ABSTRACT
Dramatic developments in endovascular intervention have lead to the common dilemma about where the modern vascular specialist should be working to get the best results: the operating room or the special procedures suite. The rise in clinical importance of endovascular therapy has outpaced the ability of most institutions to create the right environment in which to perform these procedures. As this issue plays itself out in institutions everywhere, it is unfortunately settled more often on the basis of politics and economics than patient care. The facility where the work is done can either promote or hamper success. Vascular specialists must be clear about what is required to provide high-quality care. Fixing vascular problems is already complicated without the case being placed at a disadvantage before the procedure starts. High-resolution imaging, endovascular inventory, and uniquely trained personnel are all required to deliver modern vascular care.
