Publisher Description

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.

Author Biography

Jonothan J Earnshaw DM FRCS is Consultant Surgeon, Gloucestershire Royal Hospital, Gloucester, UK. Michael G Wyatt MSc, MD, FRCS is Consultant Vascular Surgeon, Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne, UK.

Table of Contents

How do complications influence outcome?; Complications related to cardio-respiratory co-morbidity; Associated renal complications & how to prevent them; Complications related to diabetes in vascular patients; Per-procedural thrombosis & the hyper-coagulable state; The management of haemorrhage in vascular surgery; How to prevent & manage major postoperative vascular infection; Drug & medicine-associated complications in vascular patients; The prevention & treatment of peri-operative stroke & paraplegia; Complications related to the management of acute ischaemia; How can we minimise the ischaemic reperfusion, compartment syndrome & multi-organ failure in vascular patients?; The aetiology & management of the failed vascular bypass; Complications due to peripheral angiography, angioplasty & stenting; Complications specific to intra-vascular stents; Vascular complications in patients belonging to other specialties; Abdominal aortic aneurysms; Arch & thoracic aortic aneurysms; Acute & chronic aortic dissections; Carotid intervention; Aorto-iliac & infra-inguinal disease; The diabetic foot; Thoracic outlet syndrome; Thoracoscopic sympathectomy; Intervention for varicose veins; Complications of intervention for vascular malformations; Complications related to renal transplant, vascular access & dialysis.

Long Description

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.

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