Management of carotid and vertebral artery disease has undergone tremendous strides since the introduction of thin section CT angiography and neurointerventions. These minimally invasive techniques continue to evolve allowing great advantages for patients. In this book we will focus on both endovascular (minimally invasive) and open arterial reconstructions as both types of procedures are still very much part of routine practice in managing extracranial carotid and vertebral artery disease.
This text is designed to be a comprehensive and state-of-the art approach in managing straight forward to complex arterial reconstructions. Sections will focus on carotid/vertebral anatomy, physiology, diagnostic modalities. Subsequent chapters will focus on specific disease processes and their management with best medical therapy neurointerventions (carotid artery stenting) and open reconstructions like carotid endarterectomy and arterial reconstructions for vertebral artery disease. In addition, management of extracranial carotid artery aneurysms, carotid body tumors and carotid trauma will be covered in detail. Modern techniques in rehabilitation practice for stroke patients will also be addressed. The authors will be recognized experts in their field, whether an acknowledged academic leader or a well respected community based surgeon.
Each chapter dealing with clinical pathology will address patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure will be outlined in a step-wise fashion. Pertinent case illustrations will be described in short at the end of the chapter. Figures and illustrations will help the reader in grasping the technique of a particular procedure.
Surgical Anatomy of Carotid and Vertebral Arteries.- Physiology of the Cerebrovascular System.- Pathology of the Extracranial Carotid and Vertebral Arteries.- History of Carotid Artery Surgery.- History of Vertebral Artery Surgery.- 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.- Eversion Carotid Endarterectomy: Indications, Techniques, Pitfalls, and Complications.- Natural History and Contemporary Management of Recurrent Carotid Stenosis.- Carotid Interposition Grafting.- Current Status of Carotid Endarterectomy and Carotid Stenting.- Technical Aspects of Carotid Artery Stenting.- Reconstruction for Occlusive Lesions of Aortic Arch Branches.- Vertebral Artery Reconstruction.- Fibromuscular Dysplasia, Carotid Kinks and other Rare Lesions.- Cervical (Carotid and Vertebral) Artery Dissection.- Carotid Body Tumors.- Extracranial Carotid and Vertebral Artery Aneurysms.- Extracranial Cerebrovascular Trauma.- Stroke Rehabilitation.
“This is a precisely focused and comprehensive book for those seeking a deeper understanding of the nuances of these diseases. The complete coverage of the topic, along with outstanding figures and helpful multiple-choice questions, make this book a must read for surgeons and interventionalists.” (Matthew C Chia, Doody’s Book Reviews, April 26, 2019)
Sachinder Singh Hans MD, MS, FRCS(c) FACS.
Medical Director, Vascular and Endovascular Surgery
Henry Ford Macomb Hospital Clinton Twp MI
Chief Vascular Surgery
St John Macomb Hospital, Warren, MI
Clinical Assistant Professor Of Surgery
Wayne State University School Of Medicine Detroit, MI
Warren, MI 48093
Carotid and vertebral artery disease affects a large segment of the population with the potential of causing severe disability from a major stroke. This book places emphasis on the medical, endovascular and surgical approaches in managing patients with extracranial carotid and vertebral artery disease following pertinent diagnostic studies. Sections focus on carotid and vertebral anatomy, physiology and diagnostic modalities. Subsequent chapters discuss specific disease processes and their management with the best medical therapy neuro-interventions. Contributions from many interrelated specialties, including cerebrovascular physiology, pathology, neuro-radiology, neuro-interventions, stroke-neurology and vascular surgery significantly enhance our knowledge of carotid and vertebral artery disease.
Provides comprehensive and state of the art approach to manage Extracranial Carotid and Vertebral Artery Disease .