Imaging and intervention of vascular retroperitoneal pathology

•. Increasing sophistication of cross‐sectional techniques (CT, MRI and ultrasound) has resulted in a move towards non‐invasive diagnosis of vascular diseases.•. Percutaneous transluminal angioplasty ± stenting is a well established treatment of focal aorto‐iliac occlusion/stenosis and clinically significant proximal renal artery stenosis. (Surgery remains the treatment of choice in mesenteric ischaemia, although interventional techniques may challenge this as techniques improve.)•. Exciting developments in endovascular techniques for aortic aneurysm repair (EVAR) are taking place, to provide a less invasive procedure in patients with appropriate anatomical prerequisites.•. Inferior vena cava (IVC) filters are becoming an established prophylactic treatment in selected patients with recurrent pulmonary embolism. Stents are also being used successfully for IVC compression syndromes.