Difficult Decisions in Vascular Surgery: An Evidence-Based Approach (Difficult Decisions in Surgery: An Evidence-Based Approach)

 

Description:

This book looks at specific vascular surgery questions that have arisen and where careful analysis is given according to the level of supporting evidence available. As new technology is introduced to treat the cardiovascular system, alternative therapies begin to challenge and also complement traditional vascular surgery. All chapters contain the PICO table to summarise specific characteristics relative to the questions posed in each chapter. Difficult Decisions in Vascular Surgery- An Evidence-Based Approach is a current and timely reference source for practicing surgeons, surgeons in training, and educators, that describes the recommended ideal approach, rather than customary care, in selected clinical situations.

 

Table of Contents:

 

Part I: Aortic Disease

Chapter 1: In Patients with Acute Type B Aortic Dissection, Do Current Operative Therapies Reduce C

Introduction

Search Strategy

Results

Early Guidelines Summary

Prospective Registry- International Registry of Acute Aortic Dissection (IRAD)

Prospective Trials

Guidelines Summary

Recommendations

Personal View of the Data

References

Chapter 2: In Patients with a Chronic Type B Dissection, Does Endovascular Treatment Reduce Long T

Introduction

Search Strategy

Results

Results for Chronic Complicated Type B Dissections

Results for Chronic Uncomplicated Type B Aortic Dissections

Recommendations

A Personal View of the Data

References

Chapter 3: In Patients with a Retrograde Type A Aortic Dissection, Does Treatment Like a Type B

Introduction

Search Strategy

Results

Clinical Relevance of Type A Aortic Dissections Originating Distal to the Left Subclavian Arter

Spontaneous Type A Retrograde Dissection

Iatrogenic Retrograde Type A Dissections

Risk Factors for Spontaneous Type A Retrograde Dissection

Spontaneous Type A Retrograde Dissection

Iatrogenic Type A Retrograde Dissection

Treatment Strategies

Treatment of Spontaneous Type A Retrograde Dissections

Treatment of Iatrogenic Type A Retrograde Dissections

Recommendations

Spontaneous Type A Retrograde Dissection

Iatrogenic Type A Retrograde Dissections

A Personal View of the Data

Spontaneous Type A Retrograde Dissection

Iatrogenic Type A Retrograde Dissection

References

Chapter 4: In Patients with Small AAA, Does Medical Therapy Prevent Growth?

Introduction

Search Strategy

Results

Medical Therapies

Propranolol

Macrolide Antibiotics

Doxycycline

HMG-CoA Reductase Inhibitors

Aspirin

Exercise

Active Clinical Investigations

Antihypertension

Anti-inflammation

Antiplatelet

Doxycycline

Recommendations

A Personal View of the Data

References

Chapter 5: Challenging AAA Neck Anatomy: Does the Fenestrated or Snorkel/Chimney Technique Improve

Introduction

Search Strategy

Results

Early Mortality and Associated Perioperative Morbidity

Reintervention

Recommendations

A Personal View of the Data

References

Chapter 6: In Patients Who Require Hypogastric Artery Coverage to Treat an AAA with EVAR, Does Pr

Introduction

Methods

Results

Buttock Claudication

Other Complications and Quality of Life

Techniques for HA Preservation

Open/Hybrid Techniques

Endovascular Techniques

Recommendations

A Personal View of the Data

References

Chapter 7: In Patients with Aortic Graft Infections, Does EVAR Improve Long Term Survival Compared

Introduction

Search Strategy

Results

Primary Aortic Infection

Open Repair

Endovascular Repair

Aortic Graft Infection

Open Repair

Endovascular Repair

Endograft Infection

Recommendations Based on the Data

A Personal View of the Data

References

Chapter 8: Does EVAR Improve Outcomes or Quality of Life in Patients Unfit for Open Surgery?

Introduction

Search Strategy

Results

EVAR-2

De Martino et al.

Hynes et al.

Egorova et al.

Schanzer et al.

Lin et al.

