Catalogue


Carotid endarterectomy [electronic resource] : principles and technique /
Christopher M. Loftus.
edition
2nd ed.
imprint
New York : Informa Healthcare, c2007.
description
x, 318 p. : ill. (some col.) ; 29 cm.
ISBN
0824728327 (hardcover : alk. paper), 9780824728328 (hardcover : alk. paper)
format(s)
Book
More Details
imprint
New York : Informa Healthcare, c2007.
isbn
0824728327 (hardcover : alk. paper)
9780824728328 (hardcover : alk. paper)
restrictions
Licensed for access by U. of T. users.
catalogue key
8113148
 
Includes bibliographical references and index.
A Look Inside
About the Author
Author Affiliation
Christopher M. Loftus is Professor and Chair of Neurosurgery at Temple University School of Medicine, Philadelphia, Pennsylvania
Summaries
Main Description
Completely reworked with a wide assortment of new information and instrumentation techniques, this guide offers clear demonstrations of shunt placement includes newly revised and updated sections on carotid decision-making, the results of cooperative trials, and comparisons of carotid surgery versus carotid stenting provides an expanded radiograph section that demonstrates current cases of routine and complex carotid presentations contains strategies to address clot along suture lines, postoperative occlusion, and external carotid artery dissection reviews major nerve structures potentially injured during carotid endarterectomy With 50% new photos and a vast selection of current clinical cases, this source supplies an abundance of color images and provides illustrative sections on the patch graft technique, recurrent disease, complex and unusual carotid surgeries, and discussions of carotid complications and their remedies. As in the First Edition, color photographs are accompanied by line drawings of important structures and a facing-page authors commentary on the intricacies of specific techniques by an experienced carotid surgeon.
Bowker Data Service Summary
Containing a vast selection of current clinical cases, this text provides illustrative sections on the patch graft technique, recurrent disease, complex and unusual carotid surgeries, and discussions of carotid complications and their remedies.
Main Description
With 50% new photos and a vast selection of current clinical cases, this source supplies an abundance of color images and provides illustrative sections on the patch graft technique, recurrent disease, complex and unusual carotid surgeries, and discussions of carotid complications and their remedies. As in the First Edition, color photographs are accompanied by line drawings of important structures and a facing-page author's commentary on the intricacies of specific techniques by an experienced carotid surgeon.
Table of Contents
Preface to the Second Editionp. v
Historical Perspective on Carotid Reconstructionp. 1
Scientific Foundation for Carotid Artery Reconstructionp. 2
Asymptomatic Carotid Diseasep. 3
Symptomatic Carotid Diseasep. 8
Clinical Evaluationp. 12
Special Surgical Considerationsp. 13
Technical Considerationsp. 17
Anesthesia Choicep. 17
Monitoring Techniques During Carotid Cross-Clampingp. 20
Arteriotomy Techniquesp. 29
Surgical Technique of Cervical Carotid Reconstructionp. 30
Indicationsp. 30
Preoperative Studies and Preparationp. 31
Surgical Techniquep. 31
Special Considerationsp. 37
Microsurgical Endarterectomyp. 37
Bilateral Carotid Endarterectomyp. 38
Complete Occlusionp. 38
Acute Strokep. 39
Postoperative Considerationsp. 39
Complications of CEAp. 40
Endovascular Treatment of Carotid Stenosisp. 42
Referencesp. 46
Radiographic Studiesp. 61
Low Bifurcation of the Carotid Artery with Symptomatic Plaque Just at the Origin of the Internal Carotid Arteryp. 62
High Bifurcation of the Cervical Carotid Arteryp. 64
Side by Sidep. 66
Focal Internal Carotid Artery Ulcerp. 68
Deep Ulceration of a Carotid Plaquep. 70
Benign Arteriogram-Bad Ulcerationp. 72
Ninety-Five Percent Lesionp. 74
Extensive Plaque in Common Carotid Artery with Long Arteriotomyp. 76
String Signp. 78
X-Ray Identification of an Ascending Pharyngeal Artery Originating at the Carotid Bifurcationp. 80
Tandem Stenosisp. 82
Cross Filling into Contralateral Middle Cerebral Arteryp. 84
Can We Predict the Need for Shunting?p. 86
Preoperative External Carotid Artery Occlusionp. 88
Internal Carotid Stumpp. 90
Carotid Kinkp. 92
Carotid Stenosis with Distal Cervical Aneurysmp. 94
Intraluminal Thrombusp. 96
Complication-Clot Along Suture Linep. 98
Complication-Complete Postoperative Occlusionp. 100
Complication-External Carotid Artery Dissectionp. 102
Surgical Techniquep. 105
Surgical Instrumentsp. 106
Surgical Positioningp. 108
Alternate Incisionsp. 110
Side-by-Side Positioningp. 112
Incision for High Bifurcationp. 114
Draped and Ready for Incisionp. 116
Platysma with Michel Clipsp. 118
Sternocleidomastoid Musclep. 120
Jugular Vein-Common Facial Veinp. 122
Ligation of Common Facial Veinp. 124
Secure Ligation of the Common Facial Veinp. 126
Minor Branches of Facial Veinp. 128
Dissection Behind Parotid Glandp. 130
First Demonstration of Common Carotid Artery with Controlp. 132
