Full Description
Acute stroke care has improved significantly during the last 10-20 years, starting with IV TPA to transfemoral carotid stenting, TCAR and large vessel thrombectomy. Large vessel thrombectomy is performed in more stroke cases within a few hours of stroke to salvage the brain tissue from the effect of acute ischemia.
This text is designed to be a comprehensive and state-of-the art approach to managing straightforward to complex arterial reconstructions. In the second edition of this book, chapters from the first edition have been revised and updated with contributions from new authors, and a number of new chapters for management of stroke have been added. Each chapter dealing with clinical pathology addresses patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure is outlined in a step-wise fashion. Pertinent case material is presented in brief at the end of the chapters, and plentiful figures, illustrations and review questions help the reader in grasping the technique of a particular procedure.
Contents
History of Carotid Artery and Vertebral Artery Surgery.- Surgical Anatomy of Carotid and Vertebral Arteries.- Physiology of the Cerebrovascular System.- Pathology of the Extracranial Carotid and Vertebral Arteries.- Non-Invasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler.- Cerebrovascular Imaging (CT, MRI, CTA, MRA).- Carotid and Vertebral Arteriography.- Medical Therapy for Carotid and Vertebral Artery Stenosis.- Carotid Endarterectomy.- Carotid Endarterectomy for High Plaque and Interposition Grafting.- Eversion Carotid Endarterectomy: Indications, Techniques, Pitfalls, and Complications.- Natural History and Contemporary Management of Recurrent Carotid Stenosis.- Technical Aspects of Carotid Artery Stenting.- Reconstruction for Occlusive Lesions of Aortic Arch Branches.- Vertebral Artery Reconstruction.- Transcarotid Artery Revascularization.- Cervical (Carotid and Vertebral) Artery Dissection.- Posterior Circulation Stroke.- Carotid Body Tumors.- Extracranial Carotid Aneurysm Resection.- Extracranial Cerebrovascular Trauma.- Thoracic Aorta and Arch Vessel Injury.- Fibromuscular Dysplasia, Carotid Kinks, and Other Rare Lesions.- Carotid and Vertebro-Basilar Manifestations of COVID-19.
