Vascular surgery pathologies: carotid stenosis, aortic aneurysms, aortic dissections, and peripheral arterial disease, evaluated in the light of the indication, timing, and technique.
|Carotid stenosis ||To treat symptomatic stenosis or only haemodynamic asymptomatic lesions||Within 24 hours from symptoms onset or within 14 days||Carotid endarterectomy or carotid artery stenting|
|Aortic aneurysms||To treat on the basis of the diameter or on the basis of accompanying symptoms and/or aortic morphology ||In case of symptoms: as soon as possible or after careful patient evaluation||Open repair or endovascular repair|
|Aortic dissections||To treat all the dissection or selectively on the basis of visceral malperfusion, aneurismatic dilatation, and uncontrolled pain and hypertension ||Within 15 days from symptoms onset or after 15 days||Open repair or endovascular repair|
|Peripheral arterial disease||To treat patients presenting with claudication or only patients with critical limb ischemia||Critical limb ischemia presenting patient should always be treated in urgent/emergent setting||Open repair or endovascular repair.|
In case of endovascular repair, use or do not use stent, covered stent, and drug eluting devices
|To recognize patients presenting with acute limb ischemia|