| 书目名称 | Manual of Vascular Medicine | | 编辑 | Marie Gerhard-Herman,Aaron Aday | | 视频video | | | 概述 | Contains easy to follow guidelines ideally suited for direct application in clinical practice.Features extensively illustrated practically applicable clinical case material.Provides a practical guide | | 图书封面 |  | | 描述 | .This practical manual makes clinical vascular medicine easy for the health care provider to master by providing frameworks for each area of diagnosis and a practical approach to necessary testing. Rather than providing long lists of possible diagnoses for a clinical question, each approach is broken down into a flow chart of the thinking and questions necessary so that only those needed in each situation are utilized. Chapters cover a broad range of topics including arterial and venous testing in the laboratory, thrombophilia, cold disorders of the extremities and lymphatic diseases. . .Manual of Vascular Medicine. provides extensive case-based learning for trainees and practicing physicians looking to expand their knowledge in this field that crosses many traditional disciplines. It is therefore of importance to any medical professional managing vascular patients, including cardiovascular and vascular physicians, nephrologists, neurologists, phlebologists, dermatologists, general medical doctors and vascular radiologists.. . . | | 出版日期 | Book 2020 | | 关键词 | Peripheral Artery Disease; Chronic Venous Disease; Venous Thromboembolism; Carotid Artery Disease; Acute | | 版次 | 1 | | doi | https://doi.org/10.1007/978-3-030-44715-1 | | isbn_softcover | 978-3-030-44714-4 | | isbn_ebook | 978-3-030-44715-1 | | copyright | Springer Nature Switzerland AG 2020 |
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Front Matter |
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Abstract
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,Noninvasive Vascular Testing, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
The goal of vascular testing is to characterize vessel structure and function. In many cases, a comprehensive history and physical examination are sufficient to make a dignosis (McDermott, Circ Res 116(9):1540–1550, 2015). However, in instances when more information is necessary, the history and physical will direct appropriate diagnostic testing. The modality is chosen according to the needs of a particular patient as well as availability and local expertise. Modalities include physiologic testing, ultrasound (US), computed tomography (CT) and magnetic resonance (MR) imaging (Table .). Specific uses of these methods are discussed further in the disease specific sections of this text. These noninvasive methods are distinct from invasive angiography, where intervention can be performed at the time of diagnosis.
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,Evaluation of Leg Pain, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Leg pain is common and there are many etiologies for non-joint leg pain. Vascular, neurologic and musculoskeletal conditions are all important causes of leg pain. It is essential to understand pain character, location, timing and triggers to identify the cause of leg pain. Examination includes an assessment of leg temperature, color, pulses, reflexes, sensation and dynamic maneuvers. Vascular causes such as peripheral artery disease and venous claudication must be considered among these causes of leg pain.
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,Peripheral Artery Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Peripheral artery disease (PAD) is a term referring to obstruction of arterial flow to an end organ, the leg most often being the organ when this term is used. PAD most commonly refers to atherosclerotic disease, and atherosclerotic PAD is most common in those over 65 years of age as well as those with a history of diabetes or cigarette smoking. However, other diseases can obstruct lower extremity arterial flow including arteritis, embolism, fibromuscular dysplasia, and dissection and should be considered especially when the individual with PAD has no atherosclerotic risk factors.
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,Aortic Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
The aorta is the primary artery delivering blood to the whole body. It extends from the thorax to the abdomen and ends in the iliac arteries. The wall is composed of layers known as intima, media and adventitia. There are major consequences of end organ malperfusion, shock and death if aneurysm or dissection occurs in the aorta.
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,Renal and Mesenteric Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
There are a number of conditions can impair the blood supply to the kidneys and mesentery, although atherosclerosis is the most common etiology. Additional possibilities include emboli, in situ thrombosis, extrinsic compression, dissection and fibromuscular dysplasia. The first step to diagnosing mesenteric vascular disease is to recognize that there is altered flow to the kidney or mesentery.
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,Vasospastic Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Raynaud’s phenomenon is an episodic, circumferential, well-demarcated pallor or cyanosis seen in the digits, tip of the nose, earlobes and tip of the tongue (Belch, Vasa 46(6):413–423, 2017). It can be either a primary phenomenon or secondary to another cause. It is distinct from other forms of episodic color changes in the extremities such as acrocyanosis, erythromelalgia, livedo and spontaneous venous hemorrhage. Abnormal vasoreactivity is common to those individuals with multiple types of episodic color changes.
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,Cerebrovascular Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Stroke affects 7 million adults in the U.S. (Virani et al., Circulation141:e139–e596, 2020). Cerebrovascular disease and strokes result when cerebral blood flow is diminished. The vast majority of strokes are ischemic, with up to 15% being hemorrhagic. Stroke is the third leading cause of disability worldwide (Feigin et al., Neuroepidemiology 45:161–176, 2015). Treatment of cerebrovascular disease extends from modifying risk factors to revascularization.
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,Evaluation of Limb Swelling, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Limb swelling can develop suddenly or over the course of years. A correct diagnosis requires consideration of whether the swelling is acute or chronic, symmetric or asymmetric, localized or generalized, and congenital or acquired. Edema develops when the rate of capillary filtration exceeds venous and lymphatic drainage, either because of inadequate lymphatic flow or increased capillary filtration. A careful approach to diagnosis in this setting can allow recognition of diseases requiring urgent treatment as well as allowing appropriate treatment.
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,Venous Disease, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Venous disease includes thromboembolic disease (VTE), varicose veins and venous insufficiency. All of these disorders contribute to impairment of venous blood flow returning to the lungs via the right heart.
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,Lymphedema, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Lymphatic vascular insufficiency leads to swelling that extends to the digits. It can be primary or secondary to surgery, trauma, infection and cancer. There is multi-pronged treatment for this disabling condition. In addition, it can be associated with many vascular anomalies and, most worrisome, can rarely transform to lymphangiosarcoma.
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,Vascular Compressive Syndromes, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Vascular compression can occur when local anatomy facilitates positional compression of a vessel. Symptoms are determined by the vascular bed supplied by the compressed vessel. These vascular compression syndromes arise in the thorax (thoracic outlet syndrome), abdomen (median arcuate ligament syndrome and nutcracker syndrome) and in the limbs (May-Thurner syndrome and adventitial cyst). While vascular compression is very common, clinical syndromes developing as a result of compression are rare.
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,Special Populations, |
Marie Gerhard-Herman,Aaron Aday |
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Abstract
Special populations with vascular disease include adults with congenital heart disease, patients undergoing treatment for cancer, and the evolving constellation of individuals with fibromuscular dysplasia (FMD). There are unique considerations in each of these areas. The surgery and repeat cardiac catheterizations among those with congenital heart disease often impact the left subclavian artery and the femoral vessels. Residual right heart failure contributes to venous hypertension. In cancer treatment, targeted therapies have had unintended consequences for arteries including hypertension, vasospasm and peripheral artery disease. FMD has been seen in every artery in the body and at all ages. The lesions are categorized by imaging appearance. Recommendations currently include surveillance imaging and, in some cases, interventions to addresses the specific arterial finding.
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Back Matter |
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Abstract
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发表于 2025-3-21 17:06:16
