ABSTRACT
Dramatic developments in endovascular intervention have prompted 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. In many institutions, endovascular operating rooms have been constructed to solve this problem and provide superior imaging in an operating room setting. Thoughtful and deliberate requests for expensive equipment and space are usually required to pave the way for this change in practice. 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. Highresolution imaging, endovascular inventory, and uniquely trained personnel are all required to deliver modern vascular care.
