The understanding of aneurismal disease has changed since the first description of an aneurysm by Vesalius in the 16th century. An aortic aneurysm independent from its extent is a strong marker for concomitant vascular diseases requiring further diagnostic steps and a dedicated therapy to reduce the risk of rupture and non aneurysm related death. During the last 60 years strong efforts have been undertaken to determine the best therapeutic options and to further reduce the risk of any of the operative strategies available today. This includes preoperative diagnostic steps, perioperative optimization of medical treatment and the choice of the most suitable operative approach, which might be either open surgery (OAR) or endovascular repair (EVAR/FEVAR). Aneurysm treatment will remain a team challenge and it mandates the highest level of the Rasmussen learning model: identification, analysis, planning, decision making, performance, feedback, problem analysis and solution. This more practically than scientifically orientated textbook presents the different options and pitfalls of aneurysm treatment based on the current guidelines and recommendations derivable from recently published scientific papers, studies and multicentric studies. Mehr erfahren

This book reviews, for the very first time, the causes of, and treatment options for, complications after surgical voice rehabilitation using voice prostheses. The authors, all with many years' experience in this field and with considerable involvement in developing treatment strategies, offer a comprehensive, practice-oriented review of the current state of knowledge on this issue and thereby provide a valuable guide for the management of complications - one that should be available in every ENT clinic. Mehr erfahren

This 2nd edition has been fully updated and gives an overview about the broad group of inborn errors of metabolism, thereby helping colleagues working in hospitals as well as in private practices. Beside newborn screening, the most important biochemical and clinical key symptoms and differential diagnoses are presented. In addition, the most frequent inborn errors of metabolism are illustrated in short and well arranged form. Special attention is given to tables, flow charts for differential diagnosis, special metabolic investigations as well as treatment and emergency management. In addition, original figures from illustrative clinical or radiological findings as well as hints to updated internet links are integrated. Mehr erfahren

The treatment of coronary artery disease (CAD) encompasses many strategies all of which aim to improve symptoms and prognosis. While in the acute coronary syndrome, early revascularisation (usually by means of PCI and stent implantation) is the urgent goal of treatment, drug therapy initially has only a supportive role here but is also important for improving prognosis. The situation is reversed in the case of the treatment of chronic stable CAD: here conservative drug therapy has the dominant role and if implemented optimally is so successful that the prognosis cannot be further improved with additional PCI and stent implantation. Therefore, the indication for revascularisation should not only be based on an angiographic but also on a functional (FFR, fractional flow reserve) assessment of the stenosis. This book is therefore a critical presentation of the benefit of treatment strategies in the different forms of CAD. In addition to the value of lifestyle changes, it deals with the evaluation of the various drug therapies, invasive procedures such as PCI and stent implantation, bypass surgery and electrotherapeutic measures with ICD, CRT and cardiac pacemakers. The authors have succeeded in producing a textbook that is not just of interest to the attending doctor but also for patients affected by the disease. A textbook from the viewpoint: what is optimal? What is economic? What is evidence-based? Mehr erfahren

Heart failure is a syndrome with various aetiologies and a poor prognosis. New pathophysiological findings have led to treatment strategies with improved prognosis. For want of a causal treatment option the focus lies on drug strategies. In addition, surgical or other procedures come into consideration. All these treatment strategies are presented in detail, analysed and evaluated with reference to the pathophysiology and study data. An assessment is also made regarding the European (ESC) and US guidelines (ACC/AHA) on completion of each chapter topic. This emphasises the level of evidence for each recommended therapy. Such recommendations are important because a guideline-oriented treatment strategy improves the prognosis in heart failure! The authors have approached this sophisticated subject in a structured, vivid and richly illustrated form, where even the latest study data are taken into account. Thus, this book is a highly topical and practical treatment guideline for doctors practicing Cardiology. Mehr erfahren

Understanding the pathophysiology of Eustachian tube dysfunction is critical for the management of ear disease. The complex anatomy of the Eustachian tube through the base of the skull makes its function difficult to assess and many early attempts of surgical treatment were unsuccessful. This book discusses anatomy, physiology, pathology, diagnosis and the evolution of surgery of the Eustachian tube. It encapsulates our present knowledge of the principles and present day practice of the management of Eustachian tube dysfunction. Mehr erfahren

Understanding the pathophysiology of Eustachian tube dysfunction is critical for the management of ear disease. The complex anatomy of the Eustachian tube through the base of the skull makes its function difficult to assess and many early attempts of surgical treatment were unsuccessful. This book discusses anatomy, physiology, pathology, diagnosis and the evolution of surgery of the Eustachian tube. It encapsulates our present knowledge of the principles and present day practice of the management of Eustachian tube dysfunction. Mehr erfahren

ERCP has become an indispensable tool for treatment of many biliary and pancreatic diseases. It has developed into a mature and well-established means but still continues to be enriched by new approaches and recent innovations. This book highlights the last edge scientific background of current ERCP practice and transfers this knowledge into the 'real life' practice of performing ERCP. It reflects the vast experience of the contributing authors who share their personal way of 'How I do it'. Thereby, the reader is involved in current practice of high-end ERCP and gets an outlook on future perspectives of ERCP. Mehr erfahren

In recent years, brachytherapy has made enormous progress in terms of image-guided planning and in how it is executed as well as in applicator and device technology. Furthermore, various guidelines have been published by the European Brachytherapy Group within the ESTRO (GEC-ESTRO): brachytherapy for carcinoma of the prostate (HDR, LDR), cervical cancer, in tumours of the head and neck and in breast cancer (partial breast irradiation). All these numerous new developments have been comprehensively taken into account in the second edition of this textbook. This book serves as a teaching and learning aid for specialists, doctors in further training, medical physicists, radiographers and nurses. It also aims to provide a stimulus for experienced radiotherapists to expand their field of activity and thereby optimally use the given therapeutic diversity of our discipline. Mehr erfahren