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9781570596285

Aortic Surgery

by
  • ISBN13:

    9781570596285

  • ISBN10:

    157059628X

  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 2000-01-01
  • Publisher: CRC Press

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Summary

Loma Linda Univ., CA. Text for residents, students, and clinicians. Covers pathogenesis, epidemiology, screening for heart and stroke risk, diagnostic imaging, approach and specific treatment strategies, and complications. Chapters are thumb-tabbed and includes halftone illustrations. Wire-spiral binding. DNLM: Aorta--surgery.

Table of Contents

Pathogenesis of Aortic Aneurysmal Disease
1(8)
Christopher K. Zarins
Chengpei Xu
Atheroscler
Proteolytic Enzymes and Their Inhibitors
5(1)
Inflammatory Aneurysms
5(1)
Genetic Predisposition
6(1)
Hemodynamics and Aneurysm Formation
7(1)
Experimental Observations
7(1)
Conclusion
7(2)
Epidemiology of Aortic Aneurysmal Disease
9(11)
Peter F. Lawrence
Gustavo S.C. Oderich
Kiran Bhirangi
Prevalence
9(1)
Incidence
10(1)
Risk Factors
11(4)
Prognostic Factors for Rupture
15(2)
Associated Diseases and Survival
17(1)
Conclusion
17(3)
Screening for Aortic Aneurysmal Disease
20(17)
William C. Krupski
Mark R. Nehler
Background
20(1)
Economic Deliberations
21(2)
Screening Programs
23(9)
Conclusion
32(5)
The Pathophysiology of Aortic Dissection
37(12)
James I. Fann
D. Craig Miller
Classification and Etiology
37(2)
Pathophysiology
39(1)
Clinical Presentation and Diagnosis
40(3)
Therapy of Acute Aortic Dissections
43(3)
Long-Term Follow-up
46(3)
Carotid Screening Before Aortic Surgery
49(6)
Brian L. Ferris
Gregory L. Moneta
Cardiac Screening Before Aortic Surgery
55(13)
Douglas J. Wirthlin
Richard P. Cambria
Pathophysiology of MI
56(1)
Clinical Evaluation and Clinical Markers of CAD
57(3)
Noninvasive Cardiac Evaluation
60(2)
Invasive Coronary Evaluation and Intervention
62(2)
Algorithm for Preoperative Cardiac Assessment
64(1)
Conclusion
65(3)
Diagnostic Imaging Techniques Before Aortic Surgery
68(11)
Mark D. Morasch
William H. Pearce
Standard Computed Tomography
69(1)
CT Angiography
70(1)
Contrast-Enhanced Magnetic Resonance Angiography
71(3)
Conventional Angiography
74(2)
Intravascular Ultrasound (IVUS)
76(1)
Imaging for Endograft Placement
77(2)
Surgical Exposure for Aortic Surgery
79(22)
Jeffrey L. Ballard
Exposure of the Descending Thoracic and Proximal Abdominal Aorta
79(4)
Retroperitoneal Exposure of the Abdominal Aorta and Its Branch Vessles
83(5)
Alternate Renal Artery Exposure
88(1)
Alternate Exposure of the Proximal Abdominal Aorta
89(1)
Transperitoneal Exposure of the Infrarenal Abdominal Aorta
89(2)
Transperitoneal Exposure of the Renal Arteries
91(1)
Transperitoneal Exposure of the Abdominal Aorta at the Diaphragmatic Hiatus
92(1)
Emergency Exposure of the Abdominal Aorta and Vena Cava
93(4)
Extraperitoneal Exposure of the External Iliac Arteries
97(4)
Management of Small Aortic Aneurysms
101(11)
Robert A. Duensing
Samuel E. Wilson
Incidence and Risk Factors
102(1)
Natural History and Risk of Rupture
102(6)
The Advent of Endoluminal Aortic Stented Grafts
108(4)
Aortic Surgery in the Very Elderly
112(8)
Jeffrey L. Ballard
