Evidence-based Therapy in Vascular Surgery

This book is an introduction to quality initiative for vascular surgery and medicine. Originally published in German, the book is written by leading experts who utilise their professional expertise and insight to help raise the level of patient safety, qu

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E. Sebastian Debus Reinhart T. Grundmann

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Evidence-based Therapy in Vascular Surgery

E. Sebastian Debus • Reinhart T. Grundmann

Evidence-based Therapy in Vascular Surgery

E. Sebastian Debus Department of Vascular Medicine University Heart and Vascular Center at University Clinics Hamburg–Eppendorf Hamburg Germany

Reinhart T. Grundmann Former Medical Director Community Hospital Altoetting-Burghausen Burghausen Germany

ISBN 978-3-319-47147-1    ISBN 978-3-319-47148-8 (eBook) DOI 10.1007/978-3-319-47148-8 Library of Congress Control Number: 2017933880 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

The topic of this book is evidence-based vascular and endovascular surgery and vascular medicine. Thereby, all prevalent arterial vascular diseases are discussed, from extracranial carotid stenosis to thoracic and abdominal aortic aneurysms, peripheral arterial occlusive disease and the diabetic foot. Furthermore, especially significant for the outpatient field, therapy of varicose veins is included. The objective of this book is to assess surgical procedures and to aid the reader in resolving whether open or endovascular intervention should be preferred in a given situation. This initiates with recommendations from guidelines, which are not necessarily the same in all countries and sometimes may not be of the highest quality. The authors scrutinized which of the most frequently utilized guidelines were identical and which of them differed. This leads us to the second focus of this book, the treatment results, which serve as a rudiment for an evidence-based therapy decision. Clinical studies are discussed and classified according to their significance; all important meta-analyses and Cochrane-Reviews