Emergency Vascular Surgery: A Practical Guide
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Editura: Springer
Limba: Engleza
Nr. pagini: 215
Coperta: Hardback
Dimensiuni: 17.8 x 25.4 cm
An aparitie: 30 Dec 2017
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 patients 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:
Part A: Specific Areas
1: Vascular Injuries to the Neck
1.1 Summary
1.2 Background
1.2.1 Causes and Mechanism
1.2.1.1 Penetrating Trauma
1.2.1.2 Blunt Trauma
1.3 Clinical Presentation
1.3.1 Medical History
1.3.2 Clinical Signs
1.4 Diagnostics
1.4.1 Penetrating Trauma
1.4.2 Blunt Trauma
1.5 Management and Treatment
1.5.1 Management Before Treatment
1.5.1.1 Treatment in the Emergency Department
1.5.1.2 Airway Obstruction
1.5.1.3 Immediate Operation or Further Diagnostic Work-Up?
1.5.1.4 Which Patients Can Be Safely Transported?
1.5.2 Operation
1.5.2.1 Preoperative Preparation and Proximal Control
1.5.2.2 Exposure and Repair
1.5.2.3 Exploration of Minor Injuries and Hematomas
1.5.2.4 Injuries to the Vertebral Artery
1.5.2.5 Venous Injury
1.5.2.6 Endovascular Treatment
1.5.3 Management After Treatment
1.5.4 Results and Outcome
Further Reading
2: Vascular Injuries to the Thoracic Outlet Area
2.1 Summary
2.2 Background
2.2.1 Magnitude of the Problem
2.2.2 Etiology and Pathophysiology
2.2.2.1 Penetrating Trauma
2.2.2.2 Blunt Trauma
2.3 Clinical Presentation
2.3.1 Medical History
2.3.2 Clinical Signs
2.3.2.1 Physical Examination
2.4 Diagnostics
2.5 Management and Treatment
2.5.1 Management Before Treatment
2.5.1.1 Management in the Emergency Department
2.5.1.2 Patients in Extreme Shock
2.5.1.3 Unstable Patients
2.5.1.4 Control of Bleeding
2.5.1.5 Stable Patients
2.5.1.6 Nonsurgical Management
2.5.2 Operation
2.5.2.1 Preoperative Preparation and Control of Bleeding
2.5.2.2 Exposure and Repair
2.5.2.3 Venous Injuries
2.5.2.4 Endovascular Repair and Control
2.5.3 Management After Initial Treatment
2.6 Results
Further Reading
3: Vascular Injuries in the Upper Extremity
3.1 Summary
3.2 Background
3.2.1 Background
3.2.2 Etiology and Pathophysiology
3.3 Clinical Presentation
3.3.1 Medical History
3.3.2 Clinical Signs and Symptoms
3.4 Diagnostics
3.5 Management and Treatment
3.5.1 Initial Management
3.5.1.1 Severely Injured and Unstable Patients
3.5.1.2 Less Severe Injuries
3.5.1.3 Amputation
3.5.2 Operation
3.5.2.1 Preoperative Preparation
3.5.2.2 Proximal Control
3.5.2.3 Exploration and Repair
3.5.2.4 Finishing the Operation
3.5.2.5 Endovascular Treatment
3.5.3 Management After Treatment
3.6 Results and Outcome
3.7 Latrogenic Vascular Injuries
3.8 Miscellaneous Vascular Injuries
Further Reading
4: Acute Upper Extremity Ischemia
4.1 Summary
4.2 Background and Pathogenesis
4.3 Clinical Presentation
4.4 Diagnostics
4.5 Management and Treatment
4.5.1 Initial Management
4.5.2 Operation
4.5.2.1 Embolectomy
4.5.2.2 Endovascular Treatment
4.5.3 Management After Treatment
4.6 Results and Outcome
Further Reading
5: Abdominal Vascular Injuries
5.1 Summary
5.2 Background
5.2.1 Background
5.2.2 Magnitude of the Problem
5.2.3 Etiology and Pathophysiology
