Occlusive disease of the branches of the aortic arch and vertebral artery

Clinically relevant occlusive disease of the aortic arch branch vessels occurs relatively infrequently. However, when associated with symptoms, occlusive disease in this area may have a serious clinical impact on the health status of the patient. Furthermore, every vascular surgeon or interventionist will be confronted with a clinical dilemma in managing patients with aortic arch branch vessel disease several times each year and, therefore, needs to understand the main features of atherosclerotic disease in this area. is chapter reviews the clinical presentation, diagnosis, imaging and treatment of occlusive lesions of the branches of the aortic arch and vertebral artery (VA).