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…

Infrapopliteal bypass remains an important therapeutic modality in the treatment of
chronic limb-threatening ischemia. However, limited data exist comparing tibial vs
peroneal artery bypass targets. Our goal was to compare outcomes of anterior tibial
(AT)/posterior…

Current guidelines for intermittent claudication (IC) favor drug-coated balloon (DCB)
or stenting for more complex lesions. However, comparative effectiveness across endovascular
therapies (ETs) remains unclear. Our aim is to evaluate the outcomes of different…

Patients with combined aortoiliac occlusive disease and aneurysmal disease present
a unique challenge for open aortic revascularization. Diseased iliac arteries make
distal anastomoses difficult to construct, and residual downstream lesions can lead
to graft…

The “Obesity Paradox” describes the observation that obesity may improve a patient’s
overall health outcome in certain situations. We are evaluating the association of
obesity and the risk of lower extremity amputation (LEA) among patients with diabetic
foot…

Fibrinolysis shutdown is an underrecognized contributor to thrombotic risk in peripheral
artery disease (PAD). Although thromboelastography is commonly used to assess platelet
function, it also captures fibrin-mediated clot dynamics that may influence po…

To compare outcomes of patients treated with Gore Thoracoabdominal Multibranch Endoprosthesis
(TAMBE) for postdissection thoracoabdominal aortic aneurysms (PD-TAAA) vs degenerative
thoracoabdominal aortic aneurysms (D-TAAA).

Adverse pregnancy outcomes (APOs) complicate nearly one in five live births and are
associated with increased cardiovascular risk; however, their role in the development
of atherosclerotic disease remains unclear. Our study examined the characteristics
of…

To provide unbiased comparative effectiveness estimates for carotid revascularization
procedures (carotid endarterectomy [CEA], transcarotid arterial revascularization
[TCAR], and TFCAS) and derive optimal individualized treatment rules (ITR) maximizing
postoperative…

Obesity is associated with increased risk of end-stage kidney disease, but its effect
on arteriovenous (AV) access outcomes is unclear. Our objective was to determine the
association of obesity with AV access functional outcomes.