Complications in Vascular and Endovascular Surgery - How to Avoid Them and How to Get Out of Trouble (Dec 1, 2012)_(190337880X)_(TFM Publishing Ltd)

The aim of this book is to help clinicians to reduce the risk of complications after vascular and endovascular surgery. Whilst it is a surgical truism that the surgeon who does the most operations has the most complications (an acknowledgement of the fact that all vascular and endovascular procedures are potentially hazardous, and some extremely so), some surgeons seem to have more complications than others. This book is for all surgeons and radiologists who accept the challenge continually to improve their results. Each chapter is authored by an experienced (endo)vascular specialist who will have witnessed firsthand the perils and pitfalls of vascular procedures. They have seen all the complications, and even occasionally made errors of judgement. The chapters are full of information to help the reader avoid similar hazards in future. We live in a world of high patient expectation, where complications are seen as ‘someone's fault'. Clinicians are familiar with innovations such as outcomes audit and assessment, procedural governance and quality improvement programmes. There is pressure to show progressive improvement. First class surgery is a combination of knowledge and skill and perhaps just a little luck, though as is oft quoted ‘the more you practice, the luckier you get'. The information in this book will provide insights, protocols, and tips and tricks to minimise the risks of procedures in vascular and endovascular surgery. It is therefore essential reading for anyone who treats patients with vascular disease. Title Page Copyright Page Contents Contributors Foreword Introduction Part 1: The general complications of vascular and endovascular surgery Chapter 1: How do complications influence outcome? Chapter 2: Complications related to cardiorespiratory comorbidity Chapter 3: Prevention and management of renal complications in vascular surgery Chapter 4: Complications related to diabetes in vascular patients Chapter 5: Procedural thrombosis and the hypercoagulable state Chapter 6: The management of haemorrhage in vascular surgery Chapter 7: How to prevent and manage major postoperative vascular infections Chapter 8: Drug-related complications in vascular patients Chapter 9: The prevention and treatment of peri-operative stroke and paraplegia after thoracic stenting Chapter 10: Complications related to the management of the acutely ischaemic limb Chapter 11: Ischaemic reperfusion, compartment syndrome and multi-organ failure in vascular patients Chapter 12: The aetiology and management of the failed vascular bypass Chapter 13: Complications after peripheral angiography, angioplasty and stenting Chapter 14: Complications specific to peripheral intravascular stents Chapter 15: Vascular complications in patients belonging to other specialties Part 2: Complications related to specific vascular and endovascular procedures Chapter 16: Abdominal aortic aneurysm Chapter 17: Arch and thoracic aortic aneurysms Chapter 18: Acute and chronic aortic dissection Chapter 19: Carotid intervention Chapter 20: Aorto-iliac and infra-inguinal surgery Chapter 21: The diabetic foot Chapter 22: Thoracic outlet surgery Chapter 23: Endoscopic thoracic sympathectomy Chapter 24: Varicose veins Chapter 25: Vascular malformations Chapter 26: Renal transplant, vascular access and dialysis Chapter 27: Amputation This is the third in a highly successful series of publications from the Joint Vascular Research Group. The title has been inspired by the rapid development in the treatment of patients with vascular disease, which embraces the new endovascular techniques and changes to medical management that are revolutionising our treatment of these patients. Each chapter is written to present up-to-date evidence-based information on the prevention and treatment of vascular and endovascular complications. Each author has been chosen to provide a particular expertise and experience to the presentation of their subject. There is a particular emphasis on the tips and tricks of 'how to get out of trouble', and we hope this will help the reader in their practice of vascular and endovascular surgery. The authors are both past Chairmen of the Joint Vascular Research Group and present and past Secretaries of The Vascular Society of Great Britain and Ireland. We are very aware that vascular surgery continues to develop rapidly and that we all need to be kept updated on not only the new treatments available, but also on their risks and the management of their associated complications With particular emphasis on the tips and tricks of 'how to get out of trouble', this title intends to help the reader in their practice of vascular and endovascular surgery. Each chapter is written to present evidence-based information on the prevention and treatment of vascular and endovascular complications.