Despite advances to open and endovascular surgery, lower extremity amputation remains an essential component of vascular surgery. Regional anesthesia with peripheral nerve blocks can help avoid the postoperative morbidity associated with general anesthesia. Despite regional anesthesia as an option for patients, a recent large database study found that up to 90% of cases were still performed under general anesthesia. The aim of our study was to further evaluate if there is a significant difference in surgical outcomes that supports the use of regional over general anesthesia.
The aim of this study is to evaluate the safety, efficacy, and clinical outcomes of endovascular aortic arch repair using the Nexus and Nexus Duo endograft systems.
Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are the main treatment options for carotid atherosclerotic stenosis; however, determining the most appropriate intervention remains challenging.
Corrigendum to ‘Dealer’s Choice? Clinical Decision Variability in the Management of Traumatic Thoracic Aortic Injury in the Community Setting’ [Journal of Vascular Surgery Vol. 81, May Supplement, 2025; S58]
A carotid body tumor (CBT) located near the skull base presents considerable challenges for revascularization. This study presents a 15-year experience utilizing a novel sutureless anastomotic technique for carotid artery revascularization, aimed at minimizing blood flow interruption and reducing the risk of cerebral ischemia.
This study aims to evaluate and compare the outcomes of transcarotid artery revascularization (TCAR) and transfemoral carotid artery stenting (tfCAS) in patients with nonatherosclerotic carotid diseases, including dissection, trauma, and fibromuscular dysplasia.
Acute care vascular surgery (ACVS) comprises a significant proportion of modern vascular surgery practice. Given the burden of ACVS at our institution, we have transitioned from a traditional “on call” model to a “Surgeon of the Week” (SOW) model, in which a single surgeon covers all daytime inpatient consults and resultant operations over the course of a week. The SOW surgeon has no overnight call, outpatient clinic, and minimizes elective operations during this week, enabling dedicated care to inpatient responsibilities.
Post-contrast acute kidney injury (PC-AKI) is a serious complication of endovascular abdominal aortic aneurysm repair (EVAR) associated with development of CKD, prolonged hospital stay, and perioperative mortality. Iodinated contrast is a known risk factor for PC-AKI but is a technical necessity for EVAR. The optimal volume of contrast necessary to minimize risk of PC-AKI in a patient undergoing elective EVAR is unknown. This study examines the incidence and significance of PC-AKI after EVAR and derives a patient-specific model to determine the optimal volume of contrast the surgeon should administer to mitigate the risk of PC-AKI.
Although it is contraindicated for physicians performing fluoroscopically guided interventions (FGIs) to position their hand directly in the beam, it can be unavoidable and results in greater operator exposure and risk. Clinical guidelines recommend against the use of radiation-protective gloves (PGs) during FGIs given the concern for higher radiation accumulation related to increased procedure scatter fraction (PSF). We describe hand radiation dose and procedural scatter during FGIs with regular surgical gloves (RGs) compared to lead-free PGs.
National guidelines recommend forearm arteriovenous fistulas (AVFs) over upper arm AVFs as the initial permanent vascular access for hemodialysis if consistent with the end-stage kidney disease (ESKD) Life-Plan, but comparative outcomes are underexplored. Our objective was to assess longitudinal outcomes of forearm vs upper arm AVFs in patients with advanced kidney disease.