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(BQ) Part 1 book “Vascular surgery” has contents: Arterial and venous disease, arterial history and examination, venous history and examination, investigation of arterial and venous disease, management of complex leg ulcers, anaesthesia for vascular surgery,… and other contents.
OXFORD MEDICAL PUBLICATIONS Vascular Surgery Oxford Specialist Handbooks published and forthcoming General Oxford Specialist Handbooks A Resuscitation Room Guide Addiction Medicine Day Case Surgery Perioperative Medicine, 2e Pharmaceutical Medicine Postoperative Complications, 2e Renal Transplantation Oxford Specialist Handbooks in Anaesthesia Anaesthesia for Medical and Surgical Emergencies Cardiac Anaesthesia Neuroanaethesia Obstetric Anaesthesia Ophthalmic Anaesthesia Paediatric Anaesthesia Regional Anaesthesia, Stimulation and Ultrasound Techniques Thoracic Anaesthesia Oxford Specialist Handbooks in Cardiology Adult Congenital Heart Disease Cardiac Catheterization and Coronary Intervention Cardiac Electrophysiology and Catheter Ablation Cardiovascular Computed Tomography Cardiovascular Magnetic Resonance Echocardiography, 2e Fetal Cardiology Heart Failure, 2e Hypertension Inherited Cardiac Disease Nuclear Cardiology Pacemakers and ICDs Pulmonary Hypertension Valvular Heart Disease 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Psychiatry Child and Adolescent Psychiatry Forensic Psychiatry Old Age Psychiatry Oxford Specialist Handbooks in Radiology Interventional Radiology Musculoskeletal Imaging Pulmonary Imaging Thoracic Imaging Oxford Specialist Handbooks in Surgery Cardiothoracic Surgery, 2e Colorectal Surgery Gastric and Oesophageal Surgery Hand Surgery Hepatopancreatobiliary Surgery Neurosurgery Operative Surgery, 2e Oral and Maxillofacial Surgery, 2e Otolaryngology and Head and Neck Surgery Paediatric Surgery Plastic and Reconstructive Surgery Surgical Oncology Urological Surgery Vascular Surgery, 2e Oxford Specialist Handbooks in Surgery Vascular Surgery Second Edition Linda Hands Associate Professor in Surgery Nuffield Department of Surgery University of Oxford, John Radcliffe Hospital Oxford, UK Matt Thompson Professor of Vascular Surgery, St Georges Vascular Institute, St George’s Hospital, London, UK Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries © Oxford University Press 205 The moral rights of the authorhave been asserted First Edition published 2007 Second Edition published 205 Impression All rights reserved No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this work in any other form and you must impose this same condition on any acquirer Published in the United States of America by Oxford University Press 98 Madison Avenue, New York, NY 006, United States of America British Library Cataloguing in Publication Data Data available Library of Congress Control Number: 20496033 ISBN 978–0–9–968629–2 Printed in Great Britain by Ashford Colour Press Ltd, Gosport, Hampshire Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations The authors and the publishers not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding Links to third party websites are provided by Oxford in good faith and for information only Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work v Preface Vascular surgery is an evolving specialty which has to embrace the current developments in endovascular surgery while looking to future changes in training that may encompass more of the ‘medical’ aspects of vascular disease Nevertheless, open surgical techniques still play a large role in the management of the vascular patient and will so for some time to come The vascular surgeon needs to be a physician who can operate but who also knows when to operate This book is designed to give detailed guidance on the work-up, perioperative management, and operative details for patients undergoing vascular surgery These details reflect the practice of the chapter authors; they are not intended as the only possible approach, and, in many cases, there are alternatives The book includes both endovascular and open procedures for each condition where they are available and gives advice on the use of each OPCS 4.7 (204) codes are included for each procedure so that they become familiar to the surgical team in an environment where an accurate recording of activity is becoming essential The book is designed primarily for the training grade doctor to