A hybrid aortic repair consists of an open surgical bypass to perfuse a single or multiple vessels so that a stent-graft can be deployed across their origin(s) to treat aortic pathology. This combined approach was first used at the University…
Thoracic aortic pathology is one of the leading causes of death in the world in those over the age of 65 and in the United States accounts for more than 11,000 deaths annually. Thoracic aortic aneurysms (TAAs) occur less frequently…
The first reported repairs of descending thoracic aortic aneurysms were published in the early 1950s. The first to successfully perform a thoracoabdominal aortic aneurysm repair were Samuel Etheredge and colleagues in 1955 in Oakland, California. One year later, Michael DeBakey…
Thrombolytic therapy is an important modality in the treatment of patients with peripheral arterial and venous thrombosis. Randomized clinical trials have compared thrombolytic therapy with traditional surgical options, thus providing guidelines for patient selection. As a therapeutic intervention, lytic therapy…
Despite the focus on operative and endovascular interventions in vascular surgery, most patients with chronic lower extremity ischemia do not require surgical intervention. Nonoperative therapy and risk factor modification remain the primary components of management for the majority of patients.…
Introduction To many physicians, the diagnosis and management of thoracic outlet syndrome (TOS) is confusing. Part of the confusion arises because TOS is a term applied to three distinct clinical entities, which may share common anatomical elements yet may present…
Minimally invasive endoscopic technology has rapidly transformed both thoracic and abdominal surgery, and the field of surgical sympathectomies is no exception. For thoracic sympathectomy, the thoracoscopic procedure is used almost exclusively. Laparoscopic and retroperitoneoscopic techniques have also been developed for…
Endovascular therapy (EVT) has increasingly become the initial clinical option for treating both claudication and critical limb ischemia (CLI). Similar to the evolution of open bypass surgery, EVT began above the knee and has been progressively extended to the infrapopliteal…
Management of infrainguinal arterial occlusive disease continues to move away from open surgery and toward percutaneous procedures, and the number of percutaneous options is growing rapidly. This chapter focuses on standard techniques for arterial access, diagnostic imaging, lesion crossing, and…
Open vein harvest (OVH) for coronary artery bypass grafting (CABG) and infrainguinal bypass procedures is associated with increased patient morbidity and postoperative wound complications. In the limb salvage population, patients exhibit severe peripheral arterial occlusive disease, marginal distal perfusion, poor…