Extracranial Carotid and Vertebral Artery Disease (Contemporary Management)

Management of carotid and vertebral artery disease has undergone tremendous strides since the introduction of thin section CT angiography and neurointerventions. These minimally invasive techniques continue to evolve allowing great advantages for patients. In this book we will focus on both endovascular (minimally invasive) and open arterial reconstructions as both types of procedures are still very much part of routine practice in managing extracranial carotid and vertebral artery disease. This text is designed to be a comprehensive and state-of-the art approach in managing straight forward to complex arterial reconstructions. Sections will focus on carotid/vertebral anatomy, physiology, diagnostic modalities. Subsequent chapters will focus on specific disease processes and their management with best medical therapy neurointerventions (carotid artery stenting) and open reconstructions like carotid endarterectomy and arterial reconstructions for vertebral artery disease. In addition, management of extracranial carotid artery aneurysms, carotid body tumors and carotid trauma will be covered in detail. Modern techniques in rehabilitation practice for stroke patients will also be addressed. The authors will be recognized experts in their field, whether an acknowledged academic leader or a well respected community based surgeon. Each chapter dealing with clinical pathology will address patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure will be outlined in a step-wise fashion. Pertinent case illustrations will be described in short at the end of the chapter. Figures and illustrations will help the reader in grasping the technique of a particular procedure. Front Matter ....Pages i-xvii Surgical Anatomy of Carotid and Vertebral Arteries (Sachinder Singh Hans)....Pages 1-7 Physiology of the Cerebrovascular System (Heidi L. Lujan, Robert A. Augustyniak, Stephen E. DiCarlo)....Pages 9-19 Pathology of the Extracranial Carotid and Vertebral Arteries (Wendy N. Wiesend, Mitual Amin)....Pages 21-44 History of Carotid Artery Surgery (Praveen C. Balraj, Ziad Al Adas, Alexander D. Shepard)....Pages 45-61 History of Vertebral Artery Surgery (Sachinder Singh Hans)....Pages 63-65 Noninvasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler (Hosam Farouk El Sayed, Nicolas J. Mouawad, Bhagwan Satiani)....Pages 67-83 Cerebrovascular Imaging (CT, MRI, CTA, MRA) (Brent Griffith, Brendan P. Kelley, Suresh C. Patel, Horia Marin)....Pages 85-111 Carotid and Vertebral Arteriography (Muneer Eesa)....Pages 113-125 Medical Therapy for Carotid and Vertebral Artery Stenosis (Moayd M. Alkhalifah, Paul M. Gadient, Seemant Chaturvedi)....Pages 127-134 Carotid Endarterectomy (Sachinder Singh Hans)....Pages 135-146 Carotid Endarterectomy for High Plaque (Sachinder Singh Hans)....Pages 147-150 Eversion Carotid Endarterectomy: Indications, Techniques, Pitfalls, and Complications (Judith C. Lin)....Pages 151-157 Natural History and Contemporary Management of Recurrent Carotid Stenosis (Jeffrey R. Rubin, Yevgeniy Rits)....Pages 159-166 Carotid Interposition Grafting (Sachinder Singh Hans)....Pages 167-170 Current Status of Carotid Endarterectomy and Carotid Stenting (Richard D. Fessler, Justin G. Thomas)....Pages 171-185 Technical Aspects of Carotid Artery Stenting (Robert G. Molnar, Nitin G. Malhotra)....Pages 187-195 Reconstruction for Occlusive Lesions of Aortic Arch Branches (Mitchell R. Weaver)....Pages 197-214 Vertebral Artery Reconstruction (Mark D. Morasch)....Pages 215-224 Fibromuscular Dysplasia, Carotid Kinks, and Other Rare Lesions (Ahmed Kayssi, Dipankar Mukherjee)....Pages 225-239 Cervical (Carotid and Vertebral) Artery Dissection (Vishal B. Jani, Richard D. Fessler)....Pages 241-251 Carotid Body Tumors (Frank M. Davis, Andrea Obi, Nicholas Osborne)....Pages 253-260 Extracranial Carotid and Vertebral Artery Aneurysms (Sachinder Singh Hans)....Pages 261-265 Extracranial Cerebrovascular Trauma (Emily Reardon, J. Devin B. Watson, Melanie Hoehn, Rajabrata Sarkar)....Pages 267-277 Stroke Rehabilitation (Paola M. P. Seidel, Geoffrey K. Seidel)....Pages 279-292 Back Matter ....Pages 293-301 Carotid and vertebral artery disease affects a large segment of the population with the potential of causing severe disability from a major stroke. This book places emphasis on the medical, endovascular and surgical approaches in managing patients with extracranial carotid and vertebral artery disease following pertinent diagnostic studies. Sections focus on carotid and vertebral anatomy, physiology and diagnostic modalities. Subsequent chapters discuss specific disease processes and their management with the best medical therapy neuro-interventions. Contributions from many interrelated specialties, including cerebrovascular physiology, pathology, neuro-radiology, neuro-interventions, stroke-neurology and vascular surgery significantly enhance our knowledge of carotid and vertebral artery disease. Extracranial Carotid and Vertebral Artery Disease: Contemporary Management provides an comprehensive and state-of-the-art approach to managing complex arterial reconstructions.