuries

    10.3 Emergency Surgical Techniques in the Management of Retrohepatic Caval Injuries

    10.3.1 Direct Suture

    10.3.2 Vascular Exclusion of the Liver

    10.3.3 Cavo-Caval Venous Bypass Procedures

    10.3.4 Liver Resection to Obtain Access to the Retrohepatic Vena Cava

    10.3.5 Perihepatic Packing (PHP)

    10.3.6 Nonoperative Management

    10.3.7 Liver Transplantation

    10.4 Management Strategies

    10.4.1 Hemodynamically Unstable Patient: Emergency Laparotomy Mandatory

    10.4.2 Hemodynamically Stable Patient

    References

    11: Inferior Vena Cava Reconstruction in Liver Transplantation

    11.1 Introduction

    11.2 Conventional Vena Cava Technique

    11.3 Venovenous Bypass

    11.4 Piggyback Technique

    11.5 Piggyback Variants: End-to-Side, Side-to-Side Cavocavostomy, and Reverse Piggyback

    11.6 Piggyback Variant: Anterior Approach Hepatectomy

    11.7 Temporary Portocaval Shunt

    11.8 Reconstruction in Special Situations

    11.8.1 Domino Transplantation

    11.8.2 Budd-Chiari Syndrome

    11.8.3 Outflow Obstruction

    11.8.4 Split-Liver Transplantation

    11.8.5 IVC as Source of Portal Inflow

    References

    12: Inferior Vena Cava Reconstruction in Living Donor Liver Transplantation

    12.1 Introduction

    12.2 Preservation and Preparation of Native IVC in LDLT

    12.3 Outflow Reconstruction in LDLT

    12.3.1 Right Liver

    12.3.2 Left Liver

    12.4 Orthotopic Position of the Partial Graft

    12.5 Reconstruction of Short Hepatic Veins

    12.6 Reconstruction of Middle Hepatic Vein Tributaries

    12.7 Grafts Used to Reconstruct IVC, Autograft, Allograft, Cryopreserved Allograft, and Artificia

    12.8 IVC Replacement in LDLT

    12.9 IVC Reconstruction for Outflow Block

    References

    13: Vena Cava Filters: State of the Art

    13.1 Introduction

    13.2 History of the Vena Cava Filtration

    13.3 Vena Cava Filter Classification

    13.4 Indications for VCF Placement

    13.4.1 Absolute Indications

    13.4.2 Relative Indications

    13.4.3 Prophylactic Indications

    13.5 VCF Placement Procedure

    13.6 VCF Retrieval Procedure

    13.7 Efficiency

    13.8 Long-Term Complications of VCF

    13.9 Management of Patients with VCF and Strategies for Retrieval

    References

     

  • 67400lei 560.00 lei

    Description:

     

    This book presents a comprehensive and state-of the-art approach to vascular disease for the geriatric patient, focusing on vascular pathology and interventions but also on perioperative care, anesthetic care, functional outcomes and quality of life, as well as ethical considerations that impact decision making. The book addresses open and endovascular interventions in different vascular beds, as well as preoperative workup and optimization, anesthetic considerations, all aspects and expectations of the postoperative care and recovery and is the only book to include specialize in the intricacies of the care of the geriatric patients, the challenging recovery and neurocognitive changes, and ethical considerations for the end stage geriatric patient or in the setting of postoperative complications. Written by experts in the field, each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations with open or endovascular options, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section.  With its concise yet comprehensive summary of the field, Vascular Disease in Older Adults is the ultimate resource for geriatricians, cardiologists, surgeons, anesthesiologists, and all physicians of who care for the aging patient with vascular disease.

     

    Table of Contents:

     

    1: Screening for Vascular Pathology: Current Guidelines and Recommendations

    1.1 Abdominal Aortic Aneurysm

    1.1.1 Overview of Screening Guidelines

    1.1.2 Risk Factors for AAA

    1.1.3 Natural History and Rationale for Screening for AAA

    1.1.4 Screening Imaging Modalities

    1.1.5 Clinical Trials and Longitudinal Studies on Screening for AAA

    1.1.6 Cost-Effectiveness Analysis for Screening for AAA

    1.1.7 Potential Harms Versus Benefits of Screening

    1.1.8 The SAAAVE Act: A Summary

    1.2 Carotid Stenosis

    1.2.1 Clinical Impact of Stroke and the Importance of Prevention

    1.2.2 Carotid Stenosis as the Cause of Strokes

    1.2.3 Prevalence and Risk Factors for Carotid Stenosis

    1.2.4 Screening Tests for Carotid Stenosis: Physical Exam and Non-invasive Imaging

    1.2.5 Asymptomatic CAS: Effectiveness of Early Detection and Treatment

    1.2.6 Harms of Screening

    1.2.7 Screening of Asymptomatic Adults in the General Population for CAS

    1.2.8 Screening of High-Risk Asymptomatic Adults for CAS

    1.3 The Major Societal Guidelines

    1.3.1 USPSTF (2014) [105]

    1.3.2 Society for Vascular Surgery (2011) [120]

    1.3.3 American Heart Association (2011) [88, 121]

    1.4 Peripheral Artery Disease

    1.4.1 ACC/AHA 2005 Practice Guidelines for the Management of Patients with Peripheral Arterial

    1.4.2 Detection of Symptomatic PAD

    1.4.2.1 History and Physical Exam

    1.4.2.2 Claudication Questionnaires

    1.4.2.3 Diagnostic Vascular Studies

    1.4.3 Management of Symptomatic PAD

    1.4.4 Detection and Management of Asymptomatic PAD

    1.4.5 2011 ACCF/AHA Focused Update of the Guideline for the Management of Patients with Perip

