Patrick J. Lamparello

TL;DR: There has been a notable decrease in perioperative stroke caused by ischemia during clamping and intracerebral hemorrhage, but postoperative thrombosis and embolism remain the major cause of neurologic complications.

TL;DR: Ischemic complications are not uncommon after EVAR, and may exceed the incidence with open surgical repair, and can be successfully managed with standard interventions.

TL;DR: Traditional surgical treatment of SAA with repair or ligation and concomitant splenectomy when necessary may be preferred in these cases, and endovascular management of visceral artery aneurysms is a reasonable alternative to open surgical repair in carefully selected patients.

TL;DR: Tube endografts should be limited to the rare patient with ideal anatomy, no other alternatives, and at high risk for standard open repair, although the true incidence rate is unclear because of inadequate follow-up of individual device designs.

TL;DR: Perioperative monitoring for silentMyocardial ischemia might noninvasively identify those patients undergoing peripheral vascular surgery who are at increased risk for perioperative myocardial infarction, permitting implementation of timely preventive measures in selected patients.