Surgery of tje Arteries to the Head provides residents andpracticing surgeons with detailed descriptions andexplanations of various surgical techniques. Written inessay style, it presents an opinionated discourse based onthe collective experiences of leading vascular surgeons.
Surgery of tje Arteries to the Head provides residents andpracticing surgeons with detailed descriptions andexplanations of various surgical techniques. Written inessay style, it presents an opinionated discourse based onthe collective experiences of leading vascular surgeons.
1 Historical Notes.- The Late Development of Vascular Repairs in the Neck.- 2 The Aortic Arch and Its Branches: Anatomy and Blood Flow.- Anterior System (Internal Carotid Arteries).- Posterior System (Vertebrobasilar Arteries).- Failsafe System (External Carotid Arteries).- Intracranial and Extracranial Connections.- Flow Patterns in Aortic Arch Branches.- Regulation of Cerebral Blood Flow.- 3 Arterial Lesions and Patterns of Disease.- Lesions in the Arterial Wall.- Patterns of Disease.- 4 Mechanisms of Ischemia.- Hemodynamic Mechanism.- Embolic Mechanism.- Acute Cerebral Ischemia.- 5 Presentation and Selection of Patients.- Clinical Syndromes.- Patient Selection.- 6 Surgical Maneuvers.- Ligation/Intravascular Occlusion.- Classic Reconstructive Techniques.- Intraluminal Dilatation.- Transposition Techniques.- 7 Repair of the Supraaortic Trunks.- Transthoracic Repairs.- Cervical Bypass.- Transpositions.- 8 Repair of the Internal and External Carotid Arteries.- Methods of Cerebral Protection.- Exposure of the Carotid Bifurcation.- Standard Endarterectomy of the Internal Carotid Bifurcation.- Eversion Endarterectomy of the Carotid Bifurcation.- Correction of Redundancy.- Bypass of the Internal Carotid Artery.- Steps to Enlarge Distal Exposure.- Reconstruction of the External Carotid Artery.- 9 Repair of the Vertebral Artery.- Reconstruction of the Proximal Vertebral Artery.- Reconstruction of the Distal Vertebral Artery.- 10 Complex Repairs.- Combined Repair of the Carotid-Vertebral/Subclavian Arteries.- Reconstruction of all Proximal Trunks.- Combined Intrathoracic and Cervical Operations.- Combined Cerebrovascular and Coronary Artery Reconstruction.- Combined Cerebrovascular and Aortic/Peripheral Vascular Reconstruction.- 11 Special Surgical Problems.- Trauma.- Aneurysmal Disease.- Takayasu's Arteritis.- The Retroesophageal Subclavian Artery.- Fibromuscular Dysplasia.- Spontaneous Dissections.- Radiation Arteritis.- Arteriovenous Fistula.- Carotid Body Tumors and Other Paragangliomas.- Innominate-Tracheal Fistula.- 12 Complications.- Stroke.- Thrombosis.- Dissection.- Bleeding.- Infection.- Complications Specific to the Surgical Approach.- 13 Reoperations.- Reoperations on the Supraaortic Trunks.- Reoperations on the Internal Carotid Artery.- Reoperations on the Vertebral Artery.- 14 Epilogue.- 15 Bibliography.
1 Historical Notes.- The Late Development of Vascular Repairs in the Neck.- 2 The Aortic Arch and Its Branches: Anatomy and Blood Flow.- Anterior System (Internal Carotid Arteries).- Posterior System (Vertebrobasilar Arteries).- Failsafe System (External Carotid Arteries).- Intracranial and Extracranial Connections.- Flow Patterns in Aortic Arch Branches.- Regulation of Cerebral Blood Flow.- 3 Arterial Lesions and Patterns of Disease.- Lesions in the Arterial Wall.- Patterns of Disease.- 4 Mechanisms of Ischemia.- Hemodynamic Mechanism.- Embolic Mechanism.- Acute Cerebral Ischemia.- 5 Presentation and Selection of Patients.- Clinical Syndromes.- Patient Selection.- 6 Surgical Maneuvers.- Ligation/Intravascular Occlusion.- Classic Reconstructive Techniques.- Intraluminal Dilatation.- Transposition Techniques.- 7 Repair of the Supraaortic Trunks.- Transthoracic Repairs.- Cervical Bypass.- Transpositions.- 8 Repair of the Internal and External Carotid Arteries.- Methods of Cerebral Protection.- Exposure of the Carotid Bifurcation.- Standard Endarterectomy of the Internal Carotid Bifurcation.- Eversion Endarterectomy of the Carotid Bifurcation.- Correction of Redundancy.- Bypass of the Internal Carotid Artery.- Steps to Enlarge Distal Exposure.- Reconstruction of the External Carotid Artery.- 9 Repair of the Vertebral Artery.- Reconstruction of the Proximal Vertebral Artery.- Reconstruction of the Distal Vertebral Artery.- 10 Complex Repairs.- Combined Repair of the Carotid-Vertebral/Subclavian Arteries.- Reconstruction of all Proximal Trunks.- Combined Intrathoracic and Cervical Operations.- Combined Cerebrovascular and Coronary Artery Reconstruction.- Combined Cerebrovascular and Aortic/Peripheral Vascular Reconstruction.- 11 Special Surgical Problems.- Trauma.- Aneurysmal Disease.- Takayasu's Arteritis.- The Retroesophageal Subclavian Artery.- Fibromuscular Dysplasia.- Spontaneous Dissections.- Radiation Arteritis.- Arteriovenous Fistula.- Carotid Body Tumors and Other Paragangliomas.- Innominate-Tracheal Fistula.- 12 Complications.- Stroke.- Thrombosis.- Dissection.- Bleeding.- Infection.- Complications Specific to the Surgical Approach.- 13 Reoperations.- Reoperations on the Supraaortic Trunks.- Reoperations on the Internal Carotid Artery.- Reoperations on the Vertebral Artery.- 14 Epilogue.- 15 Bibliography.
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