Modern Trends in Vascular Surgery: Ischemic Extremities

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PMPH-USA, 2010 - Medical - 556 pages
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The "Modern Trends in Vascular Surgery" series of books contain the latest discoveries, techniques, practice and outcomes in vascular surgery. There are approximately 40 to 45 chapters in each book, classified under the following headings: cerebrovascular, ischemia, infrainguinal lesions, aortic aneurysm, thoracic aortic pathology, aorta and its major branches, upper extremity ischemia, venous disorders, hemodialysis access, endovascular technology, non-invasive test and issues in vascular surgery. Each of the chapters contains valuable illustrations, tables and a list of references to guide the reader through the chapter.
  

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Contents

Critical Limb Ischemia
3
EPIDEMIOLOGY AND NATURAL HISTORY
4
PATHOPHYSIOLOGY
5
MODIFIABLE RISK FACTORS
8
TREATMENT
9
PATIENTORIENTED OUTCOMES
12
FUTURE DIRECTION
14
CONCLUSION
15
REFERENCES
249
The Use of Negative Pressure Wound Therapy in Clinical Practice
251
CELLULAR STUDIES AND MICRO DEFORMATIONAL WOUND THERAPY
253
CONCLUSION
261
Practical Strategies for Debridement Offloading and Healing the Diabetic Foot Wound
265
TREATMENT
266
CONCLUSION
272
Advances in Amputation and Prosthesis
275

