As part of our three year cycle of Controversies, Challenges and Consensus, the theme of this Charing Cross International Symposium, Vascular and Endovascular Consensus Update is to update the CX Vascular Consensus of 2005 and try to establish consensus over the management of vascular disease, lesion by lesion. For the first time we also highlight medical management options over the four days. In addition, a world-class faculty and expert audience will discuss systematically imaging options, vascular and endovascular management options and use case presentations to point to consensus and optimal management of the vascular patient.