(J Vasc Surg[TA])
20,905 results
  • Treatment Strategies and Outcomes of Aneurysms Affecting Small and Medium Arteries in Neurofibromatosis Type 1. A systematic review. [Review]
    J Vasc Surg. 2026 Nov 03. [Online ahead of print]Sibiriu V, Lodico T, … Tshomba YJV
  • CONCLUSIONS: NF1-associated aneurysms require an individualized, anatomy-driven management strategy. Endovascular therapy was the most frequently reported treatment and appears to be a viable option in anatomically suitable patients, while open and hybrid techniques remain important for selected complex lesions. However, the available evidence is derived predominantly from case reports and small case series and does not permit comparative assessment of treatment strategies. Lifelong imaging surveillance is mandatory due to the risk of recurrence and new aneurysm formation.
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  • Vascular Surgery is Overrepresented by Multiple Medical Societies Compared to its Peers. [Journal Article]
    J Vasc Surg. 2026 Oct 28. [Online ahead of print]Tulimieri M, Eagleton MJ, … Kashyap VSJV
  • Medical societies play an important role in representing physicians and their interests. Our objective was to compare the number, size, and fiscal strength of vascular societies compared to other cardiovascular specialties. All information was found via a systematic Internet search and with publicly available data (i.e. www.aamc.org). Medical societies representing vascular surgery (VS), cardiolo…
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  • Insulin Dependence Erodes the Cardiac and Survival Advantage of Asymptomatic Status After Carotid Revascularization. [Journal Article]
    J Vasc Surg. 2026 Oct 27. [Online ahead of print]Suggitt JO, Aimiuwu O, … Garg KJV
  • CONCLUSIONS: Insulin-dependent, diabetes was independently associated with substantially elevated odds of MI, ipsilateral stroke, mortality, and MACE after carotid revascularization, with risk sustained at 1 year. For cardiac and survival endpoints, asymptomatic patients with IDDM occupied a risk stratum comparable to symptomatic patients without diabetes. Asymptomatic status may therefore not confer the same composite risk advantage in insulin-dependent patients, with the excess being cardiac- and survival-driven. These findings support more cautious, individualized counseling and shared decision-making for asymptomatic patients with IDDM and identify insulin dependence as a clinically important, currently underemphasized modifier of perioperative risk.
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  • Femoral Artery Access Outcomes and Technical Considerations in Vascular Ehlers-Danlos Syndrome. [Journal Article]
    J Vasc Surg. 2026 Oct 27. [Online ahead of print]Lian T, Davis A, … Shalhub SJV
  • CONCLUSIONS: Femoral artery access in VEDS requires deliberate individualized planning. In this cohort, manual compression for smaller-caliber access (<6 Fr) was associated with favorable outcomes, whereas major complications occurred predominantly following attempted percutaneous closure. Planned open exposure, despite use in procedures involving larger sheath sizes, was not associated with access-related complications and may warrant consideration in selected circumstances, including procedures requiring larger sheath sizes, known prior closure-related arterial injury, and high-risk genotypes.
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  • Contemporary patterns of lower extremity revascularization for chronic limb-threatening ischemia in the United States: 2016-2022. [Journal Article]
    J Vasc Surg. 2026 Oct 27. [Online ahead of print]Machinski SN, Mosher E, … Reitz KMJV
  • CONCLUSIONS: We provide contemporary analysis of U.S. hospitalizations for CLTI, demonstrating increasing rates following 2020. Overall, in-hospital rates of open revascularization declined in favor of nonoperative strategies corresponding with the greatest increase in alive discharges without amputations. Relative selection of endovascular strategies varied notably by sex, frailty, and clinical presentation. Our findings underscore the need for further investigation into optimal CLTI patient selection and coordinated integration of non-operative care, such as medical optimization, with revascularization strategies.
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  • Update of a Living Network Meta-Analysis Comparing Non-compounded Polidocanol 1% Endovenous Microfoam (Varithena) Ablation versus Endovenous Thermal Ablation in Chronic Venous Insufficiency. [Review]
    J Vasc Surg Venous Lymphat Disord. 2026 Oct 26; :102648. [Online ahead of print]Kabnick LS, Esponda OL, … Ozsvath KJV
  • CONCLUSIONS: This living network meta-analysis update reinforced the original findings that polidocanol 1% endovenous microfoam is not statistically different from endovenous thermal ablation for venous closure or deep venous thrombosis in the treatment of chronic venous insufficiency, and adds new preliminary information on outcomes relevant to the patient experience. There was no evidence of a statistically significant difference between polidocanol endovenous microfoam ablation and endovenous thermal ablation for a composite of disease-specific quality of life and symptom improvement, or for ulcer healing. The living approach maintains rigor and efficiently keeps evidence current as new studies emerge.
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  • Association of Completion Imaging Modalities and Carotid Endarterectomy Outcomes in the Vascular Quality Initiative. [Journal Article]
    J Vasc Surg. 2026 Oct 26. [Online ahead of print]Rahgozar S, Hamouda M, … Malas MBJV
  • CONCLUSIONS: Re-exploration and stroke outcomes after completion imaging reflect each modality's safety and efficacy in detecting significant technical defects. Duplex ultrasound demonstrated the lowest stroke rates and overall complications compared with angiography, doppler, and no imaging, suggesting its superior efficacy and safety. Doppler showed intermediate performance, while angiography carried the highest risk among patients who required re-exploration. Despite strong evidence favoring duplex, the majority of surgeons performing CEAs still rely on doppler or omit any completion imaging. Greater use of duplex ultrasound and incorporation of intraoperative duplex assessment into vascular training may improve intraoperative assessment, although further prospective evaluation is warranted.
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