В книге представлены последние достижения в области неотложной ангиохирургии. В тридцати одной главе освещен весь спектр ургентных проблем сосудистой хирургии
The subject selected for the 2003 European Vascular Course is Vascular
Emergencies, and thirty one chapters in this book address the wide spectrum of
urgent and emergency vascular problems. The main impetus for choosing this
subject is that approximately 40% of vascular surgical practices are determined
by vascular emergencies. The majority of pathologies described are applicable to
every vascular surgical practice.
The first chapter of the book salutes the important issue of bioethical concerns
of vascular emergencies. The following three chapters focus on acute dilemmas in
carotid artery disorders, including indications for emergency reconstruction.
Blunt trauma of the internal carotid artery and stab wounds at the base of the
neck do not occur on a daily basis in a standard vascular practice but
constitute a challenging problem. Acute aortic pathology includes occlusion of
the abdominal aorta as well as rupture. The latter emergency has been treated
surgically for many decades and the option ofendovascular repair is appealing.
While in general it is advocated that acute type B aortic dissection must be
treated conservatively, new insights dictate a more surgical and endovascular
attitude. Aortic emergencies also include complications of laparoscopic surgery
and traumatic rupture.
Acute ischemia of the upper limb is a serious problem, dictating a substantial
part of our practice. Acute complications of arteriovenous fistula for
hemodialysis are also addressed. Acute ischemia of the lower limb can result
from embolization, thrombosis and other rare causes.
Furthermore, underlying pathologies such as peripheral aneurysms and diabetes
contribute to emergency situations, requiring surgical, endovascular or
Venous emergencies are described in four chapters addressing acute thrombosis of
iliocaval veins, axillary and subclavian veins, aortocaval fistula and traumatic
injury of the vena cava.
The last part of the book describes the subjects of acute renal artery
occlusion, acute intestinal ischemia, ruptured visceral arterial aneurysms,
abdominal compartment syndrome and gunshot arterial injury.