Concomitant Vascular Disease in the Elderly
112(1)
Operative Indications
113(1)
Sequencing Concomitant Vascular Procedures
114(1)
Loma Linda University Experience
115(5)
Aortic Reconstruction for Occlusive Disease
120(4)
Thomas F. Rehring
David C. Brewster
Evaluation
120(1)
Reconstruction
121(1)
Complications
122(1)
Results
123(1)
Extra-Anatomic Bypass for Aortoiliac Occlusive Disease
124(10)
John Karwowski
Ronald L. Dalman
Axillofemoral Bypass
124(1)
Indications for Axillofemoral Bypass
124(1)
Indications for Femorofemoral Bypass
125(1)
Technical Issues Related to AxFB and Femorofemoral Bypass Grafting
126(3)
Results of AxFB and Femorofemoral Bypass Procedures
129(1)
Indications for Thoracofemoral Bypass
129(1)
Technical Issues Related to Thoracofemoral Bypass Grafting
129(2)
Results of Thoracofemoral Bypass Procedures
131(1)
Summary
131(3)
Stent Deployment for Aortoiliac Occlusive Disease
134(15)
Frank C. Taylor
Jeffrey L. Ballard
Preoprocedure Evaluation
134(1)
Percutaneous Transluminal Angioplasty
135(1)
Stent Devices
135(3)
Diagnostic Angiography
138(1)
Lesion Evaluation and Selection
138(2)
Stent Deployment
140(1)
Guidewire Traversal of Stenoses and Occlusion
141(1)
Technical Endpoints
142(1)
Complications
143(1)
Patient Selection
144(1)
Long-Term Results
144(1)
Restenosis
145(1)
Conclusion
146(3)
Infrarenal Aortic Aneurysm Repair
149(11)
E. John Harris, Jr.
Natural History Versus Treatment
149(1)
Defining Perioperative Risk
150(1)
Defining Aneurysm Morphology Risk
151(1)
High Risk Patients
152(1)
Results of Aortic Aneurysm Repair
153(2)
Recommendations for Abdominal Aortic Aneurysm Repair
155(5)
Suprarenal Aortic Aneurysm Repair
160(11)
David Han
Peter Gloviczki
Classification
160(1)
Clinical Evaluation and Imaging Studies
160(1)
Surgical Indications
161(2)
Preoperative Cardiac and Pulmonary Evaluation
163(1)
Preparation for Surgery
163(1)
Surgical Technique
164(1)
Results
165(4)
Conclusions
169(2)
Inflammatory Abdominal Aortic Aneurysms
171(8)
Aravind B. Sankar
Glenn C. Hunter
Clinical Presentation
171(1)
Diagnostic Tests
172(1)
Medical Management
173(1)
Operative Management
173(1)
Incidence of Rupture
174(1)
Histologic Features
174(1)
Etiology of Inflammatory Abdominal Aortic Aneurysms
175(1)
The Relationship Between Retroperitoneal Fibrosis and IAAA
175(1)
Management of Ureteral Entrapment
176(1)
Summary
177(2)
Ruptured Abdominal Aortic Aneurysm
179(8)
Kaj Johansen
Pathophysiology of Aneurysm Expansion and Rupture
179(1)
Diagnosis of Ruptured AAA
180(1)
Preoperative Volume Resuscitation
180(1)
Operative Management
180(4)
Immediate Postoperative Care
184(1)
Outcome
184(3)
Combined Aortic and Renal Artery Reconstruction
187(16)
James M. Wong
Kimberley J. Hansen
Prophylactic Renal Artery Repair
187(2)
Empiric Renal Artery Repair
189(1)
Operative Techniques
190(1)
Mobilization and Dissection
191(3)
Aortorenal Bypass
194(1)
Thromboendarterectomy
195(1)
Renal Artery Reimplantation
196(1)
Intraoperative Duplex Sonography
196(1)
Combined Aortic and Renal Reconstruction: Results of Operation
197(6)
Occlusive Disease of the Upper Abdominal Aorta
203(14)
Rajabrata Sarkar
Ronald J. Stoney
Acute Mesenteric Ischemia
203(4)
Chronic Mesenteric Ischemia
207(3)
