Vascular Graft Infections

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Author :
Publisher : Wiley-Blackwell
ISBN 13 : 9780879935764
Total Pages : 420 pages
Book Rating : 4.9/5 (357 download)

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Book Synopsis Vascular Graft Infections by : TJ Bunt

Download or read book Vascular Graft Infections written by TJ Bunt and published by Wiley-Blackwell. This book was released on 1994-09-27 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vascular graft infection is a complex and challenging problem for the vascular surgeon. Despite significant advances that have been made in managing patient problems associated with graft infection during the last 25 years, the topic of vascular graft infection has been only loosely covered in various textbooks. Fortunately, this monograph fills this void of information by offering a wealth of useful, clearly organized clinical knowledge

Mechanisms of Vascular Disease

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Author :
Publisher : University of Adelaide Press
ISBN 13 : 1922064009
Total Pages : 589 pages
Book Rating : 4.9/5 (22 download)

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Book Synopsis Mechanisms of Vascular Disease by : Robert Fitridge

Download or read book Mechanisms of Vascular Disease written by Robert Fitridge and published by University of Adelaide Press. This book was released on 2011 with total page 589 pages. Available in PDF, EPUB and Kindle. Book excerpt: New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.

Mechanisms of Vascular Disease

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Author :
Publisher : Springer Nature
ISBN 13 : 3030436837
Total Pages : 739 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Mechanisms of Vascular Disease by : Robert Fitridge

Download or read book Mechanisms of Vascular Disease written by Robert Fitridge and published by Springer Nature. This book was released on 2020-07-30 with total page 739 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Vascular Medicine: A Companion to Braunwald's Heart Disease E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323636012
Total Pages : 963 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Vascular Medicine: A Companion to Braunwald's Heart Disease E-Book by : Mark Creager

Download or read book Vascular Medicine: A Companion to Braunwald's Heart Disease E-Book written by Mark Creager and published by Elsevier Health Sciences. This book was released on 2019-05-22 with total page 963 pages. Available in PDF, EPUB and Kindle. Book excerpt: With authoritative coverage of everything from recent discoveries in the field of vascular biology to recent clinical trials and evidence-based treatment strategies, Vascular Medicine, 3rd Edition, is your go-to resource for improving your patients' cardiovascular health. Part of the Braunwald family of renowned cardiology references, this updated volume integrates a contemporary understanding of vascular biology with a thorough review of clinical vascular diseases, making it an ideal reference for vascular medicine specialists, general cardiologists, interventional cardiologists, vascular surgeons, and interventional radiologists. - Incorporates technologic advances in vascular imaging – including ultrasound, MRI, CTA, and catheter-based angiography – along with more than 230 new figures, providing an up-to-date and complete view of the vascular system and vascular diseases. - Covers novel antithrombotic therapies for peripheral artery disease and venous thromboemboism, advances in endovascular interventions for aortic aneurysms, and today's best surgical treatments for vascular diseases. - Includes seven new chapters: Pathobiology of Aortic Aneurysms; Pathobiology and Assessment of Cardiovascular Fibrosis; Large Vessel Vasculitis; Medium and Small Vessel Vasculitis; Epidemiology and Prognosis of Venous Thromboembolic Disease; Fibromuscular Dysplasia; and Dermatologic Manifestations of Vascular Disease. - Discusses methods for aggressive patient management and disease prevention to ensure minimal risk of further cardiovascular problems. - Keeps you current with ACC/AHA and ECC guidelines and the best ways to implement them in clinical practice. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

The European Blood and Marrow Transplantation Textbook for Nurses

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Author :
Publisher : Springer
ISBN 13 : 3319500260
Total Pages : 318 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis The European Blood and Marrow Transplantation Textbook for Nurses by : Michelle Kenyon

Download or read book The European Blood and Marrow Transplantation Textbook for Nurses written by Michelle Kenyon and published by Springer. This book was released on 2018-03-14 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This textbook, endorsed by the European Society for Blood and Marrow Transplantation (EBMT), provides adult and paediatric nurses with a full and informative guide covering all aspects of transplant nursing, from basic principles to advanced concepts. It takes the reader on a journey through the history of transplant nursing, including essential and progressive elements to help nurses improve their knowledge and benefit the patient experience, as well as a comprehensive introduction to research and auditing methods. This new volume specifically intended for nurses, complements the ESH-EBMT reference title, a popular educational resource originally developed in 2003 for physicians to accompany an annual training course also serving as an educational tool in its own right. This title is designed to develop the knowledge of nurses in transplantation. It is the first book of its kind specifically targeted at nurses in this specialist field and acknowledges the valuable contribution that nursing makes in this area. This volume presents information that is essential for the education of nurses new to transplantation, while also offering a valuable resource for more experienced nurses who wish to update their knowledge.

