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Introduction Reconstructive vascular surgery has long been defined by the meticulous application of surgical techniques to repair damaged blood vessels. From complex bypass grafts to intricate skin grafts, these procedures demand a profound understanding of vascular anatomy and a delicate touch. However, the field is rapidly evolving, driven by advancements in bio-engineering and a growing […]

Introduction Postoperative care is a critical determinant of outcomes in vascular surgery, where complications such as graft occlusion, wound infection, and thromboembolic events can significantly impact recovery. Traditionally, follow-up relies on scheduled in-person visits, which may not detect complications early enough and can be challenging for patients living far from specialized centers. Says Dr. Michael Lebow, […]

Introduction Complex vascular reconstructions often demand a level of precision and flexibility that goes beyond what conventional operating rooms can offer. Conditions such as thoracoabdominal aneurysms, arch pathologies, and multilevel peripheral arterial disease frequently require a combination of open surgical techniques and advanced endovascular interventions. In the past, this meant performing staged procedures in separate […]

Introduction Vascular grafting is a cornerstone of surgical treatment for conditions such as peripheral arterial disease, aneurysms, and congenital vascular anomalies. Traditionally, autologous vein grafts, such as the saphenous vein, have been the preferred conduit due to their excellent biocompatibility and long-term patency. Says Dr. Michael Lebow, however, many patients lack suitable autologous vessels because of […]

Introduction Vascular surgery relies heavily on precise visualization of complex anatomy and blood flow dynamics to plan and execute interventions safely. Traditional imaging techniques, such as duplex ultrasonography, CT angiography, and conventional MR angiography, have long served as the foundation of diagnostic and preoperative assessment. Says Dr. Michael Lebow, while these modalities remain indispensable, they have […]

Introduction Carotid artery stenosis remains a major cause of ischemic stroke, accounting for significant morbidity and mortality worldwide. Traditionally, carotid endarterectomy (CEA) has been the gold standard for revascularization in symptomatic and selected asymptomatic patients. Says Dr. Michael Lebow, while highly effective, CEA is an open surgical procedure associated with risks such as cranial nerve injury, […]

Introduction Vascular surgery involves some of the most technically challenging procedures in medicine, often dealing with life-threatening conditions such as aneurysms, peripheral arterial disease, and carotid artery stenosis. One of the most critical steps in managing these patients is accurate preoperative risk assessment and surgical planning. Traditionally, these processes have relied on clinician expertise, patient […]

Introduction Aortic diseases, such as aneurysms and dissections, have long been among the most challenging conditions for vascular surgeons due to the complexity of the aorta’s anatomy and the potentially life-threatening nature of these disorders. Says Dr. Michael Lebow, traditionally, open surgery was the gold standard for aortic repair, but it came with significant risks, […]

Introduction Vascular disease, encompassing conditions affecting the blood vessels, poses a significant threat to global health.  These diseases, ranging from atherosclerosis (hardening of the arteries) to peripheral artery disease (PAD), share a common thread: damage to the blood vessels, leading to reduced blood flow and potentially life-threatening complications such as heart attack, stroke, and limb […]