Hallett: Comprehensive Vascular and Endovascular Surgery 2nd edition (Expert Consult Series)

Something happens with the first edition of a textbook that leads to a second edition. Something must have succeeded. Someone has to understand the success to ensure that the next edition meets the expectations of the readers. As we planned this new edition of Comprehensive Vascular and Endovascular Surgery, the original four editors and our editorial staff discussed that “something” in great detail.

What have we heard about the first edition that sets this textbook apart from others? First, we chose a comprehensive but concise approach to cover all the main topics in vascular disease. Detailed discussions of rare topics were left to other, more encyclopedic, books. In other words, our readers commented that they could read this textbook cover-to-cover in a reasonable period of time. Second, we chose authors who are clinical experts in both open surgical and endovascular techniques. Consequently, the first edition revealed a balance in open and endovascular options for every clinical problem.

Some other features of the first textbook appealed to our readers, too. The consistency in simply designed anatomical drawings and reproductions of vascular imaging was considered a strength. Next, and perhaps as important, the CD-ROM collection of all illustrations and tables helped our readers to quickly assemble PowerPoint presentations for teaching. This innovation with the book may have done more to advance vascular disease education than any other feature of the first edition.

This newest edition of Comprehensive Vascular and Endovascular Surgery sustains the features that our readers acknowledged so graciously with the first textbook. In addition, we have advanced this new edition with several new features. First, Dr Thom Rooke, an internationally recognized cardiovascular medicine specialist at the Mayo Clinic, joins our editorial team. We recognize that cardiologists and vascular internists are venturing more into medical and interventional management of peripheral vascular disease. Dr Rooke's input represents their interests. Second, we have updated every chapter and added several new erudite discussions of other topics, such as vascular imaging and radiation safety, vascular infections, and aortic dissections. Finally, we have added a bank of study questions to assist with review and preparation for board examinations.

We hope that this second edition of Comprehensive Vascular and Endovascular Surgery provides a practical and user-friendly reference for the care of your patients. Again, we welcome your feedback to improve future editions. Stay in touch. Share your experience and knowledge with us and with your colleagues who are dedicated to vascular care.

John (Jeb) Hallett, Joseph Mills, Jonothan Earnshaw, Jim Reekers, Thom Rooke

Contents 

Section I - Background

• 1 - Historical Perspectives in Vascular Surgery: The Evolution of Modern Trends
• 2 - Vascular Biology
• 3 - Thrombosis and Hemostasis
• 4 - Vascular Hemodynamics
• 5 - Evidence-Based Medicine: Basic Concepts, Population Dynamics, and Outcomes Analysis
• 6 - Vascular Laboratory Evaluation of Lower Extremity Arterial Occlusive Disease
• 7 - Vascular Imaging and Radiation Safety

Section II - Chronic Lower Extremity Ischemia

• 8 - Natural History and Medical Management of Chronic Lower Extremity Ischemia
• 9 - Endovascular Treatment of Lower Extremity Arterial Occlusive Disease: Interventional Treatment for Aortoiliac Disease; Femoropopliteal and Tibial Interventions
• 10 - Surgical Intervention for Lower Extremity Arterial Occlusive Disease: Aortoiliac Revascularization Operations; Femoropopliteal and Tibial Interventions
• 11 - Diabetic Foot Problems
• 12 - Amputation

Section III - Acute Limb Ischemia

• 13 - Etiology and Natural History: Diagnosis and Evaluation
• 14 - Management of Acute Limb Ischemia
• 15 - Metabolic and Systemic Consequences of Acute Limb Ischemia

Section IV - Upper Extremity Problems

• 16 - Upper Extremity Ischemia: Aortic Arch
• 17 - Upper Extremity Ischemia: Small Artery Occlusive Disease
• 18 - Thoracic Outlet Syndrome

Section V - Mesenteric Vascular Disease

• 19 - Acute and Chronic Mesenteric Ischemia
• 20 - Mesenteric Venous Thrombosis
• 21 - Splanchnic Artery Aneurysms

Section VI - Renovascular Disease

• 22 - Pathophysiology and Evaluation of Renovascular Hypertension
• 23 - Treatment of Renovascular Disease: Medical Therapy
• 24 - Endovascular Therapy of Renovascular Disease
• 25 - Surgical Management of Atherosclerotic Renal Artery Disease
• 26 - Hemodialysis Access: Placement and Management of Complications

