Clinical scenarios in vascular surgery by Gilbert R. Upchurch Jr. MD, Peter K. Henke MD

By Gilbert R. Upchurch Jr. MD, Peter K. Henke MD

This certain case-based evaluation of vascular surgical procedure deals first-class instruction for oral board examinations, which emphasize either basic wisdom and case administration. The ebook provides seventy six circumstances overlaying the variety of vascular problems that surgeons deal with and is dependent to mirror the surgeon's decision-making technique. every one case starts off with a sufferer presentation and imaging experiences or pathology effects and proceeds via a chain of determination issues, together with differential prognosis, requests for added checks, prognosis, surgical strategy, dialogue of power pitfalls, and follow-up. greater than 2 hundred X-rays, CT scans, ultrasound scans, endovascular photos, and different suitable illustrations—many in complete color—accompany the text.

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1988;19:942-949. Whisnant JP, Matsumoto M, Elveback LR. The effects of anticoagulant therapy on the prognosis of patients with transient cerebral ischemic attacks in a community: Rochester, Minnesota, 1965-1969. Mayo Clin Proc. 1973; 48:844-848. case 6 Gilbert R. , MD, and Gorav Ailawadi, MD Presentation A 63-year-old man with a past medical history significant for hypertension and hypercholesterolemia presents to your office after his family physician hears a right-sided neck bruit on routine physical examination.

Hobson RW, Weiss DG, Fields WS, et al. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. N Engl J Med. 1993;328:221227. Huston J III, James EM, Brown RD Jr, et al. Redefined duplex ultrasonographic criteria for diagnosis of carotid artery stenosis. Mayo Clin Proc. 2000;75:1133-1140. Thorvaldsen P, Kuulasmaa K, Rajakangas AM, et al. Stroke trends in the WHO MONICA project. Stroke. 1997;28:500-506. case 7 C. Keith Ozaki, MD, FACS Presentation A 64-year-old African-American man with a history of essential hypertension and smoking suffers a single 30-minute episode of transient left arm and left leg paralysis.

The latter two procedures are uncommon and are usually reserved for treating dissections that have complicated the underlying fibrodysplastic disease. 13 14 Case 3 FIGURE 3-2 Postoperative appearance of the dilated ECICA. Operative exposure of the carotid vessel includes dissection of the entire ECICA to within a few centimeters of the base of the skull. Care must be taken to avoid injury to cranial nerves IX to XII. Extended exposure at the upper cervical levels may be facilitated by subluxation of the mandible.

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