5.2.3.1 Penetrating Injury
5.2.3.2 Blunt Injury
5.2.3.3 Pathophysiology
5.2.3.4 Associated Injuries
5.3 Clinical Presentation
5.3.1 Medical History
5.3.2 Clinical Signs and Symptoms
5.4 Diagnostics
5.5 Management and Treatment
5.5.1 Management Before Treatment
5.5.1.1 Treatment and Management in the Emergency Department
5.5.1.2 Unstable Patients
Emergency Thoracotomy
5.5.1.3 Stable Patients
5.5.1.4 Laparotomy or Not?
5.5.1.5 Renal Artery Injuries
5.5.2 Operation
5.5.2.1 Preoperative Preparation
5.5.2.2 Exploration
5.5.2.3 Exposure and Control
5.5.2.4 Retrohepatic Injuries
5.5.2.5 Superior Mesenteric Artery Injuries
5.5.2.6 Retroperitoneal Hematomas
5.5.2.7 Management of Renal Injuries
5.5.2.8 Vessel Repair
Arterial Injuries
Venous Injuries
Final Vascular Repair Following “Damage Control”
5.5.2.9 Finishing the Operation
5.5.2.10 Endovascular Treatment
5.5.3 Management After Treatment
5.6 Results and Outcome
5.7 Iatrogenic Vascular Injuries in the Abdomen
5.7.1 Laparoscopic Injuries
5.7.2 Iliac Arteries and Veins During Surgery for Malignancies in the Pelvis
5.7.3 Iliac Artery Injuries During Endovascular Procedures
5.7.4 Iatrogenic Injuries During Orthopedic Procedures
Further Reading
6: Acute Intestinal Ischemia
6.1 Summary
6.2 Background
6.2.1 Background
6.2.2 Magnitude of the Problem and Patient Characteristics
6.3 Pathophysiology
6.4 Clinical Presentation
6.4.1 Medical History
6.4.1.1 Embolism
6.4.1.2 Thrombosis
6.4.2 Physical Examination
6.5 Diagnostics
6.5.1 Laboratory Tests
6.5.2 Angiography
6.5.3 Diagnostic Pitfalls
6.6 Management and Treatment
6.6.1 Management Before Treatment
6.6.1.1 In the Emergency Department
6.6.2 Operation
6.6.2.1 Laparotomy
Embolic Occlusion
Arterial Thrombosis
Venous Thrombosis and NOMI
6.6.2.2 Endovascular Treatment
6.6.3 Management After Treatment
6.6.3.1 In the ICU
Mesenterial Vein Thrombosis
6.6.3.2 Second-Look Operation
6.7 Results and Outcome
Further Reading
7: Abdominal Aortic Aneurysms
7.1 Summary
7.2 Background
7.2.1 Magnitude of the Problem
7.2.2 Pathogenesis
7.3 Clinical Presentation
7.3.1 Medical History
7.3.2 Examination
7.3.3 Differential Diagnosis
7.3.4 Clinical Diagnosis
7.4 Diagnostics
7.5 Management and Treatment
7.5.1 Management Before Surgery
7.5.1.1 Ruptured AAA
7.5.1.2 Suspected/Possible Rupture
7.5.1.3 Rupture Unlikely
7.5.2 Open Operation
7.5.2.1 Starting the Operation
7.5.2.2 Exposure and Proximal Control
7.5.2.3 Other Options for Proximal Control
7.5.2.4 Continuing the Operation
7.5.2.5 What to Do While Waiting for Help
7.5.2.6 Endovascular Treatment
7.5.3 Management After Treatment
7.6 Results and Outcome
7.7 Unusual Types of Aortic Aneurysms
7.7.1 Inflammatory Aneurysm
7.7.2 Aortocaval Fistula
7.7.3 Thoracoabdominal Aneurysm
7.7.4 Mycotic Aneurysm
7.8 Ethical Considerations
Further Reading
8: Acute Aortic Dissection
8.1 Summary
8.2 Background
8.2.1 Magnitude of the Problem
8.2.1.1 Definition and Classification
8.2.2 Etiology
8.2.3 Pathophysiology
8.3 Clinical Presentation
8.3.1 Medical History
8.3.2 Physical Examination
8.4 Diagnostics
8.5 Management
8.5.1 Initial Treatment
8.5.2 Surgical Treatment