Section VII - Aneurysmal Disease

• 27 - Pathogenesis of Aortic Aneurysms
• 28 - Abdominal Aortic Aneurysm Screening and Evaluation
• 29 - Abdominal Aneurysms: Endovascular Aneurysm Repair
• 30 - Infrarenal Abdominal Aortic Aneurysm: Open Repair
• 31 - Aortic Dissection
• 32 - Laparoscopic Abdominal Aortic Surgery
• 33 - Complex Aortic Aneurysm: Pararenal, Suprarenal, and Thoracoabdominal
• 34 - Peripheral Aneurysms

Section VIII - Cerebrovascular Disease

• 35 - Carotid Artery Disease: Natural History and Diagnosis
• 36 - Surgical Treatment of Carotid Disease
• 37 - Endovascular Treatment of Carotid Disease
• 38 - Surgery for Vertebrobasilar Insufficiency

Section IX - Vascular Complications

• 39 - Healing Characteristics and Complications of Prosthetic and Biological Vascular Grafts
• 40 - Prosthetic Vascular Graft Infection
• 41 - Native Arterial Infections

Section X - Venous Disease and Lymphedema

• 42 - Pathophysiology of Varicose Veins and Chronic Venous Insufficiency
• 43 - Medical Management of Varicose Veins
• 44 - Surgical Treatment of Varicose Veins
• 45 - Endovascular Management of Varicose Veins
• 46 - Surgical Treatment of Chronic Venous Insufficiency
• 47 - Venous Thrombosis and Pulmonary Thromboembolic Disease
• 48 - Soft-Tissue Vascular Malformations
• 49 - Lymphedema 

Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. Each disease chapter follows the same consistent format, for quick consultation and better comprehension. The revised 2nd Edition features several new chapters, increased endovascular treatment coverage, and updated data from the latest trials...bringing you the newest advances from the field. More than 1,000 photographs, line drawings and tables-including many revised illustrations now in color-depict key concepts and procedures. With its practical user friendly approach-and online access through Expert Consult functionality-this resource offers convenient access to complete guidance.

Book Features

• Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice.
• Uses a highly structured, templated format in each chapter to quickly and consistently deliver information on basic science, clinical presentation, non-invasive testing, medical management, surgical management, complications, outcome, and follow up-making information easy to access and understand.
• Includes Key Points boxes in every chapter that allow for quick reference and efficient study.
• Features over 1,000 photographs, line drawings, charts and tables that make important information easy to comprehend.
• Integrates clinical information with basic science making the material relevant to everyday practice.
• Covers treatment and interventions from an evidence-based perspective, whenever possible.
• Provides short, clinical vignettes in the same style as those found on oral exams. 

Website Features

• Consult the book from any computer at home, in your office, or at any practice location.
• Instantly locate the answers to your clinical questions via a simple search query.
• Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
• Review Questions: Be fully prepared for certification and recertification with these questions only available online.

New in this edition

• Provides online access to the text via expertconsult.com where you can perform quick searches of the complete contents, download all of the images, further your study with bonus review and self assessment questions, and follow links to PubMed abstracts for convenient consultation whwere and when you need it most.
• Offers new chapters on vascular diagnosis, graft infections, aortic dissection, and visceral aneurysms for greater coverage of the field.
• Includes a significant increase in endovascular treatment coverage in many of the chapters, reflecting the growing need for experience in these procedures.
• Presents current data from DREAM and EVAR 1 and 2 trials.
• Features a revised artwork program-including many revised illustrations and former black and white images now in color-for an enhanced visual understanding of concepts.
• Includes bonus review and self assessment questions accompany the online version.

Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

Product Details

• Hardcover: 932 pages
• Publisher: Mosby; 2 edition (August 21, 2009)
• Language: English
• ISBN-10: 0323057268
• ISBN-13: 978-0323057264
• Product Dimensions: 11.1 x 8.8 x 1.7 inches 

List Price: $295.00

Rutherford's Vascular Surgery 7th Edition 2 Volume Set (Expert Consult Series)

“This book was conceived as a comprehensive treatise on the surgical management of vascular diseases. … Our efforts will have been rewarded if the book proves helpful to any physician who has committed himself or herself to treating patients with vascular disease.”

