Key messages

• Owing to the physiological and chronological age of most vascular patients, and their associated medical conditions, a thorough preoperative evaluation is required if possible with invasive monitoring as needed perioperatively.

• Prolonged hyper- or hypotension, focal neurological deficits, or wound hematomas after carotid surgery prompt not only re-evaluation but also monitoring in the intensive care unit.

• Abdominal aortic reconstruction can lead to distal embolization, thrombosis, renal failure, and ischemic colitis.

• Prophylaxis against deep venous thrombosis is stratified based on risk and should begin prior to surgery.

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