Atlas of Vascular Anatomy: An Angiographic Approach PDF
Preview Atlas of Vascular Anatomy: An Angiographic Approach
GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page i Tech sudhir:Users:tech:Desktop: S E CO N D E D I T I O N AT L A S Vascular Anatomy of AN ANGIOGRAPHIC APPROACH GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page ii Tech sudhir:Users:tech:Desktop: Illustrations by José Falcetti Director, Center for Medical Arts, Hospital das Clinicas Faculdade de Medicina da Universidade de São Paulo Functional Neurosurgery São Paulo, SP, Brazil With Contributions by Carlos Jader Feldman, M.D. Chief, Department of Radiology Hospital Hernesto Dornelles Porto Alegre, RS, Brazil —Vascular Anatomy of the Lower Genital Tract Ronie L. Piske, M.D. Interventional Neuroradiologist, Med–Imagem Hospital Beneficência Poruguesa, São Paulo, SP, Brazil —Arteries of the Head and Neck —Veins of the Head and Neck Francisco J.B. Sampaio, M.D., Ph.D. Professor of Anatomy and Urology Head, Department of Anatomy State University of Rio de Janeiro Brazil —Kidney Arterial Vascularization —Kidney Venous Drainage —Lymphatic Drainage of the Kidney —Periprostatic Venous Plexus J. Bayne Selby, M.D. Professor of Radiology Medical University of South Carolina Charleston, SC, USA —The Heart and Coronary Arteries —The Heart Venous Circulation —Pulmonary Arterial Circulation —Pulmonary Venous Circulation Luiz Maria Yordi, M.D. Chief, Department of Hemodynamic and Cardiovascular Radiology Hospital São Francisco Porto Alegre, RS, Brazil —The Heart and Coronary Arteries —The Heart Venous Circulation GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page iii Tech sudhir:Users:tech:Desktop: S E CO N D E D I T I O N AT L A S Vascular Anatomy of AN ANGIOGRAPHIC APPROACH Renan Uflacker, M.D. Professor of Radiology Interventional Radiology Medical University of South Carolina Charleston, South Carolina GRBQ116-2489G-FM[i-xiv].qxd 7/7/06 10:03 PM Page iv Quark07 Books-Arts:GRBQ116-Uflacker:Chapters:FM: Acquisitions Editor: Lisa McAllister Managing Editor: Kerry Barrett Project Manager: Alicia Jackson Senior Manufacturing Manager: Benjamin Rivera Marketing Manager: Angela Panetta Creative Director: Doug Smock Cover Designer: Eve Siegel Production Service: TechBooks Printer: Walsworth Publishing Co. © 2007 by LIPPINCOTT WILLIAMS & WILKINS, a Wolters Kluwer business 530 Walnut Street Philadelphia, PA 19106 USA LWW.com 1stEdition, ©1997 Williams & Wilkins All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any infor- mation storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in the USA Library of Congress Cataloging-in-Publication Data Uflacker, Renan. Atlas of vascular anatomy : an angiographic approach / Renan Uflacker ; with contributions by Bayne Selby. — 2nd ed. p. ; cm. Includes bibliographical references and index. ISBN 978-0-7817-6081-2 ISBN 0-7817-6081-X (case : alk. paper) 1. Blood-vessels—Atlases. 2. Angiography—Atlases. I. Selby, Bayne. II. Title. [DNLM: 1. Blood Vessels—anatomy & histology—Atlases. 2. Angiography—Atlases. 3. Diagnostic Imaging—Atlases. WG 17 A88468 2007] QM191.A87 2007 611'.13—dc22 2006008945 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not respon- sible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the informa- tion in a particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selec- tion and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. 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Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST. 10 9 8 7 6 5 4 3 2 1 GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page v Tech sudhir:Users:tech:Desktop: “Variability is the law of life,” Sir William Osler To Helena, Andre and Alice GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page vi Tech sudhir:Users:tech:Desktop: GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page vii Tech sudhir:Users:tech:Desktop: Preface to Second Edition Imaging techniques have been very important both to benefit for the reader, and with it we welcome a new con- demonstrate and to study the human vascular anatomy, tributor to the book. helping therefore in the understanding and in the manage- As I mentioned in the first edition, the idea of produc- ment of vascular diseases. As the cardiovascular diseases ing the Atlas of Vascular Anatomywas triggered by the need have increased in prevalence among the population, the to have available a comprehensive book of vascular anato- need for the knowledge of the anatomy has become para- my with high-quality illustrations and with as much as pos- mount to the practice of medicine. The use of percutaneous sible correlation with angiograms and new imaging modali- catheter angiography has been the gold standard for the ties. The Atlasis intended to respond to the many anatom- demonstration of in vivo vascular anatomy and vascular ic challenges encountered in the daily practice of cardiovas- pathology. However, in the last several years an increased cular medicine, interventional radiology, and vascular number of new imaging modalities—including Doppler surgery. Our basic aim is to provide photographs of real clin- ultrasound, angio computed tomography, and magnetic res- ical angiographic cases, presented with fine art color illus- onance angiography—became available and to a great trations for the study of the details and spatial disposition of extent have replaced invasive angiography, except when an anatomic vascular structures, as well as some of the varia- intervention is planned. Therefore, a combination of imag- tions encountered in the human species. ing modalities is more often than not utilized in clinical The overall format of the book has been redesigned to practice for cardiovascular evaluation of patients. facilitate even further the usage of the anatomical informa- The knowledge of the vascular anatomy is essential for tion, minimizing page turning by the assignment of individ- the performance, understanding, and interpretation of diag- ual text topics to opposing pages, followed by a sequence of nostic and interventional vascular procedures, as well as for complementary illustrations. An extensive redesign of the the performance of surgical endovascular procedures. The pages and distribution of the illustrations in a more rational analysis of vascular angiographic pictures by any modality, format has been accomplished by the publisher and techni- in correlation with anatomic conventional illustrations, is cal staff. Again, the descriptive text has been