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…

Introduction Endovascular treatment for tibial arterial disease has grown in popularity through technological advancement and improvement in techniques, allowing increased success in treating difficult lesions. With growing evidence for decreased…

Overview Endoleaks, or persistent flow into the aneurysm sac, are the most common complication of EVAR, occurring in up to a third of cases. They occur at the time of…

Introduction Aneurysms of the mesenteric circulation are a rare but potentially fatal pathology. Therefore, a thorough understanding of the natural history and treatment options available is critical to the vascular…

Introduction Over the last two decades, endovascular aortic repair (EVAR) has become the preferred treatment with regard to aortic pathologies and is an alternative treatment for patients who do not…

Points of Attention in Branched EVAR Branched endovascular aortic aneurysm repair (B-EVAR) was developed for the treatment of thoracoabdominal aortic aneurysms (TAAA). With increasing physician experience and device evolution we…

Introduction Popliteal artery aneurysms (PAAs) occur at an incidence of 7.39 per 100,000 people, accounting for 80% of peripheral artery aneurysms. Typically asymptomatic, they are most commonly found incidentally on…