Recommendations Based on the Data

A Personal View of the Data

References

Chapter 9: In Patients with Type 2 Endoleaks Does Intervention Reduce Aneurysm Related Morbidity an

Introduction

Search Strategy

Results

Clinical Relevance of Type II Endoleaks After EVAR

Risk and Prevention Strategies

Identification

Management: Imaging Surveillance Versus Intervention

Interventions

Recommendations

A Personal View of the Data

References

Chapter 10: Ruptured Abdominal Aortic Aneurysm Treated with Endovascular Repair; Does Decompressive

Introduction

Search Strategy

Results

Abdominal Compartment Syndrome as a Risk Factor for Mortality

Physiologic Parameters to Guide Laparotomy for ACS

Closure of Laparotomy for ACS

A Personal View of the Data

References

Chapter 11: In a Patient with Blunt Traumatic Aortic Injury, Does TEVAR Improve Survival Compared

Introduction

Search Strategy

Classification of Blunt Traumatic Aortic Injuries

BAI Treatment Options

Literature Summary

A Personal View of the Data

References

Part II: Lower Extremity Arterial Disease

Chapter 12: In Patients with Aortoiliac Occlusive Disease, Does Endovascular Repair Improve Outcome

Introduction

Search Strategy

Results

Aortobifemoral Bypass

Aortoiliac Angioplasty and Stenting

Comparison of Endovascular vs Open Bypass

Endovascular Considerations

TASC Classification

Technical Success

Primary Versus Selective Stenting

Covered Versus Bare Metal Stents

Special Considerations

Recommendations

Personal View of the Data

References

Chapter 13: In Patients with Aortoiliac Occlusive Disease, Does Extra-anatomic Bypass Improve Quali

Introduction

Search Strategy

Results

Clinical Relevance of Amputation-Free Survival and Improvement in Quality of Life

Extra-anatomic Bypass for Aortoiliac Occlusive Disease

Recommendation

Personal View of Data

References

Chapter 14: In Patients with Critical Limb Ischemia Does Bypass Improve Limb Salvage and Quality o

Introduction

Search Strategy

Results

Limb Salvage

Quality of Life

A Personal View of the Data

References

Chapter 15: In Patients with Limb-Threatening Ischemia Who Are Not Candidates for Revascularizati

Search Strategy

Introduction

Critical Limb Ischemia

Surgical Intervention in Limb-Threatening Ischemia: Predictors of Surgical Failure and How to D

Demographic and Patient Risk Factors

Wound and Anatomic Risk Factors

Non-surgical Treatment Options for Limb Threatening Ischemia

Risk Factor Optimization and Pharmaceutical Treatments

Statins

Cilostazol

Propionyl-L-Carnitine

Steroids

Prostanoids

Wound Care

Cell Therapy

Gene Therapy

Spinal Cord Stimulation

Hyperbaric Oxygen

Hypertensive Extracorporeal Limb Perfusion

Deep Vein Arterialization

ArtAssist

Recommendations

A Personal View of the Data

References

Chapter 16: In the Patient with Profunda Artery Disease, Is Open Revascularization Superior to En

Introduction

Search Strategy

Results

Open Surgery: The Gold Standard

Endovascular Intervention: The Alternative

Head to Head Comparison

Recommendations

A Personal View of the Data

References

Chapter 17: In Patients with Limb-Threatening Vascular Injuries, Is There a Role of Prophylactic

Introduction

Technique

Search Strategy

Results

Time Course of Compartment Syndrome

Risk Factors

Complications of Prophylactic Fasciotomy

Prevention Strategies: Prophylactic Fasciotomy

A Personal View of the Data

References

Chapter 18: In Patients with Popliteal Entrapment Syndrome, Does Surgery Improve Quality of Life?

Introduction

Search Strategy

Results

Presentation and Diagnosis

Surgical Intervention

Outcomes and Follow-up

A Personal View of the Data

References

Part III: Mesenteric Disease

Chapter 19: In Patients with Acute Mesenteric Ischemia Does an Endovascular or Hybrid Approach Imp

Introduction

Search Strategy

Results

Incidence and Risk Factors for AMI

Presentation and Diagnosis of AMI

Treatment of AMI

Endovascular Therapeutic Options

Aspiration Embolectomy

Catheter-Directed Thrombolysis

Antegrade Angioplasty and Stenting

Retrograde Recanalization and Stenting of the Superior Mesenteric Artery

Open Versus Endovascular Revascularization for AMI

Recommendations

A Personal View of the Data

References

Chapter 20: Chronic Mesenteric Arterial Disease: Does an Endovascular/Hybrid Approach Improve Morbi