    1.4.5.1 Summary of ACCF/AHA Guidelines

    1.4.6 US Preventive Services Task Force Recommendation

    1.4.7 Harms of Detection and Early Treatment

    1.4.8 Cost

    1.4.9 Summary of USPSTF Guidelines

    References

    2: Preoperative Optimization of the Elderly Patient Prior to Vascular Surgery

    2.1 General Changes Associated with Aging

    2.2 Preoperative Evaluation of the Surgical Patient: Risk Assessment and Counseling

    2.3 Optimization of the Preoperative Patient

    References

    3: Anesthetic Considerations for Elderly Patients Undergoing Vascular Surgery

    3.1 Local Anesthesia and Regional Anesthesia

    3.1.1 Pathophysiology and Pharmacology Related to Aging

    3.1.2 Procedure-Specific Local and Regional Anesthesia

    3.1.2.1 Arteriovenous Access for Hemodialysis and Permanent Vascular Access

    3.1.2.2 Minimally Invasive Vascular Surgery: Peripheral Arterial Stent Placement and Carotid Stent

    3.1.2.3 Lower Extremity Vascular Procedures Including Vein Stripping and Perforator Ligation, Low

    3.2 General Anesthesia

    3.2.1 Preoperative Assessment

    3.2.2 Geriatric Physiology

    3.2.2.1 Cardiac Physiology

    3.2.2.2 Respiratory Physiology

    3.2.2.3 Nervous System Physiology

    3.2.2.4 Renal and Hepatic Physiology

    3.2.3 Geriatric Pharmacology

    3.2.4 Anesthetic Management of Abdominal Aortic Aneurysm Repair

    3.2.4.1 Anesthetic Technique for Endovascular Repair

    3.2.4.2 Anesthetic Management for Open AAA Repair

    3.3 Surgery on the Ascending Aorta and the Arch of Aorta

    3.4 Surgery Involving Thoracic Aortic Abdominal Aneurysm

    3.5 Anesthesia for Carotid Endarterectomy

    3.6 Postoperative Cognitive Dysfunction (POCD)

    3.6.1 Postoperative Delirium

    References

    4: Deep Vein Thrombosis in the Elderly

    4.1 Introduction

    4.2 Risk Factors for Age-Related Venous Thromboembolism

    4.2.1 Genetic Risk Factors

    4.2.2 Medical Comorbidities

    4.2.3 Malignancy

    4.2.4 Sex

    4.2.5 Age-Specific Risk Factors

    4.2.5.1 Alterations in Vein Wall Anatomy and Physiology

    4.2.5.2 Physical Functioning

    4.3 Testing for Venous Thromboembolism

    4.4 Special Considerations in the Elderly

    4.5 Specific Anticoagulants

    4.5.1 Unfractionated Heparin

    4.5.2 Enoxaparin

    4.5.3 Dalteparin

    4.5.4 Tinzaparin

    4.5.5 Vitamin K Antagonists

    4.5.6 Direct Oral Anticoagulants

    4.6 Systemic Thrombolysis

    4.7 Catheter-Directed Thrombolysis

    References

    5: Management of Chronic Venous Disease and Varicose Veins in the Elderly

    5.1 Background

    5.2 Workup for Leg Edema

    5.2.1 Special Considerations for the Elderly

    5.2.2 Duplex Ultrasound

    5.2.3 Air Plethysmography

    5.2.4 CT Venogram

    5.2.5 MR Venogram

    5.2.6 Phlebography

    5.2.7 Special Considerations in the Elderly

    5.3 Venous Insufficiency

    5.3.1 Special Considerations in the Elderly

    5.4 Telangiectasias and Reticular Veins

    5.5 Varicose Veins

    5.5.1 Special Considerations in the Elderly

    5.6 Venous Stasis Ulceration and Therapeutic Interventions

    5.6.1 Special Considerations for the Elderly

    References

    6: Cerebrovascular Disease in the Elderly

    6.1 Introduction

    6.2 Epidemiology and Rehabilitation of Stroke in the Elderly

    6.3 Medical Management of Risk Factors for Stroke in the Elderly

    6.4 The Role of Carotid Endarterectomy in Stroke Prevention for the Elderly

    6.4.1 Carotid Endarterectomy

    6.4.2 Asymptomatic Carotid Stenosis

    6.4.3 Symptomatic Carotid Stenosis

    6.5 Carotid Artery Stenting in the Elderly

    6.5.1 Cognitive Impairment and Its Association with Carotid Stenosis

    6.5.2 High Socioeconomic Burden of Cognitive Decline in the Elderly

    6.5.3 Evidence for Cognitive Decline in Patients with Carotid Stenosis

    6.5.4 Silent Micro-embolization May Result in Cognitive Impairment

    6.5.5 Cerebral Hypoperfusion May Result in Cognitive Impairment

    6.5.6 Results of the ACCOF Study

    6.6 Conclusions

    References

    7: Aortic Aneurysm Disease in the Elderly

    7.1 Introduction

    7.1.1 Definition of “Elderly” Men Versus Women

    7.1.2 Who Is at Risk?

    7.1.3 Basic Indications for AAA, DTAA, and TAAA Repair

    7.1.4 Preoperative Evaluation

    7.1.5 Discussion of How Age Influences Decision-Making

    7.1.6 Using Frailty Scores to Risk Stratify and Counsel Patients in Clinic

    7.2 Abdominal Aortic Aneurysm

    7.2.1 Open Repair Versus EVAR in Octogenarians

    7.2.2 Open Repair Versus EVAR in Nonagenarians

    7.3 Thoracic Aortic and Thoracoabdominal Aortic Aneurysms

    7.3.1 Open Descending TAA and TAAA Repair

    7.3.2 Thoracic Endovascular Aneurysm Repair

    7.3.3 F/B-EVAR for Juxtarenal and TAAA

    7.3.4 Functional Recovery and Quality of Life

    7.3.5 Surveillance Protocols

    References

    8: Peripheral Arterial Disease in the Elderly

    8.1 Introduction

    8.2 Evaluation of the Elderly Patient with PAD and Prognosis

    8.2.1 Asymptomatic PAD

    8.2.2 Intermittent Claudication

    8.2.3 Natural History

    8.3 Noninterventional Management of the Elderly Patient with Claudication

    8.3.1 Medical Therapy

    8.3.2 Exercise Therapy

    8.3.3 Open and Endovascular Revascularization for Claudication

    8.3.4 Open and Endovascular Revascularization for Critical Limb Ischemia

    8.3.5 Functional Outcomes Following Revascularization for Critical Limb Ischemia

    8.3.6 Indication for Primary Amputation

    8.3.6.1 Functional Status and Quality of Life Following Amputation

    References

    9: Renal Failure in the Elderly

    9.1 Introduction

    9.2 Indications for Renal Replacement Therapy

    9.2.1 Choice of Dialysis Modality: Hemodialysis (HD) Versus Peritoneal Dialysis (PD)

    9.3 Selection of Hemodialysis Access: AVF Versus AVG Versus TDC in the Elderly

    9.3.1 Kidney Disease Outcome Quality Initiative (KDOQI) Guidelines

    9.3.2 Transitioning Patients from TDC to an Internal Access

    9.3.3 Outcomes of Vascular Interventions in Elderly ESRD Patients

    9.3.3.1 General Considerations

    9.3.3.2 Asymptomatic, Intact Abdominal Aortic Aneurysms

    9.3.3.3 Asymptomatic Carotid Artery Occlusive Disease

    9.3.3.4 Lower Extremity Peripheral Arterial Occlusive Disease

    9.4 Strategies to Prevent Contrast Nephropathy

    9.4.1 Considerations for Individualizing Care of Older Patients with ESRD

    References

    10: Ethical Considerations

    10.1 Case

    10.2 Introduction

    10.3 Urgency

    10.4 Capacity

    10.5 Surrogate Decision-Making

    10.6 Informed Consent

    10.7 Shared Decision Making (SDM)

    10.8 Establishing Goals of Care

    10.9 Intensity of Postoperative Care and Time-Limited Trials

    10.10 Withdrawal of Support

    10.11 Conclusions

    References

    Index

     

  • 570.00 lei

     

    Description:

    Intravascular Ultrasound: From Acquisition to Advanced Quantitative Analysis covers topics of the whole imaging pipeline, ranging from the definition of the clinical problem and image acquisition systems to image processing and analysis, including the assisted clinical-decision making procedures and treatment planning (stent deployment and follow up). Atherosclerosis, a disease of the vessel wall that produces vessel narrowing and obstruction, is the major cause of cardiovascular diseases, such as heart attack or stroke. This book covers all aspects of this imaging tool that allows for the visualization of internal vessel structures and the quantification and characterization of coronary plaque.