Renal Artery Occlusive Disease
210(7)
Surgical Treatment of Infected Aortic Aneurysms
217(10)
William J. Quinones-Baldrich
Incidence
217(1)
Bacteriology
218(1)
Diagnosis
218(1)
Management
219(5)
Postoperative Care
224(1)
Results
225(2)
Thoracoabdominal Aortic Aneurysm Repair
227(19)
Hazim J. Safi
Charles C. Miller III
Samer Koussayer
Clinical Presentation and Diagnostic Evaluation
228(5)
Conventional Surgical Technique
233(6)
Postoperative Care
239(1)
Results
239(3)
Profound Hypothermia
242(1)
Conclusion
243(3)
Alternate Approach for Type III and Type IV Thoracoabdominal Aortic Aneurysm Repair
246(9)
Jeffrey L. Ballard
Patients and Methods
247(3)
Results
250(1)
Discussion
250(5)
Endovascular Management of Aortic Aneurysmal Disease
255(13)
Frank J. Criado
Robert J. Falconer
Historical Evolution
255(1)
Early Designs and Initial Experience
255(3)
Current Status (Mid-1999)
258(3)
Principles of Stent-Graft Implantation Techniques
261(4)
Summary and Overview
265(3)
Endovascular Management of Aortoiliac Occlusive Disease
268(14)
Reese A. Wain
Frank J. Veith
Covered Stents
269(1)
Endovascular Grafts
270(9)
Discussion
279(1)
Conclusions
280(2)
Management of Intra-abdominal Disease in Conjunction with Aortic Surgery
282(10)
John J. Ricotta
Paul S. van Bemmelen
Unanticipated Concurrent Disease
283(1)
Planning the Management of Combined Lessions
284(1)
Aorta Surgery and Gallstones
285(1)
Asymptomatic Gallstones: The Case for a Combined Approach
285(1)
Asymptomatic Gallstones: The Case for a Conservative Approach
286(1)
Gallstones with Symptoms: The Case for a Conservative Approach
286(1)
Acute Cholecystitis
287(1)
Aorta Surgery and Colorectal Operations
287(1)
Aortic Surgery and Miscellaneous Procedures
288(4)
Management of Aortic Disease and Associated Urologic Problems
292(6)
Aileen M. Takahashi
Fred A. Weaver
Preoperative Management
293(1)
Operative Technique
293(3)
Postoperative Management
296(1)
Results
296(1)
Conclusion
297(1)
Management of Aortic Graft Infection
298(10)
Nancy Schindler
Keith D. Calligaro
Matthew J. Dougherty
Risk Factors/Epidemiology
298(1)
Diagnosis
299(1)
Bacteriology
300(1)
Treatment
301(1)
Intra-Abdominal Graft Infection
302(2)
Infections of Bifurcated Grafts Limited to the Groin
304(1)
Conclusions
305(3)
Peripheral Vascular Manifestations of Acute Aortic Dissection
308(11)
James I. Fann
R. Scott Mitchell
Clinical Diagnosis
308(2)
Peripheral Vascular Complications
310(6)
Summary
316(3)
Surgical Treatment of Acute and Chronic Aortic Dissection Distal to the Subclavian Artery
319(21)
Joseph S. Coselli
Cuneyt Koksoy
Zachary C. Schmittling
Scott A. LeMaire
Clinical Manifestations of Distal Aortic Dissection
321(1)
Imaging Studies
322(1)
Initial Management of Acute Distal Aortic Dissection
322(2)
Surgical Treatment
324(10)
Postoperative Management
334(1)
Results
335(2)
Summary
337(3)
Endovascular Management of Aortic Dissection
340(10)
Suzanne M. Slonim
Michael D. Dake
Charles P. Semba
Patients and Methods
340(1)
Stent Placement
341(1)
Balloon Fenestration
341(4)
Results of Endovascular Stenting and Balloon Fenestration
345(1)
Stent-Graft Repair of the Primary Tear
346(1)
Conclusion
347(3)
Index 350

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