■  Alternatively, especially in obese patients with substantial abdominal pannus, a curvilinear incision can be placed 1 cm below and parallel to the inguinal ligament to avoid potential skin maceration and…

■  Planning and performing subintimal recanalization and reentry into the true lumen of the femoral and popliteal arteries are described herein. PATIENT HISTORY AND PHYSICAL FINDINGS ■  Patients with clinical symptoms and…

■  Primary vascular tumors are exceedingly rare, frequently mimic other oncologic disease processes, and may evolve slowly—leading to delay in diagnosis and treatment. Although most commonly arising from large vessels such…

■  In situ replacement: Low-grade infections without sepsis or invasive infection and those with distal occlusive disease may be best treated with in situ graft replacement. ■  Graft replacement material ■  Graft material…

■  Progressive renal artery stenosis (RAS) or occlusion may predispose to renovascular hypertension (RVH; most common form of secondary hypertension) and ischemic nephropathy.2 Aortic atherosclerosis at the ostia or proximal renal…

■  Acute upper extremity ischemia is less common than in the lower extremity due to the rich preexisting collateral circulation in both the upper arm and forearm. The majority (~50%) of…

IMAGING AND OTHER DIAGNOSTIC STUDIES ■  Current indications for carotid endarterectomy were reviewed in Chapter 3.1–3 ■  In recent years, CTA and MRA have assumed preeminent roles in carotid intervention planning. Improved…

■  Device designs vary with aneurysm extent. For pararenal aneurysms, 70% of patients are adequately treated with two small fenestrations for the renal arteries and a scallop for the superior mesenteric…

■  The superficial palmar arch is completed by either the branches of the deep palmar arch, radial artery, or median artery in about 80% of patients. The deep palmar arch is…

IMAGING AND OTHER DIAGNOSTIC STUDIES ■  Transesophageal echocardiography (TEE) may serve as a useful imaging tool, particularly in the setting of acute thoracic aortic pathology. TEE can confirm the presence of…