Carbohydrate structures are involved in numerous biological activities such
as inflammation, and cell adhesion/migration/proliferation. This gives the
rationale for the design of vascular targeted drug delivery systems bearin
g sugar moieties, For the imaging and treatment of vascular diseases, an ov
erview is presented with polysaccharides targeting vascular components. Aft
er a general description of the vasculature and the main blood components,
a special emphasis is placed on carbohydrate-based molecules, such as hepar
in/heparan sulfate, and carbohydrate-binding proteins, such as selectins fo
und in the vascular system. The methods using heparin and heparin analogs i
n delivery systems applied to vascular components are then described.