This quotation from the Preface to the first edition of Vascular Surgery, published in 1976, exemplifies the vision, purpose, and commitment demonstrated by Robert B. Rutherford as he guided this textbook through six editions over the next 30 years. Known simply as “Rutherford,” this textbook has become the definitive reference not only for vascular surgeons but also for all physicians who treat vascular disease. Vascular specialists and their patients owe a great debt of gratitude to Dr. Rutherford for his stewardship of this invaluable resource.

When Bob Rutherford decided to pass along the editorship of Vascular Surgery, he worked with the publisher, Elsevier, and the Society for Vascular Surgery, which agreed to sponsor the book and appoint future editors.

We were honored to be selected as the first new editors of this textbook, which is now officially and appropriately titled Rutherfords's Vascular Surgery in honor of its founding editor. Never has it been truer that we stand on the shoulders of a giant. In fact, our joint work on this project over the past two years has reinforced our admiration for our good friend Bob Rutherford, who single-handedly and tirelessly edited the first six editions. It took two of us to do his work, and we can only hope to live up to his standard.

Never has the discipline of vascular surgery been so exciting! Traditional open surgery remains a rewarding component of practice, but it has been joined by ever-expanding endovascular options as well as better medical therapies. These expanded therapeutic options increase the complexity of decision making and hence increased the challenge of preparing a comprehensive textbook on the treatment of vascular disease. While it is tempting to continually increase the page content of such a comprehensive book, we decided that addition length (and weight!) could not be handled by most readers. Accordingly, we have worked diligently with authors and Associate Editors to minimize repetition. Also, we eliminated the many print pages of references, which are now available online only (where they are Web-linked with the full PubMed citation and abstract for easy research) and substituted a short annotated reference list for the reader seeking additional general reading on each topic.

In keeping with the inclusionary policy of the SVS, we invited many new and younger authors to participate in this edition and expanded the number of authors from countries outside the United States and Canada. Many new chapters have been added to reflect progress and changes in the treatment of vascular disease. We completely revised the structure and order of chapters, so that the two volumes contain chapters with related content, and the two volumes are easily identified by different colored and illustrated covers. Following current publishing guidelines, we have included many subheadings to allow expeditious location of content; also, full-color illustrations are now distributed throughout the book. Numerous new figures have been created for this edition, and all previous figures have been colorized and updated.

Readers increasingly use Web-based resources, and we are pleased that the current textbook is bundled as a print and Web version. The Web version contains all references, as noted above, and will be updated monthly with new relevant references selected from the Journal of Vascular Surgery and the European Journal of Vascular and Endovascular Surgery. It also contains video presentations.

All of this work would not have been possible without the assistance of many others. Bob Rutherford provided substantial guidance and insights as we undertook this project. We were greatly assisted by our hard-working, thorough, and meticulous Associate Editors: Rich Cambria, Peter Gloviczki, Lou Messina, Joe Mills, Bruce Perler, Jim Seeger, Tony Sidawy, and Fred Weaver. Each of them participated in the selection of authors, development and revision of the proposed chapter outlines, and editing of many chapters. Of course, the ultimate value of any multiauthored textbook is determined by the diligence of the authors who prepared the chapters. Realizing the demands of this task, we selected recognized experts and limited their contribution to a single chapter each, so that they could focus on this endeavor. We were rewarded by excellent contributions. We especially appreciate the authors’ patience with our admittedly rigorous editorial process. In that regard, we treated these chapters more like journal articles, undoubtedly influenced by our tenure as editors of the Journal of Vascular Surgery.

Finally, we appreciate the assistance of many individuals at Elsevier who tolerated our demands for excellence and then exceeded them. Judy Fletcher served as the Publishing Director, Joanie Milnes as the Developmental Editor, and Amy Norwitz as the Senior Project Manager. It was the combined effort of these and many other copy editors, artists, and printers that assembled this final product.

In closing, we echo the hope of Bob Rutherford in his first edition, that this edition will prove helpful to physicians involved in vascular health care. It has been an honor for us to serve as the first SVS editors for the new “Rutherford.”

