Difficult Decisions in Vascular Surgery

<p>Section 1: Aortic Disease</p> <p>Ch. 1: In patients with Acute Type B Aortic dissection, do current operative therapies reduce complications compared to medical management?</p> <p>Ch. 2: In patients with a Chronic Type B dissection, does Endovascular treatment reduce long term complications?</p> <p>Ch.3: In patients with a retrograde Type A Aortic dissection, does treatment like a type B Aortic dissection improve outcomes?</p> <p>Ch.4: In patients with small AAA, does medical therapy prevent growth?</p> <p>Ch.5: Challenging AAA Neck Anatomy: Does the Fenestrated or Snorkel/Chimney Technique Improve Mortality and Freedom from Reintervention Relative to Open Repair?</p> <p>Ch.6: In patients who require Hypogastric artery coverage to treat an AAA with EVAR, does preservation improve outcomes when compared to exclusion of the vessel?</p> Ch.7: In patients with aortic graft infections, does EVAR improve long term survival compared to open graft resection?<p></p> <p>Ch.8: Does EVAR improve outcomes or quality of life in patients unfit for open surgery?</p> <p>Ch.9: In patients with type 2 endoleaks does intervention reduce aneurysm related morbidity and mortality compared to observation?</p> <p>Ch.10: Ruptured Abdominal Aortic Aneurysm Treated with Endovascular Repair; Does Decompressive Laparotomy Result in Improved Clinical Outcomes?</p> <p>Ch.11: In a Patient with Blunt Traumatic Aortic Injury, Does TEVAR Improve Survival Compared to Open Repair or Expectant Management?</p> <p>Section 2: Lower Extremity Arterial Disease</p> <p>Ch.12: In patients with Aortoiliac occlusive disease, does Endovascular repair improve outcomes when compared to open repair?</p> <p>Ch.13: In Patients with Aortoiliac Occlusive Disease, Does Extra-anatomic Bypass Improve Quality of Life and Limb Salvage?</p> <p>Ch.14: In Patients with Critical Limb Ischemia Does Bypass Improve Limb Salvage and Quality of Life When Compared to Endovascular Revascularization?</p><p>Ch.16: In the patient with Profunda artery disease, is open revascularization superior to endovascular repair for improving rest pain?</p> <p>Ch.17: In patients with limb-threatening vascular injuries, is there a role of prophylactic fasciotomy to reduce ischemic injury?</p> <p>Ch.18: In patients with Popliteal Entrapment Syndrome, does surgery improve quality of life?</p> <p>Section 3: Mesenteric Disease</p> <p>Ch.19: In patients with Acute Mesenteric Ischemia does an endovascular or hybrid approach improve morbidity and mortality compared to open revascularization?</p> <p>Ch.20: Chronic Mesenteric Arterial Disease</p> <p>Does an endovascular/hybrid approach improve morbidity and mortality as compared to open revascularization?</p> <p>Ch.21: In patients with mesenteric ischemia is single vessel reconstruction equivalent to multiple vessel revascularization?</p> Ch.22: In patients with celiac artery compression syndrome, does surgery improve quality of life?<p></p><p>Ch.23: In patients with the Superior Mesenteric Artery syndrome is Enteric Bypass superior to Duodenal Mobilization</p> <p>Ch.24: In patients with Renovascular hypertension is there a role for open or endovascular revascularization compared to medical management?</p> <p>Ch.25: Does endovascular repair reduce the risk of rupture compared to open repair in splanchnic artery aneurysms?</p> <p>Section 4: Cerebrovascular Disease</p> <p>Ch.26: In patients with asymptomatic carotid artery stenosis does current best medical management reduce the risk of stroke compared to intervention (endarterectomy or stent)?</p> <p>Ch.27: In patients with symptomatic carotid artery stenosis is endarterectomy safer than carotid stenting?</p> <p>Ch.28: In Patients Undergoing Carotid Endarterectomy, is the Eversion Technique Superior to a Patch Technique to Reduce Restenosis?</p> <p>Ch.29: In patients with a stroke attributable to a carotid artery stenosis, does waiting to operate reduce the risk of complications? </p> <p>Ch.30: In patients with a peri-procedural cerebral thromboembolism, </p> <p>Does Neurovascular rescue improve Clinical Outcome?</p> Ch.31: In patients with extra-cranial carotid artery aneurysms, does an endovascular approach improve clinical outcomes compared to open repair?<p></p> <p>Ch.32: In Patients with Carotid Artery Dissection, is Stenting Superior to Open Repair to Improve Clinical Outcomes?</p> <p>Ch.33: In patients with cervico-thoracic vascular injuries is endovascular repair superior in long-term durability when compared to open repair?</p> <p>Section 5: Venous and Arteriovenous Disease</p> <p>Ch.34: In Patients with Iliofemoral Deep Vein Thrombosis Does Clot Removal Improve Functional Outcome when Compared to Traditional Anticoagulation?</p> <p>Ch.35: In morbidly obese patients undergoing major abdominal operative procedures, does inferior vena cava filter placement prevent massive PE?</p> <p>Ch.36: In patients with chronic venous stenosis, does placement of a stent improve patency compared to recurrent angioplasty?</p> Ch.37: In Patients with Chronic Venous Ulcer is the Unna Boot Still the Best Approach to Wound Care<p></p> <p>Ch.38: In Patients with Threatened or Occluded Access Grafts, Is it Better to Salvage the Graft, or Create a New Site?</p> <p>Ch.39: In patients with new arteriovenous fistulas, are there effective strategies to enhance AVF maturation and durability beyond waiting?</p> <p>Section 6: Perio-operative Management</p> <p>Ch.40: In patients with cardiovascular disease, do statins alone, or in combination with other medications improve mortality?</p><p>Ch.41: In patients who have undergone a lower extremity bypass for PAD, does dual anti-platelet therapy improve outcomes?</p><p>Ch.42: In patients undergoing vascular surgery, does preoperative coronary revascularization reduce the risk of myocardial infarction and death?</p>