Preface; Contents; Contributors; Part I: Aortic Disease; Chapter 1: In Patients with Acute Type B Aortic Dissection, Do Current Operative Therapies Reduce Complications Compared to Medical Management?; 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 Term Complications?; Introduction.

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 Mortality and Freedom from Reintervention Relative to Open Repair?; 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 Preservation Improve Outcomes When Compared to Exclusion of the Vessel?; 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.

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?

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 Aortic Dissection Improve Outcomes?; Introduction; Search Strategy; Results; Clinical Relevance of Type A Aortic Dissections Originating Distal to the Left Subclavian Artery; Spontaneous Type A Retrograde Dissection; Iatrogenic Retrograde Type A Dissections.

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.