Jack L. Cronenwett, K. Wayne Johnston

Contents 

VOLUME 1
Section 1 - Fundamental Considerations

• 1 - Epidemiology and Clinical Analysis
• 2 - Embryology
• 3 - Arterial Wall Biology
• 4 - Atherosclerosis
• 5 - Intimal Hyperplasia
• 6 - Ischemia-Reperfusion
• 7 - Arteriogenesis
• 8 - Arterial Aneurysms
• 9 - Arterial Physiology
• 10 - Venous Physiology
• 11 - Venous Pathology
• 12 - Lymphatic Pathophysiology

Section 2 - Patient Evaluation
Introduction

• 13 - Patient Clinical Evaluation

Vascular Laboratory

• 14 - Arterial Physiologic Assessment
• 15 - Arterial Duplex Scanning
• 16 - Venous Physiologic Assessment
• 17 - Venous Duplex Scanning

Imaging

• 18 - Arteriography
• 19 - Venography
• 20 - Radiation Safety
• 21 - Computed Tomography
• 22 - Magnetic Resonance Imaging
• 23 - Intravascular Ultrasound
• 24 - Imaging: Evolving Techniques

Section 3 - Atherosclerotic Risk Factors

• 25 - General Considerations
• 26 - Smoking
• 27 - Diabetes
• 28 - Hyperlipidemia
• 29 - Hypertension

Section 4 - Perioperative Management

• 30 - Preoperative Management
• 31 - Intraoperative Management
• 32 - Postoperative Management

Section 5 - Bleeding and Clotting

• 33 - Normal Coagulation
• 34 - Antithrombotic Agents
• 35 - Thrombolytic Agents
• 36 - Coagulopathy and Hemorrhage
• 37 - Hypercoagulable States

Section 6 - Complications
Systemic

• 38 - Cardiac
• 39 - Respiratory
• 40 - Renal

Local

• 41 - Graft Infection
• 42 - Aortoenteric Fistulae
• 43 - Anastomotic Aneurysms
• 44 - Graft Thrombosis
• 45 - Endovascular
• 46 - Lymphatic
• 47 - Nerve Injury

Section 7 - Venous Disease
Acute Deep Venous Thrombosis

• 48 - Pathophysiology and Natural History
• 49 - Clinical and Diagnostic Evaluation
• 50 - Prevention and Medical Treatment
• 51 - Surgical and Interventional Treatment
• 52 - Vena Cava Interruption

Chronic Venous Disorders

• 53 - General Considerations
• 54 - Nonoperative Treatment

Varicose Veins

• 55 - Surgical Treatment
• 56 - Endovenous Treatment

Chronic Venous Insufficiency

• 57 - Treatment of Perforator Vein Incompetence
• 58 - Deep Vein Valve Reconstruction

Iliocaval Venous Obstruction

• 59 - Iliocaval Venous Obstruction: Surgical Treatment
• 60 - Iliocaval Venous Obstruction: Endovascular Treatment

Superior Vena Cava Occlusion

• 61 - Surgical Treatment
• 62 - Endovascular Treatment

Other Conditions

• 63 - Venous Tumors
• 64 - Superficial Thrombophlebitis

Section 8 - Lymphedema

• 65 - Evaluation and Decision Making
• 66 - Nonoperative Treatment
• 67 - Surgical Treatment

Section 9 - Arteriovenous Anomalies
Congenital Vascular Malformations

• 68 - General Considerations
• 69 - Endovascular and Surgical Treatment

Other Conditions

• 70 - Vascular Tumors in Childhood
• 71 - Acquired Arteriovenous Fistulae

Section 10 - Hemodialysis Access

• 72 - General Considerations
• 73 - Complex
• 74 - Failing and Thrombosed
• 75 - Nonthrombotic Complications

Section 11 - Miscellaneous

• 76 - Vasculitis and Other Arteriopathies
• 77 - Thromboangiitis Obliterans
• 78 - Takayasu's Disease
• 79 - Arterial Tumors
• 80 - Erectile Dysfunction
• 81 - Wound Care
• 82 - Spinal Operative Exposure

VOLUME 2
Section 12 - Technique

• 83 - Open Surgical
• 84 - Endovascular Diagnostic
• 85 - Endovascular Therapeutic
• 86 - Endovascular Aneurysm Repair

Section 13 - Grafts and Devices

• 87 - Autogenous Vein Grafts
• 88 - Prosthetic Grafts
• 89 - Biologic Grafts
• 90 - Aortic Stents and Stent-Grafts
• 91 - Nonaortic Stents and Stent-Grafts

Section 14 - Cerebrovascular Disease

Section 15 - Lower Extremity Arterial Disease

Section 16 - Upper Extremity Arterial Disease

Section 17 - Arterial Aneurysms

• 126 - General Considerations

Abdominal Aortic Aneurysms

• 127 - Evaluation and Decision Making
• 128 - Open Surgical Treatment
• 129 - Endovascular Treatment
• 130 - Ruptured

