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…

The contemporary management of juxtarenal abdominal aortic aneurysm (AAA) comprises
fenestrated or branched endovascular aortic repair (F/BEVAR), standard EVAR, or open
repair (OAR). Technique selection varies widely. This study evaluates the outcomes,
costs…

The comparative effectiveness of lower extremity bypass (LEB) and endovascular therapy
(ENDO) based on the anatomic complexity of disease in chronic limb-threatening ischemia
(CLTI) is not known. We compared LEB and ENDO in patients with CLTI stratified by…

To create a validated risk score for the outcome of mortality within 3 years of revascularization
for chronic limb-threatening ischemia (CLTI) in patients with end-stage renal disease
on dialysis (ESRD).

Despite increasing use of ultrasound and cross-sectional imaging and advancing technologies
for minimally invasive treatment of iliac artery aneurysms, data on their growth and
rupture rates are scarce, with a paucity of evidence-based guidelines for screening…

Acute type B aortic dissection with dynamic true lumen collapse causing infrarenal
aortic occlusion and bilateral lower extremity ischemia is a rare and life-threatening
presentation. Optimal management strategies for simultaneous proximal dissection and…

Although periprocedural stroke differences between carotid endarterectomy (CEA) and
transfemoral carotid artery stenting (TF-CAS) are well established, comparative long-term
cerebrovascular outcomes remain less defined. We examined whether CEA was associated…

Infrageniculate (IG) peripheral vascular interventions demonstrate high failure rates
with standard technologies. This study aims to evaluate short-term outcomes of patients
undergoing stenting of IG arteries with the Esprit (Abbott) bioresorbable vascular…

Wire wrapping during zone 2 thoracic endovascular aortic repair with the GORE TAG
thoracic branch endoprosthesis (W. L. Gore & Associates) is a known limitation of
through-and-through wire techniques, often complicating device delivery and increasing
manipulation.…

Definitive noninvasive diagnosis of iliac venous compression is challenging. A total
of 25% of asymptomatic patients meet diagnostic criteria for left iliac venous compression
(NIVL/May-Thurner). There is a need to improve accuracy of noninvasive imaging.

Chronic limb-threatening ischemia (CLTI) requires revascularization, with interventions
including both endovascular therapy and open surgical bypasses. Direct comparisons
between open and endovascular treatments were limited, leading to variability in treatment…