Copyright â Springer - 2015
Part I: Basics of Vascular Surgery
Approach to the Patient with Vascular Disease
Carotid Artery Occlusive Disease
Key Points of History and Physical
Peripheral Artery Disease (PAD)
Cardiovascular Risk Factors
Chronic Renal Insufficiency
Inflammatory Markers/C-Reactive Protein
Noninvasive Vascular Laboratory Exams
Cerebrovascular Noninvasive Vascular Testing
Follow-Up After Carotid Intervention/Surveillance
Essentials of Examinations/Interpretation of Results
Abdominal Aortic Ultrasound
Essentials of Evaluation/Interpretation
Interpretation of Results
Duplex Ultrasound Exam of the Lower Extremity
Duplex Ultrasound Interpretation in Patients with PAD
Essentials of Evaluation/Interpretation of Results
Venous Duplex Ultrasound for Endovascular Therapy
Venous Duplex for Deep Vein Thrombosis
Essentials of Examination
Vascular Ultrasound General Principles
Duplex Ultrasound Components
Real-Time Grayscale Imaging
Doppler Spectral Waveform Analysis
Overview of Imaging Options: MR, CT, Catheter Angiography – Advantages and Limitations
Computed Tomographic Angiography
Magnetic Resonance Angiography
Contrast Angiography (Digital Subtraction Angiography)
2: Surgical and Endovascular Technique and Tools
Transperitoneal Abdominal Aortic Exposure
Retroperitoneal Aortic Exposure
Carotid, Subclavian, and Axillary Artery Exposures
Supraclavicular Subclavian Artery Exposure
Infraclavicular Exposure of the Axillary Artery
Exposure of the Lower Extremity Arteries
Above-Knee Popliteal Artery
Behind-the-Knee Popliteal Artery
Below-Knee Popliteal Artery and Proximal Anterior and Posterior Tibial Artery, Tibioperoneal Trunk, and Peroneal Arteries
Distal Posterior Tibial Artery
Mid to Distal Anterior Tibial Artery
Mid to Distal Peroneal Artery
Upper Extremity Exposures
Methods of Obtaining Proximal and Distal Control
Instruments and Suture Material
Techniques for Anastomosis
Part II: Acute Arterial Disease
3: Peripheral Arterial Thrombosis/Emboli
Etiology and Pathophysiology
Computed Tomography Angiography (CTA)
Digital Subtraction Angiography (DSA)
Treatment Decision Making
Endovascular Therapy and Thrombolysis: General Principles
Femoral and Brachial Embolectomy Techniques
Femoral Artery Embolectomy
Brachial Artery Embolectomy
Limb Salvage Predictors and Survival Implications
Epidemiology/Risk Factors
Fasciotomy of the Lower Leg
The Lateral Incision of the Lower Leg
The Medial Incision of the Lower Leg
Fasciotomy of Other Compartments
Compartment Syndrome and Fasciotomy of the Forearm and Hand
Compartment Syndrome and Fasciotomy of the Thigh
5: Diabetic Foot Infection
Diagnosis of Diabetic Foot Infection
Microbiology of Diabetic Foot Infections
Treatment of Diabetic Foot Infections
Antibiotic Options for Gram-Positive Coverage
Antibiotic Options for Polymicrobial Coverage
Duration of Antibiotic Therapy
Parenteral Versus Oral Antibiotic Therapy
Part III: Chronic Arterial Disease
Risk Factors for the Development of PAD
Chronic Kidney Disease (CKD)
Treatment Indications and Options
Risk Factor Modification:
Antiplatelet Drug Therapy
Treatment of Claudication Symptoms
Endovascular or Surgical Revascularization
7: Critical Limb Ischemia
Routine Noninvasive Vascular Screening Studies
Computed Tomographic Angiography
Magnetic Resonance Angiography
Cardiac Risk Stratification
Aortoiliac (Suprainguinal) Revascularization
Infrainguinal Revascularization
Nonsurgical Interventions
Pneumatic Compression Boot Therapy
Prevention and Treatment of Infection
Patient-Oriented Outcomes
8: Lower Extremity Amputations
Indications for Amputation
Determining the Level of Amputation
Transmetatarsal Amputation (TMA)
Above Knee Amputation (AKA)
Alternative Lower Extremity Amputations
Amputations for Infection
9: Deep Venous Thrombosis
Antiphospholipid Antibodies
Anatomic Factors Associated with Increased Risk of DVT
Phlebography and Venography
Determining Treatment by Type of DVT
Popliteal Vein Thrombosis
Importance of Anticoagulation
Treatment with a Strategy of Thrombus Removal
Surgical Venous Thrombectomy
Catheter-Directed Thrombolysis
Pharmacomechanical Thrombolysis
Phlegmasia Cerulea Dolens
Long-Term Sequelae of DVT
Pathophysiology of Postthrombotic Morbidity
Complications of Anticoagulation
Heparin-Induced Thrombocytopenia
Management Recommendations
10: Superficial Thrombophlebitis
SVT with Varicose Vein Disease
11: Chronic Venous Insufficiency
Venous Anatomy and Physiology
Chronic Venous Insufficiency
Noninterventional Therapy
Post-thrombotic Syndrome (PTS)
Diagnostic Evaluation: The Duplex Ultrasound Examination
Noninterventional Management