Thoracic and Thoracoabdominal Aortic Aneurysms

• 131 - Evaluation and Decision Making
• 132 - Open Surgical Treatment
• 133 - Endovascular Treatment
• 134 - Aortic Arch Aneurysms and Dissection
• 135 - Aortic Dissection
• 136 - Lower Extremity Aneurysms
• 137 - Upper Extremity Aneurysms
• 138 - Splanchnic Artery Aneurysms
• 139 - Infected Aneurysms
• 140 - Aneurysms Caused by Connective Tissue Abnormalities

Section 18 - Renal and Mesenteric Disease

Renovascular Disease

• 141 - General Considerations
• 142 - Open Surgical Treatment
• 143 - Endovascular Treatment
• 144 - Fibrodysplasia
• 145 - Aneurysms and Arteriovenous Fistulae
• 146 - Acute Occlusive Events

Mesenteric Vascular Disease

• 147 - General Considerations
• 148 - Chronic Ischemia
• 149 - Acute Ischemia
• 150 - Venous Thrombosis

Section 19 - Trauma and Acute Limb Ischemia

• 151 - Vascular Trauma: Epidemiology and Natural History
• 152 - Vascular Trauma: Head and Neck
• 153 - Vascular Trauma: Thoracic
• 154 - Vascular Trauma: Abdominal
• 155 - Vascular Trauma: Extremity
• 156 - Vascular Trauma: Military
• 157 - Acute Ischemia: Evaluation and Decision Making
• 158 - Acute Ischemia: Treatment
• 159 - Compartment Syndrome
• 160 - Atheromatous Embolization
• 161 - Complex Regional Pain Syndrome 

The seventh edition of Rutherford's Vascular Surgery-the most acclaimed comprehensive reference in vascular surgery-presents state-of-the-art updates on every aspect of vascular health care.This revision incorporates endovascular and nonoperative treatment throughout the book. It has been extensively revised by many new, international authors-led by Drs. Jack Cronenwett and K. Wayne Johnston-to meet the needs of surgeons, interventionalists, and vascular medicine specialists. Published in association with the Society for Vascular Surgery, it includes searchable online access to the full text, images, and videos through Expert Consult. Regular updates will be made to the online version based on key publications.

Foreword
This seventh edition of Vascular Surgery is different, and I think better, than the sixth edition, thanks to some new approaches introduced by my colleagues, Jack Cronenwett and Wayne Johnston, who have drawn from their experiences as associate editors of earlier editions of this textbook and editorship of the Journal of Vascular Surgery.

Before my work on the first edition in 1977, the only editorial experience I had was as a co-editor of the Management of Trauma during my career as a trauma surgeon and director of the Emergency Department at Johns Hopkins. Shortly after I opted to pursue a career in vascular surgery, Robert Rowan, then head of WB Saunders, commented, “Your chosen specialty is rapidly growing but does not yet have a textbook.” He then asked me if I would consider being the editor of one. My initial response was that such a book needed a “name editor” and I was still a nobody in the field.

Bob Rowan persisted with this request after I moved to Colorado, and by then it occurred to me that a vascular surgery textbook edited by a group of “young lions” in the field might not be such a bad idea. Not long afterward I gathered with a group of associates—Victor Bernhard, Wesley Moore, Malcolm Perry, and David Sumner—and the angiographer who worked with Victor, Frank Maddison, to plan the first edition. Realizing that none of us was widely recognized yet, and fearing that the leaders of vascular surgery of the time might consider a textbook by us as somewhat presumptuous, I suggested dedicating the book to them, as our mentors. They might well have done the book themselves had they not been so busy leading our specialty through its early challenges, but their response was gratifying and the book was better received than we might have expected.

Nearly every five years since then, another edition of Vascular Surgery has been published, and I continued the strategy of gathering together the most knowledgeable of my colleagues and asking them to serve as assistant or associate editors of one or more sections of the book. Each edition grew and became more comprehensive, growing quickly to two volumes and ultimately to the 2502-page 6th edition. The intent was to provide complete coverage of current vascular surgery practice and to produce a book not to be read from cover to cover, but one that could serve as the ultimate reference. Thanks to Wayne Johnston, the last edition included an online version, with periodic updates. It was marketed as a separate entity but is more integral in this edition.

