Of all the developing fields of surgery, few have had the impact of vascular surgery in affecting so large a section of the population by offering the potential relief of disability and the prolongation of life. As would be anticipated, the interest of surgeons in this evolving specialty has largely been focused upon the selection of the most appropriate operations and the development of modifi cations or new procedures that overcome the limitations of previous ones. The literature contains numerous conflicting claims about the relative merits of various procedures, and those aPlJoaching this field for the first time may understandably be confused. Yet, if one were to approach any single vascular surgeon at any given time, he would upon request be given a firm and precise listing of preferred procedures. The procedures described in this two-volume publication are those that we currently favor. Their selection is the result of continuing analyses of our own experience during the past 30 years. All patients have been available for prolonged follow-up evaluation. Late failures often helped us to identify techniques that lessened the durability of an initially satisfactory operation, and they became a stimulus for the development of modifications or trials with alternative operations. Particular attention is directed to the manner in which knowledge of the natural history of disease influences the choice of operations.
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Für Beruf und Forschung
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Research
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ISBN-13
978-0-387-90409-2 (9780387904092)
DOI
10.1007/978-1-4612-4836-1
Schweitzer Klassifikation
1 Surgical Revascularization Below the Groin.- Pathology and Pathophysiology.- Natural History 4 Diagnosis.- Diagnosis.- Arterial Reconstruction.- Profunda Femoris Reconstruction.- Superficial Femoral Artery Reconstruction.- Distal Arterial Reconstruction.- Rarer Conditions Causing Arterial Insufficiency of the Lower Extremity.- Peripheral Arterial Aneurysms.- 2 Acute Obstructive Disease of the Lower Extremities.- Clinical Findings.- Management.- Embolectomy or Thrombectomy Through the Common Femoral Artery.- Acute Occlusion of Major Vessels Due to Trauma.- Indications for Fasciotomy.- Iatrogenic Injuries to the Arteries.- 3 Amputation in the Dysvascular Patient.- Historical Aspects.- Determination of Amputation Level.- Arteriography.- Medical Treatment.- Surgical Techniques.- Toe and Ray Amputations.- Below-Knee Amputation.- Above-Knee Amputation.- Rehabilitation of the Amputee.- 4 Sympathectomy.- Arterial Diseases Responsive to Sympathectomy.- Nonarterial Disease Responding to Sympathectomy.- Cervical Sympathectomy.- Lumbar Sympathectomy.- 5 Complications of Prosthetic Grafts.- Aortofemoral Graft Limb (Dysfunction).- Graft Limb Occlusion.- Myointimal Fibrosis.- Kinking of Prosthetic Grafts.- False Aneurysm.- Arteriovenous Fistulae.- Prosthetic Graft Infection.- Limited (Localized) Graft Infection.- Generalized (Diffuse) Graft Infection-Surgical Management.- Aortoiliac Graft Infection.- Aortofemoral Graft Infection.- Late Conversion to Aorta Femoral Bypass.- Prosthetic-Enteric Fistulae.- Aortic Stump Blowout.- 6 Nonatherosclerotic Diseases of the Extracranial Carotid Arteries.- Fibromuscular Dysplasia.- Spontaneous and Traumatic Dissections of the Internal Carotid Artery.- Carotid Artery Aneurysms.- Coiling and Kinking of the Carotid Arteries.- External Compression of the Carotid Arteries.- External Compression of the Vertebral Arteries.- Nonatheromatous Arterial Emboli.- Takayasu's Arteritis.- Carotid Body Tumors.- Restenosis After Carotid Endarterectomy.- Recurrent or Progressive Atherosclerosis.- 7 Visceral Artery Compression Syndromes.- Clinical Features.- Surgical Therapy.- Surgical Techniques.- 8 Nonatherosclerotic Renovascular Hypertension.- General Considerations.- In Situ Aortorenal Autograft Reconstruction.- In Situ Branched Aortorenal Autograft Reconstruction.- Bilateral Aortorenal Autograft Reconstruction.- Ex Vivo Aortorenal Autograft Repair.- Dysplasia of the Abdominal Aorta.- 9 Thoracic Outlet Syndromes.- Pathophysiology of Thoracic Outlet Syndrome.- Clinical Findings.- Evaluation.- Treatment of Thoracic Outlet Syndrome.- First Rib Resection Transaxillary Approach.- Results and Complications.- Management of the Arterial Complications of Thoracic Outlet Syndrome.- Management of Venous Complications of Thoracic Outlet Syndrome.- 10 Portal Hypertension.- Anatomy.- Therapeutic Options.- Management of Portal Hypertension.- Nonoperative Techniques to Control Variceal Bleeding.- Portacaval Shunt (End-to-Side).- Portacaval Shunt (Side-to-Side) Technique.- Renosplenic Shunt.- Transabdominal Renosplenic Shunt.- Retroperitoneal Renosplenic Shunt.- 11 Surgery of the Inferior Vena Cava.- Surgery for Prevention of Recurrent Pulmonary Emboli.- Vena Cavai Occlusion.- Direct Cavai Surgery.- 12 Hemodialysis Access.- General Considerations.- Acute Access.- Access for Chronic Hemodialysis.- Complications of Arteriovenous Fistula Operations.