Search Strategy

Results

Clinical Presentation

Diagnostic Imaging

Indications for Revascularization

Choice of Open Versus Endovascular Revascularization

Endovascular Revascularization

Open Revascularization

Comparative Results of Open and Endovascular Revascularization

Morbidity, Mortality and Survival

Symptom Relief

Restenosis and Re-interventions

A Personal View of the Data

References

Chapter 21: In Patients with Mesenteric Ischemia Is Single Vessel Reconstruction Equivalent to Mul

Introduction

Search Strategy

Results

Open Revascularization

Endovascular Revascularization

Recommendations

A Personal View of the Data

References

Chapter 22: In Patients with Celiac Artery Compression Syndrome, Does Surgery Improve Quality of L

Introduction

Search Strategy

Results

Pre-operative Predictors of Surgical Outcome

Surgical Technique

Surgical Outcomes

Recommendations

A Personal View of the Data

References

Chapter 23: In Patients with Superior Mesenteric Artery Syndrome, Is Enteric Bypass Superior to Du

Introduction

Search Strategy

Results

Clinical Results of Duodenojejunostomy

Clinical Results of Gastrojejunostomy

Clinical Results of Mobilization of the Duodenum

Recommendations Based on the Data

A Personal View of the Data

References

Chapter 24: In Patients with Renovascular Hypertension Is There a Role for Open or Endovascular R

Introduction

Search Strategy

Atherosclerotic Renal Artery Stenosis

Optimal Medical Therapy Versus Angioplasty/Stenting Plus Optimal Medical Therapy

Open Surgical Intervention

Non-atherosclerotic Renal Artery Stenosis

Optimal Medical Therapy Versus Angioplasty and Stenting (Non-­atherosclerotic Renal Artery Steno

Open Surgical Intervention (Non-atherosclerotic Renal Artery Stenosis)

Recommendations

A Personal View of the Data

References

Chapter 25: Does Endovascular Repair Reduce the Risk of Rupture Compared to Open Repair in Splan

Introduction

Search Strategy

Results

Clinical Relevance of Splanchnic Artery Aneurysms

Treatment Strategies

Recommendations

A Personal View of the Data

References

Part IV: Cerebrovascular Disease

Chapter 26: In Patients with Asymptomatic Carotid Artery Stenosis Does Current Best Medical Managem

Introduction

Search Strategy

Results

Carotid Endarterectomy Compared to Medical Therapy

Management Guidelines

A Personal View of the Data

References

Chapter 27: In Patients with Symptomatic Carotid Artery Stenosis Is Endarterectomy Safer Than Carot

Introduction

Search Strategy

Results

Major Trials

Local Complications

Personal View of the Data

References

Chapter 28: In Patients Undergoing Carotid Endarterectomy, Is the Eversion Technique Superior to a

Introduction

Standard Carotid Endarterectomy (sCEA)

Eversion Carotid Endarterectomy (eCEA)

Search Strategy

Single-Arm Studies of eCEA

Comparative Studies

Personal View of the Data

References

Chapter 29: In Patients with a Stroke Attributable to a Carotid Artery Stenosis, Does Waiting to

Introduction

Search Strategy

Results

Historical Background for Timing of Carotid Endarterectomy

Evidence for Surgery at Less Than Two Weeks for TIA and Mild Stroke

Risk of Recurrent Stroke

Perioperative Risk

Surgery in the “Hyperacute” Period

Differences Based on Severity of Stroke/TIA

Management of Crescendo TIA/Stroke in Evolution

Management Following Thrombolysis for Acute Stroke

Carotid Stenting

Summary

A Personal View of the Data

References

Chapter 30: In Patients with a Peri-procedural Cerebral Thromboembolism, Does Neurovascular Rescue

Introduction

Search Strategy

Results

Evidence for Prevention

Embolic Protection Devices

Antiplatelet Therapy

Evidence for Use of Neurovascular Rescue

Carotid Artery Stenting

Neurovascular Rescue During Cardiac Procedures

Complications of Neurovascular Rescue

A Personal View of the Data

References

Chapter 31: In Patients with Extra-cranial Carotid Artery Aneurysms, Does an Endovascular Approach

