Difficult Decisions in Vascular Surgery: An Evidence-Based Approach

Front Matter....Pages i-xviii
Front Matter....Pages 1-1
In Patients with Acute Type B Aortic Dissection, Do Current Operative Therapies Reduce Complications Compared to Medical Management?....Pages 3-12
In Patients with a Chronic Type B Dissection, Does Endovascular Treatment Reduce Long Term Complications?....Pages 13-22
In Patients with a Retrograde Type A Aortic Dissection, Does Treatment Like a Type B Aortic Dissection Improve Outcomes?....Pages 23-35
In Patients with Small AAA, Does Medical Therapy Prevent Growth?....Pages 37-48
Challenging AAA Neck Anatomy: Does the Fenestrated or Snorkel/Chimney Technique Improve Mortality and Freedom from Reintervention Relative to Open Repair?....Pages 49-61
In Patients Who Require Hypogastric Artery Coverage to Treat an AAA with EVAR, Does Preservation Improve Outcomes When Compared to Exclusion of the Vessel?....Pages 63-76
In Patients with Aortic Graft Infections, Does EVAR Improve Long Term Survival Compared to Open Graft Resection?....Pages 77-86
Does EVAR Improve Outcomes or Quality of Life in Patients Unfit for Open Surgery?....Pages 87-97
In Patients with Type 2 Endoleaks Does Intervention Reduce Aneurysm Related Morbidity and Mortality Compared to Observation?....Pages 99-112
Ruptured Abdominal Aortic Aneurysm Treated with Endovascular Repair; Does Decompressive Laparotomy Result in Improved Clinical Outcomes?....Pages 113-120
In a Patient with Blunt Traumatic Aortic Injury, Does TEVAR Improve Survival Compared to Open Repair or Expectant Management?....Pages 121-133
Front Matter....Pages 135-135
In Patients with Aortoiliac Occlusive Disease, Does Endovascular Repair Improve Outcomes When Compared to Open Repair?....Pages 137-148
In Patients with Aortoiliac Occlusive Disease, Does Extra-anatomic Bypass Improve Quality of Life and Limb Salvage?....Pages 149-162
In Patients with Critical Limb Ischemia Does Bypass Improve Limb Salvage and Quality of Life When Compared to Endovascular Revascularization?....Pages 163-170
In Patients with Limb-Threatening Ischemia Who Are Not Candidates for Revascularization Do Non-operative Options Improve Outcomes Compared to Amputation?....Pages 171-184
In the Patient with Profunda Artery Disease, Is Open Revascularization Superior to Endovascular Repair for Improving Rest Pain?....Pages 185-197
In Patients with Limb-Threatening Vascular Injuries, Is There a Role of Prophylactic Fasciotomy to Reduce Ischemic Injury?....Pages 199-206
In Patients with Popliteal Entrapment Syndrome, Does Surgery Improve Quality of Life?....Pages 207-218
Front Matter....Pages 219-219
In Patients with Acute Mesenteric Ischemia Does an Endovascular or Hybrid Approach Improve Morbidity and Mortality Compared to Open Revascularization?....Pages 221-233
Chronic Mesenteric Arterial Disease: Does an Endovascular/Hybrid Approach Improve Morbidity and Mortality as Compared to Open Revascularization?....Pages 235-250
Front Matter....Pages 219-219
In Patients with Mesenteric Ischemia Is Single Vessel Reconstruction Equivalent to Multiple Vessel Revascularization?....Pages 251-262
In Patients with Celiac Artery Compression Syndrome, Does Surgery Improve Quality of Life?....Pages 263-274
In Patients with Superior Mesenteric Artery Syndrome, Is Enteric Bypass Superior to Duodenal Mobilization?....Pages 275-286
In Patients with Renovascular Hypertension Is There a Role for Open or Endovascular Revascularization Compared to Medical Management?....Pages 287-296
Does Endovascular Repair Reduce the Risk of Rupture Compared to Open Repair in Splanchnic Artery Aneurysms?....Pages 297-307
Front Matter....Pages 309-309
In Patients with Asymptomatic Carotid Artery Stenosis Does Current Best Medical Management Reduce the Risk of Stroke Compared to Intervention (Endarterectomy or Stent)?....Pages 311-320
In Patients with Symptomatic Carotid Artery Stenosis Is Endarterectomy Safer Than Carotid Stenting?....Pages 321-329
In Patients Undergoing Carotid Endarterectomy, Is the Eversion Technique Superior to a Patch Technique to Reduce Restenosis?....Pages 331-341
In Patients with a Stroke Attributable to a Carotid Artery Stenosis, Does Waiting to Operate Reduce the Risk of Complications?....Pages 343-355
In Patients with a Peri-procedural Cerebral Thromboembolism, Does Neurovascular Rescue Improve Clinical Outcome?....Pages 357-368
In Patients with Extra-cranial Carotid Artery Aneurysms, Does an Endovascular Approach Improve Clinical Outcomes Compared to Open Repair?....Pages 369-382
In Patients with Carotid Artery Dissection, Is Stenting Superior to Open Repair to Improve Clinical Outcomes?....Pages 383-394
In Patients with Cervico-Thoracic Vascular Injuries Is Endovascular Repair Superior in Long-Term Durability When Compared to Open Repair?....Pages 395-403
Front Matter....Pages 405-405
In Patients with Iliofemoral Deep Vein Thrombosis Does Clot Removal Improve Functional Outcome When Compared to Traditional Anticoagulation?....Pages 407-416
In Morbidly Obese Patients Undergoing Major Abdominal Operative Procedures, Does Inferior Vena Cava Filter Placement Prevent Massive PE?....Pages 417-425
In Patients with Chronic Venous Stenosis, Does Placement of a Stent Improve Patency Compared to Recurrent Angioplasty?....Pages 427-437
In Patients with Chronic Venous Ulcer Is the Unna Boot Still the Best Approach to Wound Care....Pages 439-445
In Patients with Threatened or Occluded Dialysis Access Grafts, Is It Better to Salvage the Graft, or Create a New Site?....Pages 447-455
In Patients with New Arteriovenous Fistulas, Are There Effective Strategies to Enhance AVF Maturation and Durability Beyond Waiting?....Pages 457-478
Front Matter....Pages 479-479
In Patients with Cardiovascular Disease, Do Statins Alone, or in Combination with Other Medications Improve Mortality?....Pages 481-489
Front Matter....Pages 479-479
In Patients Who Have Undergone a Lower Extremity Bypass for PAD, Does Dual Anti-platelet Therapy Improve Outcomes?....Pages 491-500
In Patients Undergoing Vascular Surgery, Does Preoperative Coronary Revascularization Reduce the Risk of Myocardial Infarction and Death?....Pages 501-512
Back Matter....Pages 513-523