In recent times, major advances have been achieved in the techniques and devices designed to treat vascular disease that impart minimal adverse physiologic impact on the patient. These devices include specialized angioplasty balloons, stents, stent grafts and atherectomy catheters. Despite these advances, however, open surgical procedures continue to play an important role in vascular disease management. For example, in cases where the extent of arterial disease precludes treatment with an endovascular approach, an open surgical procedure may be the only option available to revascularize the limb or organ. An open surgical procedure also might be preferable to an endovascular approach in cases where a previous endovascular intervention has failed or where the disease pattern seen on arteriography indicates that success with an endovascular intervention would last only a few weeks. In these situations, an open surgical procedure may provide a more successful and durable outcome.
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