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E-raamat: Carotid Treatment: Principles and Techniques 3rd edition [Taylor & Francis e-raamat]

(University of Toyama, Japan), (University of Toyama, Japan), (Center for Devices and Radiological Health, USA)
  • Formaat: 426 pages, 5 Tables, color; 121 Line drawings, black and white; 200 Halftones, color; 90 Halftones, black and white; 200 Illustrations, color; 211 Illustrations, black and white
  • Ilmumisaeg: 25-Jan-2023
  • Kirjastus: CRC Press
  • ISBN-13: 9781003042174
  • Taylor & Francis e-raamat
  • Hind: 216,96 €*
  • * hind, mis tagab piiramatu üheaegsete kasutajate arvuga ligipääsu piiramatuks ajaks
  • Tavahind: 309,94 €
  • Säästad 30%
  • Formaat: 426 pages, 5 Tables, color; 121 Line drawings, black and white; 200 Halftones, color; 90 Halftones, black and white; 200 Illustrations, color; 211 Illustrations, black and white
  • Ilmumisaeg: 25-Jan-2023
  • Kirjastus: CRC Press
  • ISBN-13: 9781003042174
Scientific and epidemiologic progress surrounding carotid artery surgery continues to evolve, and for the better, for both surgeons and patients. Carotid surgery, performed by skilled surgeons with quantifiable results, prevents stroke in asymptomatic and symptomatic patients. The challenge is to continually refine the techniques to ensure the greatest possible margins of safety, and to educate surgeons around the world to ensure uniform standards of care. Carotid artery stenting, again performed by skilled practitioners with quantifiable results, has developed as a viable alternative to CEA in chosen cases.

Carotid Treatment, Third Edition represents the current state of the art in carotid treatment. Coverage includes a comprehensive and practical new chapter on carotid stenting, increased coverage of radiography, and highly illustrated surgical technique case examples reflecting international practice. Throughout the book numerous case examples, and interesting examples of anatomical variants are illustrated and explained. An expanded section on complications further increases the value of this resource for all practitioners.















Highly illustrated text to aid understanding of best practice in carotid treatment





