Critical Limb Ischemia Carotid Surgery

ISBN-13: 9783798510753 / Angielski / Miękka / 1998 / 143 str.

S. Horsch; K. Ktenidis; K. Tenidis

Spis treści

I Critical Limb Ischemia.- Critical limb ischemia: definition, incidence and prevalence, pathophysiology and diagnostic management.- Intraoperative thrombolysis as an adjunct to surgery in acute arterial occlusion.- Percutaneous transluminal angioplasty of the iliofemoral level.- Complications during and after percutaneous transluminal angioplasty (PTA) of iliac and peripheral arteries.- Vascular surgical interventions required after complications caused by percutaneous transluminal angioplasty PTA.- Iliofemoral versus axillofemoral bypass for unilateral inflow reconstruction.- Femoro-popliteal bypass: indication, material choice, technique, results.- Femoro-distal PTFE bypass reconstruction with vein collar.- Crural and pedal bypass surgery: surgical technique and results.- Intra-operative measurements: the role of peripheral resistance.- Spinal cord stimulation in non-reconstructable or daredevil reconstructable patients with critical limb ischemia.- Spinal cord stimulation (SCS) in the treatment of non-reconstructable arterial occlusive disease of upper extremities.- Spinal cord stimulation (SCS): a convenient enrichment or an expensive adventure in vascular surgery?.- II Carotid Surgery.- Carotid surgery — past, present and future.- Diagnostic methods in carotid surgery.- Color-coded duplex ultrasonography of the carotid bifurcation: clinical application in preoperative diagnosis.- Ultrasonic and histopathological characteristics of the carotid plaque.- Magnetic resonance angiography (MRA) of the carotid and vertebral arteries.- Perioperative monitoring during carotid surgery —role of the local anaesthesia.- Intraoperative assessment of cerebral ischemia: somatosensory evoked potentials, transcranial Doppler and oxymetry.- Current therapeutical concept of carotid occlusive disease.- Operative results after carotid endarterectomy.- Carotid endarterectomy without preoperative angiography.- Carotid endarterectomy without patch and shunt.- Choise of graft material in carotid surgery vein versus PTFE.- Technique of eversion carotid endarterectomy.- Surgery of the elongated carotid artery — indication, technique, results.- Redo-carotid surgery—indication, technique, results.- Emergency carotid surgery —guidelines for surgical treatment.