carry in their pocket on the ward, in clinic, and in the operating theatre It is designed for quick reference and rapid reading and will help resolve uncertainties on the ward and prepare the trainee for their role in theatre, whether as prime operator or as assistant It should also be helpful to F and F2 doctors involved in the care of vascular patients by providing background on the disease, details of ward management, and an idea of what happens in theatre The trainee vascular anaesthetist will find useful detail of anaesthetic management but also of what is going on at the other end of the table Similarly, trainee interventional radiologists, vascular nurses, and vascular technologists will all find that a broader appreciation of vascular patient management can be obtained from this book vi Contents Prefacꕇ v Detailed contents╇ viii Contributors╇ xiv Symbols and abbreviations╇ xv Arterial and venous disease Arterial history and examination Venous history and examination Investigation of arterial and venous disease Non-operative treatment: arterial and venous disease Management of complex leg ulcers Perioperative management of ischaemic heart disease Anaesthesia for vascular surgery Managing coagulation and bleeding 0 Infection prophylaxis and treatment Graft material in bypass grafting 2 Techniques of open vascular surgery 3 Abdominal aortic surgery 4 Thoracic aortic surgery 5 Infrainguinal revascularization 6 Lower limb amputations 7 Vascular surgery of head and arm 8 Surgical revascularization of kidneys 2 3 39 49 55 63 87 07 23 3 39 73 27 227 27 289 33 vii CONTENTS Revascularization of the gut 20 Extra-anatomic bypass grafts 2 Vascular trauma 22 Venous surgery Index 389 325 339 357 37 viii Detailed contents Contributors xiv Symbols and abbreviations xv Arterial and venous disease Arterial disease: atherosclerosis Thromboembolic arterial disease Aneurysmal disease Large vessel arteritis Other arterial disorders Venous disease: introduction 3 Varicose veins 5 Chronic venous insufficiency 6 Thromboembolic venous disease 7 Uncommon venous disorders 9 Arterial history and examination History 22 Examination 26 Differential diagnosis on examination 30 2 Venous history and examination History 32 Examination 36 3 Investigation of arterial and venous disease Overview to investigating arterial and venous disease 40 The non-invasive vascular laboratory 4 Radiological investigations 45 Blood tests 47 Reference 47 39 Non-operative treatment: arterial and venous disease Arterial disease 50 Venous disease 53 References 54 49 DETAILED CONTENTS SYMBOLS AND ABBREVIATIONS Management of complex leg ulcers Leg ulcers in the diabetic patient 56 Ulceration associated with mixed arterial and venous disease of the leg 60 55 Perioperative management of ischaemic heart disease 63 Coronary risk of peripheral vascular surgery 64 Pathophysiology of perioperative myocardial infarction 65 Preoperative assessment 66 Clinical factors 67 References 85 Anaesthesia for vascular surgery 87 General principles 88 Preoperative assessment 89 Management of the diabetic patient in the perioperative period 90 Regional anaesthesia in vascular surgical patients 92 Anaesthesia for open abdominal aortic aneurysm repair 93 Anaesthesia for endovascular abdominal aortic aneurysm repair 96 Anaesthesia for emergency abdominal aortic aneurysm repair 97 Anaesthesia for thoraco-abdominal and suprarenal aortic aneurysm repair 98 Anaesthesia for axillo-bifemoral bypass 99 Anaesthesia for carotid endarterectomy 00 Anaesthesia for peripheral revascularization surgery 03 Anaesthesia for amputations 04 Anaesthesia for thoracoscopic sympathectomy 05 Further reading 05 Managing coagulation and bleeding 07 Management of perioperative coagulation 08 Thrombolysis 5 Minimizing transfusion requirements in vascular surgery 9 Further reading 22 ix ... 8 Surgical revascularization of kidneys 33 Overview to surgical revascularization of kidneys 34 Endovascular treatment of renal artery stenosis 35 Surgical options for revascularization ... Chapter 8: Surgical revascularization of kidneys Chapter 9: Revascularization of the gut Chapter 2: Vascular trauma Professor Ashok Handa Associate Professor Nuffield Department of Surgery University... plaque in artery Prevalence of vascular disease in a population 62 years of age and over Coronary artery disease 21% 9% 5% 8% Peripheral vascular disease 3% 8% 9% Cerebrovascular disease Fig. .2