8.5.3 Type B Dissection
8.5.4 Endovascular Treatment
8.6 Results and Outcome
Further Reading
9: Vascular Injuries in the Legs
9.1 Summary
9.2 Background
9.2.1 Background
9.2.2 Magnitude of the Problem
9.2.3 Etiology and Pathophysiology
9.2.3.1 Penetrating Injury
9.2.3.2 Blunt Injury
9.2.3.3 Pathophysiology
9.3 Clinical Presentation
9.3.1 Medical History
9.3.2 Clinical Signs and Symptoms
9.4 Diagnostics
9.4.1 Angiography
9.4.2 CT Angiography
9.4.3 Duplex Ultrasound
9.5 Management and Treatment
9.5.1 Management Before Treatment
9.5.1.1 Severe Vessel Injury
9.5.1.2 Less Severe Injuries
9.5.1.3 Angiography Findings
9.5.1.4 Primary Amputation
9.5.2 Operation
9.5.2.1 Preoperative Preparation
9.5.2.2 Proximal Control
9.5.2.3 Distal Control and Exploration
9.5.2.4 Shunting
9.5.2.5 Vessel Repair
Arterial Injuries
Venous Injuries
9.5.2.6 Finishing the Operation
9.5.3 Endovascular Treatment
9.5.4 Management After Treatment
9.6 Results and Outcome
9.7 Fasciotomy
9.8 Iatrogenic Vascular Injuries to the Legs
Further Reading
10: Acute Leg Ischemia
10.1 Summary
10.2 Background
10.2.1 Background
10.2.2 Magnitude of the Problem
10.2.3 Pathogenesis and Etiology
10.2.3.1 Pathogenesis
10.2.3.2 Embolus and Thrombosis
10.3 Clinical Presentation
10.3.1 Medical History
10.3.2 Clinical Signs and Symptoms
10.3.3 Evaluation of Severity of Ischemia
10.3.3.1 Classification
10.3.3.2 Viable Leg
10.3.3.3 Threatened Leg
10.3.3.4 Management Strategy
10.4 Management and Treatment
10.4.1 Management Before Treatment
10.4.1.1 Viable Leg
10.4.1.2 Threatened Leg
10.4.2 Operation
10.4.2.1 Embolectomy
10.4.2.2 Thrombosis
10.4.3 Thrombolysis
10.4.4 Management After Treatment
10.4.4.1 Anticoagulation
10.4.4.2 Reperfusion Syndrome
10.4.4.3 Compartment Syndrome
10.5 Results and Outcome
10.6 Conditions Associated with Acute Leg Ischemia
10.6.1 Chronic Ischemia of the Lower Extremity
10.6.2 Acute Ischemia After Previous Vascular Reconstruction
10.6.3 Blue Toe Syndrome
10.6.4 Popliteal Aneurysms
Further Reading
Part B: General Concepts
11: Acute Complications Following Vascular Interventions
11.1 Summary
11.2 Background
11.2.1 Magnitude of the Problem
11.3 Ischemic Complications
11.3.1 Pathophysiology
11.3.2 Clinical Presentation
11.3.2.1 Graft Occlusion in the Leg
11.3.2.2 Postoperative Ischemia After Carotid Interventions
11.3.2.3 Ischemia After Aneurysm Operations and Endovascular Procedures
11.3.3 Diagnostics
11.3.3.1 Leg Ischemia
11.3.3.2 Visceral Ischemia
11.3.4 Management and Treatment
11.3.4.1 Management in the Emergency Department, the ICU, and the Ward
Leg Ischemia
Cerebral Ischemia
Ischemia After Aneurysm Surgery and Endovascular Procedures
11.3.4.2 Operation
11.3.5 Results and Outcome
11.3.5.1 Graft Occlusion
Thrombolysis Versus Thrombectomy
11.3.5.2 Ischemia After Carotid and Aortic Interventions
11.4 Bleeding Complications
11.4.1 Causes
11.4.2 Clinical Presentation
11.4.2.1 Medical History
11.4.2.2 Physical Examination
11.4.3 Diagnostics
11.4.4 Management and Treatment
11.4.4.1 In the Emergency Department, ICU, or Surgical Ward
Emergency Measures
Which Patients Should Be Reoperated?
