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.

Recent completion of the ZFEN+ trial will allow Food and Drug Administration approval
of a new bridging stent to the armamentarium for fenestrated-branched endovascular
aneurysm repair. This study compares mid- to long-term outcomes between the two current…

Patients undergoing thoracic endovascular aortic repair (TEVAR) with challenging access
often require alternative access with either an open iliac conduit or endovascular
conduit. Though iliac access has been shown to have overall worse 30-day outcomes
compared…

Statin-induced myopathy is associated with mitochondrial dysfunction. Statin use has
also been linked to reduced motor recovery after spinal cord injury (SCI), which may
be influenced by statin lipophilicity and its ability to cross the blood-brain barrier.…

The endovascular management of acute limb ischemia (ALI) has been traditionally limited
by the safety and efficacy of thrombectomy devices. We aim to compare mechanical thrombectomy
using the Inari Artix system (Inari Medical) with open thrombectomy for ALI.

We read with interest the article entitled “Vascular surgery residents and fellows
graduate at higher levels of proficiency in endovascular as compared to open aortic
operations,” by Buchanan et al.1 While we agree that evaluating the technical competence…

Complete false lumen (FL) obliteration during thoracic endovascular aortic repair
(TEVAR) for chronic dissection is challenging. We evaluated our 7-year experience
using balloon-assisted FL thrombosis (Knickerbocker technique) during TEVAR for chronic
dissecting…

We read with great interest the study by Ibrahim et al1 published in your journal.
This study compared the application of carotid-subclavian (CS) bypass and carotid-axillary
(CA) bypass in left subclavian artery revascularization. By systematically evaluating…

A recently approved single side-branched thoracic branch endoprosthesis allows for
percutaneous endovascular incorporation of the left subclavian artery (LSA), instead
of LSA coverage with open LSA debranching. However, the instructions for use (IFU)
include…

Type IIIb endoleaks are rare but clinically significant complications after endovascular
aneurysm repair, resulting from defects in graft fabric that can lead to aneurysm
sac repressurization and rupture. These lesions are often difficult to detect on standard…

Cost variation in carotid interventions remains poorly defined. This study evaluates
the impact of length of stay (LOS) and diagnosis-related group (DRG) complexity on
net revenue, direct cost, and contribution margin following carotid endarterectomy
(CEA)…