The Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis
Trial–2 (CREST-2) demonstrated a benefit for carotid revascularization over medical
management, although only statistically significant for stenting. However, direct
comparison…

Surgical site infections (SSI) remain a significant source of morbidity after infrainguinal
vascular surgical bypasses for peripheral artery disease. We evaluated whether the
implementation of an extended preoperative skin-decontamination protocol (5 days…

Cyanoacrylate closure (CAC) for superficial venous insufficiency represents a promising
alternative to the standard of care, endothermal ablation (ETA). With some unique
adverse events compared with ETA, there is renewed interest in the safety of CAC.
This…

The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines
for the care of patients with vascular graft or endograft infection (VGEI), in succession
to the 2020 version, with the aim of assisting physicians and patients in…

Radiofrequency ablation (RFA) is widely used for the treatment of chronic venous insufficiency,
yet outcome data for newer catheter systems remain limited. We evaluated midterm outcomes
and predictors of repeat intervention following RFA using the Venclose…

To compare the early and midterm outcomes of left subclavian artery revascularization
during thoracic endovascular aortic repair (TEVAR) following carotid subclavian bypass/transposition
(CSB) vs. fenestrated repair when landing in zone 1/2. Propensity score…

The US Aortic Research Consortium reported that prophylactic cerebrospinal fluid drain
(pCSFD) use during complex fenestrated/branched endovascular aortic repair(F/BEVAR)
has declined substantially over the past decade. We aimed to describe the national
trends…

Communications regarding original articles and editorial management should be addressed
to Ronald L. Dalman, MD, and Audra A. Duncan, MD, Editors, Journal of Vascular Surgery,
9400 W. Higgins Road, Suite 315, Rosemont IL 60018; telephone: 312-334-2355; fax:…

Stent-less atherectomy for peripheral artery disease carries uncertain limb and survival
outcomes when used alone vs combined with drug-coated or specialty balloon technologies.
This study evaluated whether combining atherectomy with drug-coated adjuncts…

Multiple endovascular strategies exist for the management of common iliac artery (CIA)
aneurysms, including bell-bottom limbs (BB), iliac branch devices (IBD), and the coil-and-cover
(CC) technique. Although 5-year outcomes demonstrated comparable efficacy…

The demand for vascular surgeons in the United States continues to rise. In response,
the integrated vascular surgery residency model was developed to recruit medical students
earlier in training. Exposure to professional meetings, often supported by travel…

Anticipating anatomic challenges is crucial when using the thoracoabdominal branch
endoprosthesis (TAMBE; W.L. Gore & Associates) for complex abdominal aortic aneurysm
repair involving the renovisceral segment. Notable preoperative factors include prior
aortic…

Volume-outcome relationships in abdominal aortic aneurysm (AAA) repair remain incompletely
defined, particularly regarding the independent contributions of surgeon and hospital
volume and differences between open repair and endovascular repair (EVAR). We…

Renal artery instability after thoracoabdominal branch endoprosthesis (TAMBE) has
emerged as an area of focus, with prior studies suggesting that directional branches
may be more vulnerable to occlusion. This study aimed to evaluate the impact of a
standardized…

Visceral arterial aneurysms remain a fundamental component of vascular surgical practice.
Although endovascular therapies are increasingly used, open surgical techniques, including
aneurysmorrhaphy, continue to play a critical role. This video aims to demonstrate…

With increasing procedural costs and decreasing reimbursements, endovascular technology
has come under increased scrutiny, especially in the inpatient setting where facility
costs further impact margins. We sought to evaluate contribution margins (CMs) for…

Impella CP support requires large-bore femoral access, increasing vascular complication
risks during removal. This study evaluates the safety and efficacy of percutaneous
vs open Impella removal, hypothesizing that selection bias heavily confounds comparative…

This study describes contemporary practice patterns and compares outcomes after open
thoracoabdominal aortic aneurysm (TAAA) repair for patients with extensive aneurysms
by genetic aortopathy (GA) status.

Single port endoscopic trans axillary first rib resection (FRR) is an alternative
minimally invasive approach to treat thoracic outlet syndrome (TOS). Outcomes from
a series of cases were evaluated for technical success, feasibility, safety, and short-
and…

Carotid endarterectomy (CEA) has long been the standard treatment for carotid artery
stenosis. Transcarotid artery revascularization (TCAR) is a newer alternative that
uses flow reversal for neuroprotection during carotid stenting. Although both procedures…

Optimal conduit selection for infrainguinal bypass remains debated when single-segment
great saphenous vein is unavailable. Reported outcomes using arm vein conduit are
variable and universally use aggregated data from multiple surgeons. Interpretation
is…