REFERENCES
16
Exercise Training Programs for Patients with Intermittent Claudication
21
BENEFITS OF SUPERVISED TREADMILL EXERCISE PROGRAMS IN PATIENTS WITH PAD
22
EXERCISE REHABILITATION AND FUNCTIONAL OUTCOMES IN PERSONS WITH PERIPHERAL ARTERIAL DISEASE AND INTERMITTE...
24
SAFETY OF EXERCISE REHABILITATION
25
MAINTENANCE OF GAINS ACHIEVED DURING EXERCISE REHABILITATION IN PAD
26
SELFDIRECTED WALKING EXERCISE AND RATES OF FUNCTIONAL DECLINE IN PERIPHERAL ARTERIAL DISEASE
27
MECHANISMS BY WHICH WALKING EXERCISE INCREASES PAINFREE AND MAXIMAL WALKING DISTANCE IN INTERMITTENT CLA...
28
UPPER AND LOWER LIMB AEROBIC EXERCISE IN PERIPHERAL ARTERIAL DISEASE
29
LOWER EXTREMITY STRENGTH TRAINING IN PERIPHERAL ARTERIAL DISEASE
30
POTENTIAL BARRIERS TO PARTICIPATION IN EXERCISE TRAINING PROGRAMS
31
CONCLUSION
32
Value of Preoperative Duplex Scanning in Planning Infrainguinal Bypass
35
REFERENCES
40
Infrainguinal Graft Duplex Surveillance Detection and Treatment of Graft Threatening Lesions
43
POSTOPERATIVE VEIN GRAFT EVALUATION
44
RATIONALE FOR SURVEILLANCE
45
GRAFT REVISION
50
INTERVENTION FOR GRAFT STENOSIS
52
ARTERIAL DISEASE PROGRESSION
54
REFERENCES
55
Statin Management for Vascular Surgery Patients
59
WHAT ARE STATINS?
60
DIRECT BENEFICIAL EFFECTS OF STATINS FOR VASCULAR PATIENTS
61
STATIN USE IN A VASCULAR PRACTICE
64
COMPLICATIONS WITH STATIN USE
65
REFERENCES
66
Antiplatelet Medication in Patients with Vascular Disease and Following Interventions
69
ROLE OF PLATELETS IN ATHEROSCLEROSIS ARTERIAL THROMBOSIS BYPASS GRAFT OCCLUSION AND RESTENOSIS AFTER PERCU...
70
ANTIPLATELET AGENTS
71
PROTECTION FROM MAJOR CARDIOVASCULAR MORBIDITY MYOCARDIAL INFARCTION STROKE OR DEATH
72
ANTIPLATELET EFFECT ON BYPASS GRAFT PATENCY
74
ANTIPLATELET EFFECT FOLLOWING PERIPHERAL PERCUTANEOUS INTERVENTION
75
REFERENCES
77
The Use of Antithrombins as Alternatives to Conventional Anticoagulation
79
THROMBOGENESIS
80
SUMMARY
84
Is RevascularizationLimb Salvage Always the Best Treatment for Patients with Critical Limb Ischemia?
87
PROGNOSIS OF CLI
88
FUNCTIONAL STATUS OF PATIENTS WITH CLI
89
ALTERNATIVES TO REVASCULARIZATION FOR CLI
91
POSSIBLE APPROACHES TO CURRENT TREATMENT OF CLI
92
REFERENCES
93
Burning Bridges Is the Application of Emerging Technologies Deleterious to the Care of the Vascular Patient and the Nations Financial Resources?
95
THE SURGICAL SAFETY NET ARGUMENT
96
EAST CAROLINA EXPERIENCE WITH SECONDARY BYPASS
97
CONCLUSIONS
100
Percutaneous Intervention for Limb Ischemia
103
Endovascular Therapy is the Preferred Initial Treatment for all Lower Extremity Revascularization
105
NATURAL HISTORY
106
PATIENT LONGEVITY WITH LOWER EXTREMITY REVASCULARIZATION
107
PERIPROCEDURAL COMPLICATIONS
108
FUNCTIONAL OUTCOME
109
PATENCY AND REINTERVENTION
110
WHAT IS THE CONSEQUENCE OF FAILURE?
111
REFERENCES
112
Techniques to Treat Chronic Total Iliac Artery Occlusions
115
LESION CHARACTERISTICS AND PATIENT SELECTION
116
DETERMINING THE SITE OF ACCESS
117
CROSSING TOTAL OCCLUSIONS
118
RECONSTRUCTION OF ILIAC CTOs
123
COMPLICATIONS OF ILIAC ARTERY ANGIOPLASTY AND STENTING
124
CONCLUSIONS
125
Angioplastybased Infrainguinal Percutaneous Interventions
127
CLINICAL SERIES
128
INFRAPOPLITEAL PTA RESULTS
130