    Provides an introduction to the clinical workflow and current challenges in endovascular interventions

    Presents a review of the state-of-the-art methodologies in IVUS imaging and their applications

    Includes a rich analysis of the current and potential future connections between the academic, clinical and industrial fields

     

    Table of Contents:

     

    Chapter 1: Introduction

    Section I: Clinical Ivus

    Chapter 2: Clinical Utility of Intravascular Ultrasound

    1. Introduction

    2. Basic Principles of Imaging Acquisition

    3. IVUS in Clinical Practice

    3.1. IVUS in Percutaneous Transluminal Coronary Angioplasty

    3.2. IVUS in the Bare Metal Stent Era

    3.3. IVUS in the Drug-Eluting Stent Era

    4. IVUS Applications

    4.1. IB-IVUS

    4.2. VH-IVUS

    4.3. iMap-IVUS

    4.4. NIRS-IVUS

    4.5. Contrast-Enhanced IVUS

    5. IVUS Assessment of Plaque Progression

    6. IVUS in Complex Coronary Lesions

    6.1. Left Main Coronary Artery Lesions

    6.2. Other Coronary Lesions

    6.3. Calcified Lesions

    6.4. Coronary Chronic Total Occlusion

    7. IVUS Pitfalls

    8. IVUS Complications

    9. Future Perspectives

    References

    Chapter 3: Convenience of Intravascular Ultrasound in Coronary Chronic Total Occlusion Recanalizatio

    1. Innovation Chronology on CTO Coronary Intervention Guided by IVUS

    2. Why and When IVUS Is Used in CTO Recanalization

    2.1. Anterograde Approach to CTO Recanalization

    2.1.1. IVUS to define the proximal edge and validate the true lumen access

    2.1.2. IVUS to delimit true lumen situation versus guidewire position along with the CTO stenosis un

    2.1.3. IVUS to size and optimize the stent

    2.2. IVUS in Retrograde CTO Recanalization

    2.2.1. IVUS in reverse recanalization

    2.2.2. IVUS in reverse CART

    2.2.3. IVUS in bailout

    2.2.4. Size and optimize the stent

    3. Case Examples

    3.1. Case 1 Example

    Anterograde RCA CTO

    Introduction

    3.2. Case 2 Example

    Anterograde LAD CTO

    Introduction

    3.3. Case 3 Example

    Ostial LAD CTO procedure guided from diagonal IVUS

    Introduction

    3.4. Case 4 Example

    Calcified CTO in LAD

    Introduction

    3.5. Case 5 Example

    LAD CTO, anterograde wired in false lumen

    Introduction

    3.6. Case 6 Example

    LM severe stenosis and LAD CTO

    Introduction

    3.7. Case 7 Example

    LAD CTO, bailout retrograde from RCA

    Introduction

    References

    Chapter 4: Intracardiac Ultrasound

    1. Introduction

    2. ICE Devices and Case Studies

    3. Rotational System

    4. Phased Array System

    5. Position and Image Examples of Phased Array System3

    6. Case Examples

    7. Patent Foramen Ovale7

    8. Atrial Septum Defect

    9. Hypertrophic Obstructive Cardiomyopathy8

    10. Left Atrial Appendage Closure9

    11. 3D/4D Developments (Phased Array Only)

    12. Transseptal Puncture

    13. Cryoablation; Positioning of the Cryoballoon

    14. PFO Closure

    References

    Chapter 5: Quantitative Virtual Histology for In Vivo Evaluation of Human Atherosclerosis-A Plaque B

    Summary

    List of Abbreviations

    1. Introduction

    2. Methodology

    3. Results

    4. Discussion

    References

    Section II: Ivus Image Analysis

    Chapter 6: A State-of-the-Art Intravascular Ultrasound Diagnostic System

    1. Introduction

    1.1. Overview

    1.2. Procedure of IVUS Observation

    1.2.1. Preparation

    1.2.2. Observation

    1.2.3. Catheter removal

    2. IVUS Imaging Catheter

    2.1. Concept

    2.2. Requirements for Catheter

    2.2.1. Trackability

    2.2.2. Pushability

    2.2.3. Crossability

    2.2.4. Visibility

    2.2.5. Safety

    2.3. Requirements for Ultrasound Probe

    2.3.1. Radial imaging

    2.3.2. Longitudinal imaging

    2.3.3. Ultrasound transmission

    3. System Configuration

    3.1. Motor Drive Unit

    3.2. Console

    4. Signal Processing

    4.1. Image Construction

    4.2. High-Frequency IVUS

    5. Concluding Remarks

    References

    Chapter 7: Multimodality Intravascular Imaging Technology

    1. Introduction

    2. Hybrid IVUS-OCT Imaging Technology

    3. Near-Infrared Spectroscopy

    4. Intravascular Photoacoustics

    5. Near-Infrared Fluorescence

    6. Fluorescence Lifetime Imaging

    7. Multimodality Imaging: Clinical Outlook

    References

    Chapter 8: Quantitative Assessment and Prediction of Coronary Plaque Development Using Serial Intrav

    1. Introduction

    1.1. Segmentation and Registration Approaches

    1.2. Quantitative Assessment and Prediction

    1.3. Study Background

    2. Graph-Based IVUS Segmentation

    2.1. Optimal Graph Search: LOGISMOS

    2.2. Graph and Cost-Function Design

    2.3. Advanced Editing: Just Enough Interaction

    3. Baseline/Follow-Up Registration

    3.1. 3D Correspondence Graph

    3.2. Feature- and Morphology-Based Similarity

    3.3. Finding the Start and End Frame Pairs

    3.4. Validation Results

    4. Morphology Assessment: Remodeling

    4.1. Progression and Regression Groups

    4.2. Plaque and Adventitia Development

    5. Prediction of Plaque Development

    5.1. Plaque Phenotype Definitions

    5.2. Features and Classifiers

    5.3. Feature Selection for Predictions

    5.4. Analysis and Prediction Results

    6. Conclusions

    Glossary

    References

    Chapter 9: Training Convolutional Nets to Detect Calcified Plaque in IVUS Sequences

    1. Introduction

    2. Methodology

    2.1. Frame-Based Detection

    2.1.1. Convolutional architectures

    2.1.2. Training deep calcified plaque detectors

    2.2. Improving Temporal Consistency

    2.3. Final Selection of Relevant Frames

    3. Experiments and Discussion

    3.1. Materials

    3.2. Evaluation Metrics

    3.3. Experiments

    3.4. Results

    3.5. Qualitative Evaluation

    4. Conclusions

    References

    Chapter 10: Computer-Aided Detection of Intracoronary Stent Location and Extension in Intravascular

    1. Introduction

    2. Stent Shape Estimation

    2.1. State of the Art of Stent Shape Estimation

    2.2. Method

    2.2.1. Gating

    2.2.2. Semantic classification

    Classes definition

    Pixel-wise descriptor

    Semantic classification framework

    2.2.3. Stent modeling

    Stent shape estimation

    Strut detection

    2.3. Validation

    2.3.1. Material

    2.3.2. Experiments on stent modeling

    2.4. Discussion

    2.4.1. Metallic stents

    Bioabsorbable stents

    2.5. Conclusion

    3. Longitudinal Stent Location

    3.1. State of the Art of Longitudinal Stent Location

    3.2. Method

    3.2.1. Gating and strut detection

    3.2.2. Stent presence assessment

    3.3. Validation

    3.3.1. Material

    3.3.2. Experiments on stent presence assessment

    3.3.3. Malapposition analysis

    3.4. Results

    3.4.1. Metallic stents

    Bioabsorbable stents

    3.5. Discussion

    3.6. Conclusion

    4. General Conclusion

    References

    Chapter 11: Real-Time Robust Simultaneous Catheter and Environment Modeling for Endovascular Navigat

    1. Introduction

    2. Vessel Modeling in SCEM

    3. Methods

    3.1. Optimization Based on the Preoperative Data

    3.2. Uncertainty Estimation

    3.3. Real-Time Implementation

    4. Results

    4.1. Simulation and Robustness Assessment

    4.2. Phantom Experiments

    5. Conclusion

    References

    Index

    Back Cover

     

     

  • 63000lei 585.00 lei

     

    Description:

    This book evaluates the various evidence-based arguments for the use of compression to treat chronic wounds. It describes the growing health burden caused by these lesions with vast sums spent on wound management and its associated complexities around the world. Since compression is the mainstay of treatment in venous conditions ranging from varicose veins through venous leg ulcers, the authors have also evaluated the use of compression techniques in the successful management of lymphoedema and certain orthopaedic conditions. Compression and Chronic Wound Management provides a balanced text on how to apply scientific knowledge to ensure pragmatic clinical practice. It therefore represents an essential resource for residents, specialists and researchers in wound management, whether they are dermatologist, vascular medicine physicians and surgeons, or orthopaedic practitioners. 

