Vascular disease in older adults : a comprehensive clinical guide / [edited by] Rabih Chaer.

Includes bibliographical references and index

Dedication; Foreword; Introduction; Contents; Contributors; 1: Screening for Vascular Pathology: Current Guidelines and Recommendations; 1.1 Abdominal Aortic Aneurysm; 1.1.1 Overview of Screening Guidelines; 1.1.2 Risk Factors for AAA; 1.1.3 Natural History and Rationale for Screening for AAA; 1.1.4 Screening Imaging Modalities; 1.1.5 Clinical Trials and Longitudinal Studies on Screening for AAA; 1.1.6 Cost-Effectiveness Analysis for Screening for AAA; 1.1.7 Potential Harms Versus Benefits of Screening; 1.1.8 The SAAAVE Act: A Summary; 1.2 Carotid Stenosis.

1.2.1 Clinical Impact of Stroke and the Importance of Prevention1.2.2 Carotid Stenosis as the Cause of Strokes; 1.2.3 Prevalence and Risk Factors for Carotid Stenosis; 1.2.4 Screening Tests for Carotid Stenosis: Physical Exam and Non-invasive Imaging; 1.2.5 Asymptomatic CAS: Effectiveness of Early Detection and Treatment; 1.2.6 Harms of Screening; 1.2.7 Screening of Asymptomatic Adults in the General Population for CAS; 1.2.8 Screening of High-Risk Asymptomatic Adults for CAS; 1.3 The Major Societal Guidelines; 1.3.1 USPSTF (2014) [105].

1.3.2 Society for Vascular Surgery (2011) [120]1.3.3 American Heart Association (2011) [88, 121]; 1.4 Peripheral Artery Disease; 1.4.1 ACC/AHA 2005 Practice Guidelines for the Management of Patients with Peripheral Arterial Disease; 1.4.2 Detection of Symptomatic PAD; 1.4.2.1 History and Physical Exam; 1.4.2.2 Claudication Questionnaires; 1.4.2.3 Diagnostic Vascular Studies; 1.4.3 Management of Symptomatic PAD; 1.4.4 Detection and Management of Asymptomatic PAD.

1.4.5 2011 ACCF/AHA Focused Update of the Guideline for the Management of Patients with Peripheral Artery Disease (Updating the 2005 Guideline)1.4.5.1 Summary of ACCF/AHA Guidelines; 1.4.6 US Preventive Services Task Force Recommendation; 1.4.7 Harms of Detection and Early Treatment; 1.4.8 Cost; 1.4.9 Summary of USPSTF Guidelines; References; 2: Preoperative Optimization of the Elderly Patient Prior to Vascular Surgery; 2.1 General Changes Associated with Aging; 2.2 Preoperative Evaluation of the Surgical Patient: Risk Assessment and Counseling.

2.3 Optimization of the Preoperative PatientReferences; 3: Anesthetic Considerations for Elderly Patients Undergoing Vascular Surgery; 3.1 Local Anesthesia and Regional Anesthesia; 3.1.1 Pathophysiology and Pharmacology Related to Aging; 3.1.2 Procedure-Specific Local and Regional Anesthesia; 3.1.2.1 Arteriovenous Access for Hemodialysis and Permanent Vascular Access; 3.1.2.2 Minimally Invasive Vascular Surgery: Peripheral Arterial Stent Placement and Carotid Stent Placement.

Available to OhioLINK libraries

This book presents a comprehensive and state-of the-art approach to vascular disease for the geriatric patient, focusing on vascular pathology and interventions but also on perioperative care, anesthetic care, functional outcomes and quality of life, as well as ethical considerations that impact decision making. The book addresses open and endovascular interventions in different vascular beds, as well as preoperative workup and optimization, anesthetic considerations, all aspects and expectations of the postoperative care and recovery and is the only book to include specialize in the intricacies of the care of the geriatric patients, the challenging recovery and neurocognitive changes, and ethical considerations for the end stage geriatric patient or in the setting of postoperative complications. Written by experts in the field, each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations with open or endovascular options, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. With its concise yet comprehensive summary of the field, Vascular Disease in Older Adults is the ultimate resource for geriatricians, cardiologists, surgeons, anesthesiologists, and all physicians of who care for the aging patient with vascular disease.