Reflects international best practice





Useful in clinical practice and to improve patient care





Neurosurgeons, Vascular surgeons, and Neuro-Interventionalists will benefit from the experience and wisdom shared in the third edition of this acclaimed text.
Preface to the Third Edition xiii
Chapter 1 Foundation and Evidence for Carotid Reconstruction
2(55)
History
2(1)
Scientific Foundation for Carotid Artery Treatments
2(14)
Best Medical Therapy (Asymptomatic or Symptomatic)
3(1)
Asymptomatic Carotid Disease
3(1)
Asymptomatic Bruit
3(2)
Contralateral Carotid Stenosis
5(1)
Carotid Risks in Non-Carotid Pre-Operative Patients
6(1)
Hollenhorst Plaque
6(1)
Symptomatic Carotid Disease
7(1)
Transient Ischemic Attacks
8(1)
Acute Neurological Deficit
9(1)
Subacute Complete Carotid Occlusion
10(1)
Stump Syndromes
11(1)
Special Considerations with Recent Stroke
11(1)
Clinical Evaluation
11(1)
Special Surgical Considerations
12(1)
Plaque Ulceration and Stroke Risk Markers
12(1)
Critical Stenosis
12(1)
Intra-Luminal Thrombus (ILT)
12(1)
Contralateral Carotid Occlusion
13(1)
Tandem Lesions of the Carotid Siphon
14(1)
Concurrent Carotid Disease and Intra-Cranial Aneurysm
14(1)
Recurrent Carotid Stenosis
14(1)
Concurrent Coronary/Carotid Disease
15(1)
Technical Considerations
16(14)
Anesthesia Choice
16(1)
Local/Regional Anesthesia
16(2)
General Anesthesia
18(1)
Monitoring Techniques during Carotid Cross-Clamping
18(1)
Monitoring Techniques under GA
19(8)
Intra-Operative Shunting
27(1)
Is the Shunt Needed?
28(1)
Insertion of the Shunt
28(1)
Is the Shunt Working?
29(1)
Arteriotomy Techniques
29(1)
Patch Grafting
29(1)
Tacking Sutures
30(1)
Heparinization
30(1)
Surgical Technique of Cervical Carotid Reconstruction
30(6)
Indications
30(1)
Pre-Operative Studies and Preparation
31(1)
Surgical Technique
31(5)
Special Considerations
36(2)
Micro-Surgical Endarterectomy
36(1)
Bilateral Carotid Endarterectomy
37(1)
Complete Occlusion
37(1)
Acute Stroke
37(1)
Post-Operative Considerations
38(1)
Complications of Carotid Revascularization
38(2)
Rationale
38(1)
Complications Following Surgery
39(1)
Endovascular Treatment of Carotid Stenosis
40(4)
Best Outcomes with CEA
41(1)
Best Outcomes with CAS
41(2)
"High-Risk" Patients
43(1)
References
44(13)
Chapter 2 Historical Perspective and Current Practice of Carotid Artery Stenting (CAS)
57(18)
Historical Review and Recent Evidence
58(3)
(1) Less Favorable Studies for CAS
58(1)
(2) More Favorable Studies for CAS
59(1)
(3) Meta-Analysis
60(1)
(4) Comparative Study with Medical Treatments
60(1)
Techniques for Carotid Artery Stenting
61(5)
Techniques to Address Peri-Procedural Risk Management in CAS
61(1)
(1) Antiplatelet Therapy (Thromboembolic Risk)
61(1)
(2) 3D-CTA for Evaluation of Access Routes (Anatomical Risk)
62(1)
(3) Assessment of Cardiac Function (Cardiac Risk)
62(2)
(4) Plaque Images (Plaque Risk)
64(1)
(5) Evaluation of Cerebral Blood Flow (CBF) Risk
64(2)
Technical Considerations during the CAS Procedure
66(4)
(1) Monitoring
66(1)
(2) Approach Routes
66(1)
(3) Embolic Protection Methods
66(1)
(4) Stent Selection
67(2)
(5) Standard Procedure of CAS
69(1)
Summary of Settings and Monitoring
69(1)
Procedures
70(1)
Post-Operative Monitoring
70(1)
Follow-Up of the Patients
70(1)
(6) Special Considerations
70(1)
Two-Staged Angioplasty for Patients with High Risk for Post-Procedural Hyperperfusion Syndrome
70(1)
Complications of CAS
70(1)
References
71(4)
Chapter 3 Radiographic Studies
75(57)
3-1 Low Bifurcation of the Carotid Artery with Symptomatic Plaque Just at the Origin of the Internal Carotid Artery
76(2)
