We present the case of an innovative use of an endovascular aortic repair to repair
a traumatic, ruptured innominate artery. This novel technique used axillary and carotid
artery access and deployment of a bifurcated endovascular device to successfully exclude…

Internal iliac artery (IIA) preservation may contribute to maintenance of pelvic and
spinal cord collateral perfusion during extensive thoracoabdominal aortic aneurysm
(TAAA) repair. We evaluated device-related performance of the Zenith Branch Iliac
Stent…

Patients undergoing vascular surgery have disproportionately high rates of limited
health literacy, yet vascular disease-specific knowledge and digital health literacy
remain poorly characterized in safety-net populations. We assessed both domains among
vascular…

Reliance on the administrative International Classification of Diseases (ICD) codes
to identify carotid artery stenosis (CAS) is limited by misclassification, as codes
may be assigned before confirmatory imaging and duplex ultrasound interpretation lacks…

We present a 60-year-old man with chronic suprarenal aortoiliac occlusion and end-stage
renal disease on hemodialysis who underwent a supraceliac aortobifemoral bypass to
establish arterial inflow for simultaneous live donor renal transplant. The patient…

The Long-Term Endovascular Aortic Aneurysm Repair (EVAR) Assessment and Follow-up
(LEAF) surveillance program is a novel, multistakeholder cardiovascular device monitoring
system designed to monitor long-term outcomes after EVAR.1 Before this program, real…

Recent changes to the Medicare Physician Fee Schedule (PFS) have placed renewed emphasis
on how physician work is valued. In the calendar year 2026 PFS Proposed Rule, the
Centers for Medicare and Medicaid Services (CMS) proposed an “efficiency adjustment”…

Create a risk score for loss of aortobifemoral artery bypass (ABF) patency using preoperative,
perioperative, and long-term follow-up variables in the Vascular Quality Initiative.

In this edition of the Journal, Dhruva et al1 found that, in a propensity-matched
retrospective cohort study, elective peripheral vascular intervention (PVI) for intermittent
claudication (IC) was associated with a higher risk of major adverse limb events…

The optimal surgical approach to dialysis access-associated steal syndrome (DASS)
is debatable. Distal revascularization with interval ligation (DRIL) and proximalization
of arterial inflow (PAI) are thought to be more definitive but more complex, whereas…

In this study, the authors found that using an endovascular-first strategy did not
result in worse outcomes among diabetic patients with chronic limb-threatening ischemia
(CLTI) who subsequently required bypass surgery after failed endovascular procedures.1

To determine whether a hybrid artificial intelligence model integrating convolutional
neural network (CNN) with hemodynamic features can identify symptomatic carotid veteran
patients by analyzing carotid duplex images alone.

In this issue of the Journal of Vascular Surgery, Tabiei et al1 present their findings
on a clinically relevant and timely topic: the impact of lumen origin and fenestration
gap distance on target vessel (TV) instability (TVI) after fenestrated-branched endovascular…

Comparative outcomes between off-the-shelf thoracoabdominal multibranched endografts
(TAMBE) and physician-modified endografts (PMEG) for complex salvage of type IA endoleak
after prior endovascular aneurysm repair remain poorly defined.

For more than a dozen years, the Society for Vascular Surgery's Wound, Ischemia, and
foot Infection (WIfI) classification has been our common language for the threatened
limb.1 Systematic reviews and meta-analyses have supported its prognostic value for
major…

Despite advances in fenestrated and branched endovascular repairs, a truly universal
off-the-shelf platform for complex aortic aneurysms remains unrealistic. Hofmann et
al1 deliver an important and sobering message: The quest for a universal off-the-shelf…

This paper by Paraskevas1 provides a consensus statement on the optimal management
of internal carotid occlusion (ICAO) from 60 physicians across Europe and the United
States.1 The group presents a systemic review of the literature and concludes that
the…

“I want to go when I want. It is tasteless to prolong life artificially. I have done
my share; it is time to go. I will do it elegantly.”Albert Einstein, 1955

Endovascular treatment of external iliac artery (EIA) occlusive disease remains technically
demanding, and dedicated segment-specific outcome data are scarce.1 Although covered
stents have demonstrated benefit in common iliac artery (CIA) disease, their durability…

We thank Dr Zil-E-Ali for the insightful commentary on our study of fragmentation
of care (FOC) in uncomplicated type B aortic dissection (uTBAD).1 The commentary highlights
important considerations regarding continuity of care and systems-level management…