In Perugia 40% of necks enlarge and cause problems

This book is a collection of chapters written for the 2006 meeting of ''Controversies and Up-dates in Vascular Surgery'' held in Paris. In the book, you will find the most up to date information required for current daily practice as vascular surgeons. However, not all decisions in surgery are evidence based as many patients fall outside the convenient frame of study groups observed in randomised studies. Among the wide range of technological advances designed to overcome technical problems or specific management issues, many will not stand up to the robust scrutiny of clinical evaluation. However, the few which prove to be efficient will help improve the care of patients and the understanding of their diseases. Contents The fate of the endograft after 5 or more years 1/3/6/12/18 months and life long yearly assessment is the routine: is it right and safe for patients with EVAR? The plain abdominal radiograph is a useful technique for surveillance after EVAR Branched endografts for abdominal aortic aneurysms with bilateral common iliac aneurysms extending to the iliac bifurcation Short neck aneurysms: do we really need fenestrated grafts? Of course and I will prove my case Are fenestrated grafts useless, time-consuming and costly? The outcome of EVAR in AAA with a short infrarenal neck in the EUROSTAR registry Can we predict aneurysm rupture? Gender matters in abdominal aortic aneurysms EVAR is the best option at one month but is it still the case at longer follow-up? More than 1000 stent-grafts with 10 years follow-up and only 6 ruptures: what is our policy to prevent catastrophic events? In Perugia 40% of necks enlarge and cause problems In Sidney no neck enlargement Should type II endoleaks be treated after endovascular abdominal aortic aneurysm repair? Intrasac pressure measurements in the presence of type II endoleaks before and after endovascular treatment of AAAs Late failed EVAR: when to choose surgical conversion or endoconversion Aneurysm sac occlusion using Onyx Expansion of the aneurysm after endovascular repair Treatment algorithms for ruptured abdominal aortic aneurysms Management strategies, adjuncts and technical tips to facilitate endovascular treatment of ruptured abdominal aortic aneurysms Abdominal compartment syndrome following ruptured AAA Carotid stenosis: do we operate the the right patients? The timing of carotid endartectomy after stroke Is it ethical to perform carotid artery stenting in asymptomatic patients? Factors which may induce restenosis following carotid surgery Evidence for the routine use of carotid filters during carotid artery stenting What to do when a stroke occurs during carotid artery stenting? Does carotid artery stenting work on the long run: 5-year results in high-volume centers (ELOCAS registry) Do carotid stents fracture? EVAR state of the art 2006 Effect of graft planarity on outcome after infra-inguinal reconstruction and development of a novel helical graft When and how to prescribe antithrombotic therapy after lower limb revascularisation Aspirin and Clopidogrel may improve infra popliteal bypass patency: rationale for a new trial Peripheral graft infection: cryopreserved arterial allograft reconstruction is the best option Subintimal angioplasty: how I do it and what I do if complications occur Cutting balloon for leg arteries, the ultimate tool? Do we have the right stents for femoro-popliteal lesions? Endovascular repair of popliteal aneurysms Experience with endovascular repair of popliteal aneurysms Popliteal aneurysms: surgery offers durable results Embolic lesions from the aortic arch during aortic stent-grafting Current limitations of thoracic stent-grafts Hybrid procedures allow endovascular treatment of aneurysms and dissections involving the aortic arch Prospective randomized trial: private practice is not a limitation to participation Stent-grafts are now reimbursed: is this going to change our practice? Complex bypasses and fistulas for difficult hemodialysis access ­ a prospective series of 24 consecutive cases from a single centre Fifteen years ago laser was supposed to open the arteries, now it is supposed to close the vein: what is the reality behind the tool Endovenous laser ablation of the small saphenous vein: how to avoid neurologic complications Valvuloplasty of incompetent deep venous valves Minimally invasive retroperitoneal approach for the treatment of abdominal aneurysm Total laparoscopic repair is my routine practice: my latest tricks Can all patients requiring aortic repair be treated laparoscopically? Laparoscopic aortic surgery: recent development in instrumentation Total laparoscopic AAA and iliac artery aneurysm repair using hybrid techniques Laparoscopic occlusion of lumbar arteries during AAA repair ABSTRACTS OF SYMPOSIUM: AMBULATORY TECHNIQUES FOR VARICOSE VEINS Long term ultrasound findings at the sapheno-femoral junction after radiofrequency endovenous obliteration of the greater saphenous vein: preliminary study Ambulatory surgery: stripping, EVLT, closure: what to choose? Sclerotherapy and thrombophilia. A multicentre prospective study of 104 cases Endovenous heat induced thrombus (EHIT) following endovenous vein obliteration: to treat or not to reat? A new thrombotic classification Endovenous laser treatment of varicose veins: a three years personal experience Venous leg ulcers the endovenous laser approach Interstitial laser in a complex angiodisplasy. Case report ELVeS futures developments: computer assisted control of the pull back speed How and why the endovenous laser works: ultrasound and MRI imaging of veins treated with a 980 nm laser ­ELVes technique Standardisation and improvement for a safe and efficient endovenous procedure.