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Endovascular Surgery: Advancements, Benefits, and Future Prospects

Endovascular surgery has transformed the landscape of vascular and related medical fields. Its minimally invasive nature, personalized approach, and rapid recovery times make it a preferred choice for both patients and healthcare providers. With ongoing advancements in technology, training, and research, the potential for further refining techniques, expanding applications, and improving patient outcomes is vast. As we continue to unlock the potential of endovascular surgery, the medical community stands poised to provide patients with safer, more effective, and increasingly personalized treatment options.

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Featured

 Endovascular Stroke Therapy: Is This the New Standard?

While the road ahead looks promising, clinicians should understand that the initial findings of ET in the selected population should be reserved for just that – selected populations. Instead of casting a wide net for ET for all stroke patients, we should comb through the multitude of stroke patients to find that unique population that will ultimately benefit from endovascular therapy.

Articles of Interest

SGEM#292: With or Without You – Endovascular Treatment with or Without TPA for Large Vessel Occlusions

There does not appear to be a role for systemic thrombolysis in acute ischemic stroke for appropriate patients when EVT is readily available.

A Team Approach to Endovascular Management of Hemorrhagic Shock

Keys to developing a coordinated and seamless approach to managing intraperitoneal hemorrhage and shock from prehospital care through endovascular treatment.

Charting a Course: The Future of Neurointervention

Although the “intervention” aspect of care is effective at restoring blood flow to blocked cerebral arteries, the majority of the potential to improve outcomes may rest in determining the best way to triage patients with stroke symptoms to qualified centers.

Current developments in endovascular therapy of peripheral vascular disease

In the past, PAD was treated with open surgical approaches but with new technologies, more and more peripheral interventions are performed with an endovascular first approach. However, both FP and IP lesions can be very challenging to treat with an endovascular approach .

Endovascular Neurosurgery: A History of Electricity, Balloons, Wires and Glue

Physicians may have first known what an aneurysm was as far back as the 14th Century BC in Egypt1, but by the early 19th century they were still trying to find satisfactory options for treating large or surgically inaccessible aneurysms.4,5 One of the techniques being considered was inserting a needle to provoke formation of a clot that would close off the aneurysm.

How EVAR Conquered the World

This historical perspective on the origins of endovascular aortic repair (EVAR) is based on the authors' European Society for Vascular Surgery (ESVS) 2019 Volodos Honorary Lecture held on 26 September 2019 in Hamburg, Germany. The original title of the lecture was “The Quest for Simplicity: Occam's Razor (= a principle attributed to William of Occam, ie. explaining a thing should not make more assumptions than necessary) and the Development of EVAR”.

Increasing use of endovascular therapy in acute arterial injuries: Analysis of the National Trauma Data Bank

The use of endovascular therapy in the setting of acute trauma is increasing in a dramatic fashion and is being used to treat a wide variety of vessels injured by blunt and penetrating mechanisms. Endovascular therapy appears to be particularly suitable for patients who present with less severe injuries and greater hemodynamic stability. These preliminary data suggest that the use of endovascular therapy for acute traumatic arterial injuries yields shorter lengths of stay and improved survival.

Milestone Cases in Endovascular Trauma Therapy

Endovascular therapy for vascular trauma can be performed by either reestablishing the flow of the artery, occluding orifices or tears with covered stents, or by simply occluding the vessel with coils, plugs, or gelfoam.

The Future of Endovascular Therapy: A View From the Cockpit

As coronary and peripheral revascularization have evolved from open surgical to minimally invasive catheter-based procedures, interventional operators have found themselves encountering greater procedural complexity and longer procedural duration.

Resources

Endovascular Today

Endovascular Today is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field.

Journal of Endovascular Therapy

The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology.

Journal of Vascular and Interventional Radiology

The Journal of Vascular and Interventional Radiology, published continuously since 1990, is a monthly peer-reviewed journal serving the global community and specialty of interventional radiology.

British Society of Endovascular Therapy

The British Society of Endovascular Therapy (BSET) promotes scientific research, education and training in endovascular treatment and procedures for the advancement of health and public benefit. The Society is a Charitable Incorporated Organisation (CIO), and holds an annual meeting at which trainees are able to present the latest endovascular research.