By Jose Almeida MD PA
Extend your surgical talents with Atlas of Endovascular Venous surgical procedure, by means of Dr. Jose Almeida. This easy-to-access, hugely visible reference deals the excellent, step by step assistance you want to in attaining optimum results within the surgery of venous issues. special, full-color intraoperative illustrations and top of the range movies seize key instructing moments, permitting you to higher comprehend the nuances of surgical procedure and equipping you to accomplish state-of-the-art systems and improve your perform. the most recent in laser-assisted distal stripping techniques, new units for the therapy of venous reflux, and an evidence-based precis of the yank Venous discussion board directions are between many sizzling subject matters lined. What’s extra, you could entry the absolutely searchable, whole text—along with photo and video libraries—online at www.expertconsult.com.
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42 n ATLAS OF ENDOVASCULAR VENOUS SURGERY n Fig 2–14 Thick vein walls after radiofrequency ablation of great saphenous vein (GSV). n Fig 2–15 No flow in saphenous vein by color flow duplex imaging (CFDI). C H A P T E R 2 n Noninvasive Testing RCIA LCIA LCIV RCIV n Fig 2–16 Ultrasound image of left common iliac vein compression from overlying right common iliac artery (RCIA). LCIA, Left common iliac artery; LCIV, left common iliac vein; RCIV, right common iliac vein. 43 44 n ATLAS OF ENDOVASCULAR VENOUS SURGERY MIAMI VEIN CENTER NON-INVASIVE VENOUS EVALUATION NAME: DATE: SEX: M/F DOB: / / AGE: MED.
The patient is asked to rotate the leg of interest to expose the medial surface of the lower extremity from the groin to the ankle. To the extent possible, weight should be shifted from the leg of interest to relax the musculature. A standing stool with arm support may be necessary. Once positioned, the technician begins at the groin and produces the Mickey Mouse landmark described earlier. Starting from the three-vessel image in the transverse view, the probe descends down the leg following the course of the GSV.
1 23 24 n ATLAS OF ENDOVASCULAR VENOUS SURGERY ETIOLOGY AND NATURAL HISTORY OF DISEASE The venous system in the lower extremities is composed of three interconnected parts: the deep system, the perforating system, and the superficial system. , inward), driven by the venous muscular pump and unidirectional valves. Lower extremity muscle compartments contract during ambulation; this contraction compresses the deep veins, producing a pumping action, which propels blood upward toward the right side of the heart.
Atlas of Endovascular Venous Surgery by Jose Almeida MD PA