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?

A high-risk 60-year-old male with multiple cardiovascular comorbidities presented with a > 70 % calcified ulcerated stenosis of the left internal carotid artery. Imaging confirmed diffuse parietal disease and a Type I arch. This case explores the therapeutic strategy and technical approach used to manage carotid revascularisation safely and effectively.

A dissected thoraco-abdominal aorta has evolved into a triple-lumen aneurysm, with two false lumens feeding vital organs and a compressed true lumen in between. This case highlights a staged, fully endovascular repair using physician-modified fenestrations to protect all four visceral branches—avoiding open surgery despite complex anatomy.

A 79-year-old man with diabetes, hypertension, atrial fibrillation, and chronic kidney disease presents with necrosis at the site of a prior toe amputation, performed without revascularisation. TcpO₂ is critically low (3 mmHg), and the WIfI score is 2-3-1. Angiography reveals limited BTK runoff with anterior tibial and peroneal patency, but occlusions of the dorsalis pedis and posterior tibial. Diffuse calcification is observed in foot arteries (MAC-score 5), consistent with a desert foot pattern.
What would be your revascularisation strategy in this challenging scenario?

An 80-year-old patient with a complex vascular history presents with left carotid patch enlargement and tight stenosis before the venous patch. With previous strokes and surgical interventions, the case invites discussion on the best management strategy. What would you do next?

This case details a 71-year-old male with a history of AAA and multiple interventions, now facing a large Type II endoleak. Despite several treatments over the years, the endoleak persists, posing a significant challenge. Review the clinical data, imaging, and consider the next steps in treatment through our poll!

A 69-year-old male with a complex vascular history, including prior stents and endarterectomy, presents with worsening left leg ischemia (Rutherford class IV).

Study the case of a 62-year-old patient with coronary disease, obesity, diabetes, and dyslipidemia, who has a history of RCIA, LCIA, and SFA stenting, along with thromboendarterectomy of the RCFA.