Contributors Preface 1 PRACTICE OF VASCULAR SURGERY IN A CHANGING ENVIRONMENT 1 Medicare, Present and Future: Forces for Change Hugh H Trout III 2 Impact of Critical Pathways on Surgical Outcome and Hospital Stay Joseph R Schneider, Julie S Droste, and John F Golan 3 The Vascular Laboratory: Quality Control and Accreditation / Dennis Baker 4 The Vascular Center: The Concept of a Multidisciplinary Approach Anthony D Whittemore II PRACTICAL APPLICATION OF THE NONINVASIVE VASCULAR LABORATORY 5 Increasing Use of Autogenous Fistulas: Selection of Dialysis Access Sites by Duplex Scanning and Transposition of Forearm Veins Michael B Silva, Jr, Peter J Pappas, Frank T Padberg, Jr@ and Robert W Hobson II 6 Appropriateness of Noninvasive Follow-Up for Vascular Procedures Dennis F Bandyk 7 Duplex Imaging for Chronic Venous Insufficiency D E Strandness, Jr 8 Vein Mapping for Infrainguinal Bypasses Mark A Mattos and David S Sumner III PREOPERATIVE EVALUATION 9 Hypercoagulable Disorders Donald Silver 10 Guidelines for Preoperative Cardiac Evaluation John W Halle@ ;r 11 Choice of Diagnostic Tests in Patients Suspected of Having Extracranial Carotid Disease William D Turnipseed 12 Choice of Imaging Techniques in Patients with Aortic Aneurysms Bernardo D Martinez and Christopher K Zarins IV CEREBROVASCULAR ISCHEMIA 13 Streamlining Hospital Care for Patients Undergoing Carotid Endarterectomy M Ashraf Mansour and William H Baker 14 Coronary Artery Bypass Grafting with Carotid Endarterectomy Thomas Bilfinger, Michael Petersen, and John J Ricotta 15 Surgery for Asymptomatic Carotid Artery Disease: Is It Cost-Effective? Jack L Cronenwett and John D Birkmeyer 16 Cost-Effectiveness of Carotid Endarterectomy in the Prevention of Stroke Sheela T Patel and K Craig Kent 15 SURGERY OF THE AORTA AND ITS BODY BRANCHES 17 Contemporary Results of a Clamp-and-Sew Technique for Thoracoabdominal Aortic Aneurysm Repair Richard P Cambria 18 Treatment Options for Aortoiliac Occlusive Disease David C Brewster 19 Management Options for Atheroembolization Richard R Keen and James S T Yao 20 Management of Visceral Artery Aneurysm Sandra C Carr and William H Pearce 21 Surgical Options in the Treatment of Renovascular Hypertension and Renal Failure James C Stanley VI LIMB ISCHEMIA DUE TO INFRAINGUINAL ARTERIAL OCCLUSIVE DISEASE 22 Using Low Molecular Weight Heparin for Anticoagulation After Lower Extremity Arterial Bypass Walter ; McCarthy III and William D McMillan23 Management of Inguinal Wound Healing: Complications of Inguinal Wounds Jonathan B Tolvne and Douglas A Coe 24 Nonoperative Management of Femoropopliteal Occlusive Disease Lloyd M Taylor, ]r, Gregory L Moneta, and John M Porter VII NONOPERATIVE MANAGEMENT OF VASCULAR PROBLEMS 25 Simplified Approach to Thrombolytic Therapy of Arterial and Graft Occlusion Anthony f Comerota and Michael D Malone 26 The Management of Mesenteric Venous Thrombosis Michael C Dalsing 27 Nonoperative Treatment of Femoral Pseudoaneurysms Steven S Kang and Nicos Labropoulos 28 Deep Venous Thrombosis: Catheter-Directed Thrombolytic Therapy Robert L Vogelzang and Mark W, Mewissen VIII TRAUMA AND EMERGENCY SURGERY 29 A New Strategy in the Resuscitation of Trauma Patients Kenneth L Mattox 30 Carotid Trauma: When to Operate David V FeUciano 31 Noninvasive Tests in the Diagnosis of Vascular Trauma Kaj Johansen 32 Endovascular Techniques in the Treatment of Penetrating Arterial Trauma Takao Ohki and Frank f Veith IX VENOUS PROBLEMS 33 Understanding and Managing Thromboembolism in Patients with Malignancy Mary C Proctor and Lazar } Greenfield 34 Acute Deep Vein Thrombosis: Outpatient Treatment David Green 35 Hematologic Factors in Recurrent Venous Thrombosis Thomas W Wakefield and Alvin H Schmaier 36 The Fate of Calf Vein Thrombosis Mark H Meissner 37 Primary Varicose Veins and Their Treatment John H Scurr