Historical Background Conventional carotid endarterectomy (CEA) is an excellent and time-tested technique; however, eversion CEA is quicker to perform, avoids insertion of prosthetic material, and is associated with postoperative morbidity and restenosis rates that are comparable with those for conventional…
Historical Background Although Carrea, Molins, and Murphy performed a successful carotid resection in 1951 and DeBakey completed a successful carotid endarterectomy (CEA) in 1953, the potential benefit of surgical treatment for symptomatic carotid occlusive disease was first highlighted by Eastcott,…
Historical Background Angioplasty was first used by Dotter and Judkins in 1964 for the treatment of peripheral vascular lesions using rigid intravascular dilators. Although relatively unnoticed in the United States, this approach was used to treat large numbers of patients…
Historical Background The age of endovascular therapy began with Dr. Sven Seldinger’s publication in 1953 of his technique for vascular access over a wire. The field expanded rapidly with subsequent seminal publications, including those by Dr. Charles Dotter, an American…
Historical Background Throughout the 1940s and early 1950s, angiographic procedures required surgical exposure with placement of a blunt metal trocar and were often cumbersome and dangerous. A percutaneous approach was first described by Jönsson in 1949 with passage of a…
Historical Background In 1927 Moniz at the University of Lisbon was the first to demonstrate the clinical utility of angiography by performing the first cerebral angiogram using sodium iodide. In 1929 dos Santos performed the first aortogram. Swick in 1928…
As most vascular surgeons will attest, among the many attractions to our discipline are the vast array of instruments and procedures available to address some of the most severe medical problems known to mankind and the opportunity to apply our…
Indications Minimally invasive adrenalectomy is the gold standard of care for functional and nonfunctional adrenal masses. Laparoscopic adrenalectomy has been popularized over the last three decades and has been demonstrated to be a safe and effective method of adrenalectomy. Laparoscopic…
Introduction The application of minimally invasive techniques in hepatopancreaticobiliary (HPB) surgery has lagged behind other surgical specialties, such as bariatric and colorectal surgery. This is a testament to the unique and complex nature of HPB operations, particularly pancreaticoduodenectomies. The application…
Introduction The first minimally invasive pancreaticoduodenectomy (PD) was reported in 1994, followed by the first published description of a robot-assisted PD in 2003. , The robot-assisted approach to PD offers surgeons many advantages compared with standard laparoscopy, and its use…