by Wetherby Fraser

Knowing a procedure is not the same as understanding when, why, and how it belongs in a patient’s care. Vascular disease demands that clinicians connect physiology, imaging, anatomy, operative risk, intervention, complications, and long-term surveillance often within the same clinical pathway.

This clinical reference is organized around that connection. It begins with vessel-wall biology, hemodynamics, collateral circulation, venous physiology, perioperative assessment, and diagnostic testing. It then applies those foundations to peripheral arterial disease, aortoiliac and infrainguinal disease, acute limb ischemia, aortic aneurysm and dissection, carotid disease, renal and mesenteric ischemia, vascular trauma, venous thromboembolism and chronic venous disease, dialysis access, diabetic foot disease, limb salvage, and postoperative complications.

Inside, readers can:

Connect pressure, flow, resistance, shear stress, and vessel behavior to reconstruction and graft durability.

Review physiologic testing and imaging, including ankle-brachial assessment, segmental pressures, pulse-volume recordings, duplex ultrasound, cross-sectional angiographic imaging, catheter angiography, and intravascular ultrasound.

Compare open, minimally invasive, and hybrid strategies while considering anatomy, patient selection, inflow and outflow, conduit, distal targets, durability, and surveillance.

Revisit urgent decision pathways for threatened limbs, aortic rupture, mesenteric ischemia, traumatic injury, reperfusion injury, and other time-sensitive complications.

Examine venous disease, hemodialysis access, wound care, infection, diabetic neuropathy, perfusion, and coordinated limb-preservation strategies.

Reinforce applied reasoning with practice problems, fictional composite clinical cases, evidence-focused sections, future directions, and concise clinical pearls.

Recurring sections on clinical orientation, terminology, perioperative and anesthetic considerations, evidence, and follow-up make the text useful for both sequential study and focused consultation. The consistent structure helps readers trace how diagnostic findings influence procedural choices and how those choices continue into surveillance and reintervention. The back matter adds a glossary, alphabetical index, and quick-reference appendices covering perioperative medications, scoring and classification systems, anticoagulation timing, surveillance protocols, and landmark trial summaries.