Vascular Surgery: Procedures, Complications and Recovery

Vladimir Sihotsky, MD, PhD (Editor)
Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Medical Faculty of Safarik University, Kosice, Slovakia

Series: Surgery – Procedures, Complications, and Results
BISAC: MED085000

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Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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The book “Vascular Surgery: Procedures, Complications and Recovery” was written by a team of vascular, cardiac and neurosurgeons working mainly in the East Slovak Institute of Cardiovascular Diseases, and also Luis Pasteur University Hospital in Kosice, Slovakia. The book is addressed to students of medicine and also as fundamental principles of vascular surgery for residents in different surgical specializations.

Vascular surgery has been rapidly developing in recent decades. Although the first successful arterial reconstructions appeared the beginning of the 20th century, the active management of arterial diseases has developed since the 1950s when new techniques of arterial surgery had been established. The first attempts of vascular reconstructions were performed by Alexis Carrel, a French surgeon who was awarded the Nobel Prize in Medicine in 1912 for inventing modern vascular suture, which is used still today. Significant development of vascular surgery brought the introduction of prosthetic grafts by Vorhees in 1952. That enabled De Backey to resect abdominal aortic aneurysm and replace it with synthetic graft in 1955. The first angiography with the catheter was performed by Seldinger in 1952, and Gruntzig in 1974 was the first who did percutaneous transluminal angioplasty and started the modern era of endovascular treatment. Since this time, an essential development in the treatment of vascular diseases has been observed. Nowadays, vascular surgeons solve the most severe cases of arterial diseases, solve complications of endovascular therapy, or are a part of hybrid procedures, which are a combination of surgical and endovascular treatment.

In the first chapter, elementary clinical examinations, imagine methods, and also surgical techniques are described. Aortic disorders that are the most severe vascular diseases are analysed in the second, third, and forth chapters. Open aortic surgery is technically the most difficult part of vascular surgery and is associated with the higest mortality. Open aortic surgery is now being replaced by endovascular procedures due to lesser invasivity and mortaliy.

The fifth chapter is dedicated maily to surgery of carotid arteries. Stenosis of the internal carotid artery is one of the reasons for stroke. Carotid endarterectomy that removes atherosclerotic plaque from the carotid bifurcations is effective in preventing stroke in patients with stenosis of the internal carotid artery.

The sixth chapter analyses the problem of surgery of periferal arteries as periferal arterial occlusive disease or acure limnb ischemia. Both conditions can lead to major amputations and life long disability.

The seventh capter analyses vascular trauma that may lead to severe bleeding or limb ischemia; both situations require almost immediate diagnosis and treatment. Periferal artery trauma is treated mainly by open surgery, while the treatment of aortic injury is mostly endovascular.

Basic types of vascular access and problems of venous disorders are decribed in the eighth chapter. Venous diseases are not so life threatening but much more common compared to arterial. The last chapter deals with complications and recovery that is inevitable from an excellent surgical outcome.
(Imprint: Nova Medicine and Health)

Preface

Chapter 1. Clinical Examination, Imaging and Basic Surgical Techniques
(Peter Stefanic, MD, PhD, Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Medical Faculty of Safarik University, Kosice, Slovakia)

Chapter 2. Aortic Arch and Supraaortic Branches
(František Sabol, MD, PhD, Department of Heart Surgery of East Slovak Institute of Cardiovascular Diseases, Pavol Jozef Safarik University, Kosice, Slovakia)

Chapter 3. Descending and Thoracoabdominal Aorta
(Tomáš Toporcer, MD, PhD, Department of Heart Surgery of East Slovak Institute of Cardiovascular Diseases, Pavol Jozef Safarik University, Kosice, Slovakia)

Chapter 4. Abdominal Aorta, Iliac and Splanchnic Arteries
(Vladimir Sihotsky, MD, PhD, Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Medical Faculty of Safarik University, Kosice, Slovakia)

Chapter 5. Carotid and Vertebral Arteries
(Vladimir Katuch, Department of Neurosurgery, Medical Faculty of Safarik University and University Hospital, Košice, Slovakia)

Chapter 6. Peripheral Arterial Disease: Upper Extremity Artery Disease, Lower Extremity Artery Disease, Acute Limb Ischemia
(Mária Kubíková, MD, PhD, Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Medical Faculty of Safarik University, Kosice, Slovakia)

Chapter 7. Vascular Trauma
(Kopolovets Ivan, MD, PhD, Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Kosice, Slovakia, and others)

Chapter 8. Vascular Access for Hemodialysis, Venous Insufficiency, and Its Treatment
(Norbert Torma, MD, PhD, Angiosurgical department of Medical faculty of Safarik University, Košice, Slovakia)

Chapter 9. Complications and Recovery in Vascular Surgery
(Berek Peter, MD, PhD, Department of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Kosice, Slovakia)

Index

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