Diagnostic Imaging of Infections and Inflammatory Diseases

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118484355
Total Pages : 462 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Diagnostic Imaging of Infections and Inflammatory Diseases by : Alberto Signore

Download or read book Diagnostic Imaging of Infections and Inflammatory Diseases written by Alberto Signore and published by John Wiley & Sons. This book was released on 2013-06-26 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly and systematically presents the state-of-the-art in the diagnostic uses of radiologic imaging and nuclear medicine in the diagnosis and management of infectious and inflammatory diseases Although our understanding of microorganisms has advanced significantly and antimicrobial therapy has become increasingly available, infection remains a major cause of patient morbidity and mortality. Imaging of infection and inflammation provides a classic example of radiology and nuclear medicine’s strengths as well as weaknesses in the discovery and diagnosis of disease. Fortunately, the weaknesses are subsiding as new studies and techniques point to better planning and precision in the use of single and combined imaging modalities. Diagnostic Imaging of Infections and Inflammatory Diseases: A Multidisciplinary Approach deals with the very latest developments in the use of radiologic techniques and modalities in the management of patients with a host of infectious and inflammatory diseases. Tremendously timely and useful, this innovative, multidisciplinary book covers a wide range of topics in three parts: PART 1: Infections and Host Response Epidemiology of Infections in the New Century Bacterial Osteomyelitis: the Clinician Point of View PART 2: Radiological Imaging Radiological Imaging of Osteomyelitis Radiological Imaging of Spine Infection Radiological Imaging of Soft Tissue Infections Radiological Imaging of Abdominal Infections and Inflammatory Disease Radiological Imaging of Vascular Graft Infection Radiological Imaging of TB and HIV PART 3: Nuclear Medicine Imaging Nuclear Medicine Imaging of Infections: Techniques, Acquisition Protocols, and Interpretation Criteria Nuclear Medicine Imaging of Osteomyelitis: WBC, Monoclonal Antibody, or Bacterial Imaging? Nuclear Medicine Imaging of Spondylodiscitis: The Emerging Role of PET Nuclear Medicine Imaging of Soft Tissue Infections Nuclear Medicine Imaging of Infections and Inflammatory Diseases of the Abdomen Nuclear Medicine Imaging of Vascular Graft Infections: The Added Role of Hybrid Imaging Nuclear Medicine Imaging of TB and HIV Nuclear Medicine Imaging of Fever of Unknown Origin Nuclear Medicine Imaging of Inflammatory Diseases Along with carefully developed clinical cases describing the management of patients with inflammation and infection, Diagnostic Imaging of Infections and Inflammatory Diseases is an ideal guide for radiologists and nuclear medicine physicians as well as clinical specialists from many other fields.

The Microbiology of Skin, Soft Tissue, Bone and Joint Infections

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Author :
Publisher : Academic Press
ISBN 13 : 0128110937
Total Pages : 340 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis The Microbiology of Skin, Soft Tissue, Bone and Joint Infections by : Kateryna Kon

Download or read book The Microbiology of Skin, Soft Tissue, Bone and Joint Infections written by Kateryna Kon and published by Academic Press. This book was released on 2017-04-25 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Microbiology of Skin, Soft Tissue, Bone and Joint Infections: Volume 2 discusses modern approaches in diagnosis, treatment, and prophylaxis of skin, soft tissue, bone, and joint infections. The volume has been divided into three sections. The first section includes chapters on diagnosis, treatment, and prophylaxis of skin and soft tissue infections. It discusses antimicrobial and surgical treatment of wounds, diabetic foot, and different soft tissue infections. Ten chapters are devoted to cutaneous and musculoskeletal infections in special groups of patients, which have their own specificity, i.e. in pediatric and HIV-infected patients. Together with chapters on commonly present diseases, there are chapters which discuss interesting but not well studied pathologies (natal cleft pilonidal sinus) and pathogens (Malassezia and Shewanella spp.). The second section reviews etiology, pathogenesis, diagnosis and treatment of bone and joint infections, mainly osteomyelitis and prosthetic joint infections. Also, one chapter in this section discusses a newly emerging bacterial pathogen that causes skeletal infections, Kingella kingae. The third section incorporates alternative and new approaches—such as nanotechnology, ultrasound, novel delivery approaches and phyto-derived medicines—to the treatment and prophylaxis of skin, soft tissue, bone, and joint infections. - Encompasses a broad range of skin, soft tissue, bone, and joint infections, including questions of etiology, pathogenesis, diagnosis, prognosis, treatment, and prophylaxis - Written by highly professional and eminent surgeons, microbiologists, and infectious disease specialists - Discusses topics using modern insight, providing all necessary scientific information on each aspect - Includes scientific understanding and practical guidelines, which make it interesting for both research scientists and practitioners working with skin, soft tissue, bone, and joint infections

