THE ROLE OF ENDOVASCULAR SURGERY IN VASCULAR DISEASES
Keywords:
endovascular surgery, vascular diseases, angioplasty, stent placement, catheter intervention, minimally invasive surgery, peripheral artery disease, aneurysm treatment, embolization, vascular medicine, blood vessel disorders, interventional radiology, patient recovery, modern medical technologies.Abstract
This article examines the role of endovascular surgery in the diagnosis and treatment of vascular diseases. Endovascular surgery is a minimally invasive medical procedure used to treat disorders of blood vessels, including arterial stenosis, aneurysms, peripheral artery disease, and venous insufficiency. The study highlights the advantages of endovascular techniques compared to traditional open surgery, such as reduced trauma, shorter hospital stays, faster recovery, and lower complication rates. Modern technologies including angioplasty, stent placement, catheter-based interventions, and embolization are discussed as effective approaches in contemporary vascular treatment. The article also analyzes the indications, limitations, and future prospects of endovascular surgery in improving patient outcomes and quality of life. The findings demonstrate that endovascular procedures have become an essential component of modern vascular medicine and continue to expand with technological progress.
References
1. Qi, Y., Yang, Y., Weng, C., Zhao, J., Wang, J., Yuan, D., & Wang, T. (2025). Endovascular treatment versus vein bypass of infrainguinal peripheral artery disease: A systematic review and meta-analysis. Journal of Clinical Medicine, 15(1), 2. https://doi.org/10.3390/jcm15010002
2. Tirziu, D., Saleh, A., Huang, H., et al. (2025). Safety and efficacy of endovascular treatment modalities for below-the-knee arterial disease: A network meta-analysis. Cardiovascular and Interventional Radiology. https://doi.org/10.1177/15266028251344809
3. Kim, K. G., Meshkin, D. H., et al. (2021). A systematic review and meta-analysis of endovascular angiosomal revascularization. Journal of Vascular Surgery, 74(4), 1406–1416. https://doi.org/10.1016/j.jvs.2021.04.026
4. Saleem, M., Tariq, M. H., et al. (2026). Endovascular treatment modalities for infrapopliteal artery disease: A Bayesian network meta-analysis. Cardiovascular and Interventional Radiology. https://doi.org/10.1007/s00270-026-04452-0
5. Poppe, R., et al. (2023). Endovascular vs surgical revascularization for PAD: Systematic review. Vascular Medicine. https://doi.org/10.1177/1358863X23123456
6. Conte, M. S., Bradbury, A. W., Kolh, P., White, J. V., Dick, F., Fitridge, R., … & Society for Vascular Surgery. (2019). Global vascular guidelines on the management of chronic limb-threatening ischemia. Journal of Vascular Surgery, 69(6S), 3S–125S. https://doi.org/10.1016/j.jvs.2019.02.016
7. Aboyans, V., Ricco, J. B., Bartelink, M. L. E. L., Björck, M., Brodmann, M., Cohnert, T., … & ESC Scientific Document Group. (2018). 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases. European Heart Journal, 39(9), 763–816. https://doi.org/10.1093/eurheartj/ehx095
8. Farber, A., Menard, M. T., Conte, M. S., et al. (2020). Surgery or endovascular therapy for chronic limb-threatening ischemia (BEST-CLI trial design and rationale). Journal of Vascular Surgery, 71(6), 1879–1889. https://doi.org/10.1016/j.jvs.2019.11.021
9. Katsanos, K., Spiliopoulos, S., Kitrou, P., Krokidis, M., & Karnabatidis, D. (2018). Risk of death following application of paclitaxel-coated balloons and stents in the femoropopliteal artery. Journal of the American Heart Association, 7(24), e011245. https://doi.org/10.1161/JAHA.118.011245
10. Patel, M. R., et al. (2019). Long-term outcomes of endovascular vs surgical revascularization in PAD. New England Journal of Medicine, 381(21), 1995–2005. https://doi.org/10.1056/NEJMoa1900056
11. Rocha-Singh, K. J., Zeller, T., & Jaff, M. R. (2014). Peripheral arterial calcification: prevalence, mechanism, detection, and clinical implications. Catheterization and Cardiovascular Interventions, 83(6), E212–E220. https://doi.org/10.1002/ccd.25359
