Carotid endarterectomy : Principles & techniques, (2^nd Ed.) Principles and Technique

Completely reworked with a wide assortment of new information and instrumentation techniques, this guide offers clear demonstrations of shunt placement and includes newly revised and updated sections on carotid decision-making, the results of cooperative trials, and comparisons of carotid surgery versus carotid stenting. It provides an expanded radiograph section that demonstrates current cases of routine and complex carotid presentations and contains strategies to address clot along suture lines, postoperative occlusion, and external carotid artery dissection. It 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 author's commentary on the intricacies of specific techniques by an experienced carotid surgeon.

FUNDAMENTALS. Historical Perspective on Carotid Reconstruction. Scientific Foundation for Carotid Artery Reconstruction. Asymptomatic Carotid Disease. Symptomatic Carotid Disease. Clinical Evaluation. Special Surgical Considerations. Technical Considerations. General Anesthesia. Monitoring Techniques During Carotid Cross-Clamping. Intraoperative Shunting. Arteriotomy Techniques. Surgical Technique of Cervical Carotid Reconstruction. General Principles. Operative Technique. Variations of Surgical Technique. Complications. RADIOGRAPHIC STUDIES. SURGICAL TECHNIQUE. Hemashield Patch Graft. Index.

Neurosurgeons, vascular surgeons, neurologists, and residents and fellows in these disciplines.

Loftus, Christopher M.