Atherosclerotic disease of the abdominal aorta and iliac arteries is one of the most common therapeutic challenges encountered by vascular surgeons. The British anatomist and surgeon John Hunter first appreciated the implications of aortic bifurcation occlusive disease in the late…
In the Western world, atherosclerotic occlusive disease of the abdominal aorta and iliac arteries is a common cause of lower extremity ischemia in middle-aged and elderly patients. Although not as common as occlusive disease of the femoropopliteal arterial system, with…
Despite numerous medical and surgical technological advances in the past decade, rupture of an abdominal aortic aneurysm (AAA) still portends an exceedingly poor prognosis, with mortality rates greater than 90%, including patients who do not survive long enough to undergo…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Historical Background Abdominal aortic aneurysms were first described by the sixteenth-century anatomist Vesalius. Before the advent of modern surgical techniques, numerous management methods focusing on aneurysm ligation, induced thrombosis, or wrapping were attempted, all with little success. It was not…
The clinical manifestations and complications of atherosclerosis are the most common therapeutic challenges encountered by vascular surgeons. The tendency for lesions to develop at specific anatomic sites and to follow recognizable patterns of progression was appreciated as long ago as…