ABSTRACT
Over recent years the applications and indications for endovascular therapy have expanded.
Endovascular techniques have become more sophisticated in parallel with developments in
equipment and devices. Learning and adapting endovascular skills is essential for modern
vascular practice, and surgical and radiological interventions should no longer be considered in
isolation. Rather, they should be seen in combination, complementing one another, expanding
the range of options available for treating common vascular problems. Acute lower limb
ischemia, a problem previously seen as predominantly surgical rather than radiological, is one
area where a combined approach can be very successful. An in-depth knowledge of surgical
and radiological techniques combine to offer increased flexibility in the management of
acute ischemia.