PET/CT in Infection and Inflammation

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Author :
Publisher : Springer
ISBN 13 : 3319904124
Total Pages : 112 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis PET/CT in Infection and Inflammation by : Thomas Wagner

Download or read book PET/CT in Infection and Inflammation written by Thomas Wagner and published by Springer. This book was released on 2018-08-01 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket book provides clinicians with the necessary information to understand the role of FDG PET/CT in infection and inflammation. It will help both in making appropriate imaging requests with adequate clinical information and in interpreting the report. The coverage encompasses a wide range of topics, including the role of PET/CT in pyrexia of unknown origin, vasculitis, autoimmune diseases, prosthetic joint infections, osteomyelitis and diabetic foot, immunodeficiency disease, and vascular graft surgery. The book will be a very useful guide to a great test that can provide significant assistance in patient management. It is published within the Springer series Clinicians’ Guides to Radionuclide Hybrid Imaging, in which leading professionals succinctly explain the importance of nuclear medicine in the diagnosis and management of oncological and non-oncological conditions.

Oxford Textbook of Medical Mycology

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Publisher : Oxford University Press
ISBN 13 : 0198755384
Total Pages : 401 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Oxford Textbook of Medical Mycology by : Christopher C. Kibbler

Download or read book Oxford Textbook of Medical Mycology written by Christopher C. Kibbler and published by Oxford University Press. This book was released on 2017-12-14 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Textbook of Medical Mycology is a comprehensive reference text which brings together the science and medicine of human fungal disease. Written by a leading group of international authors to bring a global expertise, it is divided into sections that deal with the principles of mycology, the organisms, a systems based approach to management, fungal disease in specific patient groups, diagnosis, and treatment. The detailed clinical chapters take account of recent international guidelines on the management of fungal disease. With chapters covering recent developments in taxonomy, fungal genetics and other 'omics', epidemiology, pathogenesis, and immunology, this textbook is well suited to aid both scientists and clinicians. The extensive illustrations, tables, and in-depth coverage of topics, including discussion of the non-infective aspects of allergic and toxin mediated fungal disease, are designed to aid the understanding of mechanisms and pathology, and extend the usual approach to fungal disease. This textbook is essential reading for microbiologists, research scientists, infectious diseases clinicians, respiratory physicians, and those managing immunocompromised patients. Part of the Oxford Textbook in Infectious Disease and Microbiology series, it is also a useful companion text for students and trainees looking to supplement mycology courses and microbiology training.

Tissue-Engineered Vascular Grafts

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Author :
Publisher : Springer
ISBN 13 : 9783030053352
Total Pages : 0 pages
Book Rating : 4.0/5 (533 download)

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Book Synopsis Tissue-Engineered Vascular Grafts by : Beat H. Walpoth

