Optimal imaging for endovascular procedures: redefining the gold standard.

ABSTRACT

Minimally invasive techniques have been gaining popularity in all fields of surgery. Their application to vascular surgery has spawned advances in endovascular treatment of aneurysmal and atherosclerotic arterial disease. These procedures are dependent on various imaging modalities, including angiogra- phy, intravascular ultrasound, and computerized tomography scanning to choose appropriate candidates and devices, and to assure precise en doluminal treatment. No single imaging method is adequate for all aspects of endovascular surgery; however, an algorithmic approach may judiciously reduce the inherent inaccuracy and morbidity associated with current methods.