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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 […]

Introduction Vascular surgery, often a hidden specialty, deals with the intricate network of arteries, veins, and lymphatic vessels that sustain life.  It’s a field demanding not only exceptional surgical skill but also a profound understanding of the body’s circulatory system and its complex interplay with other organ systems.  Says Dr. Michael Lebow,  my journey into this […]