THE EVIDENCE FOR VASCULAR OR ENDOVASCULAR RECONSTRUCTION

ROGER M. GREENHALGH

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CONTENTS

CAROTID CONTROVERSIES AND CHALLENGES

• PLAQUE TYPE CAN DETERMINE THE NEED FOR ASYMPTOMATIC CAROTID INTERVENTION

• CAROTID ENDARTERECTOMY UNDER GENERAL ANAESTHESIA IS THE TREATMENT OF CHOICE

• CAROTID STENTING WILL BECOME THE GOLD STANDARD

UPPER LIMB CONTROVERSIES AND CHALLENGES

• FIRST RIB EXCISION IS SELDOM REQUIRED

• SUBCLAVIAN ARTERY STENOSIS IS BEST MANAGED BY PTA AND STENT

THORACIC AORTIC CONTROVERSIES AND CHALLENGES

• THORACIC ANEURYSMS AND TYPE B DISSECTIONS SHOULD BE TREATED BY STENT-GRAFT

AORTIC ENDOVASCULAR CONTROVERSIES AND CHALLENGES

• THE MAIN EVAR INDICATION WILL BE PATIENTS UNFIT FOR OPEN REPAIR

• EVAR WILL TAKE OVER EMERGENCY ABDOMINAL AORTIC ANEURYSM RUPTURE

RENAL ARTERY CONTROVERSIES AND CHALLENGES

• RENAL ARTERY LESIONS SHOULD BE TREATED BY ANGIOPLASTY AND STENT

AORTIC AND THE LOWER LIMB ARTERIAL CONTROVERSIES AND CHALLENGES

• INFECTED GRAFTS REQUIRE EXCISION AND EXTRA-ANATOMIC RECONSTRUCTION

• AORTILLIAC RECONSTRUCTION SHOULD VOID FEMOROFEMORAL CROSSOVER

• PULL-THROUGH PRESSURES IMPROVE OUTCOME QUALITY FOR AORTOILIAC ANGIOPLASTY

• VASCULAR BRACHYTHERAPY IS PREFERABLE TO DRUG-ELUTING STENTS TO REDUCE PERIPHERAL ARTERY RESTENOSIS

• MILD TO MODERATE INTERMITTENT CLAUDICATION IS BENEFITED BY ANGIOPLASTY

• SUPERFICIAL FEMORAL SUBINTIMAL ANGIOPLASTY BEATS LUMINAL PTA

• PROSTHETIC BYPASS SHOULD NEVER CROSS THE KNEE JOINT

• BALLOON EMBOLECTOMY IS THE FIRST LINE TREATMENT FOR ACUTE LEG ISCHAEMIA

• THERE IS A PLACE FOR PRIMARY AMPUTATION FOR CRITICAL ISCHAEMIA

• VEIN GRAFT DUPLEX SURVEILLANCE IS A WASTE OF TIME

VENOUS CONTROVERSIES AND CHALLENGES

• PHLEBECTOMY IS THE TREATMENT OF CHOICE FOR VARICOSE VEINS

• SURGERY HEALS VENOUS ULCERS

• BELOW-KNEE VENOUS THROMBUS MERITS TREATMENT

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