[Endovascular versus conventional vascular surgery--old-fashioned thinking? Part 2: carotid artery stenosis and peripheral arterial occlusive disease]

Chirurg. 2016 Apr;87(4):308-15. doi: 10.1007/s00104-015-0149-y.
[Article in German]

Abstract

Endovascular therapy has widely replaced conventional open vascular surgical reconstruction. For this reason, both techniques were widely considered to be competing approaches. Evidence-based data from randomized prospective trials, meta-analyses and clinical registries, however, demonstrated that both techniques should be used to complement each other. It became increasingly more evident that the use of either procedure depends on the underlying disease and the anatomical conditions, whereby a combination of both (hybrid approach) may be the preferred option in certain situations. This review focuses on the treatment of patients with carotid artery stenosis, intermittent claudication, critical limb ischemia and acute limb ischemia.

Keywords: Acute limb ischemia; Carotid artery stenosis; Critical limb ischemia; Endovascular; Intermittent claudication.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Acute Disease
  • Arterial Occlusive Diseases / surgery*
  • Carotid Stenosis / surgery*
  • Endovascular Procedures / methods*
  • Extremities / blood supply
  • Humans
  • Intermittent Claudication / surgery
  • Ischemia / surgery
  • Vascular Surgical Procedures / methods*