Carotid Endarterectomy
Historical Background Although Carrea, Molins, and Murphy performed a successful carotid resection in 1951 and DeBakey completed a successful carotid endarterectomy (CEA) in 1953, the potential benefit of surgical treatment…
Historical Background Although Carrea, Molins, and Murphy performed a successful carotid resection in 1951 and DeBakey completed a successful carotid endarterectomy (CEA) in 1953, the potential benefit of surgical treatment…
Historical Background Conventional carotid endarterectomy (CEA) is an excellent and time-tested technique; however, eversion CEA is quicker to perform, avoids insertion of prosthetic material, and is associated with postoperative morbidity…
Historical Background Throughout the 1940s and early 1950s, angiographic procedures required surgical exposure with placement of a blunt metal trocar and were often cumbersome and dangerous. A percutaneous approach was…
Historical Background The age of endovascular therapy began with Dr. Sven Seldinger’s publication in 1953 of his technique for vascular access over a wire. The field expanded rapidly with subsequent…
Historical Background Angioplasty was first used by Dotter and Judkins in 1964 for the treatment of peripheral vascular lesions using rigid intravascular dilators. Although relatively unnoticed in the United States,…
Historical Background In 1927 Moniz at the University of Lisbon was the first to demonstrate the clinical utility of angiography by performing the first cerebral angiogram using sodium iodide. In…
As most vascular surgeons will attest, among the many attractions to our discipline are the vast array of instruments and procedures available to address some of the most severe medical…
Abstract Numerous bridging devices have been used in patients undergoing complex endovascular aneurysm repair (EVAR) with involvement of one or more target vessels. In this chapter we highlight the most…
Abstract The off-the-shelf multibranched thoracic endograft (t-branch) was created to overcome the limitations of the custom-made multibranched endograft. Consequently, symptomatic and ruptured thoracoabdominal aortic aneurysms can be treated with this…
Abstract Lesions in the aortic arch or descending aorta can be treated using open or endovascular methods. However, involvement of the supra-aortic branches makes treatment demanding. Alternatively to branched custom…