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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3712_Библиотеки_им_академика_М_И_Перельмана
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INDEX
A
Acute lower limb ischaemia
CT angiogram, 47, 48
CTA report, 47, 49
diagnosis, 47
lower limb CT angiograms, 51
patient history, 47
post-operative plan, 49
revascularisation plan, 47
Acute mesenteric ischaemia
CTA, 61, 62
diagnosis, 61
midline laparotomy, 63
patient history, 61
post-operative plan, 63
revascularisation plan, 63
SMA embolectomy, 63, 64
surgical access approach, 63
Acute upper limb ischaemia
CT angiogram, 106, 107
diagnosis, 105
rst rib resection with le subclavian artery
aneurysm repair, 111
le arm arterial duplex, 107
le cervical rib with le subclavian artery
aneurysm repair, 112
operative images
right subclavian artery, 110, 111
right supraclavicular fat pad retraction, 110
patient history, 105
right arm arterial duplex., 108
thrombosed subclavian artery aneurysm,
107, 108
x-ray, neck and thoracic outlet, 106
Ankle guillotine amputation, 124, 125
Aorta
AAA, 97, 99, 101, 102
aortic covered stent insertion, 42, 43
aortic dissection, 113
aorto-bifemoral bypass, 39
aorto-duodenal stula, 39
aorto-enteric stula, 39
blink decision-making, 42, 44
complex catastrophic vascular problem, 103
CT angiogram, 42, 43, 95–97, 99, 113–117
CTA report, 39, 40
CTA with vascular radiology, 42
diagnosis, 95
escalation, 44–45
EVA R , 99–102
“high-stakes” referral, 117–118
laparotomy, 117
le to right femoral-femoral crossover, 117
management plan, 98
operative images, 100, 102
patient history, 95
patient transfer, 41
pragmatism, 44
radiology registrar report, 39
referral controversy, 117
surgical approach, 99, 100
surgical history, 39
symptomatic aneurysms, 45
worst-case scenario, 103, 118
zero-tolerance approach, 118
Aortic covered stent insertion, 42, 43
Aortic injury, 2, 6
Aorto-duodenal stula, 39
Autologous vein, 86
B
Blink decision-making, 42, 44
C
Carotid
carotid endarterectomy, 88, 90, 91, 93
CTA carotid, 90, 92
CT brain, 92
CT head, 87
ICA duplex, 88
intra-cranial circulation, 92
le ICA stenosis, 88
management plan, 90, 92
MRA carotid, 89
patient history, 87
transient ischaemic attack, 87
Chronic limb-threatening ischaemia
advice, 59
angiographic images, 55, 58
autologous vein, 86
CTA images, 19, 54
infra-renal aorta, 74–76
lower limbs, 74 , 76
CTA report, 20
diagnosis, 53, 55
distal anastomosis, 82, 83
echocardiogram result, 55, 56
extensive medical comorbidity, 20
fem-AT bypass, 20
133
Index
tness test, 16, 17
tness test results, 78, 79
GSV Miller cus, 85
GSV vein map report, 15–17
iliac stenting, 58, 59
infra-renal aorta, 73, 75
interpretation
angiographic images, 15, 16
MRA image, 15, 16, 20
intravenous antibiotics, 82
le axillary artery duplex
biphasic ow in, 80
posterior tibial artery, 80
le femoral-AT bypass, 18
le profunda artery, 81
le transmetatarsal amputation, 82, 84, 85
management plan, 53, 55, 73
MRA lower limb, 55, 57, 58, 73, 74
patient history, 15, 53, 73
PFA anastomosis, 82, 83
post-operatively foot, 82
pre-operatively foot, 81
reperfusion foot sepsis, 82
revascularisation approach, 55
revascularisation plan, 75
Rutherford 1 acute ischaemia, 59
