&NA;An explosion of technology has occurred in the last 10 years, intended to make treatment of vascular diseases less invasive. Once the exclusive domain of the interventional cardiologist and the coronary circulation, now in 2001 nearly every vascular system has been explored as a site for endovascular treatment of aneurysmal and atherosclerotic disease. This review will focus on endovascular treatment of abdominal aortic aneurysmal disease and carotid artery disease, and relevant issues for the anesthesiologist encountering these patients and procedures. Curr Opin Anaesthesiol 15:37‐44. © 2002 Lippincott Williams & Wilkins.