Vascular Surgery Handbook

Built for endovascular trainees and vascular clinicians, this handbook connects vascular biology, hemodynamics, imaging, conduit selection, device planning, and postoperative surveillance to the decisions that determine limb, organ, stroke, access, and aneurysm outcomes. It moves from bedside vascular assessment and physiologic testing through aortic repair, carotid prevention, limb salvage, venous reconstruction, dialysis access, mesenteric and renal disease, trauma, and nonatherosclerotic pathology. The Vascular Decision Atlas converts each chapter’s clinical logic into indexed pathways for presentation, anatomy, imaging, intervention threshold, treatment route, and complication rescue.
• Localize vascular disease from the bedside — pulse examination, ABI, toe pressure, duplex, CTA, MRA, angiography, venography, IVUS, and fistulography linked to the management decision each test must answer.
• Plan aortic intervention — EVAR, TEVAR, fenestrated and branched repair, dissection pathways, landing zones, endoleak surveillance, sac behavior, branch compromise, and access strategy.
• Choose stroke-prevention pathways — symptomatic and asymptomatic carotid stenosis, carotid endarterectomy, carotid stenting, arch anatomy, vertebral flow, and upper-extremity arterial disease.
• Manage limb salvage — claudication, chronic limb-threatening ischemia, diabetic foot wounds, tibial and pedal intervention, open bypass, conduit selection, wound-directed revascularization, and graft surveillance.
• Treat vascular emergencies — acute limb ischemia, embolic disease, ruptured aneurysm, access-site catastrophe, compartment syndrome, reperfusion injury, and trauma repair.
• Navigate venous and dialysis access disease — DVT, phlegmasia, reflux, venous ulceration, iliocaval obstruction, venous stenting, fistula maturation, thrombosed access, steal, and central venous stenosis.
• Separate special vascular mechanisms — mesenteric ischemia, renovascular disease, visceral aneurysm, vasculitis, fibromuscular dysplasia, compression syndromes, connective tissue disorders, and malformations.
Use it to make vascular decisions that match the patient’s anatomy, physiology, risk, and functional goal.