Introduction There has been a dramatic change over the past several decades in management of patients with femoropopliteal occlusive disease transitioning from open to minimally invasive endovascular repair. Optimal medical therapy continues to be the first-line therapy for patients with…
Introduction Endovascular treatment of complex (TASC C and D) lesions of the aortoiliac arteries has been increasingly adopted since the early 2000s, especially after the introduction of stent grafts. Although the primary patency rates are reported to be 60%–86% at…
Introduction Acute limb ischemia (ALI) arguably presents one of the most challenging problems that vascular surgeons face. The diagnosis is often clinical, but the etiology and appropriate treatment strategy are not always straightforward. A missed or delayed diagnosis can have…
Introduction Chronic mesenteric ischemia (CMI) is a relatively uncommon disorder, accounting for <1 per 100,000 hospital admissions in the United States. Prophylactic revascularization is not recommended in patients with either renal or mesenteric artery disease. Treatment is indicated in select…
Introduction The common goal of catheter-based embolization procedures is to cease the flow of blood mechanically in a particular vessel or vascular territory using either a temporary or permanent agent. In the history of interventional radiology, embolization has an established…
Introduction Aneurysms of the mesenteric circulation are a rare but potentially fatal pathology. Therefore, a thorough understanding of the natural history and treatment options available is critical to the vascular surgeon potentially faced with treating this entity. Successful treatment with…
Introduction Endovascular fenestration is used to manage complicated aortic dissection in a manner analogous to open surgical septectomy. The intent to create a large communication between the aortic true and false lumina providing free interluminal flow and equalization of pressure…
Introduction Since its inception in 1992, thoracic endovascular aortic repair (TEVAR) was introduced as an alternative treatment option to conventional open surgery for patients with complicated Type B aortic dissection (TBAD), i.e., end-organ malperfusion, refractory hypertension or hypotension, and unrelenting…
Transcatheter Aortic Valve Replacement Introduction Aortic stenosis (AS) affects morbidity and mortality as populations continue to age. Recent studies have estimated the prevalence of calcific AS between 2% and 4% among adults over 65 years of age and, for many…
Introduction Over the last two decades, endovascular aortic repair (EVAR) has become the preferred treatment with regard to aortic pathologies and is an alternative treatment for patients who do not qualify for open surgery. Although EVAR has been shown to…