Download or read book Tissue-Engineered Vascular Grafts written by Beat H. Walpoth and published by Springer. This book was released on 2020-08-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular diseases are still the leading cause of death in developed countries. Revascularization procedures such as coronary artery and peripheral bypass grafts, as well as access surgery represent a 2$ billion market yearly for the US alone. Despite intense research over many decades, no clinically suitable, shelf-ready, synthetic, vascular, small-caliber graft exists. There is therefore still a quest for such a clinical vascular prosthesis for surgical revascularization procedures and access surgery. Many approaches have been tried and are currently under investigation with promising results. These range from acellular and cell-based, stable or bio-degradable, synthetic scaffolds to biological or decellularized grafts, not forgetting self-assembly technologies for in vitro or in vivo VTE. All these approaches can be further enhanced by functionalization, e.g. with growth factors and drug elution. This updatable book aims to cover all the relevant aspects of Vascular Tissue Engineering (VTE) and novel alternatives to develop vascular grafts for clinical applications. The chapters in this book cover different aspects of manufacturing scaffolds with various polymers, mechanical characteristics, degradation rates, decellularization techniques, cell sheet assembly, 3-D printing and autologous mandril-based VTE. All the necessary in vitro tests such as biocompatibility and thrombogenicity are reviewed. Pre-clinical assessment of in vivo experimental models include patency, compliance, intimal hyperplasia, inflammatory reaction, cellular ingrowth and remodeling. Finally, early clinical trials will be periodically updated regarding results, regulatory aspects and post-marketing quality assessment. Furthermore, the reader should get an insight into various approaches, technologies and methods to better understand the complexity of blood surface and cell interactions in VTE. Translational research has yielded early human applications clearly showing the enormous need of research in the field to provide better solutions for our patients and this continuously updated book will hopefully become a reference in the field for life sciences.

Comprehensive Vascular and Endovascular Surgery

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323074766
Total Pages : 934 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Comprehensive Vascular and Endovascular Surgery by : John W. Hallett Jr.

Download or read book Comprehensive Vascular and Endovascular Surgery written by John W. Hallett Jr. and published by Elsevier Health Sciences. This book was released on 2009-09-30 with total page 934 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. Each disease chapter follows the same consistent format, for quick consultation and better comprehension. The revised 2nd Edition features several new chapters, increased endovascular treatment coverage, and updated data from the latest trials...bringing you the newest advances from the field. More than 1,000 photographs, line drawings and tables-including many revised illustrations now in color-depict key concepts and procedures. With its practical user friendly approach-and online access through Expert Consult functionality-this resource offers convenient access to complete guidance. Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice. Uses a highly structured, templated format in each chapter to quickly and consistently deliver information on basic science, clinical presentation, non-invasive testing, medical management, surgical management, complications, outcome, and follow up-making information easy to access and understand. Includes Key Points boxes in every chapter that allow for quick reference and efficient study. Features over 1,000 photographs, line drawings, charts and tables that make important information easy to comprehend. Integrates clinical information with basic science making the material relevant to everyday practice. Covers treatment and interventions from an evidence-based perspective, whenever possible. Provides short, clinical vignettes in the same style as those found on oral exams. Provides online access to the text via expertconsult.com where you can perform quick searches of the complete contents, download all of the images, further your study with bonus review and self assessment questions, and follow links to PubMed abstracts for convenient consultation whwere and when you need it most. Offers new chapters on vascular diagnosis, graft infections, aortic dissection, and visceral aneurysms for greater coverage of the field. Includes a significant increase in endovascular treatment coverage in many of the chapters, reflecting the growing need for experience in these procedures. Presents current data from DREAM and EVAR 1 and 2 trials. Features a revised artwork program-including many revised illustrations and former black and white images now in color-for an enhanced visual understanding of concepts. Includes bonus review and self assessment questions accompany the online version.

Clinical Mycology

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Publisher :
ISBN 13 : 0195148096
Total Pages : 534 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Clinical Mycology by : William E. Dismukes

Download or read book Clinical Mycology written by William E. Dismukes and published by . This book was released on 2003 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within the field of infectious diseases, medical mycology has experienced significant growth over the last decade. Invasive fungal infections have been increasing in many patient populations, including: those with AIDS; transplant recipients; and the elderly. As these populations grow, so does the diversity of fungal pathogens. Paralleling this development, there have been recent launches of several new antifungal drugs and therapies. Clinical Mycology offers a comprehensive review of this discipline. Organized by types of fungi, this volume covers microbiologic, epidemiologic and demographic aspects of fungal infections as well as diagnostic, clinical, therapeutic, and preventive approaches. Special patient populations are also detailed.

