Endovascular surgery consists in the repair of vascular lesions through percutaneous vascular puncture or a minimal incision (only in exceptional cases) and the subsequent introduction of catheters, balloons and prostheses that travel inside the lumen of the vessel to the place of the lesion and once located is separated. These vascular lesions may include, among others, stenosis, obstructions, pathological dilatations or aneurysms or even arteriovenous fistulas.
The techniques that include endovascular surgery are diverse and varied. We found angioplasties , also known as balloon dilatations, which may or may not be accompanied by Stent implantation. This technique, which consists of a tiny tube that is placed inside an artery, blood vessel or other hollow structure in order to keep it open, is used in cases of arterial ischemia, intermittent claudication at short distances, pain at rest or injuries. On the other hand, another of the techniques used for endovascular therapeutics is the endoprosthesis for the treatment of venous anurism and arterial fistula .
Benefits compared to other techniques
Its label of minimally invasive surgery allows, in most cases, to perform the procedure only with the use of local anesthesia. It also allows an early recovery : the patient, usually, in the range of 24 to 72 hours can now go home and perform their normal daily activities. It treats of a treatment that minimizes the morbidity and the surgical risk, and that therefore presents in a significant way a lower rate of complications and mortality with respect to the conventional surgery.
However, there are cases in which it is not possible to perform endovascular surgery for anatomical reasons, it requires follow-up through analyzes and explorations, and requires an individualized assessment of the case and an exhaustive follow-up through analytics and explorations.