Acute aortic dissection (AAD) is a precipitous event associated with a wide range of outcomes from uncomplicated to catastrophic. Current endovascular strategies are based on identifying features that portend increased risk of death or other poor outcome, and applying interventional…
Morgagni described the first cases of aortic dissection in 1773, and Maunoir coined the entity “aortic dissection.” Despite these early reports of thoracic aortic disease, it was not until 1952 that Drs. De Bakey and Cooley first successfully operated on…
Acute aortic dissection is an uncommon but life-threatening emergency that requires prompt diagnosis, rapid triage, and immediate treatment. A unified effort across several international centers over the past 20 years has resulted in the establishment of a detailed, prospective registry…
The management of carotid artery disease remains a topic of current investigation and vigorous debate regarding optimal treatments. Multiple prospective randomized controlled trials have compared the standard therapies, which include carotid endarterectomy (CEA), carotid artery stenting (CAS), and best medical…
The medical management of stroke encompasses a wide range of therapies that include managing physiological parameters in the acute phase, reducing the extent of acute injury, and preventing recurrent strokes. Ischemic stroke is the most common form of cerebrovascular disease…
Stroke is a common and serious disorder. Each year stroke affects almost 800,000 people in the United States, at least 16 million people globally, and is the second leading cause of death in the world (see Chapter 28 ). The…
Overview Stroke is the second leading cause of death worldwide, accounting for 4 million deaths in 2004. Cerebrovascular disease is currently the fifth most common cause of death in the United States behind diseases of the heart, cancer, chronic lower…
The first historical descriptions of erectile dysfunction (ED) date back to Egyptian papyrus, nearly 4000 years ago. Egyptian scholars described two types of ED: a “natural” form in which the man was not capable of performing the sex act and…
Clinical evaluation of possible mesenteric ischemia begins with an appropriate index of suspicion for the diagnosis followed by a careful history and physical examination. The major categories of mesenteric ischemia include chronic mesenteric ischemia (CMI), acute occlusive mesenteric ischemia (AMI),…
Mesenteric vascular disease can be characterized as acute or chronic, symptomatic or asymptomatic. Severe acute intestinal ischemia results from sudden symptomatic reduction in intestinal blood flow of sufficient magnitude to result potentially in intestinal infarction. Acute ischemia of the small…