     

    Table of contents:

     

    1. The Public Health Burden of Chronic Wounds Needs a Whole Systems Approach

    2. Physics of Using Compression to Treat Venous Leg Ulcers and Other Conditions of the Lower Extremities

    3. Delivering Compression to Treat Chronic Wounds in the UK & Ireland

    4. Difficult to Compress Legs with Venous Disease

    5. Surgical Solutions Are an Alternative to Compression Bandaging in Venous Leg Ulcer

    6. The Use of Compression to Treat Venous Leg Ulcers: The Inadequacy of Current Compression Systems Especially in Tropical Nations

    7. The Use of Compression to Treat Venous Leg Ulcers in Traditional Chinese Medicine Practice

    8. Compression Therapy in Lymphoedema

    9. Compression Therapy Using Low Cost Materials for Managing Different Grades of Lymphoedema in India

    10. Alternative Technological Approaches to Achieving Improved Venous Return

    11. Advances in Devices that Offer Lower Limb Compression

    12. Flap Surgery and Compression Therapy

    13. Compression for Managing Scars

    Back Matter

     

  • 67400lei 600.00 lei

     

    Description:

     

    This book focuses on endovascular methods for resuscitation and trauma management. Written by highly qualified and clinically active physicians from around the world, it shares information gathered over the past decade, providing a comprehensive database of clinical knowledge for a wide range of practicing clinicians and researchers. Moreover, it describes basic methods for vascular access, methods for REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta), endo-grafts and embolization methods, as well as other, more advanced methods for endovascular and hybrid resuscitation (CPR REBOA, ECHMO etc.) from the pre-hospital to the post-surgical phase. As the body of literature in this field has grown considerably over the past five years, the book also focuses on summarizing what is known, what the clinical and research evidence is, and “how to actually use” the various methods. It will help readers understand basic and advanced modern techniques for bleeding control and modern resuscitation, and how to apply them in clinical practice.  

     

    Table of contents:

     

    1. The Concept of Endovascular Resuscitation and Trauma Management: Building the EVTM Team

    2. Principles of Modern Trauma Resuscitation

    3. Endovascular Management of Cervical Vascular Trauma

    4. Endovascular Management of Thoracic and Abdominal Trauma

    5. Endovascular Surgery for Extremity Trauma

    6. Principles of REBOA

    7. Partial REBOA

    8. REBOA in Traumatic Brain Injuries

    9. REBOA-Induced Ischemia-Reperfusion Injury

    10. REBOA in Nontraumatic Cardiac Arrest

    11. Endovascular Balloon Occlusion in Obstetrical Hemorrhage

    12. Prehospital and Austere EVTM

    13. Endovascular Embolization in Trauma and Bleeding

    14. Management of the Unstable Patient During EVTM and REBOA

    15. Extracorporeal Membrane Oxygenation in the Unstable Trauma Patient

    16. Postoperative Critical Care Management Considerations

    17. Complications of Endovascular and Hybrid Surgery

    18. Endovascular Resuscitation and Trauma Management: Education and Simulation

     

  • 67400lei 600.00 lei

     

    Description:

    Venous disorders are extremely common in clinical practice, and recent years have seen a number of changes in the treatment of these conditions. This book covers the advances in our understanding and the management of venous disorders – both superficial and deep. It includes up-to-date reviews on the hemodynamics of venous circulation in the lower limbs, deep venous reflux, novel biomarkers in deep vein thrombosis, post thrombotic syndrome, infra-popliteal DVT, relevance of wave length in laser treatment of varicose veins, pelvic congestion syndrome, May-Thurner syndrome, nut cracker syndrome, endothermal heat-induced thrombosis, recurrent varicose veins, and venous trauma. It also discusses important topics such as one-stop vein clinics, alternatives for venous ulcer treatment, venous anatomy, therapeutic options in lymphedema, nerve damage during endovenous thermal ablation, newer oral anticoagulants, compression therapy for venous ulcer, sclerotherapy for varicose veins and thrombolysis for DVT.  Written by leading experts in their field, this book is a key resource for practicing vein physicians and surgeons, and postgraduates in surgery training programs, enabling them to incorporate the latest advances into their day-to-day practice.

     

    Table of contents:

     

    1. Anatomy of the Venous System of the Lower Limbs

    2. Hemodynamic Aspects of Chronic Venous Disease

    3. Deep Venous Reflux

    4. Recurrent Varicose Veins

    5. Relevance of Wavelength in Laser Treatment of Varicose Veins

    6. Sclerotherapy for Varicose Veins

    7. Nerve Injury due to Endovenous Thermal Ablation for Varicose Veins

    8. Endothermal Heat-Induced Thrombosis

    9. Deep Vein Thrombosis: The Disease

    10. Post-Thrombotic Syndrome

    11. Isolated Infrapopliteal Deep Venous Thrombosis

    12. Novel Biomarkers in Deep Vein Thrombosis

    13. Newer Oral Anticoagulants

    14. Therapeutic Alternatives for Venous Ulcer

    15. Compression Therapy for Venous Ulcer

    16. Pelvic Congestion Syndrome

    17. May-Thurner Syndrome

    18. Nutcracker Syndrome

    19. Venous Trauma

    20. Therapeutic Options in Lymphedema

    21. One-Stop Vein Clinic: The Ideal Option

     

  • 67400lei 605.00 lei

     

    Description:

    ​This book contains a compilation of the revolution of mechanical thrombectomy (MT) in the treatment of strokes. The initial chapters summarize information about the best medical management of acute ischemic stroke, imaging modalities and patient selection for MT. The book then focuses on the nuances of MT, providing detailed information about the best approaches for anesthesia during MT, access, intra-arterial thrombolysis, recent devices and catheters and technical pitfalls of MT. A specific chapter is dedicated to MT in the venous system. This is followed by a chapter about the most common complications of MT and post-procedural care of these patients. The last chapter covers different aspects of acute stroke care and MT in the developing world. The authors of this book comprise of a multidisciplinary group of world experts in the field and were encouraged to include teaching cases to deliver a book with a practical approach. Acute Stroke Management in the Era of Thrombectomy is intended for all healthcare providers who care for patients with stroke; with special emphasis for the proceduralists who are interested in technical tips to improve outcomes and minimize complications.

