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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.
This volume reviews developments in the diagnosis and management of stroke - discussing the clinical features of stroke, new diagnostic techniques, stroke preventive measures, acute treatment of stroke, sequelae of stroke, and post-stroke rehabilitation.;Written by nearly 50 renowned experts in the field, the Handbook of Cerebrovascular Diseases: explores medical and surgical options to treat transient ischemic attacks as well as the care of patients with acute or progressing ischemic stroke; presents approaches to the management of subarachnoid and intracerebral haemorrhage; considers new methods of treatment such as interventional neuroradiology and thrombolytic therapy; describes approaches to the evaluation and management of heart disease in patients with stroke; analyzes unusual causes of stroke, including stroke in pregnant patients, children and young adults; and examines post-stroke cognitive deficits, psychiatric disorders, and rehabilitation.;Heavily referenced with more than 2600 bibliographic citations, the Handbook of Cerebrovascular Diseases is intended for neurologists, stroke specialists, cardiologists, psychiatrists, and internists.
Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.