The second half of the twentieth century saw vascu- agree or
disagree, but will be stimulated to question lar surgery develop
from a necessity for hemostasis their surgical management and
explore possible - to a mature reconstructive art. However, this
was ac- ternatives. companied by increasing patient expectations
and The only certainty of the future is that it will bring the
introduction of the alternative techniques of dila- change. An
essential requirement for facing that tation and stenting. These
factors have helped sur- change is multidisciplinary teamwork, and
within geons to focus attention on the need for clinical audit that
framework to define the roles of endovascular and to define clearly
the limitations and standards of and invasive procedures, as well
as the place of m- excellence that should be achieved in the
specialty. ical management in the prevention and modification
Vascular disease remains an extensive problem in of vascular
disease.
General
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