     

    Table of contents:

     

    1. Best Medical Management for Acute Ischemic Stroke

    2. Imaging of Acute Ischemic Stroke

    3. Indications for Mechanical Thrombectomy

    4. Anesthesia During Endovascular Treatment of Acute Ischemic Stroke

    5. Arterial Access and Intermediate Catheters: Procedural and Technical Considerations

    6. Intra-arterial Thrombolytics for Treatment of Acute Ischemic Stroke

    7. Mechanical Thrombectomy: Emerging Devices and Technologies

    8. Mechanical Thrombectomy: Techniques and Hybrid Approaches for Recanalization

    9. Acute Stenting During Acute Ischemic Stroke

    10. Tandem Occlusion Causing Acute Ischemic Stroke

    11. Mechanical Thrombectomy in Distal Vessels: M2s and Beyond

    12. Thrombectomy of the Posterior Circulation: Tips and Tricks

    13. Thrombectomy in the Venous System: Approaches and Techniques

    14. Complications During Mechanical Thrombectomy: Pitfalls and Bailouts

    15. Postoperative Care After Mechanical Thrombectomy

    16. Stroke Care and Mechanical Thrombectomy in Developing Countries

     

  • 68800lei 610.00 lei

     

    Description:

    Cardiovascular Implications of Stress and Depression provides an in-depth examination on how exposure to stress influences risk for cardiovascular disease and how depression is associated with this relationship. This authoritative volume examines causal pathways linking stress, depression and cardiovascular disease. In addition, it provides mechanistic insights into how environmental stress can lead to cardiovascular diseases. Current information about mechanistic factors, clinical and epidemiological aspects, and management issues associated with stress/depression are presented. These insights demonstrate how the mechanisms behind chronic stress and depression lead to cardiovascular diseases. In addition, their role in existing diseases (such as obesity, hypertension, and diabetes) is explored.

    Provides the latest information on how stress leads to depression and how stress/depression interacts to accelerate cardiovascular diseases, including stroke

    Delivers insights on how mechanisms of stress/depression affect vasculature

    Explores how to best research this topic from human and pre-clinical models

     

    Table of Contents:

     

    Chapter 1: Stress, depression, and cardiovascular disease

    Abstract

    Basic definitions

    Conceptual models linking stress with depression and cardiovascular disease

    Mechanisms linking stress with cardiovascular disease

    Conclusion

    Section 1: Evidence linking stress with depression and cardiovascular disease

    Chapter 2: Epidemiological evidence linking stress and depression with CVD

    Abstract

    Methodological considerations

    Stress and cardiovascular disease

    Depression and cardiovascular disease

    Conclusion

    Chapter 3: Translational research from animal models

    Abstract

    Introduction: The translational value of research with animal models

    Animal models and operational definitions of depression

    Mechanisms, pathways, and physiological correlates

    Concluding remarks

    Chapter 4: Intervention research on therapies that aim to treat depression and cardiovascular disease

    Abstract

    Psychosocial and behavioral interventions

    Cognitive-behavioral therapy

    Collaborative care

    Cardiac rehabilitation and exercise

    Stress management/relaxation training

    Caregiver interventions

    Nutritional interventions

    Pharmacotherapy

    Other pharmacotherapy treatment

    Combined behavioral and psychopharmacology interventions

    Limitations

    Summary of findings and future considerations

    Section 2: Mechanisms linking stress and depression with cardiovascular disease

    Chapter 5: Autonomic and neuroendocrine response to stress

    Abstract

    The autonomic nervous system

    The neuroendocrine system

    Pathological patterns of autonomic nervous and neuroendocrine system functioning

    Exposure to stress and allostatic load

    Allostatic load and risk for cardiovascular disease

    Depression and allostatic load

    Summary and conclusions

    Chapter 6: Circulatory system alterations under stress

    Abstract

    Vascular dysfunction

    Potential mechanisms leading to vascular dysfunction and remodeling

    Adverse effect of stress on the heart

    Summary and conclusions

    Chapter 7: Human neuroimaging-based connections between stress, cardiovascular disease and depression

    Abstract

    Introduction

    Neuroimaging methods

    Cortical responses to stress and the brain regions affected

    Cortical responses to stress and CVD

    Cortical responses to stress and depression

    Therapies and treatments: Effect on brain

    Summary

    Chapter 8: The role of inflammation and oxidative stress in depression and cardiovascular disease

    Abstract

    Introduction

    Stress as a catalyst for inflammation

    Stress as a catalyst for reactive oxygen species (ROS) accumulation: A role for mitochondrial dysfunction

    Inflammation in the pathophysiology of depression

    ROS in the pathogenesis of depression

    Inflammation in the pathogenesis of CVD

    ROS in the pathogenesis of cardiovascular disease

    Inflammation and ROS responses to stress as a mechanism through which stress leads to depression and cardiovascular disease comorbidity

    Conclusion

    Chapter 9: Social support and stress, depression, and cardiovascular disease

    Abstract

    The link between stress and social support

    The link between depression and social support

    The link between social support, biological risk, and cardiovascular disease

    Social support as a mediator

    Intervention implications

    Conclusions

    Chapter 10: The influence of health behaviors upon the association between stress and depression and cardiovascular disease

    Abstract

    Tobacco use

    Alcohol use

    Physical inactivity

    Dietary habits

    Overweight and obesity

    Medication and medical regimen adherence

    Sleep

    Summary

    Chapter 11: The microbiome-gut-brain axis: The missing link in depression

    Abstract

    Introduction

    The bidirectional microbiome-gut-brain axis

    Relationships between stress and the gut microbiome

    Relationships between depression and the gut microbiome

    Early-life stress and depression

    Relationships between cardiovascular disease and the microbiome

    Conclusions and future directions

    Disclosures

    Chapter 12: Future directions and concluding remarks

    Abstract

    Causal relations among stress, depression, and cardiovascular disease

    Mechanisms linking stress with depression and cardiovascular disease

    Future research directions

    Conclusion

    Author index

    Subject index

     

  • 65200lei 610.00 lei

     

    Description:

    Kupinski’s Diagnostic Medical Sonography: The Vascular System, 2nd Edition provides a current, comprehensive treatment of vascular sonography enhanced by six new chapters— Orientation to Ultrasound Scanning (1), Ultrasound Principles (2), Ergonomics: Avoiding Work-Related Injury (3), Sonography in the Venous Treatment Room (21), Evaluation of Penile Blood Flow (31), and Complementary Vascular Imaging (32). And an intregal part of the updated Diagnostic Medical Sonography Series, which includes new editions of Diagnostic Medical Sonography: Abdomen and Superficial Structures, Diagnostic Medical Sonography: Obstetrics and Gynecology, and Diagnostic Medical Sonography: The Vascular System, provides the right content at the right level for the right way to teach and learn.

     

     

    Table of Contents:

     

    PART ONE | FUNDAMENTALS OF ULTRASOUND SCANNING

    1 Orientation to Ultrasound Scanning | ANN MARIE KUPINSKI | M. ROBERT DE JONG

    2 Ultrasound Principles TRACI B. FOX

    3 Ergonomics: Avoiding Work-Related Injury SUSAN MURPHEY

    PART TWO | INTRODUCTION TO THE VASCULAR SYSTEM

    4 Vascular Anatomy ANN MARIE KUPINSKI

    5 Arterial Physiology ANN MARIE KUPINSKI

    6 Venous Physiology ANN MARIE KUPINKSI

    PART THREE | CEREBROVASCULAR

    7 The Extracranial Duplex Ultrasound Examination KARI A. CAMPBELL | R. EUGENE ZIERLER

    8 Uncommon Pathology of the Carotid System EILEEN FRENCH-SHERRY

    9 Carotid Intervention ALI F. ABURAHMA

    10 Intracranial Cerebrovascular Examination COLLEEN DOUVILLE

    PART FOUR | PERIPHERAL ARTERIAL

    11 Indirect Assessment of Arterial Disease TERRY NEEDHAM

    12 Duplex Ultrasound of Lower Extremity Arteries NATALIE MARKS | ANIL P. HINGORANI | ENRICO ASCHER

    13 Duplex Ultrasound of Upper Extremity Arteries OLAMIDE ALABI | GREGORY L. MONETA

    14 Ultrasound Assessment of Arterial Bypass Grafts PETER W. LEOPOLD | ANN MARIE KUPINSKI

    15 Duplex Ultrasound Testing Following Peripheral Endovascular Arterial Intervention DENNIS F. BANDYK | KATHRYN L. PARKER