Indications for Intervention
Percutaneous Vein Ablation
Preoperative Considerations
Precautions/Additional Considerations
Transilluminated Powered Phlebectomy
Precautions/Additional Considerations
Ultrasound-Guided Sclerotherapy
13: Inferior Vena Cava Filters
Prophylactic Indications in Specific Patient Populations Without Documented DVT
Technical Details of Filter Placement
Bedside Filter Placement Using Transabdominal or Intravascular Ultrasound
FDA-Approved Permanent and Retrievable Filters
Post-procedural Management and Complications
Indications for Filter Retrieval
Rate of DVT and Benefits of Concurrent Anticoagulation
Technical Details of IVC Filter Retrieval
Troubleshooting: Retrieval
IVC Filter Complications and Management
14: Vascular Injuries in the Neck
Initial Evaluation and Imaging
Penetrating Neck Injuries
Incidence and Presentation
Initial Approach/Exposure
15: Vascular Injuries in the Abdomen
Superior Mesenteric Artery
16: Extremity Vascular Injuries
Initial Evaluation and Management
Assessment of Nonvascular Structures of the Extremity
The Unstable Patient: Vascular Management Considerations
The Stable Patient: Vascular Management Considerations
Considerations for Exposure of Specific Extremity Vascular Injuries
Radial and Ulnar Arteries
Technical Considerations of Extremity Vascular Injury Repair: Key Steps
Characterize Injury Type and Extent
Feasibility of Definitive Vascular Repair
Proximal and Distal Control
Reestablish Extremity Perfusion
17: Central Venous Access
Types of Venous Access Devices
Vascular Access Site Selection
Internal Jugular Vein Approach
Alternative Venous Access
Preparation of the Patient
Tunneled Catheter Insertion
Air Embolism/Foreign Body Embolism
Great Vessel Perforation/Inadvertent Arterial Catheter Placement
Catheter-Related Infections
18: Arteriovenous Hemodialysis Access
History and Physical Exam
Order of Site Preference Principles and Guidelines
Fistula First, Catheter Last Principles
Advantages and Drawbacks of Autogenous AV Fistulas
General Operative Considerations
Radial-Cephalic (Brescia-Cimino) Fistula
Brachial-Cephalic Fistula
Brachial-Basilic (Upper Arm Transposition) AV Fistula
Brachial-Median Antecubital Vein Fistula
Alternate Access (Overview)
Ischemic Monomelic Neuropathy
Part VII: Complex Vascular Surgery Topics
20: Arterial Occlusive Disease: Carotid, Mesenteric, and Renal
Clinical Presentation and Symptomatic Status
21: Aortic Pathology: AAA, Dissection, and Traumatic Transection
Abdominal Aortic Aneurysms
Perioperative Evaluation and Indications for Treatment
Inflammatory Abdominal Aortic Aneurysms
Primary Aortocaval Fistula
Ruptured Abdominal Aortic Aneurysms
Operative Treatment of Aortic Dissection
Natural History and Follow-up
Traumatic Aortic Injuries: Endovascular Repair
Initial Evaluation and Imaging
Available Thoracic Endovascular Stent Grafts
22: Non-atherosclerotic Vascular Disease: Vasculitis, Popliteal Entrapment, Hypercoagulable
Hypercoagulable Disorders
Reduced Level of Anticoagulants
Antithrombin (AT) Deficiency
Increased Levels of Procoagulants
Elevated Factors VIII, IX, and XI
Prothrombin Gene Mutation
Acquired Hypercoagulable States
Antiphospholipid Antibody Syndrome
Heparin-Induced Thrombocytopenia (HIT)
Popliteal Artery Entrapment
Thromboangiitis Obliterans
Etiology and Presentation
Classification and Pathophysiology
Giant Cell Arteritis Diagnosis
Giant Cell Arteritis Treatment
Medium-Vessel Vasculitides
Takayasus Arteritis Diagnosis
Takayasus Arteritis Treatment
Introduction and Pathophysiology
Etiology and Presentation
23: Surgical and Endovascular Complications: Infection and Hemorrhage
Diagnosis and Management of Hemorrhage: Retroperitoneal, Cervical, and Groin
Retroperitoneal Hemorrhage
Endovascular Intervention
Cervical (Neck) Hemorrhage
Endovascular Intervention
Exploration for Carotid Blowout
Exploration for Penetrating Trauma
Immediate Postoperative Hemorrhage
Endovascular Intervention
Exploration for Femoral Artery/Anastomotic or Pseudoaneurysm Bleeding
Exploration for Penetrating Trauma
Immediate Postoperative Exploration
Arterial Pseudoaneurysm: Diagnosis and Treatment Indications and Options
Ultrasound-Guided Thrombin Injection
Aortoenteric Fistula: Diagnosis (Clinical and Imaging Findings), Management Priorities, and Treatment Options
Excision and Extra-anatomic Bypass
In Situ Interposition Bypass
Infected Bypass Graft: Pathophysiology, Diagnosis (Clinical and Imaging Findings), and Treatment Principles
Negative Pressure Wound Therapy (NPWT)
Revascularization Options
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