A significant number of patients after primary arterial reconstructions require repeat procedures (both endovascular and open) in order to maintain the patency of the reconstructions, thus preventing major amputation, stroke and intestinal ischemia. Secondary procedures following Endovascular aneurysm repair are required in 15-20% of patients. Secondary and tertiary arterial reconstructions are often technically challenging and are associated with higher morbidity and mortality in these high-risk patients.

This practical, case-based guide will familiarize vascular surgeons, residents and fellows with managing patients requiring secondary and tertiary arterial reconstructions after a failed primary reconstruction. Overall, the book includes 50 real-world clinical scenarios covering carotid disease, aortoiliac aneurysmal and occlusive disease, femoral popliteal disease, mesenteric and upper extremity arterial disease, and other rare vascular entities. Following the clinical scenario, the reader will be able to select the best answer from the choices available in a multiple-choice question and answer section. The rationale for the best answer is described in each chapter. 

Presented in a straightforward manner with plentiful supporting figures, this book is an excellent resource for vascular trainees, recent graduates of vascular surgery training programs, interventional radiologists, interventional cardiologists, primary care physicians, and emergency room physicians.

Sachinder Singh Hans, MD, Vascular and Endovascular Services, Henry Ford Macomb Hospital, Bloomfield Hills, MI, USA