The management of aortic arch pathology is frequently demanding and poses significant anatomical challenges, ranging from open surgery to hybrid debranching procedures and, ultimately, total endovascular approaches. 

This case explores the management of a unilateral total iliac artery occlusion in a high-risk patient with advanced peripheral arterial disease. Through imaging findings and clinical presentation, it invites reflection on treatment options, weighing endovascular and surgical strategies in the context of symptom severity, collateral circulation, and overall cardiovascular risk.

This case explores the management of a complex subclavian vein intra-stent occlusion in a haemodialysis patient, raising key questions when standard endovascular options reach their limits.

A 73-year-old man with major cardiovascular risk factors presented with acute pain and was diagnosed with a large thoraco-abdominal aneurysm and bilateral iliac aneurysms. A complex, staged endovascular repair was performed to reduce the risk of spinal cord ischemia. At 6-month follow-up, imaging revealed a type II endoleak with aneurysm sac enlargement, prompting the need for further strategic decision-making.

A 65-year-old male with multiple comorbidities presents with a 58 mm thoracic aortic aneurysm and a severely kinked, diseased aorta. This case reviews the key anatomical challenges, landing-zone configuration, access considerations, and protective strategies needed when planning a patient-tailored endovascular repair.

An 80-year-old patient faces a recurrent type II endoleak after EVAR, with his aneurysm sac continuing to grow despite prior interventions. Explore the imaging and procedural challenges in managing this stubborn complication—and see what comes next.

An 84-year-old man with prior TAVI presented with TIA symptoms. Imaging revealed left ICA occlusion and subocclusive right ICA stenosis, posing a high-risk management challenge.

Carotid stenosis without visible atheromatous plaque raises diagnostic and therapeutic challenges, especially in patients with complex medical backgrounds. This case presents an uncommon scenario of subocclusive carotid stenosis in a woman with a history of breast cancer and prior radiotherapy, inviting reflection on the potential role of radiation-induced vascular injury.

A 72-year-old patient with severe left carotid stenosis and contralateral occlusion raises a critical treatment challenge. Discover the case details and join the discussion on revascularisation strategy and device selection.

A rare, aggressive AV malformation in a 7-day-old baby, diagnosed as Kaposiform hemangioendothelioma, poses a high risk of rapid growth and severe bleeding. What treatment offers the best chance to control this life-threatening condition?