| 书目名称 | Practical Techniques of Carotid Endarterectomy | | 编辑 | Hai Qian,Long Wang | | 视频video | http://file.papertrans.cn/754/753300/753300.mp4 | | 概述 | Step-by-step interpretation regarding carotid plaque resection with medical illustrations.Exquisite anatomical dissections of cervical region.Descriptive algorithm of CEA surgery | | 图书封面 |  | | 描述 | .This book addresses multiple principles of carotid endarterectomy in terms of cervical anatomy, surgical techniques, practical cases and frequent questions stemming from clinical practice. Carotid endarterectomy (CEA) is an effective way to the treatment of carotid artery stenosis, which significantly reduce the risk of stroke. This book covers the key concepts and common question in CEA. It is a practical book focusing on basic surgical technical techniques, but not covers controversial issues.. | | 出版日期 | Book 2023 | | 关键词 | cervical anatomy; anatomical dissections; ischemic stroke; carotid stenosis; atherosclerotic plaque; caro | | 版次 | 1 | | doi | https://doi.org/10.1007/978-981-19-6966-9 | | isbn_softcover | 978-981-19-6968-3 | | isbn_ebook | 978-981-19-6966-9 | | copyright | China Science and Technology Press 2023 |
| 1 |
,Basics, |
Hai Qian,Long Wang |
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Abstract
Carotid endarterectomy (CEA) is a type of procedure to treat carotid stenosis. The principle is to remove intraluminal plaque from the inner wall of carotid artery and thus relieve arterial stenosis, improving blood flow of supplied territory (Fig. 1).
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| 2 |
,CEA Surgical Technique Essentials, |
Hai Qian,Long Wang |
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Abstract
As for those patients indicated with carotid surgery, antiplatelet therapy should be initiated before procedure. Currently, the medication algorithm may be various at different centers and authors only give Aspirin. For adult patients, the baseline dosage of pill is 300 mg per day lasting 3 days. If a patient has taken Aspirin (100 mg per day) longer than 1 month, the same oral dosage should be kept until the day of CEA. However, it is recommended to increase the dosage to 300 mg for 3 days prior to surgery if patients with less than 1 month history of single antiplatelet therapy. If available, thromboelastography may be used to detect the effect of anticoagulation in each individual.
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| 3 |
,CEA Typical Cases, |
Hai Qian,Long Wang |
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Abstract
Case 1: A 59-year-old gentlemen presented with 1 month history of dizziness with one time falling down when he got up in the morning. Physical examination (PE) was uneventful. CTA demonstrated bilateral carotid stenosis (Lt: 50%; Rt: 90%) (Figs. 1 and 2).
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| 4 |
,Frequent Asked Questions of CEA, |
Hai Qian,Long Wang |
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Abstract
The prior three chapters aimed at describing common knowledge points of CEA and tried to make such technique popularized for readers. In the clinical practice, however, each case or patient was specific and miscellaneous situations may encounter which are rarely discussed among above contents. In this chapter, a majority of particular issues that approached previously by the authors will be presented and discussed with valuable comments.
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| 5 |
,Summarized Process of CEA, |
Hai Qian,Long Wang |
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Abstract
This chapter is the highlights of CEA hands-on course held by the authors in Sanbo Brain Hospital, Capital Medical University and aimed at assisting surgeons to review each step of carotid surgery on the day before procedure to assure his/her mind reorganized. The following content is illuminated on the basis of trainees’ feedback and by a reference list fashion.
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