Background: Endovascular intervention has been considered a more recommended approach for treatment of peripheral vascular diseases. Neither the traditional operating room (OR), nor the conventional angiography suite is the best option for both open surgery and endovascular operations. Important issues include: the quality of the radiological equipment's, hazard effect of radiation, possibility of using the equipment, high qualified team, advanced skills for both open and endo approaches, sterile media, as well as improvement of patient safety. It's a more recommended approach for management of vascular diseases because of its less invasive safe procedures with a high profit, reducing hospital stay, wait time and list.
Methods: literature deal with the approach of establishing most updated endovascular suite with advanced consideration, available cost, environmental, political. Catastrophic plan, possibility of cost reduction was tried.
Results and Conclusion: management of vascular lesions in advanced endovascular suite should be highly qualified for gaining best results in the treatment of limb ischemia. Vascular surgery team uses the facilities to achieve better results. Fixed fluoroscopy equipment is recommended, than portable C-arm. Establishment of an endovascular operating room suite (hybrid) has the benefit of possibility of performing hybrid technique and open conversion if needed. So, pre-operative angiography gives anatomical description of vascular tree, and post-operative evaluation. As a consequence, high quality care and services should be afforded.