Vascular surgery is in a transitional phase. Standard open repair is being
replaced by endovascular and minimally invasive techniques. The techniques
developed for elective cases are also applicable for injured patients. The
introduction of endovascular treatment for emergencies has consequences for
both institutional and regional organisation. Success can be achieved only
by the prepared team trained with wide elective experience. Endovascular r
epair of vascular injuries has many advantages, such as remote approach and
limited exposure with less surgical stress to the patient. Because the lon
g term effects are only partially known a word of caution is justified. End
ovascular repair of vascular trauma is still a developing form of treatment
.