    16 Special Considerations in Evaluating Nonatherosclerotic Arterial Pathology PATRICK A. WASHKO | S. WAYNE SMITH

    PART FIVE | PERIPHERAL VENOUS

    17 Duplex Ultrasound Imaging of the Lower Extremity Venous System STEVEN R. TALBOT | MARK OLIVER

    18 Duplex Ultrasound Imaging of the Upper Extremity Venous System STEVEN R. TALBOT | MARK OLIVER

    19 Ultrasound Evaluation and Mapping of the Superficial Venous System ANN MARIE KUPINSKI

    20 Venous Valvular Insufficiency Testing SERGIO X. SALLES CUNHA | DIANA L. NEUHARDT

    21 Sonography in the Venous Treatment Room JEAN M. WHITE-MELENDEZ | WILLIAM B. SCHROEDTER

    22 The Role of Ultrasound in Central Vascular Access Device Placement GAIL EGAN | GARY SISKIN

    PART SIX | ABDOMINAL

    23 Aorta and Iliac Arteries KATHLEEN A. CARTER | JENIFER F. KIDD

    24 The Mesenteric Arteries ANNE M. MUSSON | ROBERT M. ZWOLAK

    25 The Renal Vasculature MARSHA M. NEUMYER

    26 The Inferior Vena Cava and Iliac Veins MICHAEL J. COSTANZA

    27 The Hepatoportal System WAYNE C. LEONHARDT | ANN MARIE KUPINSKI

    28 Evaluation of Kidney and Liver Transplants M. ROBERT DEJONG | LESLIE M. SCOUTT | MONICA FULLER

    PART SEVEN | MISCELLANEOUS

    29 Intraoperative Duplex Ultrasound STEVEN A. LEERS

    30 Hemodialysis Access Grafts and Fistulae MICHAEL J. SINGH | AMY STEINMETZ | KARIM SALEM

    31 Evaluation of Penile Blood Flow VICKI M. GATZ | SCOTT G. ERPELDING | SHUBHAM GUPTA

    32 Vascular Applications of Ultrasound Contrast Agents DANIEL A. MERTON

    33 Complementary Vascular Imaging BRIAN BURKE

    34 Quality Assurance TERRENCE D. CASE | ANN MARIE KUPINSKI

    Index

    BackCover

     

  • 67400lei 610.00 lei

     

    Description:

    This book provides comprehensive information on new and existing vessel imaging techniques, with the intention of improving diagnosis, treatment, and prevention of vascular and related diseases. In recent years, vessel wall imaging has expanded greatly into other beds (such as the intracranial and peripheral arteries) and many of the techniques available for evaluation and diagnosis have only previously been published in research papers. This book bridges that gap for clinicians, applying cutting edge research to their everyday practice. The first six sections of the book are centered around individual vessel beds. These chapters will teach clinicians the multi-modality imaging techniques available to image these vessels and related pathology with a focus on new imaging tools and techniques. The final two sections of the book will offer a more comprehensive technical background aimed at imaging scientists for the imaging techniques used and the relationship of blood flow and modeling to disease monitoring and prevention. This is an ideal guide for radiologists and imaging scientists looking to learn the latest techniques in vessel imaging.

     

    Table of contents:

     

    Part I. Intracranial Arteries

    1. Vascular Dysfunction and Neurodegenerative Disease

    2. Current Imaging Approaches and Challenges in the Assessment of the Intracranial Vasculature

    3. Advanced Intracranial Vessel Wall Imaging and Future Directions

    Part II. Carotid Artery

    4. Atherosclerosis of the Carotid Artery

    5. Current Imaging Approaches and Challenges in the Assessment of Carotid Artery Disease

    6. Advanced Carotid Vessel Wall Imaging and Future Directions

    Part III. Peripheral Artery Disease

    7. Peripheral Artery Disease: An Overview

    8. Current Imaging Approaches and Challenges in the Assessment of Peripheral Artery Disease

    9. Advanced Peripheral Artery Vessel Wall Imaging and Future Directions

    Part IV. Aorta

    10. Imaging Approaches for Aortic Disease

    Part V. Coronary Artery

    11. Pathophysiology of Coronary Artery Disease

    12. Current Imaging Approaches and Challenges in the Assessment of Coronary Artery Disease

    13. Advanced Coronary Artery Vessel Wall Imaging and Future Directions

    Part VI. Imaging Techniques

    14. Image Processing: What Is Needed and Unique for Vessel Wall Imaging?

    15. Vessel Wall Imaging in the Era of Artificial Intelligence

    Part VII. Hemodynamics

    16. Hemodynamic Aspects of Vessel Wall Imaging: 4D Flow

    17. Computational Fluid Dynamics for Evaluating Hemodynamics

    Back Matter

     

  • Valvular Heart Disease (Cardiovascular Medicine)
    La comanda in aproximativ 4 saptamani
    73000lei 620.00 lei

     

    Description:

    This book provides up-to-date and user-friendly guidance on the evaluation, diagnosis, and treatment of heart and vascular disease. Chapters cover a broad range of issues related to valve disease, including rheumatic fever, aortic root dilatation, infective endocarditis, and heart disease in pregnancy. The physical examination of major valve lesions, imaging techniques, and choosing a balance therapy are also discussed. Valvular Heart Disease aims to give readers exposure to guideline-directed therapy and therapeutic decisions and is relevant to trainee and practising cardiologists, cardiac surgeons, vascular surgeons, and cardiac radiologists.

     

    Table of contents:

     

    1. Valvular Heart Disease: Pathological Anatomy and Pathogenesis

    2. Acute Rheumatic Fever

    3. Infective Endocarditis

    4. Inflammation Injury and Selected Disease Processes Causing Aortic Root and Aortic Valvular Inflammation

    5. Comprehensive Approach to Aortic Valve Disease

    6. Comprehensive Assessment of Primary Mitral Valve Disease: Clinical Presentation, Diagnosis, Medical and Surgical Therapy

    7. Secondary Mitral Regurgitation

    8. Innovative Approaches to Mitral Valve Repair and Replacement

    9. Tricuspid, Pulmonic, and Mixed Valve Disease

    10. Transcatheter Aortic Valve Replacement

    11. Valve Prosthesis

    12. Heart Disease in Pregnancy

    13. Evidenced-Based and Practical Management of Real-World Valvular Heart Disease

     

  • 620.00 lei

     

    Description:

    This book aims to provide non-specialist healthcare practitioners with current, focused and objective information on the most common vascular diseases encountered in daily clinical practice. In day-to-day clinical practice many healthcare practitioners do not have a working knowledge of the most common vascular diseases that frequently arise in patient care. Some of these topics include: aneurysms, peripheral arterial disease, diabetic foot, venous thromboembolism, cerebrovascular disease, aortic dissection, and acute limb ischemia. These commonly encountered vascular diseases are becoming public health issues due to their high morbidity and mortality as well as increasing healthcare costs. Since patients with vascular diseases are often referred to non-specialists, the general practitioner must know how to proper handle the most common vascular diseases encountered in daily clinical practice. For each disease the concept, epidemiology, natural history, diagnosis and treatment are described, followed by essential advice on what the non-specialist can do for the patient and when to refer the patient to a specialist.

     

    Table of Contents:

     

    1: How to Make Decisions in Healthcare?