somewhat still the best way to understand normal vascular anatomy expanded and updated, but kept to a minimum necessary to and to perceive minute anatomical variations without the understanding of the anatomical subjects and always cadaveric dissection. preceding the actual illustrations. The development of fast, multislice CT technology The revised, expanded, and updated edition of the Atlas was one of the main technological developments after the of Vascular Anatomy: An Angiographic Approach is intended publication of the first edition of the Atlas of Vascular to be a quick and practical reference book of vascular Anatomy, allowing for impressive 2D and 3D reconstruc- anatomy for those involved with the study of anatomy, diag- tions of multiplanar images of the cardiovascular system. nosis, and treatment of vascular diseases, such as vascular The utilization of this technology has been extremely ben- and interventional radiologists, surgeons, cardiologists, eficial for the noninvasive demonstration of the heart medical students, as well as residents and fellows in inter- structures and thoracic and abdominal structures, particu- ventional radiology, surgery, and cardiovascular medicine. larly solid organs such as the liver. A number of images The second edition of the Atlas of Vascular Anatomy is using angio CT technology have been added to the second the result of a great effort toward updating and improving edition of the Atlas, intending to help readers understand the previous book, for me as editor and for the contributors. some of the complexities of the vascular anatomy in some All the vascular territories are covered, and as much as pos- of these areas. The heart anatomy chapter uses a lot of the sible, correlation with functional anatomy and other criti- new fast CT technology for illustration with tremendous cal anatomical structures related to clinical and surgical vii GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page viii Tech sudhir:Users:tech:Desktop: viii Preface to Second Edition application of the knowledge of vascular anatomy is readers, my appreciation for the work of my friends and con- presented, when pertinent. The somewhat variable extension tributors, as well as for the continuing support and enthusi- in coverage of some anatomical territories only translates my asm from the senior staff of Lippincott Williams & Wilkins, own personal preferences for some areas of medicine and who made possible the commissioning of the fine art work organs of interest, and I hope it will not mislead the readers. of José Falcetti, an amazing medical artist, and the produc- I am sure this major publishing effort will not only fill a tion of the second edition of the Atlas. niche in our field of work but will also persist as a major ref- erence in vascular anatomy, as the first edition did for the Renan Uflacker, M.D. last ten years. I would like to thank, and share with the Editor GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page ix Tech sudhir:Users:tech:Desktop: Preface to First Edition The development of imaging techniques to study and the details and spatial disposition of anatomic vascular struc- demonstrate the human vascular anatomy has been increas- tures, as well as some of the variations encountered. ingly important for the modern understanding and manage- The format was designed to facilitate the use of the ment of most vascular diseases. The use of angiograms as book, minimizing page turning by the assignment of indi- roadmaps for vascular surgery and interventional procedures vidual topics to opposing pages, followed by a sequence of is currently the best way to demonstrate the vascular anatomy. correlated illustrations. The descriptive text was kept to the New several, different and modern imaging modalities minimum necessary for the understanding of the subjects including ultrasound, computed tomography, magnetic res- and preceding the actual illustrations. onance imaging, and magnetic resonance angiography have This edition of the Atlas of Vascular Anatomy: An been developed to evaluate vascular diseases with unprece- Angiographic Approach, First Edition, is intended to be a quick dented and unparalleled noninvasive means of assessing and practical reference of vascular anatomy for those patients. Although further improvement in these tech- involved with anatomy, diagnosis and treatment of vascular niques may obviate the need for the more invasive diagnos- diseases. Vascular and Interventional Radiologists, Surgeons, tic angiography, the angiographic perception of the vessels Cardiologists, Medical Students as well as Residents and is hitherto the gold standard to learn vascular anatomy. Fellows in Radiology and Surgery compounds the target The knowledge of the vascular anatomy is essential for population of the book. the performance, understanding, and interpretation of diag- All the vascular territories are covered and correlation nostic and interventional vascular procedures, as well as with function and other critical anatomical structures related performing surgical procedures. The analysis of angiographic to the clinical and surgical application of vascular anatomy pictures, correlated to the anatomic conventional illustra- is presented when pertinent. tions is still the best way to understand normal vascular I hope that the major effort on the part of the editor of anatomy and to perceive minute anatomical variations the book and the contributing authors will fill a niche in our without cadavers dissection. field of work. I would like to thank and share with the read- The idea of producing an Atlas of Vascular Anatomywas ers the continuing support and enthusiasm with this project triggered by the need to have available a high-quality book from the Publisher’s senior staff, who made possible the com- with illustrations and correlation with normal angiograms. missioning of the art work from an amazing medical artist, The Atlas of Vascular Anatomy is intended to provide a José Falcetti, who frequently exceeded the requirements of response to clinical anatomic challenges that abound in the color pictures only for the sake of quality and perfection. many aspects of vascular surgery and vascular radiology prac- tice. The basic aim is to provide photographs of real angio- Renan Uflacker, M.D. graphic cases and fine art color illustrations for the study of Editor ix GRBQ116-2489G-FM[i-xiv].qxd 6/10/06 8:27 AM Page x Tech sudhir:Users:tech:Desktop:
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