Impulse control is standard of care after aortic dissection. However, there is a paucity
of long-term, granular data exploring whether the maintenance of impulse control impacts
outcomes for surgically managed aortic dissection.

Peripheral arterial disease (PAD) is characterized by chronic inflammation and immune
dysregulation. Although plaque-associated immune programs have been described, it
remains unclear whether these programs are detectable in circulating immune cells
and reflected…

Late open conversion after failed endovascular aneurysm repair with suprarenal fixation
remains technically challenging, lacking dedicated tools and relying on improvised
methods with high risks of aortic wall trauma and prolonged ischemia. The Hjarta Care…

To describe the surgical approach of treating muscular entrapment of the internal
jugular vein (IJV), the clinical symptoms it relieves, and the predictive value of
presurgical muscular blocks.

Although technical proficiency is a critical component of a competent vascular surgeon,
there is presently no formal testing method to evaluate the ability of a senior vascular
trainee to independently and successfully perform both endovascular and open vascular…

Entrustable professional activities (EPAs) provide a framework for competency-based
assessment in surgical training, yet validity evidence remains limited. Before the
launch of EPAs, trainee performance was assessed through semiannual ACGME Milestone
ratings…

Vascular surgeons frequently perform minimally invasive endovascular procedures requiring
fluoroscopy. We sought to determine if radiation shielding with a novel protection
system (Rampart system) decreases radiation exposure to the primary operator as compared…

The ROADSTER 3 trial was designed to evaluate the safety and effectiveness of transcarotid
artery revascularization (TCAR) to treat standard surgical risk patients. Eighty-four
percent of enrolled patients were asymptomatic with characteristics of a sample…

Endovascular management of ascending aorta and aortic arch pathologies is rapidly
evolving. The endo-wheat procedure is an emerging transcatheter technique to address
proximal landing of stent grafts near the aortic root for treatment of aortic syndromes.…

Although physician-modified endografts (PMEGs) have emerged as a widely adopted solution
for complex aortic aneurysms, their financial viability remains unclear. This study
evaluated hospital costs, reimbursement, and profitability of PMEGs in a large academic…

Activating mutations in protein kinase G1 (PRKG1) compromise vascular smooth muscle
cell function, significantly heightening the risk of early-onset aortic aneurysms
and dissections. We present the case of a 32-year-old man with a PRKG1 mutation who
previously…

Superior mesenteric artery aneurysms (SMAA) are rare but carry a high risk of rupture
and associated mortality. Society of Vascular Surgery guidelines recommend repair
of all SMAA regardless of size with an endovascular-first approach if anatomically
feasible.…

Although transcarotid artery revascularization (TCAR) is associated with excellent
early stroke outcomes, delayed inflow complications after direct carotid access are
poorly characterized. Available postmarket surveillance data suggest that carotid
dissection…

Recent guidelines from the Society of Vascular Surgery recommend definitive nonoperative
management for grade 1 blunt thoracic aortic injuries (BTAIs) with no need for routine
clinical or imaging surveillance after initial injury. We will discuss two patients…

Alpha gal syndrome or AGS is a rare, delayed allergic reaction to nonmammalian meat
products including medications like heparin and surgical prosthetics such as bovine
patches that are a mainstay in cardiac and vascular surgery. The data on the implications…

The management of symptom recurrence after surgery for median arcuate ligament syndrome
(MALS) remains poorly understood. This study reviews the evolving treatment strategy
over a 3-year period at a single institution.

Anomalous origin of the pulmonary artery from the aorta is a rare congenital anomaly
that can lead to severe pulmonary hypertension, cyanosis, and heart failure as early
as the third month of life, with an estimated 1-year survival rate of only 30% if
left…

Endovascular intervention has become the mainstay of therapy for symptomatic femoropopliteal
occlusive disease. In order to improve its durability, drug-coated or eluting balloons
and stents have been trialed with satisfactory results using a 1-year primary…

Interhospital transfers for vascular surgery consultation stretch limited resources
and may cause financial strain if associated with an unfavorable payer status. This
study characterized the clinical necessity and financial burden of vascular surgery
transfers…

Although internal carotid artery (ICA) plaque morphology is important when considering
stroke risk beyond %Stenosis, plaque composition is often poorly characterized on
duplex ultrasound examination (DUS) and computed tomography angiography (CTA). Quantitative…

Dual antiplatelet therapy (DAPT) is standard after carotid artery stenting (CAS),
but the optimal regimen in patients with atrial fibrillation (AF) requiring anticoagulation
remains unclear. We evaluated whether adding a second antiplatelet agent to direct…