skip incision le ank, 81, 84
spirometry result, 55, 56
supercial dehiscence, 19, 20
vein mapping result, 55, 56, 75, 77
Chronic obstructive pulmonary disease (COPD),
73
D
Day-case varicose vein surgery, 68
Deep vein thrombosis, 66
Diabetic foot disease
angiographic images, 14
diagnosis, 9
hallux toe pressure, 9
interpretation
bone sample results, 10
MRA, 10–11
x-ray, 10
management plan, 9
patient history, 9
revascularisation plan
le leg, 10
right leg, 10–11
SFA angioplasty, 11–13
SFA stenting, 11, 12
WIf I stage, 9
Diabetic foot sepsis
ankle guillotine amputation, 124, 125
blood results, 122, 123
chest x-ray, 121, 122
diabetic foot infection, 119
diagnosis, 119
HDU admission, 124
knee tourniquet, 122, 124
life-threatening neuroischaemic diabetic foot
sepsis, 119
management plan, 120
plastic surgical case, 121
venous blood gas, 122, 123
x-ray, 120
E
Edoxaban, 25, 28
F
Fem-AT bypass, 20
Femoral artery, 4, 5, 7
G
GSV Miller cus, 85
I
Infra-renal aorta, 73, 75
IVDU groin
bloodborne diseases, 24
cavity, 27
CFA /PFA, 26
CTA image, 23, 24
distal control, 28
edoxaban, 25
haemorrhage control, 27
history and examination, 28
infected haematoma, 26
management plan, 23
necrotic tissue, 26
patient history, 23
pragmatic approach, 27–29
Prolene suture, 27, 28, 30
proximal control, 28
Rutherford Morrison incision, 26, 28
sepsis control, 27, 29
tranexamic acid, 25, 26
vascular surgery, 27
pitfalls in, 30
wound closure methods, 29
M
Midline laparotomy, 63
134
Index
O
Open varicose vein surgery, 69
P
Pelvic fractures, 4
Pelvic ring injury, 6
Pragmatic approach, 29
Prolene suture, 27–28, 30
R
Renal access
brachial artery, 127
brachial embolectomy, 129
stula anastomosis, 129
stula ultrasound, 127, 128
haemorrhage control, 130
ischaemic monomelic neuropathy, 129
le brachiocephalic stula creation, 127
management plan, 129
necrotising so tissue infection, 130
oral antibiotics, 130
Rutherford 1 acute ischaemia, 59
Rutherford Morrison incision, 26, 28,
68, 70
S
Sartorius ap, 29
Sepsis control, 29
SFA angioplasty, 11–13
SFA stenting, 11, 12
SMA embolectomy, 63, 64
Sod’s law, 70
Supercial dehiscence, 19, 20
Symptomatic aneurysms, 45
T
TEVAR procedure, 2–7
oracotomy, 7
Tranexamic acid, 25, 26, 28
V
Vari cos e vein s
bleeding algorithm, 70, 71
day-case varicose vein surgery, 68
deep vein thrombosis, 66
diagnosis, 66
groin incision, 66
management plan, 65, 67
open varicose vein surgery, 69
patient history, 65
pragmatic decision, 68
proximal and distal control approach, 70
Rutherford Morrison incision, 68, 70
Sod’s law, 70
surgical assistance, 69
surgical boundaries, 69
treatment, 65
in worst-case scenario, 70
Vascular catastrophe, 37
Vascular trauma
aortic injury, 2, 6
CFA anterior wall, 5
CT report, 1–2
CT trauma scan, 1, 2
femoral artery, 4, 5, 7
GSV, 8
hospital approach in trac jam, 32
interventional radiology, 4, 6
management plan, 1
middle colic artery, 35
“minor” bleeding point, 34
orthopaedics, 4
patient history, 1, 31
pelvic fractures, 4
pelvic ring injury, 6
portal vein injury, 33
read the room, 33
response, 31
TEVAR procedure, 2–5, 7
thoracotomy, 7
vascular catastrophe, 37
vascular injury, 33
vein injury, 35
Vitamin K, 26, 28
135
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