NITINOL SELFEXPANDING STENTS
131
NOVEL TECHNOLOGIES AND TECHNIQUES FOR INFRAINGUINAL PERCUTANEOUS INTERVENTIONS
132
BIODEGRADABLE STENTS
135
CONCLUSIONS
136
REFERENCES
137
Remote Superficial Femoral Artery Endarterectomy
139
RSFAE PHASE
140
RESULTS
141
RSFAE AND DISTAL ASPIRE STENTING
142
DISCUSSION
143
RSFAE AND DISTAL VEIN BYPASS
145
CONCLUSION
146
Subintimal Angioplasty for the Treatment of Lower Extremity Ischemia
149
TECHNIQUE
150
CASE DESCRIPTIONS
151
DISCUSSION
155
SUMMARY
158
The Role of Atherectomy in Lower Extremity Arterial Occlusive Disease
161
STUDIES
164
COMPLICATIONS
166
APPLICATIONS
167
Open Surgical Revascularization in the Endovascular Era
169
Improving Lower Extremity Bypass Patency
171
PATIENT SELECTION
173
CURRENT LOWER EXTREMITY BYPASS TECHNIQUES
175
MEDICAL ADJUNCTS
177
A COMPREHENSIVE PROGRAM
178
REFERENCES
179
A 20year Experience with Infrapopliteal Prosthetic Graft
183
DATA ANALYSIS
184
RESULTS
186
INFRAPOPLITEAL ANGIOPLASTY FOR CRITICAL LIMB ISCHEMIA
190
SUMMARY
192
Lower Limb Revascularization in Patients with Diabetes Mellitus
195
ARTERIAL IMAGING
199
STRATEGIES FOR DISTAL BYPASS
200
PROFUNDA FEMORIS ARTERY
203
PROCEDURES ON THE PROFUNDA
204
REFERENCES
205
Vein Bypass Grafts to the Dorsalis Pedis Artery
207
REFERENCES
213
Unusual Exposure for Lower Extremity Revascularization
215
LATERAL APPROACHES
217
POSTERIOR APPROACH
220
COMMENTS
223
REFERENCES
224
Surgical Management of Femoral and Popliteal Artery Aneurysms
225
POPLITEAL ARTERY ANEURYSM
226
FEMORAL ANEURYSM
232
FEMORAL ARTERY PSEUDOANEURYSM
234
REFERENCES
238
Advances in Wound Care and Amputation
241
The Healing of Infection Ulceration and Minor Amputation Revascularization in Patients with Diabetes
243
SURGICAL APPROACH TO THE PATIENT WITH DIABETES MELLITUS
245
TISSUE LOSS AND ULCERATION
246
MINOR AMPUTATION
247
CONCLUSIONS
248
REFERENCES
284
Management of Complications after Revascularization
287
Management of Arterial Closure Device Complications
289
ARTERIAL OCCLUSION AND DISSECTION
290
PSEUDOANEURYSMS
292
DEVICE MALFUNCTIONENTRAPMENT
293
Treatment of Infected Bare Metal Stents The Naked Truth about Problems Bugging Our Patients
295
RISK FACTORS
296
ETIOLOGY
299
DIAGNOSIS
300
TREATMENT
302
PREVENTION
305
CONCLUSION
310
Treatment of Atheroembolism with IntraArterial Injection of Prostaglandin E1
313
HISTORICAL PERSPECTIVE
314
EPIDEMIOLOGY AND INCIDENCE
315
SOURCES OF MICROEMBOLI
316
CLINICAL FEATURES
319
DIAGNOSTIC STRATEGIES
322
DIFFERENTIAL DIAGNOSIS
323
MANAGEMENT STRATEGIES FOR ATHEROEMBOLISM
324
SURGICAL THERAPY
334
ENDOVASCULAR TREATMENT
335
PAIN CONTROL
336
REFERENCES
337
Inguinal Wound Complications Lymphatic Leak Lymphoceles and Graft Infections
343
LYMPH LEAKS
345
LYMPHOCELES
346
PROPHYLATIC MEASURES
347
REFERENCES
349
Soft Tissue Reconstruction of the Groin after Vascular Surgery Use of the Gracilis Muscle Flap
351
ABDOMINAL FLAPS
353
SURGICAL ANATOMY AND TECHNIQUE
354
RESULTS
359
REFERENCES
360
Emerging Biotechnology Techniques for Treatment of Limb Ischemia
361
The Use of Stem Cells in the Treatment of Inoperable Limb Ischemia
363
GENE THERAPY AND GROWTH FACTORS FOR CHRONIC LIMB ISCHEMIA
364
EXCLUSION CRITERIA
366
COMMENTS
368
REFERENCES
369
Nitric Oxidebased Therapies in Vascular Disease
