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…
This chapter discusses open surgical options for femoral, popliteal, and tibial arterial occlusive disease. Although some of these procedures may also be performed for disabling intermittent claudication, the vast majority should only be performed for critical lower limb ischemia, which…
Distal embolization of atherosclerotic debris to the foot is a serious and challenging dilemma. Most commonly it occurs during open and endovascular aortoiliac aneurysm repair, but it is also known to occur during lower extremity endovascular interventions as well as…
The persistent sciatic artery (PSA), first described by Green in 1832, is a rare congenital anomaly resulting from the failure of regression of the sciatic artery during the embryonal period. Diagnosis can be difficult, and life-and limb-threatening complications are well…
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Viabahn open revascularization technique (VORTEC) is a stent graft–based vascular connection technique that achieves 97% successful end-to-end sutureless anastomoses, which is useful especially when the traditional suture technique is cumbersome. Open graft repair of the aortic arch and thoracoabdominal aorta,…
Endovascular repair of a ruptured abdominal aortic aneurysm (rAAA) was first performed successfully by Marin and colleagues on April 21, 1994. A second case was reported by Yusuf and coworkers in 1994. Since then, many centers have employed endovascular aneurysm…