Vascular and Endovascular Surgery at a Glance

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118496035
Total Pages : 165 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Vascular and Endovascular Surgery at a Glance by : Morgan McMonagle

Download or read book Vascular and Endovascular Surgery at a Glance written by Morgan McMonagle and published by John Wiley & Sons. This book was released on 2014-06-23 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the popular and accessible at a Glance format, Vascular and Endovascular Surgery at a Glance demystifies the important concepts of vascular disease and vascular surgery. Featuring in-depth details of common vascular topics, to rarer presentations, this is an ideal guide for those interested in a variety of subjects relating to this rapidly expanding area. This is a must-read for any specialist at all levels who has an on-going commitment to vascular disease management and medical education. Vascular and Endovascular Surgery at a Glance: • Comprehensively covers the key concepts and core practical procedures with superb illustrations • Is a brilliant companion to the emerging curriculum for specialist vascular training • Is an excellent source of information and management guidelines for interdisciplinary specialties • Includes a companion website at www.ataglanceseries.com/vascular featuring a wide range of interactive multiple choice questions This title forms a succinct overview of vascular disease management, giving salient points relevant to general surgery examinations, for those requiring an in-depth yet manageable introduction to vascular diseases, and for those entering this prevalent field as a stand-alone specialty.

Deep Sternal Wound Infections

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Author :
Publisher : Springer
ISBN 13 : 3662497662
Total Pages : 139 pages
Book Rating : 4.6/5 (624 download)

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Book Synopsis Deep Sternal Wound Infections by : Raymund E. Horch

Download or read book Deep Sternal Wound Infections written by Raymund E. Horch and published by Springer. This book was released on 2017-01-19 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise and practical handbook covers the basics of pathophysiology, diagnosis, interdisciplinary surgical management, prevention and rehabilitation of patients with deep sternal wound infections and sternal osteomyelitis. All relevant aspects and surgical procedures are explained in an easily understandable way. Additionally special approaches and preventive measures are highlighted with regard to the perioperative handling as well as the rehabilitation possibilities. Through concise texts with numerous illustrations, the book is ideal for the practice and as a supplement to further studies. This book is suitable for all specialists who are involved into the treatment and diagnosis of sternal wound infections, particularly cardio-thoracis, thoracic, plastic, vascular surgeons, cardiologists, radiologists, and rehabilitation physicians.

Vascular Access Surgery

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 1838801715
Total Pages : 148 pages
Book Rating : 4.8/5 (388 download)

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Book Synopsis Vascular Access Surgery by : Alexander Berezin

Download or read book Vascular Access Surgery written by Alexander Berezin and published by BoD – Books on Demand. This book was released on 2019-04-24 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decision-making regarding the route of access to minimize procedural complications, especially in patients with unusual or complicated vascular anatomy, is extremely important for successful vascular access surgery. Several techniques for vascular access are widely disputed in the context of achieving optimal clinical outcomes. This book discusses various clinical aspects of vascular access to enrich our knowledge and understanding of the contemporary methodology and management of vascular access for a broad range of purposes. In four sections, this book examines the following topics: 1. Vascular Access: Methodology and Contemporary Management; 2. Vascular Access and Reparative Surgery; 3. Vascular Access Failure; and 4. Risk Stratification in Vascular Access.

Surgical Management of Aortic Pathology

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Author :
Publisher : Springer
ISBN 13 : 370914874X
Total Pages : 1180 pages
Book Rating : 4.7/5 (91 download)

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Book Synopsis Surgical Management of Aortic Pathology by : Olaf H. Stanger

Download or read book Surgical Management of Aortic Pathology written by Olaf H. Stanger and published by Springer. This book was released on 2019-04-15 with total page 1180 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book follows the concept of perceiving the entire aorta as one functional organ assuming that all individual pathologies and local interventional procedures affect the up- and downstream segments with consequences for complications and disease progression. Thus any preventive or surgical strategy must recognize the aortic disease in its entirety. The book intends to cover the full spectrum of aortic pathologies, mechanisms and functional interplay. The latest available diagnostic tools and options for surgical treatment are presented by the foremost experts in their field in state-of-the-art reviews. The reader is provided with the most current and comprehensive insight into all fundamental and clinical aspects of aortic disease. All chapters are carefully complemented with figures and illustrations.

Post-operative Complications

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Publisher : Oxford University Press
ISBN 13 : 0199546266
Total Pages : 500 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Post-operative Complications by : David Leaper

Download or read book Post-operative Complications written by David Leaper and published by Oxford University Press. This book was released on 2010-01-21 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: A general handbook covering post-surgical complications across all specialties. Particularly relevant for junior doctors and those preparing for their membership of the Royal College of Surgery (MRCS) exams.