Introduction

Search Strategy

Results

Surgical v. Endovascular Intervention

Surgical Management Only

Endovascular Management

Medical Management

Summary

A Personal View of the Data

References

Chapter 32: In Patients with Carotid Artery Dissection, Is Stenting Superior to Open Repair to Im

Introduction

Search Strategy

Results

Outcomes After Open Repair

Outcomes After Endovascular Repair

Recommendations

Personal View of the Data

References

Chapter 33: In Patients with Cervico-Thoracic Vascular Injuries Is Endovascular Repair Superior in

Introduction

Search Strategy

Results

Vertebral Artery

Carotid Artery

Subclavian and Innominate Arteries

A Personal View of the Data

References

Part V: Venous and Arteriovenous Disease

Chapter 34: In Patients with Iliofemoral Deep Vein Thrombosis Does Clot Removal Improve Functional

Introduction

Search Strategy

Results

Catheter Directed Thrombolysis

Background

Choice of Pharmacologic Agent for Thrombolysis

Pharmacomechanical Thrombolysis

Functional Outcomes with CDT Versus Conventional Treatment Only

Percutaneous Aspiration Thrombectomy

Surgical Thrombectomy

Recommendations

A Personal View of the Data

References

Chapter 35: In Morbidly Obese Patients Undergoing Major Abdominal Operative Procedures, Does Inferio

Introduction

Search Strategy

Results

Studies Favoring the Use of IVC Filters

Studies Against the Use of IVC Filters

Review Studies

Recommendations

The ASMBS Statement

Other Recommendations

A Personal View of the Data

References

Chapter 36: In Patients with Chronic Venous Stenosis, Does Placement of a Stent Improve Patency C

Introduction

Search Strategy

Results

Venous Stenosis in Dialysis Patients

Symptomatic Femoroiliocaval Venous Stenosis

Personal View of the Data

References

Chapter 37: In Patients with Chronic Venous Ulcer Is the Unna Boot Still the Best Approach to Wo

Introduction

Search Strategy

Results

Compression Therapy for Chronic Venous Ulceration Healing

Type of Wound Dressing

Negative Pressure Wound Therapy

Personal View of the Data

References

Chapter 38: In Patients with Threatened or Occluded Dialysis Access Grafts, Is It Better to Salvag

Introduction

Search Strategy

Results

Society for Vascular Surgery Clinical Practice Guidelines

Arteriovenous Fistula Compared with Arteriovenous Graft

Arteriovenous Grafts and Secondary Arteriovenous Fistulas

A Personal View of the Data and Recommendations

References

Chapter 39: In Patients with New Arteriovenous Fistulas, Are There Effective Strategies to Enhance

Introduction

Search Strategy

Results

Definition of AVF Maturation

Preoperative Factors for AVF Failure (Table 39.2)

Specific Populations

Intraoperative Factors Affecting AVF Failure, Maturation and Durability (Table 39.3)

Postoperative Factors Affecting AVF Failure, Maturation and Durability (Table 39.4)

Adjuvant Therapies

Recommendations

A Personal View of the Data

References

Part VI: Perio-operative Management

Chapter 40: In Patients with Cardiovascular Disease, Do Statins Alone, or in Combination with Oth

Introduction

Search Strategy

Results

Statin Therapy Alone

Statin Therapy in Combination with Other Medical Therapy

Recommendations

A Personal View of the Data

References

Chapter 41: In Patients Who Have Undergone a Lower Extremity Bypass for PAD, Does Dual Anti-­plat

Introduction

Search Strategy

Results

Antiplatelet Agents

Clinical Trials

A Personal View of the Data

References

Chapter 42: In Patients Undergoing Vascular Surgery, Does Preoperative Coronary Revascularization Re

Introduction

Search Strategy

Results

Preoperative Risk Stratification

Invasive Cardiac Assessment and Revascularization

Current Practice and Remaining Areas of Uncertainty

A Personal View of the Data

References

Index

 

An aparitie	18 Jan. 2017
Autor	Christopher L. Skelly (Editor), Ross Milner
Dimensiuni	15.88 x 3.81 x 24.13 cm
Editura	Springer
Format	Hardcover
ISBN	9783319332918
Limba	Engleza
Nr pag	523