Worse women’s outcomes after elective standard endovascular aneurysm repair have been
widely reported. Similar data have surfaced from cohorts undergoing fenestrated and
branched repair; however, studies reporting from a sex perspective are rare and mostly…

Autologous fistula creation in octogenarians is challenging, as differences in vessel
caliber and hemodynamics between fistula types may affect time to functional use in
patients with limited life expectancy. Our study evaluated time-to-index cannulation…

Paclitaxel coated balloons have been used to prevent recurrent stenosis in haemodialysis
vascular access. Despite the availability of many randomised controlled trials (RCTs),
its effectiveness compared with plain balloon angioplasty remains inconclusive.…

Incomplete thrombus resolution after deep vein thrombosis (DVT) traps venous valves
and restricts venous return, leading to post-thrombotic syndrome (PTS). Despite anticoagulation,
>40% of patients progress to PTS. Anticoagulation prevents thrombus progression…

Endovascular aortic aneurysm repair (EVAR) is associated with substantial health care
expenditure. Identifying factors associated with high-cost outliers may inform strategies
to optimize resource utilization and cost containment.

News items of interest to the vascular surgeon must be received at least eight (8)
weeks before the desired month of publication. Announcements published at no charge
include those received from a sponsoring society of this Journal, those courses and
conferences…

Arteriovenous fistula (AVF) creation is the preferred modality for permanent hemodialysis
access due to superior durability and lower infection risk. Procedure cancellations
represent a major and underrecognized barrier to timely access, particularly in …

Laser in situ fenestrated endovascular (LIFE) repair allows fenestrated endovascular
aortic repair in complex and challenging cases, including urgent and emergency presentations
and patients with prior aortic repairs. We present the results of this unique…

Periprocedural clopidogrel, with or without aspirin, is standard-of-care after several
endovascular interventions. CYP2C19 is the primary enzyme that metabolizes clopidogrel
to its bioactive form. The wildtype CYP2C19*1 allele imparts normal metabolism and…

Medical management is the first-line therapy for uncomplicated type B aortic dissection
(uTBAD). Identification of admission computed tomographic (CT) features associated
with aortic enlargement may enhance patient-specific surveillance protocols. We describe…

The 2015 Medicare Access and CHIP Reauthorization Act shifted physician reimbursement
toward a value-based model through the Quality Payment Program (QPP). One component
of the QPP is the merit-based incentive payment system (MIPS), which ties payments
to…

To evaluate the impact of biological sex on early perioperative complications and
long-term survival after open abdominal aortic aneurysm (AAA) and thoracoabdominal
aortic aneurysm (TAAA) repair.

Endovascular procedures pose a unique ergonomic challenge related to fluoroscopic
visualization and operator physical strain. The development of spatial computing provides
a new avenue for intraoperative image visualization and manipulation. The aim of this…

Mycotic thoracoabdominal aortic aneurysms are a rare and devastating disease process,
associated with high morbidity and mortality. This study evaluates short- and intermediate-term
outcomes of open repair using contemporary surgical and perioperative techniques.

Initial hemodialysis vascular access influences patient outcomes. The relative contributions
of patient characteristics and hospital-level factors to access selection remain incompletely
understood. This study evaluates independent predictors of arteriovenous…

Left renal vein compression (LRVC), formerly termed Nutcracker Syndrome, is an under-recognized
cause of chronic pelvic pain. Despite new classification systems, including the Symptoms,
Varices, and Pathophysiology (SVP) classification, limited data exist…

Current management of asymptomatic carotid stenosis relies on imaging-derived stenosis
as the primary determinant of intervention. However, degree of stenosis is a known
imperfect predictor of stroke risk. Other imaging methods designed to predict plaque…

Perioperative anemia and intraoperative hypotension may injure the kidney through
distinct mechanisms—reduced oxygen delivery vs impaired perfusion. We evaluated whether
nadir hemoglobin predicts acute kidney injury (AKI) independent of hypotension and
whether…

Endovascular solutions for aortic arch pathology remain limited by technical complexity
and the frequent need for upper-extremity access or surgical debranching. We present
a fully percutaneous, transfemoral total arch repair using a custom three-branch device…

Optimal timing of thrombolysis and first rib resection (FRR) for venous thoracic outlet
syndrome remains poorly defined and often institution dependent. Given our extensive
institutional experience and variability in treatment timing, we evaluated the impact…