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Traditional cardiopulmonary bypass (CPB) techniques have suffered from a number of disadvantages including haemodilution, inflammation and post-operative bleeding. Minimised cardiopulmonary bypass techniques use developments in perfusion technology to significantly reduce foreign surface-blood interactions to make bypass simpler and safer. This important book reviews key developments and issues relating to this promising technology.Part one covers the broad range of CPB pathophysiology, including anticoagulant protocols, the impact of CPB circuit surfaces, optimal haemodilution levels,

Cardiopulmonary Bypass -- instrumentation. --- Cardiopulmonary Bypass -- methods. --- Cardiopulmonary bypass. --- Coronary Artery Bypass -- instrumentation. --- Coronary Artery Bypass -- methods. --- Cardiopulmonary bypass --- Investigative Techniques --- Myocardial Revascularization --- Vascular Grafting --- Extracorporeal Circulation --- Vascular Surgical Procedures --- Cardiac Surgical Procedures --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Surgical Procedures, Operative --- Thoracic Surgical Procedures --- Cardiovascular Surgical Procedures --- Coronary Artery Bypass --- Cardiopulmonary Bypass --- Methods --- Surgery & Anesthesiology --- Health & Biological Sciences --- Surgery - General and By Type --- Bypass, Cardiopulmonary --- Heart-lung bypass --- Blood --- Heart --- Heart, Mechanical --- Circulation, Artificial --- Surgery

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The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. Still, there is the well-known dilemma: on the one hand the need for anticoagulation in patients with mechanical valves that otherwise guarantee long-term functioning and, on the other, the unpredictable durability of biological substitutes and of valve repair procedures which, per se, do not require anticoagulation. The choice of procedure is determined by factors such as patients' age, metabolic and bleeding disorders, and bleeding preconditions, as well as such critical issues as the desire to bear children in young women. The book contains a collection of proceedings of The Berlin Heart Valve Symposium which was held in November 2008. It focuses on current surgical approaches to and evolving trends in aortic valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses.  Further contributions will deal with recent advances in catheter-based percutaneous and transapical techniques, ablation techniques for atrial fibrillation, tissue engineering of heart valves, multi-modality imaging, and anticoagulation.

Embryonic Development. --- Fetal Diseases. --- Heart -- Diseases. --- Heart Diseases. --- Aortic Valve --- Bioprosthesis --- Heart Valve Prosthesis Implantation --- Blood Vessel Prosthesis Implantation --- Prosthesis Implantation --- Vascular Grafting --- Heart Valves --- Prostheses and Implants --- Cardiac Surgical Procedures --- Surgical Procedures, Operative --- Equipment and Supplies --- Vascular Surgical Procedures --- Cardiovascular Surgical Procedures --- Thoracic Surgical Procedures --- Heart --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Cardiovascular System --- Anatomy --- Surgery - General and By Type --- Surgery & Anesthesiology --- Health & Biological Sciences --- Aorta --- Heart valves --- Cardiovascular instruments, Implanted --- Surgery --- Implanted cardiovascular instruments --- Cardiac valves --- Valves, Heart --- Valves --- Medicine. --- Cardiology. --- Cardiac surgery. --- Medicine & Public Health. --- Cardiac Surgery. --- Biomedical engineering --- Electronics in cardiology --- Implants, Artificial --- Arteries --- Blood --- Chest --- Circulation --- Surgery. --- Internal medicine --- Cardiac surgery --- Open-heart surgery --- Diseases

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This is the first textbook entirely dedicated to the endovascular treatment of complications related to arteriovenous accesses for hemodialysis (native fistulas and prosthetic grafts). The book addresses the anatomy of upper limb arteries and veins as well as the clinical presentation of patients and the way to perform and read a fistulogram. Many details and illustrations are provided, clarifying the subtleties in catheterization and the dilation of stenoses. From a strategic point of view, it is explained for the first time that many stenoses must either be ignored or deliberately underdilated. Many images help understand the different stages of recovery from thrombosed accesses. The number of incident dialysis patients increases by 5 % every year, which means that this is a field of growing interest. There are several annual or bi-annual meetings held by numerous national or international societies (vascularaccesssociety.com, sfav.org, vasmad.org, dialysiscontroversies.org, asdin.org).

Arteries -- Diseases. --- Arteries. --- Hypertension. --- Hemodialysis --- Arteriovenous shunts, Surgical --- Blood-vessels --- Arteriovenous Malformations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Vascular Fistula --- Diagnostic Imaging --- Pathological Conditions, Anatomical --- Catheters --- Anastomosis, Surgical --- Cardiovascular Surgical Procedures --- Renal Replacement Therapy --- Vascular Grafting --- Sorption Detoxification --- Embolism and Thrombosis --- Surgical Procedures, Minimally Invasive --- Investigative Techniques --- Diagnostic Techniques and Procedures --- Vascular Malformations --- Vascular Diseases --- Pathological Conditions, Signs and Symptoms --- Therapeutics --- Surgical Procedures, Operative --- Equipment and Supplies --- Fistula --- Diseases --- Cardiovascular Diseases --- Cardiovascular Abnormalities --- Congenital Abnormalities --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Radiography --- Radiography, Interventional --- Arteriovenous Fistula --- Thrombosis --- Renal Dialysis --- Arteriovenous Shunt, Surgical --- Diagnosis --- Methods --- Vascular Surgical Procedures --- Catheters, Indwelling --- Constriction, Pathologic --- Medicine --- Health & Biological Sciences --- Radiology, MRI, Ultrasonography & Medical Physics --- Urology & Nephrology --- Cutdown --- Interventional radiology. --- Radiology, Interventional --- Medicine. --- Radiology. --- Cardiology. --- Nephrology. --- Medicine & Public Health. --- Imaging / Radiology. --- Interventional Radiology. --- Medical radiology