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Endovascular Intervention for Vascular Disease: Principles and Practice

2007 Edition, December 22, 2007

Complete Document



Detail Summary

Active, Most Current

EN
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ISBN: 978-0-8493-3979-0
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Product Details:

  • Revision: 2007 Edition, December 22, 2007
  • Published Date: December 22, 2007
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 616
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:

Preface

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. In the last decade, it might be said that the slow evolution of endovascular techniques has become a revolution, and defining the place of medical, open, and endovascular therapies in the management of patients with peripheral vascular disease has become challenging.

In the last few years, endoluminal therapy of vascular disease has expanded from simple dilatation of atherosclerotic lesions to encompass treatment of arterial aneurysms, arteriovenous malformations, acute ischemia, and varicose veins. It has also assumed a significant role in the management of abdominal, thoracic, and extremity trauma. These broadened indications for endovascular therapy have been accompanied by technological improvements in the concept, design, and availability of endovascular devices, which have further expanded the spectrum of clinical conditions that may be managed using endoluminal techniques. Some of the most exciting advances have been observed when traditional surgical techniques have been combined with endovascular procedures to facilitate treatment of highly complex diseases— so-called "hybrid" procedures.

Endovascular therapy now draws inspiration from several inter-related disciplines, with vascular surgeons, interventional radiologists, angiologists, and cardiologists all contributing to this exciting and fast-moving field. As with all innovations, there are differences in opinion about the place of newer therapies in clinical practice. It is only by balancing the opinions of enthusiasts and skeptics that a realistic view emerges. This book has been written and edited to represent, as widely as possible, the views of experts in the field. The authors of individual chapters are drawn from a variety of specialities and also represent a global spectrum of opinion, since endovascular practice varies widely according to geographical location.

A book such as this can only represent opinion at a finite moment in time. The evidence to support endovascular techniques is as diverse as the techniques themselves. In some situations, such as endovascular repair of abdominal aortic aneurysms, endovascular therapy has been rigorously trialed against both open surgery and medical management. Several chapters describe these trials and offer comment on interpretation. This level of evidence is unfortunately rare in endovascular practice, as most therapies are supported by flawed, historical, or anecdotal evidence. In these situations, the evidence is discussed in detail with expert commentary on the significance of the findings and recommendations for practice.

This book offers a diverse and comprehensive review of the current status of endovascular therapy for peripheral vascular disease. In addition to summarizing the current techniques and available evidence, it discusses likely future advances in the field, and sets these against both the natural history of the disease and alternative therapies that may involve cell- or gene-based approaches.