3-2 High Bifurcation of the Cervical Carotid Artery
78(2)
3-3 Side-by-Side
80(2)
3-4 Focal Internal Carotid Artery Ulcer
82(2)
3-5 Deep Ulceration of a Carotid Plaque
84(2)
3-6 Benign Arteriogram---Bad Ulceration
86(2)
3-7 Ninety-Five Percent Lesion
88(2)
3-8 Extensive Plaque in Common Carotid Artery with Long Arteriotomy
90(2)
3-9 String Sign
92(2)
3-10 X-Ray Identification of an Ascending Pharyngeal Artery Originating at the Carotid Bifurcation
94(2)
3-11 Tandem Stenosis
96(2)
3-12 Cross Filling into Contralateral Middle Cerebral Artery
98(2)
3-13 Can We Predict the Need for Shunting?
100(2)
3-14 Pre-Operative External Carotid Artery Occlusion
102(2)
3-15 Internal Carotid Stump
104(2)
3-16 Carotid Kink
106(2)
3-17 Carotid Stenosis with Distal Cervical Aneurysm
108(2)
3-18 Intra-Luminal Thrombus
110(2)
3-19 Complication---Clot along Suture Line
112(2)
3-20 Complication---Complete Post-Operative Occlusion
114(2)
3-21 Complication---External Carotid Artery Dissection
116(2)
3-22 Morphology and Plaque Content
118(14)
Carotid Ultrasound
118(1)
Plaque MRI
118(2)
18F-Fluorodeoxyglucose (FDG) PET
120(1)
Cerebral Hemodynamics
120(1)
15O Positron Emission Tomography (PET)
120(2)
Single Photon Emission Tomography (SPECT)
122(1)
Hyperperfusion Syndrome after CEA/CAS
123(1)
Non-Invasive MRA and CTA for Surgical Planning
124(5)
References
129(3)
Chapter 4A Surgical Technique -- Christopher Loftus
132(211)
4-1 Surgical Instruments
132(2)
4-2 Surgical Positioning
134(2)
4-3 Alternate Incisions
136(2)
4-4 Side-by-Side Positioning
138(2)
4-5 Incision for High Bifurcation
140(2)
4-6 Ease of Dissection and Exposure
142(2)
4-7 Draped and Ready for Incision
144(2)
4-8 Platysma with Michel Clips
146(2)
4-9 External Jugular Vein
148(2)
4-10 Sternocleidomastoid Muscle
150(2)
4-11 Jugular Vein---Common Facial Vein
152(2)
4-12 Ligation of the Common Facial Vein
154(2)
4-13 Secure Ligation of the Common Facial Vein
156(2)
4-14 Minor Branches of Facial Vein
158(2)
4-15 Dissection behind the Parotid Gland
160(2)
4-16 First Demonstration of Common Carotid Artery with Control
162(2)
4-17 First CCA Control with 0 Silk Tie and Rummel Tourniquet
164(2)
4-18 Exposure of Carotid Artery with Retractors
166(2)
4-19 Ring Clamp and Blunt Fish-Hook Retraction for Total Carotid Exposure
168(2)
4-20 Four Sutures in the Carotid Sheath
170(2)
4-21 Unexpected Internal Carotid Artery Atresia
172(2)
4-22 Thyroid Mass Found at Time of CEA---Right-Sided Exposure
174(2)
4-23 Major Nerve Structures Potentially Injured during Carotid Endarterectomy
176(2)
4-24 Other Nerves at Risk during Carotid Endarterectomy
178(4)
4-25 Low Bifurcation with Omohyoid Muscle
182(2)
4-26 Isolation of Omohyoid
184(2)
4-27 Retracted Omohyoid
186(2)
4-28 Division of Omohyoid Muscle to Secure Adequate Low Carotid Exposure
188(2)
4-29 Hypoglossal Nerve
190(2)
4-30 Sternomastoid Artery---An External Carotid Artery Branch
192(2)
4-31 High Bifurcation with Digastric Muscle and Hypoglossal Nerve---Left Carotid Exposure
194(2)
4-32 High Bifurcation with Digastric Muscle and Hypoglossal Nerve---Right Carotid Exposure
196(2)
4-33 Side-by-Side Carotid Anatomy---Exposure
198(2)
4-34 Isolation of Superior Thyroid Artery---Right Carotid Exposure
200(2)
4-35 Isolation of Superior Thyroid Artery---Left Carotid Exposure
202(2)
4-36 Isolation of Ascending Pharyngeal Artery (Left)
204(2)
4-37 Isolation of Ascending Pharyngeal Artery (Right)
206(2)
4-38 Clues to the End of the ICA Plaque
208(2)
4-39 Tactile and Visual End of Plaque---Left Carotid Exposure
210(2)
4-40 Tactile and Visual End of Plaque---Right Carotid Exposure
212(2)
