Endovascular therapy has changed the landscape of vascular surgical practice. A major thrust into catheter-based therapy was initiated in 1999 with the US Food and Drug Administration (FDA) approval of endografts for aneurysmorrhaphy. As this important technique became ubiquitous, surgeons…
Basic Principles Surgical repair or replacement of diseased blood vessels, including aortic reconstruction for aneurysmal disease, bypass of occlusive atherosclerotic lesions, vascular trauma, oncologic vascular reconstruction, and creation of durable arteriovenous access for hemodialysis, remains a mainstay of modern vascular…
In the field of vascular surgery, the use of surgical bypass is fundamental to the treatment of a wide variety of arterial and venous disorders. In turn, the technical conduct and success of surgical bypass are directly dependent on the…
Introduction Arthur Voorhees and colleagues first described the use of a prosthetic graft to bridge arterial defects in 1952. Since then, numerous advances have been made in fabric technologies, and a large variety of prosthetic grafts are currently available on…
Background Autogenous vein remains the conduit of choice for infrainguinal revascularization and has been shown to be superior to alternatives above and below the knee in patients with claudication and chronic limb-threatening ischemia (CLTI). , The first report on the…
Introduction Vascular surgery has evolved with the introduction of endovascular procedures. Minimally invasive laparoscopic techniques have also been developed, with a number of reports describing laparoscopic aortic repair for occlusive and aneurysmal disease. There are no large randomized trials to…
Introduction Endovascular intervention has replaced open surgery as the primary treatment option for many vascular diseases. This chapter reviews the basic principles, devices, and techniques of endovascular therapy, including indications, limitations, pitfalls, and complications. Balloon Angioplasty The first percutaneous treatment…
Introduction Endovascular therapy has become the mainstay of treatment for numerous vascular diseases and has even become preferable over open intervention in a variety of circumstances. In order to fully harness these therapies, vascular surgeons must be facile with a…
Introduction As trainees and practicing vascular surgeons perform fewer open procedures, it becomes increasingly important to understand and become familiar with the established principles of open surgical technique. With advances in catheter-based technology, endovascular therapy is now the first option…
Spinal disorders, such as degenerative disc disease and spondylolistheses, are treated with interbody fusion. To accomplish this, the spine can be exposed through anterior, transforaminal, oblique, lateral, and posterior approaches. The vascular surgeon becomes critical, however, to the success of…