This manual is designed to serve as
the standard for the management of patients with ruptured abdominal aortic aneurysm (AAA) by means of modern techniques. All aspects are covered, from pathogenesis, clinical presentation, and diagnosis through to initial management, operative strategies, postoperative complications, outcomes and quality of life issues. The book is based on the experience gained at a leading U.S. institution (Harborview Medical Center, University of Washington) that treats up to 40 patients with ruptured AAA annually and is highly respected for its expertise in this medical emergency. The team at Harborview Medical Center has recently shown that the implementation of a structured protocol for the management of ruptured AAA, with emphasis on an “endovascular-first” strategy, dramatically reduces mortality and complications. This has led to a sea change in the way in which patients are managed. There is an increasing hunger for information on these codified protocols and
Ruptured Abdominal Aortic Aneurysm: The Definitive Manual will be invaluable for both surgeons and critical care physicians.
Table of Content
Background- Scope of the Problem.- Epidemiology.- Pathogenesis.- Wall Stress.- Clinical Presentation.- Diagnostics.- Predictors of Certain Death.- Pre-Hospital Considerations.- Initial Diagnosis and Stabilization in the Emergency Room.- Hypotensive Hemostasis.- Aortic Occlusion Balloons.- Operative Strategies.- Randomized Trials- What is the evidence?- Non Randomized Evidence – What is the data telling us?- ICU Management.- Post-operative Complications.- Outcomes- Early and Late.- Guidelines for Transfer to Specialized Centers.- Quality of Life after r AAA repair.- Coding and Reimbursement for r AAA.- Historical Perspectives.- Notes and Illustrations.
About the author
Benjamin Ware Starnes, MD, FACS, is Professor and Chief of the Division of Vascular Surgery, University of Washington School of Medicine and Chief of Vascular and Endovascular Surgery, Harborview Medical Center, Seattle, Washington, USA. He is Program Director for both the Vascular Surgery Fellowship and the Vascular Surgery Residency at the University of Washington. Dr. Starnes became a Fellow of the American College of Surgeons in 2005 and a Distinguished Fellow of the Society for Vascular Surgery in 2011. He is a member of the editorial boards of both the Journal of Vascular Surgery and the Annals of Vascular Surgery and is Associate Editor of the Yearbook of Vascular Surgery. Dr. Starnes has been the recipient of many awards and honors. He is the author of some 60 articles in peer-reviewed journals.
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