4-41 Doppler Auscultation for Extent of Plaque
214(2)
4-42 Extensive Plaque Erosion into the Adventitial Layer
216(2)
4-43 Javid Clamp around Internal Carotid Artery
218(2)
4-44 Loftus Shunt Clamps
220(2)
4-45 Placement of Cross-Clamp below Rummel Tourniquet
222(2)
4-46 Incision along Common and Internal Carotid Arteries (Blue Line)---Left Carotid Exposure
224(2)
4-47 Potts Scissors Opening---Left Carotid Exposure
226(2)
4-48 Potts Scissors Opening Vessel---Left Carotid Exposure
228(2)
4-49 False Plane Demonstrated with Penfield Retractor---Right Carotid Exposure
230(2)
4-50 Focal Plaque in Proximal Internal Carotid Artery---Left Carotid Exposure
232(2)
4-51 Long, Extensive Common Carotid Artery/Internal Carotid Artery Plaque
234(2)
4-52 Shunt in Common Carotid Artery / Internal Carotid Artery
236(2)
4-53 Initial Placement of Shunt Down Common Carotid Artery
238(2)
4-54 Securing of Shunt in Common Carotid Artery
240(2)
4-55 Bleeding and Evacuation of Shunt before Placement in Internal Carotid Artery
242(2)
4-56 Placement of Shunt in Distal Internal Carotid Artery
244(2)
4-57 Potential for Intimal Damage from Placement of Shunt
246(2)
4-58 Securing of Shunt in Internal Carotid Artery
248(2)
4-59 Loftus-Type Carotid Shunt in Place---Two Views
250(2)
4-60 Evaluation of Shunt Function
252(2)
4-61 Repair with Shunt in Place
254(2)
4-62 Plaque Removal Begins at Lateral Edge---Left Carotid Exposure
256(2)
4-63 Sharp Transection in Common Carotid Artery---Right Carotid Exposure
258(2)
4-64 Sharp Scissors Transection of CCA Plaque
260(2)
4-65 Plaque Removal from Internal Carotid Artery (Feathered Edge)---Right Carotid Exposure
262(2)
4-66 Plaque Removal from External Carotid Artery---Left Carotid Exposure
264(2)
4-67 Opening of External Carotid Artery---Part 1: Inadequate Feathering
266(2)
4-68 Opening of External Carotid Artery---Part 2: Inadequate Feathering
268(2)
4-69 Opening of External Carotid Artery Because of Poor Doppler Signal
270(2)
4-70 Opening of External Carotid Artery---Repair
272(2)
4-71 Completed External Carotid Artery Repair in a Case with Internal Carotid Artery Hemashield Patch
274(2)
4-72 Removal of Fragments in Circumferential Fashion---Right Carotid Exposure
276(2)
4-73 Left Carotid Endarterectomy---Completed Removal, Sharp Margins
278(2)
4-74 Completed Removal, Sharp Margins---Left Carotid Exposure
280(2)
4-75 Placement of Tacking Sutures in Internal Carotid Artery
282(2)
4-76 ICA Single Posterior Tacking Suture
284(2)
4-77 Clean Edges at Both CCA and ICA---Ready for Repair
286(2)
4-78 Anatomic Variant---Atherosclerotic Web on Posterior Wall of Vessel
288(2)
4-79 Repair Beginning in Internal Carotid Artery: Left Carotid Exposure---No Patch Graft
290(2)
4-80 "No Touch" Technique for the Prolene Suture
292(2)
4-81 Microscopic Internal Carotid Artery Repair
294(2)
4-82 Repair Beginning in External Carotid Artery: Right Carotid Exposure---No Patch Graft
296(2)
4-83 Repair of External Carotid Artery: Left Carotid Exposure---No Patch Graft
298(2)
4-84 Second Limb of Repair Coming Up Common Carotid Artery---No Patch Graft
300(2)
4-85 Suture Sequence and Placement of the Hemashield Roof Patch Graft on the Internal Carotid Artery
302(4)
4-86 Removal of Shunt
306(2)
4-87 Tying Together---Evacuation of Air: Right Carotid Exposure
308(2)
4-88 Blunt Needle to Evacuate Air and Debris as Final Step---Patch Graft
310(2)
4-89 Four Rip-Stop Free Sutures in the Patch Repair
312(2)
4-90 Sequence of Clamp Removal at Completion of Arteriotomy
314(2)
4-91 Doppler Examination of Repair: Left Carotid Exposure
316(2)
4-92 Completed Dry Repair without and with Hemashield Patch Graft
