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In Patients with Acute Type B Aortic Dissection, Do Current Operative Therapies Reduce Complications Compared to Medical Management?
Pages 3-12
The complexity of decision making in medicine, and in surgery in particular, is growing exponentially. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. The first two editions of “Difficult Decisions in Thoracic Surgery: An Evidence Based Approach” have found wide acceptance among practicing surgeons, trainees, and educators. Chapters from them are regularly cited by the Thoracic Surgery Directors Association as valuable resources for their weekly curriculum exercises. Downloads of individual chapters have been very popular. The 3rd edition is in production. Based on this success, this book is part of a series of such books covering other surgical specialties. The volumes will be multi-authored, containing brief chapters, each of which will be devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.
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
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
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
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
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
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
In Patients with Cardiovascular Disease, Do Statins Alone, or in Combination with Other Medications Improve Mortality?
Pages 481-489
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
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