Introduction Many patients with symptomatic iliofemoral deep vein thromboses (DVTs) are now undergoing intervention to minimize thrombus burden in order to decrease venous pressures and preserve valve function. For patients…

Introduction Central venous catheters can be placed for a number of indications, including hemodialysis, chemotherapy, parenteral nutrition, and antibiotics. The intended duration of the catheters can be categorized as acute…

Introduction Intra-arterial devices used to assist in the management of critically ill patients with cardiopulmonary failure have become commonplace at most advanced medical centers in the past decade. Extracorporeal membrane…

Introduction Chronic mesenteric ischemia (CMI) is a relatively uncommon disorder, accounting for <1 per 100,000 hospital admissions in the United States. Prophylactic revascularization is not recommended in patients with either…

Introduction Endovascular treatment of complex (TASC C and D) lesions of the aortoiliac arteries has been increasingly adopted since the early 2000s, especially after the introduction of stent grafts. Although…

Stent Graft Design Many of the complications of endovascular aneurysm repair result from a mismatch between the demands of the pathology and the capabilities of the device, and many can…

Introduction There has been a dramatic change over the past several decades in management of patients with femoropopliteal occlusive disease transitioning from open to minimally invasive endovascular repair. Optimal medical…

Background The chimney technique (Ch-EVAR) allows off-the-shelf endovascular repair of complex aortic pathologies involving the visceral arteries, such as aneurysms involving the juxtarenal ( Fig. 16.1 ), pararenal, and thoracoabdominal…

Introduction Acute limb ischemia (ALI) arguably presents one of the most challenging problems that vascular surgeons face. The diagnosis is often clinical, but the etiology and appropriate treatment strategy are…