371
DEVELOPMENT OF NEOINTIMAL HYPERPLASIA FOLLOWING ARTERIAL INJURY
372
NO PREVENTS NEOINTIMAL HYPERPLASIA
375
OUR APPROACH
378
CONCLUSION
381
Bioengineered Arteries
385
CELLASSISTED ASSEMBLY OF MATRIX PROTEINS
386
DECELLULARIZED ALLO AND XENOGENEIC TISSUE ARTERIAL SUBSTITUTES
387
FUTURE DIRECTIONS IN ARTERIAL BIOENGINEERING
388
REFERENCES
389
Modified Prosthetic Vascular Conduits
393
SURGICAL MODIFICATIONS OF PROSTHETIC VASCULAR GRAFTS
396
CHEMICAL AND BIOLOGICAL MODIFICATIONS OF PROSTHETIC VASCULAR GRAFTS
398
CONCLUSION
406
REFERENCES
407
Arterial Trauma
411
The Intraoperative Consult
413
POSTOPERATIVE CLINICAL RESPONSIBILITIES
416
MEDICALLEGAL CONSIDERATIONS
417
CONCLUSION
418
Iatrogenic IntraAbdominal and Pelvic Vascular Injuries
419
IATROGENIC INTRAABDOMINAL AND PELVIC ARTERY TRAUMA
420
IATROGENIC VENOUS INJURIES OF THE ABDOMEN AND PELVIS
422
CONCLUSION
424
Acute Arterial Complications of Total Hip and Knee Arthroplasty
427
OPERATIVE ASPECTS
429
DIAGNOSIS
430
TREATMENT
431
REFERENCES
433
Lower Extremity Vascular Injury in Children Younger than 13 Years of Age
435
PRESENTATION
436
CONFIRMATORY DIAGNOSTIC STUDIES
438
MANAGEMENT
439
RESULTS
443
CONCLUSIONS
445
REFERENCES
447
Popliteal Trauma
451
CLINICAL EVALUATION
452
SURGICAL MANAGEMENT OF POPLITEAL INJURIES
457
UNIVERSITY OF MARYLAND EXPERIENCE
459
ASSOCIATED TOPICS
460
SUMMARY
461
The Management of Upper Extremity Arterial Trauma
463
ENDOVASCULAR MANAGEMENT OF UPPER EXTREMITY VASCULAR INJURIES
464
OPERATIVE MANAGEMENT OF UPPER EXTREMITY VASCULAR TRAUMA
465
MEDIAN STERNOTOMY
466
ANTERIOR THORACOTOMY
467
SUPRACLAVICULAR APPROACH
469
INFRACLAVICULAR INCISION
471
FOREARM FASCIOTOMY
472
CONCLUSION
473
REFERENCES
474
Upper Extremity Ischemia
477
Quality Measures in Thoracic Outlet Syndrome
479
PRESENTATION
480
DIAGNOSIS
481
TREATMENT
485
RECURRENT TOS
486
PROGNOSIS
487
Arterial Injuries in Thoracic Outlet Compression
489
PATHOPHYSIOLOGY AND ANATOMY
490
PRESENTATION
492
TREATMENT
493
COMMENT
495
Supraclavicular Paraclavicular Approach for Thoracic Outlet Syndrome
497
SUPRACLAVICULAR EXPOSURE ALL FORMS OF TOS
498
INFRACLAVICULAR EXPOSURE FOR NEUROGENIC TOS
503
INFRACLAVICULAR EXPOSURE FOR VENOUS TOS
504
SUBCLAVIAN VEIN RECONSTRUCTION FOR VENOUS TOS
506
CLOSURE AND POSTOPERATIVE CARE
509
REFERENCES
510
Axillary Approach for Thoracic Outlet Syndrome
511
ACKNOWLEDGEMENT
516
Palmar Ulnar Artery Aneurysms
517
REFERENCES
522
Hand Ischemia in EndStage Renal Disease
525
ISCHEMIC STEAL IN PATIENTS WITH ARTERIOVENOUS FISTULAE
526
HAND ISCHEMIA IN PATIENTS WITH ESRD
527
DISCUSSION
529
REFERENCES
530
Index
533
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About the author (2010)

James S.T. Yao, MD, PhDEmeritus Professor of Surgery Feinberg School of Medicine Northwestern University, Chicago IL

William H. Pearce, MDViolet R. & Charles A. Baldwin Professor of Vascular Surgery Chief of the Division of Vascular SurgeryFeinberg School of MedicineNorthwestern University, Chicago IL

Jon S. Matsumura, MD; Mark D. Morasch, MD

Mark K. Eskandari, MDAssociate Professors of Surgery Division of Vascular Surgery Feinberg School of MedicineNorthwestern University, Chicago IL

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