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With the first coronary balloon angioplasty in 1977 came the challenge of the wound healing process of retenosis. Together these events spawned a new field of medicine, vascular brachytherapy, conceived to resolve this leading complication of vascular intervention. In the ensuing 20 year quest to cure restenosis, radiation vascular therapy appears to be the next logical step, but it still needs validation. Just two years after the first edition, this second edition of Vascular Brachytherapy fulfils the promise to provide updated information about the meteoric progress made from recent collaborative investigations within this field. Migrating from ideas and pre-clinical observation to clinical practice, this second edition contains 48 new or revised chapters contributed by well known medical experts from widely disparate fields of medicine. Scientists, cardiologists, radiation safety officers, regulators, engineers and technicians substantiate their observations with clinical and non-clinical data, basic radiation principles and issues from an economic, regulatory and safety perspective. Very little is known about the immediate patient risks, environmental concerns and long term pathobiological responses. For a field which is still in its honeymoon phase due to early technology success, this single volume will serve as a long-range educational tool and trace, giving the field of vascular brachytherapy the intense and continuous evaluation it deserves. For an audience of clinicians, scientists and researchers from all the represented medical disciplines, this book provides in depth information and exposure to subjects within these diverse areas of expertise.
Written by the foremost experts in the field, this volume is a comprehensive text and practical reference on contemporary brachytherapy. The book provides detailed, site-specific information on applications and techniques of brachytherapy in the head and neck, central nervous system, breast, thorax, gastrointestinal tract, and genitourinary tract, as well as on gynecologic brachytherapy, low dose rate and high dose rate sarcoma brachytherapy, vascular brachytherapy, and pediatric applications. The book thoroughly describes and compares the four major techniques used in brachytherapy—intracavity, interstitial, surface-dose or mold therapy, and transluminal. Chapters detail particular techniques that are appropriate in specific clinical situations.
Accelerated partial breast irradiation (APBI) is being rapidly introduced into the clinical management of early breast cancer. APBI, in fact, encompasses a number of different techniques and approaches that include brachytherapy, intraoperative, and external beam techniques. There is currently no single source that describes these techniques and their clinical implementation. This text is a concise handbook designed to assist the clinician in the implementation of APBI. This includes a review of the principles that underlie APBI, a practical and detailed description of each technique for APBI, a review of current clinical results of APBI, and a review of the incidence and management of treatment related complications.
Peripheral vascular disease is a common, disabling malady, and patients seeking treatment may turn to their cardiologist for advice and treatment. Conventional treatment has always been medical management and, inevitably, surgical bypass, even amputation. Stents have had a significantly high impact on endoluminal treatment outcomes by preventing injury to the lumen, reducing the potential for hyperplasia and restenosis, as well as the likelihood of plaque disruption and embolization. This second edition brings together a combination of all the current evidence-based information with personal experience and is presented by a team of distinguished operators. Short Contents
Peripheral vascular disease is a common and disabling malady, and patients seeking treatment may turn to their cardiologist, whom they are seeing for existing cardio-vascular disease, for advice and treatment. Conventional treatment has always been medical management and, inevitably, surgical bypass, even amputation. Because stents have had a significantly high impact on endoluminal treatment outcomes by preventing injury to the lumen, reducing the potential for hyperplasia and restenosis, as well as the likelihood of plaque disruption and embolization, the 20 or so available peripheral vascular stents must be considered an alternative to bypass surgery.
Historically, vascular disease has been treated by a combination of open surgical procedures and medical management. Since the first description of a percutaneous procedure to dilate diseased lower limb arteries, the treatment of vascular disease has changed. Endovascular Intervention for Vascular Disease: Principles and Practice offers a diverse a
This extensively revised third edition provides a practically applicable guide to the pathophysiology, assessment and management of vascular disorders encountered in vascular surgical practice. It features detailed information on the latest developments in the pathophysiology of conditions including atherosclerosis, multi-organ failure, limb compartment syndromes and Raynaud’s phenomenon in a clear easy to digest format. Disorders such as reperfusion injuries, vasculitides, and aortic dissection are covered. Furthermore, key topics in vascular and endovascular practice such as radiation biology and radiation safety are also detailed. Each chapter contains a set of learning objectives and key references, enabling the reader to quickly identify key points. Mechanisms of Vascular Disease: A Textbook for Vascular Specialists comprehensively covers a variety of common and unusual pathophysiologies encountered in vascular surgery, and is an ideal resource for both the trainee, and practicing clinical vascular surgeon seeking an up-to-date resource on the topic.
Increasing evidence suggests that particularly in high-risk patients, endovascular solutions offer substantial advantages compared to vascular surgical procedures. Nevertheless, growing numbers of procedures are associated with an increased incidence of complications. Knowledge of specific complications in different vessel areas will support the interventionist in preventing such adverse events and if necessary, provide considerable reassurance if such complications need to be resolved. In Complications in Peripheral Vascular Interventions, typical and atypical complications are described for all peripheral vessel areas, and methods for how to handle these events are outlined. The book is divided in two parts. Part 1 reviews general aspects on complications in peripheral interventions, and Part II covers the specific vessel areas. Each chapter on the specific vessel area includes Introduction to the frequency and kind of complications in this vessel area Factors identifying high-risk patients for these complications Complications of specific interventional steps and tools Endovascular techniques to resolve these complications Methods to avoid complications Summary Checklist for emergency equipment Offering practical tips for the interventionist in the cath lab, high-volume interventionists share their experiences by reviewing complicated cases and outlining different strategies used in real-life scenarios.
This handbook provides a clinically relevant, succinct, and comprehensive overview of image-guided brachytherapy. Throughout the last decade, the utility of image guidance in brachytherapy has increased to enhance procedural development, treatment planning, and radiation delivery in an effort to optimize safety and clinical outcomes. Organized into two parts, the book discusses physics and radiobiology principles of brachytherapy as well as clinical applications of image-guided brachytherapy for various disease sites (central nervous system, eye, head and neck, breast, lung, gastrointestinal, genitourinary, gynecologic, sarcoma, and skin). It also describes the incorporation of imaging techniques such as CT, MRI, and ultrasound into brachytherapy procedures and planning. Featuring procedural and anesthesia care, extensive images, contouring examples, treatment planning techniques, and dosimetry for the comprehensive treatment for each disease site, Handbook of Image-Guided Brachytherapy is a valuable resource for practicing radiation oncologists, physicists, dosimetrists, residents, and medical students.
This practical reference book provides up-to-date, evidence-based multidisciplinary guidelines on the epidemiology, biology, diagnosis, and treatment of endometrial cancer. Individual chapters focus on topics such as hormonal interactions, cancer prevention, genetic classification and its clinical applications. Recent advances in diagnostic methods are described. The treatment-oriented chapters include coverage of the roles of lymphadenectomy and sentinel node dissection, surgical complications, radiation techniques, and chemotherapy in early-stage disease. Treatment options in advanced disease, including hormonal therapy and targeted therapy, are considered separately, as is the management of rare tumor types. The authors are international key opinion leaders. Summaries of the ESMO/ESGO/ESTRO guidelines on management are included. Each clinical chapter ends with a summary of recommendations with the level of evidence.