Exposure of Carotid Artery with Retractorsp. 134
Four Sutures in the Carotid Sheathp. 136
Unexpected Internal Carotid Artery Atresiap. 138
Major Nerve Structures Potentially Injured During Carotid Endarterectomyp. 140
Other Nerves at Risk During Carotid Endarterectomyp. 142
Low Bifurcation with Omohyoid Musclep. 146
Division of Omohyoid Muscle to Secure Adequate Low Carotid Exposurep. 148
Hypoglossal Nervep. 150
Sternomastoid Artery-An External Carotid Artery Branchp. 152
High Bifurcation with Digastric Muscle and Hypoglossal Nerve-Left Carotid Exposurep. 154
High Bifurcation with Digastric Muscle and Hypoglossal Nerve-Right Carotid Exposurep. 156
Side-by-Side Carotid Anatomy-Exposurep. 158
Isolation of Superior Thyroid Artery-Right Carotid Exposurep. 160
Isolation of Superior Thyroid Artery-Left Carotid Exposurep. 162
Isolation of Ascending Pharyngeal Artery (Left)p. 164
Isolation of Ascending Pharyngeal Artery (Right)p. 166
Tactile and Visual End of Plaque-Left Carotid Exposurep. 168
Tactile and Visual End of Plaque-Right Carotid Exposurep. 170
Extensive Plaque Erosion into the Adventitial Layerp. 172
Javid Clamp Around Internal Carotid Arteryp. 174
Loftus Shunt Clampsp. 176
Placement of Cross-Clamp Below Rummel Tourniquetp. 178
Incision Along Common and Internal Carotid Arteries (Blue Line)-Left Carotid Exposurep. 180
Potts Scissors Opening-Left Carotid Exposurep. 182
Potts Scissors Opening Vessel-Left Carotid Exposurep. 184
False Plane Demonstrated with Penfield Retractor-Right Carotid Exposurep. 186
Focal Plaque in Proximal Internal Carotid Artery-Left Carotid Exposurep. 188
Long, Extensive Common Carotid Artery/Internal Carotid Artery Plaquep. 190
Shunt in Common Carotid Artery/Internal Carotid Arteryp. 192
Initial Placement of Shunt Down Common Carotid Arteryp. 194
Securing of Shunt in Common Carotid Arteryp. 196
Bleeding and Evacuation of Shunt Before Placement in Internal Carotid Arteryp. 198
Placement of Shunt in Distal Internal Carotid Arteryp. 200
Potential for Intimal Damage from Placement of Shuntp. 202
Securing of Shunt in Internal Carotid Arteryp. 204
Loftus Type Carotid Shunt in Place-Two Viewsp. 206
Evaluation of Shunt Functionp. 208
Repair with Shunt in Placep. 210
Plaque Removal Begins at Lateral Edge-Left Carotid Exposurep. 212
Sharp Transection in Common Carotid Artery-Right Carotid Exposurep. 214
Plaque Removal from Internal Carotid Artery (Feathered Edge)-Right Carotid Exposurep. 216
Plaque Removal from External Carotid Artery-Left Carotid Exposurep. 218
Opening of External Carotid Artery-Inadequate Featheringp. 220
Opening of External Carotid Artery-Inadequate Featheringp. 222
Opening of External Carotid Artery Because of Poor Doppler Signalp. 224
Opening of External Carotid Artery-Repairp. 226
Completed External Carotid Artery Repair in a Case with Internal Carotid Artery Hemashield Patchp. 228
Removal of Fragments in Circumferential Fashion-Right Carotid Exposurep. 230
Left Carotoid Endarterectomy-Completed Removal, Sharp Marginsp. 232
Completed Removal, Sharp Margins-Left Carotid Exposurep. 234
Placement of Tacking Sutures in Internal Carotid Arteryp. 236
Anatomic Variant-Atherosclerotic Web on Posterior Wall of Vesselp. 238
Repair Beginning in Internal Carotid Artery-Left Carotid Exposure-No Patch Graftp. 240
Microscopic Internal Carotid Artery Repairp. 242
Repair Beginning in External Carotid Artery-Right Carotid Exposure-No Patch Graftp. 244
Repair of External Carotid Artery-Left Carotid Exposure-No Patch Graftp. 246
Second Limb of Repair Coming Up Common Carotid Artery-No Patch Graftp. 248
Suture Sequence and Placement of the Hemashield Roof Patch Graft on the Internal Carotid Arteryp. 250
Removal of Shuntp. 254
Tying Together-Evacuation of Air-Right Carotid Exposurep. 256
Blunt Needle to Evacuate Air and Debris as Final Step-Patch Graftp. 258
Sequence of Clamp Removal at Completion of Arteriotomyp. 260
Doppler Examination of Repair-Left Carotid Exposurep. 262
Completed Dry Repair Without and With Hemashield Patch Graftp. 264
Y-Shaped Suture Line-No Patch Graftp. 272
Surgicel on Dry Repairp. 274
Closure of Sheathp. 276
Closure of Platysmap. 278
Skin and Hemovacp. 280
Skin Closurep. 282
Placement of Saphenous Vein Patch Graftp. 284
Complicationsp. 287
Acute Postoperative Internal Carotid Artery Thrombosisp. 288
Technique for Exploration of Complete Carotid Occlusionp. 290
Use of Fogarty Catheters to Reopen Thrombosed Internal Carotid Arteryp. 292
Postoperative Wound Hematomap. 294
Aneurysm Formation Four Years Postoperativelyp. 296
Special Casesp. 299
Treatment of Isolated Common Carotid Artery Stenosisp. 300
Treatment of "Stump" in an Occluded Internal Carotid Arteryp. 302
Repair and Straightening of a Large Left Carotid Kinkp. 306
Rapid Recurrence of Stenosis from Myointimal Hyperplasiap. 308
Scarring in the Carotid Sheath in a Case of Recurrent Stenosisp. 310
Reoperation in a Case Previously Repaired with a Saphenous Vein Roof Patchp. 312
Indexp. 315
Table of Contents provided by Ingram. All Rights Reserved.

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