Bleeding After Aortic Surgery
Bleeding After Carotid Surgery
Bleeding During Thrombolysis
Medical Treatment and Monitoring
11.4.4.2 Operation
Control of Bleeding
Repair of Bleeding Sites
11.4.4.3 Management After Treatment
11.5 Infections
11.5.1 Pathophysiology
11.5.1.1 Types of Infection
11.5.1.2 Microbiology
11.5.1.3 Pathophysiology
11.5.2 Clinical Presentation
11.5.2.1 Medical History
11.5.2.2 Physical Examination
11.5.3 Diagnostics
11.5.3.1 Laboratory Tests
11.5.3.2 Imaging
11.5.4 Management and Treatment
11.5.4.1 In the Emergency Department
Wound and Subcutaneous Graft Infections
Infection Following Carotid Endarterectomy
Suspected Aortoduodenal Fistula
Other Aortic Graft Infections
11.5.4.2 Operation
Control
Continued Operation
11.5.4.3 Management After Treatment
11.5.5 Results and Outcome
11.6 Local Complications
11.6.1 Lymphocele and Seroma
11.6.1.1 Background and Causes
11.6.1.2 Clinical Presentation
11.6.1.3 Management and Treatment
11.6.2 Postoperative Leg Swelling
11.6.2.1 Background and Causes
11.6.2.2 Clinical Presentation
11.6.2.3 Management and Treatment
11.6.3 Wound Edge Necrosis
11.6.3.1 Background and Causes
11.6.3.2 Clinical Presentation
11.6.3.3 Management and Treatment
11.6.4 Local Nerve Injuries
11.6.4.1 Background and Causes
11.6.4.2 Clinical Presentation
11.6.4.3 Management and Treatment
Further Reading
12: Acute Venous Problems
12.1 Summary
12.2 Background and Pathogenesis
12.2.1 Background
12.2.2 Pathogenesis
12.3 Clinical Presentation
12.4 Diagnostics
12.4.1 Duplex, CT, and Phlebography
12.4.2 Pretest Clinical Probability and Scoring Systems
12.4.3 Blood Tests
12.4.4 In the Emergency Department
12.4.5 Endovascular Treatment
12.4.5.1 When Is Thrombolysis Indicated?
12.4.5.2 Techniques for Performing Thrombolysis
12.4.6 Operation
12.4.7 Phlegmasia Cerulea Dolens
12.4.8 Vena Cava Filter Placement
12.4.9 Postoperative Treatment
12.5 Results and Outcome
12.6 Miscellaneous
12.6.1 Thrombophlebitis
Further Reading
13: Acute Problems with Vascular Dialysis Access
13.1 Summary
13.2 Background
13.3 Pathophysiology
13.3.1 Occlusion and Thrombosis
13.3.2 Infection
13.3.3 Bleeding
13.3.4 Aneurysms and Hematomas
13.3.5 Steal and Arterial Insufficiency
13.4 Clinical Presentation
13.4.1 Occlusions and Thrombosis
13.4.2 Infection
13.4.3 Bleeding, Aneurysms, and Hematomas
13.4.4 Steal and Arterial Insufficiency
13.5 Diagnostics
13.6 Management and Treatment
13.6.1 In the Emergency Department
13.6.1.1 Occlusion and Thrombosis
13.6.1.2 Infection
13.6.1.3 Bleeding
13.6.1.4 Aneurysms and Hematomas
13.6.1.5 Arterial Insufficiency and Steal
13.6.2 Operation and Other Interventions
13.6.2.1 Occlusion and Thrombosis
Thrombolysis
AV Grafts
Revision
13.6.2.2 Infection
13.6.2.3 Bleeding
13.6.2.4 Aneurysms and Hematomas
13.6.2.5 Arterial Insufficiency and Steal
13.6.3 Management After Treatment
13.6.4 When Can Dialysis be Started Using the Access?
13.7 Results and Outcome
Further Reading
14: General Principles of Vascular Surgical Technique
14.1 Summary
14.2 Background
14.3 Access to the Vascular System
14.3.1 Vascular Access in Trauma
14.3.1.1 Need for Vascular Access
14.3.1.2 Management Guidelines
14.3.1.3 Which Route Is Recommended for Acute Vascular Access?
14.3.1.4 Technique for Achieving Alternative Acute Vascular Access in Trauma
14.3.2 Endovascular Vascular Access
14.3.2.1 Endovascular Access via the Common Femoral Artery
14.3.2.2 Endovascular Access via the Brachial Artery
14.3.2.3 Post-Procedure Measures Following Endovascular Access
14.4 Vessel Exposure
14.5 Control of Bleeding and Clamping
14.5.1 Proximal Endovascular Aortic Control
14.6 Vascular Suture
14.6.1 Choice of Suture Material
14.7 Arteriotomy
14.8 Closure with Patch (Patch Angioplasty)
14.9 Interposition Grafts
14.9.1 Autologous Vein as Graft Material
14.9.2 Synthetic Vascular Prosthesis
14.10 Vein Operations
14.11 Miscellaneous
14.11.1 Drains
14.11.2 Infection Prophylaxis
Index
Springer
An aparitie | 30 Dec 2017 |
Autor | Eric Wahlberg, Jerry Goldstone |
Dimensiuni | 17.8 x 25.4 cm |
Editura | Springer |
Format | Hardback |
ISBN | 9783662540176 |
Limba | Engleza |
Nr pag | 215 |
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