Giovanni Solimeno, Vascular & Endovascular Surgeon. Founder of Endovascular Insider. Author of Tips & Tricks in Endovascular Surgery. Interests: endovascular technique, Innovation in Vascular Surgery and education.
CTO recanalization
Antegrade access is the default for infrainguinal revascularization — until proven otherwise. Two real exceptions, two false exceptions, and the one adjustment that changes everything.
CTO algorithm
The perforating technique is your last endoluminal option before going subintimal. When to use it, when to avoid it, and which devices get the job done — a practical, no-fluff guide
Endovascular Education
A return to fundamentals in endovascular thinking. Why the FYA “Back to the Basics” format aligns perfectly with the Endovascular Insider philosophy — and how Insider readers can access the 2026 London meeting with an exclusive 50% registration discount.
post angioplasty dissection
After PTA, a dissection doesn't always mean immediate stenting. Learn the practical rules for managing femoro-popliteal dissections without turning a focal problem into a metal sentence.
Chronic Total Occlusions
Prolonged and controlled balloon inflation is a key determinant of vessel preparation in peripheral angioplasty. A slow rise to nominal pressure and a 150–180 second hold reduce dissections, stabilize the arterial wall and improve drug-coated balloon performance.
endoluminal vs subintimal
Endoluminal or subintimal recanalization? Practical guide to choosing the right approach for chronic total occlusions based on lesion length, vessel calcification, and anatomy — with evidence-based insights from daily endovascular practice.
EVAR
EVAR changed the paradigm of aortic repair — but not its nature. What if the most elegant procedure in vascular surgery still lives inside its own paradox: a seal built on a moving wall, a success that must be watched forever?
Guidewire Bending
Guidewire bending is not about aesthetics—it’s about intention. The shape you give to the wire defines whether you slide, drill, or anchor, and can even decide the outcome of an EVAR. In this article, we explore the essential curves and what they really mean inside the vessel.
editorial
💡Welcome - you're in. Here's what to expect: about an email every two weeks (practical endovascular tips, focused insights and occasional digital strategies). You can manage your settings anytime. No spam. Unsubscribe anytime. Good morning everyone, and thank you for joining so many of you already
News
This is Endovascular Insider, a brand new site by Giovanni Solimeno that's just getting started. Things will be up and running here shortly, but you can subscribe in the meantime if you'd like to stay up to date and receive emails when new content is published!