Direct Surgical Repair of Visceral Artery Aneurysms
Historical Background Visceral artery aneurysms are a rare but clinically important vascular condition and have been recognized for more than 200 years. As of 2002, there were about 3000 cases…
Endovascular Treatment of Occlusive Superior Mesenteric Artery Disease
Historical Background Traditionally, the preferred treatment to restore adequate blood flow to the visceral organs was open surgical bypass. This treatment resulted in significant morbidity and mortality rates, ranging from…
Direct Surgical Repair of Renovascular Disease
Historical Background In 1937 Goldblatt demonstrated that renal artery constriction produced atrophy of the kidney and systemic hypertension in a canine model. His elegant experiments defined a causal relationship between…
Direct Surgical Repair for Celiac Axis and Superior Mesenteric Artery Occlusive Disease
Historical Background Embolectomy of the superior mesenteric artery for acute mesenteric ischemia was suggested by Ryvlin in 1943 and Klass in 1951, with the first successful embolectomy reported by Shaw…
Total Graft Excision and Extraanatomic Repair for Aortic Graft Infection
Historical Background Many early series recognized that aortic graft infection is difficult to diagnose, is associated with substantial amputation and mortality risks, and has a tendency to recur if inadequately…
Endovascular Treatment of Renal Artery Aneurysms
Historical Background Although renal artery aneurysms located in a distal branch can be sacrificed with little consequence to renal function, centrally located aneurysms posed an initial challenge for the development…
Endovascular Treatment of Renal Artery Stenosis
Historical Background In 1978 Grüntzig and colleagues were the first to describe angioplasty for the treatment of atherosclerotic renal artery disease, and in 1991 early experience with balloon-expandable and self-expanding…
Endovascular Treatment of Aneurysms of the Juxtarenal and Pararenal Aorta
Historical Background Juxtarenal aneurysms refer to abdominal aortic aneurysms with an infrarenal neck less than or equal to 1 cm in length, and pararenal aneurysms refer to abdominal aortic aneurysms…
Neoaortoiliac System Procedure for Treatment of an Aortic Graft Infection
Historical Background Dissatisfaction with traditional single-stage or multistage extraanatomic bypass followed by resection of infected aortic grafts arises from aortic stump blowout after excision of the infected graft and more…
Extraanatomic Repair for Renovascular Disease
Historical Background Extraanatomic revascularization of the renal arteries using the splenic or hepatic branches of the celiac trunk for inflow generally yields inferior results when compared with traditional aortorenal bypass….
