The origins and development of current vascular surgical trauma care are largely based on experiences from wartime casualties and practice. Care for this segment of the population has always presented challenges for physicians to improve medical and surgical practices. Advances…
Peripheral arterial aneurysms are less common than aortic aneurysms, but can cause significant morbidity and occasionally lead to death; however, the most common serious complication is end-organ loss or dysfunction. The peripheral aneurysms discussed in this chapter will be the…
Aneurysms of the visceral branches of the abdominal aorta are being recognized with increasing frequency. More than half of the splanchnic and renal artery aneurysms described in the English-language literature have been reported in the past 25 years. Splanchnic aneurysms…
One of the fastest-growing developments in interventional cardiovascular medicine is the development of the hybrid suite. These are constructed either in a traditional operating room or catheterization laboratory (“cath lab”) environment, thereby permitting a combination of both open and catheter-based…
Introduction Today the vast majority of aortic and iliac vascular procedures can be performed by endovascular techniques, yet there are still some indications where open surgical repair or a less invasive technique is indicated. Some of these procedures can be…
A ruptured abdominal aortic aneurysm (AAA) is a relatively common but catastrophic problem that, if untreated, will almost always result in the death of a patient. However, with treatment, which can consist of open surgical repair or endovascular graft exclusion…
In 1991, Parodi and colleagues published a seminal study of patients who underwent abdominal aortic aneurysm (AAA) repair using an intraluminal, stent-anchored polyester prosthetic graft delivered retrograde from the common femoral artery and revolutionized the field of vascular surgery. Although…
Aneurysms of the abdominal aorta (AAAs) are common; the incidence (the number of new cases) and mortality increased steadily from the 1950s to the late 1990s in the United States and other Western countries. This was attributed to the aging…
Introduction Aortic dissection was first described in the autopsy of King George II of England in 1761, and later the term “dissecting aneurysm” was coined by Morgagni and Laennec in 1819: “aneurysme dissequant.” It is a life-threatening condition that is…
Introduction Endovascular repair has become the first treatment option in most patients with abdominal and thoracic aortic aneurysms. Prospective randomized studies have shown that endovascular aortic repair (EVAR) is associated with lower morbidity, mortality, blood loss, and earlier recovery compared…