During the ensuing years, the hard work of many colleagues has not only justified my choice of collaborators and rewarded my own efforts but made me look good. My policy of changing chapter authorship after two editions may have seemed inappropriate to those contributing good chapters, but including them as coauthors of the revised chapters guaranteed a smooth transition, allowing retention of elements that were still current. This was not “change for change's sake,” but awareness of the difficulty of improving on a chapter that one has written twice. As the result of this turnover and of the expanding scope and practice of vascular surgery, a majority of chapters in new editions reflected either new first authors or new chapter titles, and sometimes both. Yet, as I look over the table of contents of the 6th edition it is surprising how many colleagues have continued to contribute and stay involved over the years; more than twice the number of contributors remain as those missing. I thank them for their willingness to contribute in one way or another to what has become our specialty's main textbook.

Looking over past editions and seeing the names Charles Anderson, Gene Bernstein, John Cranley, Stanley Crawford, Bob Hobson, George Johnson, Allastair Karmody, Dick Kempczinski, Bill Krupski, John Porter, Ed Saltzman, Gene Strandness, and Charles Witte on those pages reminds us of the tragic toll of illness or injury among my colleagues. I remember them with fondness. In addition, I owe a special thanks to former section editors John Bergan, Victor Bernhard, Tony Comerota, Richard Dean, Julie Freischlag, Kaj Johansen, Dave Kumpe, Tom Riles, Wesley Moore, Malcolm Perry, Lloyd Taylor, David Sumner, and John Wolfe, who toiled with me in earlier editions (and some of whom still contribute chapters) as well as those with me through the 6th edition: Hugh Beebe, Kim Hansen, Peter Gloviczki, Ken Ouriel, Greg Moneta, Bruce Perler, John Ricotta, Russell Samson, Jim Seeger, Tony Sidawy, Jim Valentine, Tom Wakefield, and Fred Weaver.

I am particularly pleased to have this textbook in good hands as I pass the baton to long-time friends and co-editors Jack Cronenwett and Wayne Johnston, especially with the prospects of continued support from the Society for Vascular Surgery as vascular surgery goes forward. In spite of all the hard work, I am quick to admit that this textbook has been good for me and my career, and so it is without regret, and with considerable enthusiasm, that I look forward to its continuing to serve as a valuable renewable resource for present and future vascular surgeons.

Robert B. Rutherford, MD, FACS, FRCS (Glasg.)

Book feature

• Features all vascular imaging techniques, offering a non-invasive evaluation of both the morphology and hemodynamics of the vascular system.
• Discusses operative, endovascular, and non-operative management of vascular conditions to help you choose the right option for each patient.
• Covers the continuum of surgical management options through integrated coverage of endovascular techniques so you have the comprehensive coverage you need.
• Explores advances in basic science-including vessel walls, coagulation, and more-to provide the necessary background for understanding areas where fundamental changes are taking place. 

New in this edition

• Published in Association with the Society for Vascular Surgery, reinforcing the clinical importance and pivotal role of this title.
• Provides sections dedicated to Fundamental Considerations, Patient Evaluation, Atherosclerotic Risk Factors, Perioperative Care, Bleeding and Clotting, Complications, Venous Disease, Lymphedema, Arteriovenous Anomalies, Hemodialysis Access, Miscellaneous, Technique, Grafts and Devices, Cerebrovascular Disease, Lower Extremity Arterial Disease, Upper Extremity Arterial Disease, Arterial Aneurysms, Renal and Mesenteric Disease, and Trauma and Acute Limb Ischemia.
• Reviews all major areas of vascular health care, written by international experts, with up to date bibliographies and annotated recommended references.
• Covers endovascular applications throughout the text, along with fresh approaches to many areas-including vascular access, imaging, and non-operative management-to keep you current with the latest developments and techniques.
• Presents a new full-color layout and design with more full-color images to give the book a modern look and feel and clarify clinical and physical findings and operative techniques.
• Includes access to the full text online with regular content updates, videos of procedures, an image library, and more so that you stay current and master new procedures in this fast-changing field.

Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

Product Details

• Hardcover: 2448 pages
• Publisher: Saunders; 7 edition (March 9, 2010)
• Language: English
• ISBN-10: 1416052232
• ISBN-13: 978-1416052234
• Product Dimensions: 11.8 x 9.8 x 5.6 inches

List price: $389.00