Portal hypertension and variceal hemorrhage are important clinical problems in which vascular surgeons may still have a significant interest and concern. New developments have altered the once-familiar approach to this disease, with endoscopic and endovascular approaches having replaced what was…
A venous leg ulcer is defined as “an open skin lesion of the leg or foot that occurs in an area of venous hypertension.” Venous ulcers are one of the most common chronic vascular diseases: they are estimated to have…
The term chronic venous insufficiency (CVI) encompasses a spectrum of symptoms, such as edema, skin changes, or ulceration, which are attributed to functional abnormalities of the venous system and, in turn, venous hypertension. Varicose veins alone are not considered evidence…
Percutaneous endovenous stenting has emerged as a powerful technique for treating chronic venous obstructions. Stenosis and chronic total occlusions (CTOs) are amenable to endovascular correction. The technique is minimally invasive, safe, and effective and does not preclude open correction in…
Reconstruction of the occluded iliofemoral vein or the inferior vena cava (IVC) may be required in patients with postthrombotic venous occlusion if they exhibit signs and symptoms of advanced chronic venous insufficiency (CVI). Reconstruction of large veins may also be…
Introduction Thrombolytic therapy for venous thromboembolism is an increasingly important option for the management of patients with extensive venous thromboembolic disease, namely iliofemoral venous thrombosis and pulmonary embolism (PE), which alter venous and cardiopulmonary hemodynamics and cause pathologic myocardial stretch…
Venous thromboembolism (VTE), which includes both deep venous thrombosis (DVT) and pulmonary embolism (PE), is very common. Although the etiology of acute venous thrombosis (VT) is defined by Virchow triad of hypercoagulability, stasis, and endothelial injury, it is clearly a…
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…