Yes, you use bar end/down tube shifters, although the SRAM ones will only work with XX because of the cable pull, hence PCE have only just started making SRAM specific models. Also, I think that new Dura Ace isnt compatible with the Shimano Off Road cable pull, so you have to go for the model before, but I might be wrong.
They are dead easy to fit, although they don;t have a split clamp for the bars so you have to take everything else off before you fit them.
I got mine from Aspire Velotech, although I think PCE do now have a UK importer if you Google it. They didn't at the time.
They run just like thumbies of old. Personally I prefer them to triggers, or twisters, but it is perhaps not as ergonomic as the natural position your thumb falls into on triggers as you have to twist your wrist up a bit to use the thumbies. Nothing you don;t get used to though. LIghter than triggers, cheaper than triggers, a bit different. What more is there to add?