Aortic Arch Vessels and Upper Extremity Arteries
INTRODUCTION Print Section Listen Loss of arm and hand function arguably carries higher morbidity than that of the leg, as there seems to be an unspoken stigma associated with arm…
Descending Thoracic Aorta
INTRODUCTION Print Section Listen Acute aortic syndrome presents challenging diagnostic and therapeutic disease. Intramural hematoma (IMH), penetrating aortic ulcer, aortic dissection (AD), and aneurysm can all have a similar clinical…
Acute Limb Ischemia
ACUTE LIMB ISCHEMIA Print Section Listen Acute arterial occlusion is one of the most devastating diseases in vascular surgery, resulting in limb loss, long-term morbidity, and death. Early recognition of…
Gene Therapy for Peripheral Arterial Disease
INTRODUCTION Print Section Listen Peripheral arterial disease (PAD) caused by atherosclerotic occlusions that impair blood flow to the lower extremity is now recognized as a major health care problem. Despite…
The Vascular Biology and Clinical Efficacy of Drug-Eluting Stents for the Treatment of Peripheral Arterial Disease
INTRODUCTION Print Section Listen Nearly 10% of the population older than 65 years has atherosclerotic lower extremity peripheral arterial disease. Older patients and those with risk factors may have up…
Endovascular Therapies in Peripheral Arterial Disease
IN THE BEGINNING Print Section Listen In 1929, a 25-year-old intern named Werner Forssman was dissatisfied with the available methods of evaluating cardiac function at his hospital in Berlin. His…
Medical Therapy of Intermittent Claudication
INTRODUCTION Print Section Listen The medical therapy of intermittent claudication is founded on two fundamental precepts (Table 34-1). The most compelling of these is that peripheral arterial disease is evidence…
Noninvasive Arterial Imaging
FUNCTIONAL MECHANICS OF NORMAL AND ABNORMAL VASCULAR FLOW Print Section Listen Describing pulsatile fluid systems mathematically is very complex. Hemodynamics can be defined as the physical factors that influence blood…
Intracranial Arterial Disease
INTRODUCTION Print Section Listen All aspects of the management of intracranial arterial disease have undergone major transformations in the past two decades. Alternatives are now available for conditions previously treatable…
Intravascular Ultrasound in Peripheral Arterial Disease
INTRODUCTION Print Section Listen Intravascular ultrasound (IVUS) has become a standard imaging technique in high volume, experienced interventional laboratories, but most of its use is relegated to the coronary arteries….
