Extracranial Carotid and Vertebral Artery Disease. Contemporary Management

Surgical Anatomy of Carotid and Vertebral Arteries.- Physiology of the Cerebrovascular System.- Pathology of the Extracranial Carotid and Vertebral Arteries.- History of Carotid Artery Surgery.- History of Vertebral Artery Surgery.- Non-Invasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler.- Cerebrovascular Imaging (CT, MRI, CTA, MRA).- Carotid and Vertebral Arteriography.- Medical Therapy for Carotid and Vertebral Artery Stenosis.- Carotid Endarterectomy.- Carotid Endarterectomy for High Plaque.- Eversion Carotid Endarterectomy: Indications, Techniques, Pitfalls, and Complications.- Natural History and Contemporary Management of Recurrent Carotid Stenosis.- Carotid Interposition Grafting.- Current Status of Carotid Endarterectomy and Carotid Stenting.- Technical Aspects of Carotid Artery Stenting.- Reconstruction for Occlusive Lesions of Aortic Arch Branches.- Vertebral Artery Reconstruction.- Fibromuscular Dysplasia, Carotid Kinks and other Rare Lesions.- Cervical (Carotid and Vertebral) Artery Dissection.- Carotid Body Tumors.- Extracranial Carotid and Vertebral Artery Aneurysms.- Extracranial Cerebrovascular Trauma.- Stroke Rehabilitation.

Management of carotid and vertebral artery disease has undergone tremendous strides since the introduction of thin section CT angiography and neurointerventions. These minimally invasive techniques continue to evolve allowing great advantages for patients. In this book we will focus on both endovascular (minimally invasive) and open arterial reconstructions as both types of procedures are still very much part of routine practice in managing extracranial carotid and vertebral artery disease.

This text is designed to be a comprehensive and state-of-the art approach in managing straight forward to complex arterial reconstructions. Sections will focus on carotid/vertebral anatomy, physiology, diagnostic modalities. Subsequent chapters will focus on specific disease processes and their management with best medical therapy neurointerventions (carotid artery stenting) and open reconstructions like carotid endarterectomy and arterial reconstructions for vertebral artery disease. In addition, management of extracranial carotid artery aneurysms, carotid body tumors and carotid trauma will be covered in detail. Modern techniques in rehabilitation practice for stroke patients will also be addressed. The authors will be recognized experts in their field, whether an acknowledged academic leader or a well respected community based surgeon.

Each chapter dealing with clinical pathology will address patient selection, preoperative considerations, technical steps for operation and emphasis on avoiding complications. Management of common complications related to each procedure will be outlined in a step-wise fashion. Pertinent case illustrations will be described in short at the end of the chapter. Figures and illustrations will help the reader in grasping the technique of a particular procedure.

Sachinder Singh Hans MD, MS, FRCS(c) FACS.
Medical Director, Vascular and Endovascular Surgery
Henry Ford Macomb Hospital Clinton Twp MI
Chief Vascular Surgery
St John Macomb Hospital, Warren, MI
Clinical Assistant Professor Of Surgery
Wayne State University School Of Medicine Detroit, MI
28411 Hoover - Warren, MI 48093