Trials and Tribulations of Vascular Surgery

Introduction: Perception of Change in Health Status Among Patients Undergoing Vascular Surgery. What Is the Optimal Treatment for the Infected Vascular Graft? Is There a Place for Primary Axillofemoral Bypass? What Is the Evidence that Anticoagulant Treatment Improves Long-Term Patency of Distal Bypass? What Are the Benefits of Adjuvant Drug Therapy? Association with Femoropopliteal and Tibial Bypass or Angioplasty. Carotid Studies: Has the Definitive Study Been Done to Determine the Place of Carotid Endarterectomy in the Asymptomatic Patient? The ACST Study. Can Patients with Amaurosis Fuga or Transient Ischaemic Attack Be Considered Under the Same Heading for Trial Purposes? Are There Population Differences in Prevalence and Incidence of Transient Ischaemic Attacks? Does It Matter How the Carotid Artery Is Measured in Terms of Degrees of Stenosis? Urgent Carotid Surgery in Acute Stroke. Carotid Patch Angioplasty. What Evidence Is There that a Carotid Shunt Is Required During Surgery? Is Endovascular Intervention Justified for Disease of the Supra-Aortic Trunks? Aneurysm Studies: Transperitoneal or Retroperitoneal Approach to the Abdominal Aorta. Which Is Best? Does Use of Beta-Blockers Have Any Impact on the Growth of Aortic Aneurysms? Is There Any Evidence that CSF Monitoring Is Worthwhile During Thoracabdominal Aneurysm Surgery? Complications of Endovascular Stented Grafts Placed for the Treatment of Arterial Lesions. Is the Endovascular Superior to Conventional Surgery for Abdominal Aortic Aneurysm? Small Abdominal Aortic Aneurysm Trials. Is Vein Superior to Prosthetic Material for Tibial Bypass? When Should We Operate and When Should We Leave Popliteal Aneurysm: What Is the Evidence? Intermittent Claudication Studies: Effectivenes of Percutaneous Transluminal Angioplasty for Lower Limb Atherosclerosis. Do Exercise Programmes Improve Intermittent Claudication? Is a Stent Vital After Percutaneous Transluminal Angioplasty? Is It Necessary to Assess Pressures After Infrainguinal Bypass? Is There Evidence