318(8)
4-93 Y-Shaped Suture Line---No Patch Graft
326(2)
4-94 FloSeal for Hemostasis in the Carotid Bed
328(2)
4-95 Surgicel on Dry Repair
330(2)
4-96 Closure of Sheath
332(2)
4-97 Closure of Platysma
334(2)
4-98 Skin and Hemovac
336(2)
4-99 Skin Closure
338(2)
4-100 Placement of Saphenous Vein Patch Graft
340(3)
Chapter 4B Surgical Technique -- Satoshi Kuroda
343(26)
4-101 General Anesthesia and Skin Incision
344(1)
4-102 Platysma Incision
345(1)
4-103 Sternocleidomastoid Muscle and Great Auricular Nerve
346(1)
4-104 Carotid Sheath and Internal Jugular Vein
347(1)
4-105 Opening of Carotid Sheath
348(1)
4-106 Common Facial Vein
349(1)
4-107 Hypoglossal Nerve
350(1)
4-108 Part 1: Dissection of Common Carotid Artery from Carotid Sheath
351(1)
4-109 Part 2: Dissection of Common Carotid Artery from Carotid Sheath
352(1)
4-110 Carotid Sinus Nerve Blockade
353(1)
4-111 Carotid Clamping
354(1)
4-112 Incision along Common and Internal Carotid Arteries
355(1)
4-113 Insertion of Shunt Tube into Internal Carotid Artery
356(1)
4-114 Insertion of Shunt Tube into Common Carotid Artery
357(1)
4-115 Observation of Plaque Content
358(1)
4-116 Start of Endarterectomy
359(1)
4-117 Endarterectomy on the Opposite Side
360(1)
4-118 Sharp Transection in Common Carotid Artery
361(1)
4-119 Sharp Transection in Internal Carotid Artery
362(1)
4-120 Sharp Transection in External Carotid Artery
363(1)
4-121 Placement of Tacking Suture in Internal Carotid Artery
364(1)
4-122 Primary Closure in Internal Carotid Artery
365(1)
4-123 Primary Closure in Common Carotid Artery
366(1)
4-124 Removal of Internal Shunt Tube
367(1)
4-125 Final View of Operative Field
368(1)
Chapter 5 Complications
369(22)
5-1 Stab Wound of Posterior Carotid Wall
370(2)
5-2 Acute Post-Operative Internal Carotid Artery Thrombosis
372(2)
5-3 Technique for Exploration of Complete Carotid Occlusion
374(2)
5-4 Use of Fogarty Catheters to Re-Open Thrombosed Internal Carotid Artery
376(2)
5-5 Post-Operative Wound Hematoma
378(2)
5-6 Aneurysm Formation 4 Years Post-Operatively
380(2)
5-7 Post-CEA Hyperperfusion Syndrome
382(2)
5-8 Post-CEA Occlusion of External Carotid Artery
384(2)
5-9 Post-CEA/CAS DWI-Positive Lesions
386(2)
5-10 Femoral Artery Pseudo-Aneurysm after Catheter Insertion
388(3)
References
390(1)
Chapter 6 Special Cases
391(28)
6-1 Treatment of Isolated Common Carotid Artery Stenosis
392(2)
6-2 Treatment of "Stump" in an Occluded Internal Carotid Artery
394(4)
6-3 Repair and Straightening of a Large Left Carotid Kink
398(2)
6-4 Rapid Recurrence of Stenosis from Myointimal Hyperplasia
400(2)
6-5 Scarring in the Carotid Sheath in a Case of Recurrent Stenosis
402(2)
6-6 Re-Operation in a Case Previously Repaired with a Saphenous Vein Roof Patch
404(3)
6-7 Mild Carotid Stenosis with Repeated Stroke
407(4)
6-8 Invasion of Inflamed Plaque into the Media and Adventitia
411(4)
6-9 Cervical Carotid Aneurysm Associated with Marfan Syndrome
415(4)
Reference 419(2)
Index 421
Christopher Miranda Loftus, MD, Dr.h.c. (Hon), FAANS

First Vice President - Immediate Past - World Federation of Neurosurgical Societies

Professor and Former Chairman

Temple University Lewis Katz School of Medicine

Philadelphia, Pennsylvania

Satoshi Kuroda, MD, PhD, IFAANS Professor and Chairman Department of Neurosurgery Graduate School of Medicine and Pharmaceutical Sciences University of Toyama Toyama, Japan

Naoya Kuwayama, MD, PhD Professor Division of Neuroendovascular Therapy Associate Professor

Graduate School of Medicine and Pharmaceutical Sciences Department of Neurosurgery University of Toyama

Toyama, Japan