[Open indications for endovascular surgery].

Abstract

Endovascular techniques are becoming a part of minimally invasive surgery. The AIM is either preservation or reconstruction of the vascular lumen without the risk involved in conventional reconstructive procedures. The therapeutic success is often only palliative and not durable, because only the local cause of the disease is excluded and not removed definitively. Despite improvement in the technical equipment the indication for endovascular surgical treatment remains questionable and is the subject of experimental vascular research. Like other innovative procedures, the place for endovascular procedures will emerge in relation to the individual patient risk patient concerning age, concomitant diseases and cardiorespiratory conditions. In comparison to conventional reconstructive procedures endovascular techniques are being strongly pushed by specialists and industry because the risks of treatment are believed to be significantly lower. However, the risks of conventional vascular reconstruction are often overestimated and, as a rule, the failure rate in endovascular reconstructive surgery is often underestimated.