    Clinical Question and Study Design

    Evidence-Based Healthcare and Systematic Reviews

    Harms, Not Just Efficacy

    How to Make Decisions in Healthcare

    References

    2: Anatomical Principles of the Circulatory System

    Introduction

    The Cardiovascular System

    The Heart

    Vessels’ Wall: The Endothelium

    Coronary Irrigation

    The Arterial System

    Aorta and Its Branches

    Cervical and Intracranial Irrigation

    Thorax and Upper Limb

    Lower Limb

    The Venous System

    Cervical and Intracranial

    Thorax and Upper Limb

    Lower Limb

    The Lymphatic System

    Lymphatic Vessels

    Lymphoid Organs

    References

    3: Atherosclerosis

    Introduction

    Epidemiology

    Pathophysiology

    Cerebrovascular Disease

    Coronary Artery Disease

    Peripheral Artery Disease

    Reno-Vascular Atherosclerosis

    Diagnosis

    Determining the Presence of Significant Atherosclerotic Disease or Its Equivalent

    Ankle-Brachial Index

    Carotid Ultrasonography

    Femoral Ultrasonography

    Electron-Beam Computed Tomography

    Pressures and Pulse-Volume Recordings

    Others Cardiovascular Methods of Evaluation

    Utilization of Risk Stratification Scores

    Treatment

    General Practitioner’s Role

    Medical Specialist Evaluation

    References

    4: Hemostasis and Anticoagulation Therapy

    Introduction

    Primary Hemostasis

    Endothelium

    Platelets

    Platelet Adhesion

    Platelet Activation

    Platelet Aggregation

    Secondary Hemostasis

    Coagulation

    The Initiation Phase

    The Amplification Phase

    The Propagation Phase

    Fibrinolysis

    Anticoagulant Treatment

    Parenteral Anticoagulants

    Unfractionated Heparin

    Low Molecular Weight Heparins

    Fondaparinux

    Direct Thrombin Inhibitors

    Oral Anticoagulants

    Vitamin K Antagonists

    Warfarin

    Acenocoumarol

    New Oral Anticoagulants

    Dabigatran

    Rivaroxaban

    Apixaban

    Edoxaban

    References

    5: Peripheral Artery Disease

    Introduction

    Epidemiology

    Natural History and Clinical Presentation

    Asymptomatic

    Intermittent Claudication

    Critical Limb Ischemia

    Diagnosis

    Treatment

    Risk Factors Control

    Treatment of Intermittent Claudication

    Treatment of Critical Limb Ischemia

    References

    6: Acute Limb Ischemia

    Introduction

    Arterial Thrombosis

    Arterial Embolism

    Epidemiology

    Clinical Presentation

    Diagnosis

    Differential Diagnosis

    Treatment

    Endovasculartherapy

    Conventional Open Surgery

    Complications

    Syndrome of Reperfusion

    References

    7: Cerebrovascular Disease

    Concept

    Epidemiology

    Clinical Presentation

    Natural History

    Diagnosis

    Treatment

    Medical Treatment

    Surgical Treatment

    What Generalist Doctor Can Do for This Patient?

    When Is the Time to Refer to Specialist?

    References

    8: Abdominal Aortic Aneurysms

    Concept

    Epidemiology

    Clinical Presentation

    Image Exams

    Abdominal Ultrasonography

    Angiotomography

    Magnetic Resonance Imaging

    Screening Program

    Treatment

    Medical Approach

    Smoking Cessation

    Exercise

    Pharmacotherapy

    Doxycycline and Roxithromycin

    Beta-Blockers

    Antiplatelet Therapy

    Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers

    What the Generalist Practioner Can Do for This Patient?

    When to Refer to Vascular Surgery?

    References

    9: Peripheral and Visceral Aneurysm

    Femoral Artery Aneurysms

    Popliteal Artery Aneurysm

    Subclavian Artery Aneurysm

    Visceral Artery Aneurysms

    Splenic Artery Aneurysms

    Hepatic Artery Aneurysm

    Superior Mesenteric Artery Aneurysms

    Celiac Artery Aneurysms

    Renal Arteries Aneurysm

    What the General Practitioner Can Do for This Patient?

    When to Refer to the Expert?

    References

    10: Thoracic, Thoracoabdominal, and Iliac Artery Aneurysms

    Thoracic Aortic Aneurysm

    Thoracoabdominal Aortic Aneurysm

    Iliac Artery Aneurysm

    What the General Practitioner Can Do for This Patient?

    When to Refer to the Expert?

    References

    11: Risk Factors and Prophylaxis of Deep Vein Thrombosis and Pulmonary Embolism

    Introduction

    Natural History of Venous Thromboembolism and Complications

    Identification of Risk Factors for Venous Thromboembolism

    Classification of Groups of Risk for Venous Thromboembolism According to the Individual Risk F

    Prophylaxis

    Hospitalized Nonsurgical Patients

    Hospitalized Surgical Patients

    Early Mobilization

    Intermittent Pneumatic Compression

    Elastic Compression Stockings

    Anticoagulant Medications

    Other Anticoagulants

    Prophylaxis Duration

    Outpatient

    References

    12: Venous Thromboembolism: Diagnosis and Treatment

    Introduction

    Epidemiology

    Clinical Presentation

    Deep Vein Thrombosis

    Pulmonary Embolism

    Diagnosis

    Deep Vein Thrombosis Diagnosis

    Additional Tests That Increase Accuracy for the Diagnosis of Deep Vein Thrombosis

    Strategies for the Diagnosis of Deep Vein Thrombosis in Specific Clinical Situations

    Pulmonary Embolism

    Treatment

    Compression Therapy

    Unfractionated Heparin

    Low Molecular Weight Heparins

    Fondaparinux

    Vitamin K Antagonist

    Non-vitamin K Antagonists Oral Anticoagulants

    Interventional Treatment

    Fibrinolysis via Locoregional Intravenous Catheter in Patients with Deep Vein Thrombosis

    Loco-regional or systemic fibrinolysis in the Pulmonary Embolism

    Lower Vena Cava Filter Implant

    What Can Any General Practitioner Do for the Patient?

    When to Refer to a Specialist?

    References

    13: Diabetic Foot

    Introduction

    Epidemiology

    Natural History

    Clinical Manifestations

    Peripheral Neuropathy

    Charcot’s Neuropathy

    Peripheral Arterial Disease

    Infection

    Wounds

    Diagnosis

    Diabetic Neuropathy Evaluation

    Vascular Assessment

    Treatment

    Antibiotic Treatment

    Surgical Treatment

    Debridement

    Revascularization Procedures

    Limb Amputation

    Wound Care

    Dressings

    Adjuvant Treatments

    What Can the Primary Care Physician Do for This Patient?

    When to Refer the Diabetic Foot Patient for an Expert?

    References

    14: Chronic Venous Disease and Varicose Veins

    Introduction

    Epidemiology

    Pathophysiology

    Natural History

    Clinical Manifestations

    Classification

    Diagnosis

    Differential Diagnosis

    Treatment

    Clinical Treatment

    Compression Therapy

    Graduated Compressive Stockings

    Unna Boot

    Elastic and Nonelastic Bandages

    Intermittent Pneumatic Compression

    Pharmacotherapy

    Interventional Treatment

    Sclerotherapy

    Transdermal Laser and Intense Pulsed Light

    Surgical Treatment

    Endovenous Ablation

    Radiofrequency Ablation

    Endovenous Laser Ablation

    Comparison Between the Methods

    What the Generalist Can Do?

    When to Refer to the Expert?

    References

    15: Vascular Anomalies

    Epidemiology

    Vascular Tumors

    Vascular Malformations

    Natural History of the Disease

    Clinical Presentation and Diagnosis

    Vascular Tumors

    High-Flow Malformations

    Low-Flow Malformations

    Venous Malformations

    Lymphatic Malformations

    Imaging Methods

    Doppler Ultrasonography

    Magnetic Resonance Angiography

    Computed Tomography

    Angiography

    Differential Diagnosis

    Treatment

    Vascular Tumors

    Clinical Treatment and Laser for Vascular Tumors (Hemangioma) [5]

    Vascular Malformations

    What Can Non-specialists Do for This Patient?

    When Should the Patient Be Referred to the Specialist?

    References

    16: Aortic Dissection

    Introduction

    Definition

    Epidemiology

    Pathophysiology

    Classification

    Acute Versus Chronic

    Anatomic

    Risk Factors

    Clinical Presentation

    Pain

    Neurological Symptoms

    Cardiac Complications

    Malperfusion Syndrome and Limb Ischemia

    Diagnosis

    Thorax X-ray

    Computed Tomography Angiography

    Transthoracic/Transesophageal Echocardigraphy

    Aortography

    Nuclear Magnetic Resonance

    Treatment

    Medical Therapy

    Antihypertensive Treatment

    Analgesia

    Interventional Therapy

    Type A Dissection

    Type B Dissection

    Post-treatment Care

    References

    17: Lower Limb Ulcers

    Introduction

    Epidemiology

    Diagnosis

    Venous Stasis Ulcers

    Concept

    Epidemiology

    Pathophysiology

    Clinical Presentation

    Medical Imaging

    Treatment

    Compression Therapy

    Oral Medications

    Intervention

    Arterial (Ischemic) Ulcers

    Concept

    Epidemiology

    Pathophysiology

    Clinical Presentation

    Treatment

    Mixed Ulcers

    Hypertensive Ulcers

    Neuropathic Ulcers

    Other Less Common Causes of Ulcers

    Topical Treatment of the Ulcers

    References

    18: Lymphedema and Erysipelas

    Lymphedema

    Concept

    Epidemiology and Classification

    Primary Lymphedema

    Secondary Lymphedema

    Natural History

    Clinical Findings

    Diagnosis

    Treatment

    Complex Decongestive Physiotherapy

    Intermittent Pneumatic Compression

    Pharmacologic Treatment

    Surgical Treatment

    Erysipelas

    Concept

    Epidemiology

    Natural History

    Clinical Findings

    Diagnosis

    Treatment

    Complications

    What Can the Nonspecialist Do for the Patient with Lymphedema?

    When to Refer to Specialist?

    References

    19: Clinical Treatment of Vascular Diseases

    Categories of Cardiovascular Risk

    Management of Dyslipidemia

    Statins

    Mechanism of Function: Pleiotropic Effect of Statins

    Screening

    How to Screen?

    Who Should Take This Drug?

    Special Situation

    Targets of Treatment

    Statin Therapy: Daily Doses

    Hipolipedemiant Non-statin Drugs

    Antiplatelet Therapy

    Aspirin

    Thienopyridines (Clopidogrel, Ticlopidine, and Prasugrel)

    Other Antiplatelet Drugs

    Dual Platelet Drugs

    Who Must Take This Drug?

    Antihypertensive

    Renovascular Disease

    Renin-Angiotensin-Aldosterone Inhibitors

    Beta-Blockers

    Calcium Channel Blockers

    Options for Treatment

    Handling of Symptoms

    Pain Control

    Pentoxyfilline

    Cilostazol

    Naftidrofuryl (Nafronyl)

    Prostanoids (Iloprost, Beraprost, Prostaglandin E1, and Prostacyclin)

    Other Peripheral Artery Disease Medical Therapy

    Homocysteine

    Levocarnitine (L-Carnitine)

    L-Arginine

    Gingko Biloba

    Medical Therapy in Aortic Aneurysm and Acute Aortic Syndrome

    Beta-Blockers

    Calcium Channel Blockers

    Angiotensin-Converting-Enzyme Inhibitors

    Angiotensin-Receptor Blockers

    Statins

    Tetracycline and Macrolides (Doxycycline and Roxithromicin)

    Antiplatelet Therapy

    References

    Appendix A: Doppler Ultrasound and Ankle–Brachial Pressure Index

    Abstract

    Doppler Ultrasound

    Sphygmomanometer

    Ankle–Brachial Pressure Index

    Appendix B: Vascular Imaging Techniques

    Abstract

    Ultrasonography (Ultrasound)

    Computed Tomography

    Magnetic Resonance Imaging

    Scintigraphy

    Glossary

    Index

     

  • 67400lei 620.00 lei

     

    Description:

    This book is designed to equip the reader with a detailed knowledge of the pathophysiology of chronic venous disease and an understanding of the clinical benefits of restoring venous drainage by saphenous vein-sparing procedures, including minimization of invasiveness and reduction of the recurrence rate. All of the techniques currently available for vein-sparing strategies, including novel endovenous options, are clearly described and illustrated, with explanation of the role and value of recent technical innovations. The reader is guided through the entire management process, starting from diagnosis and proceeding through evaluation of the individual patient’s needs to the successful implementation of appropriate treatment. In addition, the literature on relevant diagnostic and therapeutic protocols is thoroughly reviewed, covering all significant publications to the present day. The content is kept as simple as possible to help those new to the field. At the same time, the deep insights into theoretical and technical aspects will support even the most advanced specialists in their everyday practice. 

     

    Table of contents:

    Part I. Background

    1. Historical Background and Rationale

    2. Functional Anatomy of Leg Veins

    3. Venous Reflux Patterns

    4. Duplex Ultrasound of Superficial Leg Veins in the Context of Saphenous Vein Sparing Surgery

    5. Second-Level Imaging

    Part II. CHIVA

    6. Saphenous Sparing Strategy in the CHIVA Context

    7. CHIVA: Surgical Tips and Tricks

    8. Minimally Invasive Surgical Treatment of Pelvic Leak Points

    9. Haemodynamic Management of Deep Venous Insufficiency

    10. CHIVA: Results from Literature

    11. Perioperative Management in Saphenous Sparing Surgery

    Part III. Other Venous Sparing Techniques

    12. Ambulatory Selective Varices Ablation Under Local Anaesthesia (ASVAL)

    13. External Valvuloplasty of the Sapheno-Femoral Junction

    Part IV. How to Treat a Patient in a Modern Phlebologic Setting

    14. Treatment Options Depending on the Patient’s Presentation

    Correction to: Venous Reflux Patterns

     

  • 620.00 lei

     

    Description:

    This extensively revised third edition provides a practically applicable guide to the pathophysiology, assessment and management of vascular disorders encountered in vascular surgical practice. It features detailed information on the latest developments in the pathophysiology of conditions including atherosclerosis, multi-organ failure, limb compartment syndromes and Raynaud’s phenomenon in a clear easy to digest format. Disorders such as reperfusion injuries, vasculitides, and aortic dissection are covered. Furthermore, key topics in vascular and endovascular practice such as radiation biology and radiation safety are also detailed. Each chapter contains a set of learning objectives and key references, enabling the reader to quickly identify key points. Mechanisms of Vascular Disease: A Textbook for Vascular Specialists comprehensively covers a variety of common and unusual pathophysiologies encountered in vascular surgery, and is an ideal resource for both the trainee, and practicing clinical vascular surgeon seeking an up-to-date resource on the topic.

     

    Table of contents: