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“Sonolysis is back” after safely reducing endarterectomy stroke risk in randomised trial
Positive results from a clinical trial involving a novel therapeutic procedure known as sonolysis—deployed during a carotid endarterectomy (CEA)—were presented at the recent European...
A brilliant plan to increase vascular surgeons’ income—and decrease the incidence of stroke!
I have come up with a brilliant plan that will decrease the incidence of stroke nationwide, provide an excellent source of income for vascular...
Female sex ‘should be considered an independent risk factor’ for new stroke occurrence after...
A preliminary report lends evidence to support female sex being considered as an independent risk factor for new stroke occurrence after carotid revascularization in...
Early TCAR results in higher ipsilateral postoperative stroke rates when compared to carotid endarterectomy
Adham Elmously, MD, a fellow at New York Presbyterian Hospital, New York, is set to present outcomes of early transcarotid artery revascularization (TCAR) vs....
SVS has patient resources and guidelines on strokes
May was Stroke Awareness Month, and the Society for Vascular Surgery (SVS) and SVS Foundation offer educational resources for Society members to provide as...
Research indicates low stroke risk and benefit of medication alone in asymptomatic carotid stenosis
The risk of having a future stroke caused by asymptomatic carotid stenosis is “so low” that most patients with this condition could potentially be treated with...
Ontario registry risk model provides ‘reliable’ predictions of stroke, death following carotid endarterectomy
The Ontario carotid endarterectomy registry (OCER) model was found to be the most reliable predictor of stroke or death after carotid endarterectomy (CEA) among...
‘TCAR yields high technical success with an extraordinarily low stroke and death rate at...
Outcomes in a cohort of patients who consented to one year of follow-up after transcarotid revascularization (TCAR) treatment for carotid stenosis in the ROADSTER...
Physicians, industry urged to tackle multifactorial stroke risk following thoracic endovascular procedures
As evidence builds on the importance of reducing the risk of stroke by removing residual air prior to thoracic endovascular aortic repair (TEVAR) procedures,...
Five-year ACST-2 results: Carotid artery surgery and stenting have similar long-term effects on stroke
Carotid artery surgery and stenting have comparable long-term effects on fatal or disabling stroke in asymptomatic patients with severe carotid artery stenosis. That is the finding of...
TCAR has ‘statistically equivalent’ stroke and death outcomes to CEA, new study finds
Silk Road Medical has announced positive results from an independent analysis of standard surgical risk patients undergoing carotid endarterectomy (CEA) and transcarotid artery revascularization (TCAR) for atherosclerotic carotid...
Study finds racial disparities in acute stroke thrombectomy management
A new study has found several racial disparities after mechanical thrombectomy for stroke with respect to post-procedure management and outcomes. Vineeth Thirunavu of Northwestern...
CEA provides inhibitive effect on stroke prevention for eight years over no surgical intervention
Carotid endarterectomy (CEA) has a small but significant effect on stroke prevention through eight years compared with no surgery, investigators who carried out a...
Unveiling an AI-driven risk stratification tool to attain better stroke prediction
It’s one of the most intractable areas of focus in all of vascular disease, and the source of—inarguably, Brajesh K. Lal, MBBS, emphasizes—the most...
Study: Stroke risk higher in patients with COVID-19 than influenza
A higher rate of stroke has been reported in adults with COVID-19 compared to a cohort of patients with influenza. A retrospective study published...
Study shows novel AI technology is better predictor of stroke than traditional methods
Boston-based medical technology company Elucid Bio, maker of the Food and Drug Administration (FDA)-cleared and CE-marked vascuCAP software, announced Wednesday, July 1, that its...
TCAR outperforms transfemoral carotid artery stenting, ‘significantly’ lowering stroke and death risk
A study that set out to determine whether there was a lesser stroke or death risk by deploying transcarotid artery revascularization (TCAR) over the...
Stroke Research Priorities – NINDS report now available
The final report of the Stroke Research Priorities Meeting is now available on the National Institute of Neurological Disorders and Stroke (NINDS) public website....
The top 10 most popular Vascular Specialist stories of May 2023
Last month, Vascular Specialist most piqued reader interest with a commentary from the editor-in-chief on why he supports the decision by the Southern Association for Vascular...
Interim data find ‘no evidence of benefit’ for carotid revascularization additional to optimized medical...
Interim results from the ECST-2 randomized controlled trial (RCT) have shown no evidence that carotid stenosis patients with a low-to-intermediate stroke risk, treated with...
FLAME, FLASH and ongoing PEERLESS trials collect ‘compelling’ data for FlowTriever device
Speaking on the FLAME, FLASH and PEERLESS trials that each collected data on the FlowTriever (Inari Medical) device for the treatment of pulmonary embolism...
Urban residents have smaller risk of mortality from chronic limb-threatening ischemia
A new study using data from millions of patients hospitalized across the U.S. has determined whether population density and associated urban versus suburban versus...
Medical therapy gains highlight need to reassess carotid surgery
“The time has definitely come to look at the evidence, and redo these studies,” posited Alun Davies, MD, from Imperial College London in London,...
A vascular mission: Defying assumptions in the fight against amputation in disadvantaged areas
Lyssa Ochoa, MD, is used to the assumptions. One: ”What a nice program you have.” Another: “It must be so nice that you can...
Study finds no correlation between TEVAR timing and uncomplicated type B aortic dissection outcomes
With proper patient selection, short-term outcomes of thoracic endovascular aortic repair (TEVAR) in acute uncomplicated acute type B aortic dissection (uTBAD) are similar irrespective...
Efforts to move towards routine patch closure or eversion endarterectomy among all carotid surgeons...
A nationwide cohort study of over 9,000 patients shows that the “controversial” practice of arteriotomy closure for carotid endarterectomy (CEA) is associated with an...
On 45th anniversary, CX Symposium chairman credits Chicago vascular surgical tandem for enduring success
The occasion of a seminal meeting held in Chicago by former Society for Vascular Surgery (SVS) Presidents John J. Bergan, MD, and James S.T....
The top 10 most popular Vascular Specialist stories of March 2023
In March 2023, the Vascular Specialist stories grabbing readers' attention were a response to a February letter addressing vascular surgeons' use of social media; an...
SCVS 2023: DAPT linked to better post-TCAR outcomes versus other drug regimens
Recent data presentations have revealed reduced risks of stroke and mortality among transcarotid artery revascularization (TCAR) patients who receive dual antiplatelet therapy (DAPT)—both preoperatively...
DAPT linked to better post-TCAR outcomes versus other drug regimens
Dual antiplatelet therapy (DAPT) has demonstrated improved clinical outcomes, including reduced in-hospital stroke and mortality risks, compared to other medication regimens in carotid disease...
Short neck AAAs: ‘Choosing what is best for the patient’
Navigating cases of abdominal aortic aneurysm (AAA) with short neck anatomy poses a serious challenge to vascular surgeons, but the list of potential options...
Analysis finds no difference in TCAR outcomes between academic, community hospitals
A new study found no difference in perioperative outcomes and incidence of adverse events at follow-up after transcarotid artery revascularization (TCAR) between academic and...
Corner Stitch: What I wish I had known in vascular training
Welcome newly matched vascular surgery residents into the fold! I am just over six months into my first attending position after completing my residency...
Distal embolic protection linked to significantly better outcomes in carotid stenting
Distal embolic protection using a filter has been associated with improved transfemoral carotid artery stenting (tfCAS) outcomes in terms of in-hospital stroke and death...
ACC 2023: Large bore mechanical thrombectomy reduces adverse outcomes in high-risk PE patients
Large bore mechanical thrombectomy with the FlowTriever system (Inari Medical) in patients with high-risk pulmonary embolism (PE) was associated with a significantly lower occurrence...
March’s free-access articles in JVS, JVS-VL
The March issues of the Journal of Vascular Surgery (JVS) and JVS: Venous and Lymphatic Disorders (JVS-VL) include eight articles that will be available...
The case for aggressive intervention on symptomatic carotid web
The lead investigator behind new research from a center in Louisiana outlines how his new study—believed to be the largest single-institution analysis of symptomatic...
Equivalency to clinical practice ‘varies considerably’ across recent carotid intervention trials
The transferability to real-world clinical practice of contemporary randomized controlled trials (RCTs) investigating carotid artery stenosis interventions “varies considerably,” according to a recent analysis...
Early data show ‘dramatic improvement’ in amputation-free survival after initiation of novel ‘Limb Alert’...
This advertorial is sponsored by Tampa General Hospital.
In cases of acute limb ischemia (ALI), time is of the essence, says Charles J. Bailey, MD—from...
Sex found to be ‘important variable’ in study and treatment of carotid atherosclerosis
A systematic review and meta-analysis have demonstrated “convincing evidence” that sex differences exist in carotid atherosclerosis, with all types of plaque features—including those relating...
SVS Foundation changes name of program aimed at providing care for underserved patients
The Society for Vascular Surgery (SVS) Foundation program formerly known as VISTA has a new name. VISTA—an acronym for Vascular Volunteers In Service To...
The 10 most popular Vascular Specialist stories of November 2022
Among November's most read Vascular Specialist stories were updates from the BEST-CLI trial in the form of new data and funding; a guest...
BEST-CLI: Optimal medical therapy adherence ‘well below’ recommended level at baseline
A significant proportion of patients enrolled in the BEST-CLI trial did not meet optimal medical therapy (OMT) guideline-based recommendations at the time of their...
NESVS Robert R. Linton Lecture features complex aortic masterclass from Europe
World-leading aortic surgeon Stéphan Haulon, MD, from the Aortic Centre at Hôpital Marie Lannelongue in Paris, France, took attendees of the 2022 New England...
CEA, TCAR ‘continue to show superior outcomes’ to transfemoral stenting
Researchers led by a vascular team in Indianapolis found that carotid endarterectomy (CEA) remains the most-used strategy in carotid revascularization, with CEA and transcarotid...
Mortality drops for acute type A aortic dissection, still high for patients not receiving...
The chance of a patient surviving after an acute type A aortic dissection has improved significantly, but mortality remains high if not recognized early and repaired...
Vascular surgeons step up for PAD awareness campaign in September
Walking is instrumental to keeping the 60,000 miles of blood vessels in the human body healthy—especially for patients with peripheral arterial disease (PAD). That...
No time like the present: The moral imperative for advocacy in vascular surgery
“I’m so sorry but we have to cancel your surgery”—10 words any warm-blooded surgeon dreads uttering. This time around, it was not for the...
Aortobifemoral grafting in the endovascular era: An exploration of the open procedure and its...
Aortobifemoral grafting for aortoiliac occlusive disease (AIOD) probably remains “very safe” in the era of endovascular repair, according to the senior author behind a...
TCAR: First patient enrolled in ROADSTER 3 post-approval study
Silk Road Medical has announced enrollment of the first patient in ROADSTER 3, which the company claims is the the first prospective, multicenter, single-arm...
The top 10 most popular Vascular Specialist stories of August 2022
The top 10 most-read stories on the Vascular Specialist website in August included a look at the state of diversity, equity and inclusion (DEI)...
Trial supports full-dose anticoagulation to prevent blood clots in COVID-19 patients
Treatment of critically ill COVID-19 patients with full-dose anticoagulation lowers the risk of venous and arterial clotting complications by 44% compared with the standard dose, according to late...
JACC study makes case for expanding coverage for carotid artery stenting
Research from Ochsner Health published in the Journal of the American College of Cardiology (JACC) is likely to influence expanded insurance coverage for carotid artery stenting.
The...
Vascular [email protected]–July/August Review Edition
In this VAM 2022 conference review issue:
Diversity gains momentum at the Journal of Vascular Surgery (p. 1 and 4)
SVS walking challenge—Vascular Health...
Enrollment begins in PERSEVERE clinical trial of hybrid prothesis for aortic dissection
Artivion announced today that it has initiated enrollment in the PERSEVERE clinical trial to determine if patients with an acute DeBakey Type I aortic dissection...
Jonathan Towne honored with SVS Lifetime Achievement Award
An “amazing clinician and leader.” Devoted to the specialty of vascular surgery. Investigator and researcher. Champion of the in-situ technique for lower-extremity bypass. Former...
ALI can occur with or without atherosclerotic disease, portends worse prognosis in COVID-19 patients,...
Acute limb ischemia (ALI) can occur with or without atherosclerotic disease and portends a worse prognosis in patients with COVID-19. This risk persists after...
Study of post-carotid endarterectomy surveillance prompts protocol discussion
The results of an analysis of nearly 2,000 carotid endarterectomies (CEAs) “challenge the notion” that patients benefit significantly from the current post-operative surveillance guidelines,...
Carotid stenting demonstrates comparable short- and long-term results to endarterectomy
Pooled patient-level data from more than 2,500 asymptomatic, non-octogenarian subjects have shown that carotid artery stenting (CAS) achieved comparable short- and long-term results to...
Vascular [email protected]–Conference Edition 2
Featured in this VAM daily edition:
F/BEVAR has high technical success and low mortality in chronic post-dissection TAAA (p. 1 and 3)
Systemic heparin...
F/BEVAR has high technical success and low mortality in chronic post-dissection TAAA
Fenestrated/branched endovascular aneurysm repair (F/BEVAR) is associated with high technical success and low mortality in patients with chronic post-dissection thoracoabdominal aortic aneurysm (PD-TAAA). This...
Low rate of new white lesions detected after TCAR using diffusion-weighted MRI
New white lesions are not a common occurrence in patients who have undergone transcarotid artery revascularization (TCAR), a study in which patients were assessed...
Silk Road to evaluate TCAR in standard surgical risk patients with ROADSTER 3 study
Silk Road Medical today announced a post-market study to evaluate the transcarotid artery revascularization (TCAR) system in the treatment of standard surgical risk patients...
New data support covered stent use in complex aortoiliac occlusive disease treatment
One-year outcomes from the BELSTREAM trial add to a growing pool of data that covered stents are safe and effective in the treatment of...
A new pathway for preventing dementia?
Craig Weinkauf, MD, is leading a trial looking into a connection between Alzheimer's and carotid stenosis. ‘We want to try to quantify the brain:...
Expanded Medicare coverage for TCAR in standard surgical risk patients announced
Silk Road Medical today announced that the Centers for Medicare and Medicaid Services (CMS), through collaboration with the Society of Vascular Surgery's Patient Safety...
Silent coronary ischemia: FFRCT reduces cardiac death, myocardial infarction in carotid endarterectomy patients out...
Diagnosis of silent, or unsuspected, coronary ischemia in patients undergoing carotid endarterectomy (CEA) using fractional flow reserve-computed tomography (FFRCT), with selective postoperative coronary revascularization,...
ESVS publishes 2023 guidelines on management of atherosclerotic carotid and vertebral artery disease
The European Society for Vascular Surgery (ESVS) has just released 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease. The...
Cancer patients face greater risks from AAA repair
Elective abdominal aortic aneurysm (AAA) repair in patients with a cancer diagnosis is associated with several poor postoperative outcomes, according to a newly published study from researchers...
FDA approves expanded indications for TCAR’s Enroute stent
The Food and Drug Administration (FDA) approved expanded indications for the Enroute stent system—part of the transcarotid artery revascularization (TCAR) procedure—to include patients at...
Randomized trial suggests carotid endarterectomy does not affect dementia risk
Carotid endarterectomy (CEA) does not appear to either reduce or increase the risk of dementia, despite it having been shown to reduce stroke risk....
Increased market competition linked to higher odds of revascularization among asymptomatic patients with moderate...
A vascular surgery research team with a growing reputation for its work investigating appropriateness in care in the peripheral vascular bed recently uncovered an...
Houston, we have a dialysis access problem
The concept of dedicated vascular access centers fuels a turbocharged Texan tussle with Karl Illig, MD, of Flow Vascular Institute in Houston, taking on Eric...
Sex discordance and postoperative outcomes: We should be vigilant of a real disparity in...
The recent JAMA Surgery publication “Association of surgeon-patient sex concordance with postoperative outcomes” is a population-based, retrospective cohort study of more than 1 million...
Worldwide TCAR analysis provides ‘roadmap’ to evaluate future training approaches
An analysis of the worldwide experience of transcarotid artery revascularization (TCAR) has produced key objective proficiency metrics and an analytic framework to assess adequate...
Study highlights need to extend scope of cerebrovascular health disparities research
A new research letter in Stroke outlines use of the novel National Institutes of Health (NIH) All of Us research program dataset of diverse...
VESS 2022: Novel use of TCAR to treat complex brachiocephalic disease shown to be...
A "unique" case series of patients undergoing transcarotid artery revascularization (TCAR) in which the system was put to novel use for proximal intervention or...
Strength in numbers: Global VASCC COVID-19 project helps identify framework to tackle delayed cases
When Robert Cuff, MD, and Max Wohlauer, MD, first launched the Vascular Surgery COVID-19 Collaborative (VASCC) back in the spring of 2020, the pandemic...
Corner Stitch: From intentions to gratitude in 2022
A time of transition, like the dawn of a New Year, usually commences the mass drive for New Year’s resolutions and intentions. Many of...
TCAR affords greater quality-adjusted life years than carotid endarterectomy, cost-effectiveness model finds
A cost-effectiveness model based on peer-reviewed sources suggests that although five-year costs for transcarotid artery revascularization (TCAR) were higher than those for carotid endarterectomy (CEA), TCAR afforded...
SVS issues new guidelines covering carotid disease and popliteal aneurysms
The Society for Vascular Surgery (SVS) has released updated clinical practice guidelines for the management of extracranial cerebrovascular disease and popliteal artery aneurysms in...
Rise in cardiovascular disease, vascular surgeon burnout presents a public health crisis, Western Vascular...
Cases of cardiovascular disease are rising across the U.S., with large disparities seen in ethnic groups and poorer geographical areas. In combination with increased...
Viz.ai reveals launch of new AI-powered modules for pulmonary embolism, aortic disease
Viz.ai—a company focused on artificial intelligence (AI)-driven intelligent care coordination—today announced the U.S. commercial launch of its AI-powered modules for pulmonary embolism (PE) and...
The top 10 most popular Vascular Specialist stories in September
Five-year data from the ACST-2 trial comparing carotid endarterectomy and carotid artery stenting, a report from the Crawford Forum at the 2021 Vascular Annual...
Study detects no difference in adverse outcomes from balloon dilatation strategy used during TCAR
Avoiding a strategy of post-stent balloon dilation during transcarotid artery revascularization (TCAR) may be unnecessary—a “contradistinction” to results shown in conventional transfemoral carotid artery...
TCAR may be associated with favorable outcomes in restenotic carotid lesions, study suggests
Transcarotid artery revascularization (TCAR) may be associated with favorable in-hospital outcomes for the treatment of restenotic carotid lesions after carotid endarterectomy (CEA), suggests a...
The top 10 most popular Vascular Specialist stories in August
Our recent editorial on the status of the interview, one of the Presidential Addresses from the Vascular Annual Meeting (VAM), a slew of new...
FDA approves expanded PAD indication for rivaroxaban plus aspirin
The Janssen Pharmaceutical Companies of Johnson & Johnson today announced that the Food and Drug Administration (FDA) has approved an expanded peripheral arterial disease...
Analysis shows TCAR is more cost effective than CAS for carotid stenosis
Transcarotid artery revascularization (TCAR) produces similar outcomes to the gold standard treatment for carotid stenosis—carotid endarterectomy (CEA)—but comes at a greater cost. This was...
Five-year STABLE II results show Zenith system makes the cut for acute complicated TBAD...
Joseph V. Lombardi, MD, reported long-term outcomes favoring the continued safety and effectiveness of a composite device (proximal covered stent graft plus distal bare...
VOYAGER PAD: Rivaroxaban plus aspirin should be considered after lower-extremity bypass regardless of conduit...
“A strategy of adding rivaroxaban 2.5mg twice daily to aspirin should be considered after lower extremity bypass regardless of conduit type,” concluded Nicholas Govsyeyev,...
Carotid endarterectomy shows ‘improved long-term durability’ over transfemoral carotid artery stenting
An increased postoperative stroke rate associated with transfemoral carotid artery stenting “seems to extend up to five years’ follow-up” compared to carotid endarterectomy. This...
AHA publishes updated scientific statement on PAD
The American Heart Association (AHA) has released a new scientific statement on lower extremity peripheral arterial disease (PAD), focusing on contemporary epidemiology, management gaps, and future directions.
The...
The year in COVID: VAM to feature 10 talks probing pandemic-related vascular complications
After nearly 18 months of life dominated by a worldwide pandemic—one that canceled the 2020 Vascular Annual Meeting (VAM)—VAM 2021 highlights several aspects of...
VESS session: ‘Concerted effort’ made to feature science, discussion from widest possible swath of...
At its very essence, says Vascular & Endovascular Surgery Society (VESS) President Jason T. Lee, MD, vascular surgery is a “social sport.” The specialty...
With Foundation help, more vascular care headed to Oklahoma
There are new vistas in Oklahoma for those in need of vascular care. That’s “vista” as in Vascular Volunteers In Service To All, or...
SVS releases updated clinical practice guidelines covering carotid disease
The Society for Vascular Surgery (SVS) has released updated clinical practice guidelines accompanied by an implementation document on the management of patients with extracranial...
A lifetime of achievement: Former SVS president looks back on career milestones
The first time Bruce A. Perler, MD, attended the Southern Association for Vascular Surgery (SAVS) annual meeting, he was a young faculty member who...
AI triage solution for PE and aortic dissection receives FDA clearance
Medical imaging artificial intelligence (AI) specialist, Avicenna.AI, recently announced that it has received certification in the U.S. and European Union (EU) for CINA CHEST, its...
ACC.21: VOYAGER PAD shows rivaroxaban ‘significantly’ reduced total ischemic events in PAD patients
Rivaroxaban combined with low-dose aspirin led to a significant reduction in the occurrence of total ischemic events in patients with symptomatic peripheral arterial disease...
TCAR vs CEA: Research shows fewer myocardial infarctions after TCAR with use of general...
A Vascular Quality Initiative (VQI) analysis uncovered a reduction in the risk of myocardial infarction after transcarotid artery revascularization (TCAR) compared to carotid endarterectomy...
An open letter to Epic Systems
Dear Epic,
I am not writing to you today as a customer, but rather on behalf of your users. More specifically, I am representative...
Patients with AAAs who had COVID-19 may need ‘more frequent surveillance’ until better understanding...
Patients who have known abdominal aortic aneurysms (AAAs), who may have had a COVID-19 infection, might need to have more frequent or a different...
Added benefit of carotid revascularization to modern medical care ‘needs to be revisited’, study...
A pooled meta-analysis found that patients with symptomatic carotid stenosis enrolled in recent randomized controlled trials (RCTs) had a lower risk of stroke after...
Cervical artery lesions are ‘frequent and mostly asymptomatic’ in vascular Ehlers-Danlos syndrome patients
Cervical artery lesions are frequent and mostly asymptomatic in patients with vascular Ehlers-Danlos syndrome, investigators seeking to systematically assess arterial complications in the region...
Hospital availability of TCAR associated with an improvement in overall outcomes for carotid revascularization
Silk Road Medical has announced positive results from a comparative-effectiveness study involving transcarotid artery revascularization (TCAR) that was published in JAMA Network Open.
The study...
‘Grit matters in vascular surgery’
"This is what happens to you when you show grit: You end up being elected president of the American College of Surgeons."
Those were among...
USPSTF reaffirms 2014 recommendation against screening for asymptomatic carotid stenosis
The United States Preventive Services Task Force (USPSTF) has recommended against screening for asymptomatic carotid artery stenosis in the general adult population—a reaffirmation of...
COVID-19 pandemic led to ‘severe’ financial loss for academic vascular surgery division
The initial stages of the COVID-19 pandemic resulted in three-month sustained decreases in operative and outpatient clinical volume as well as a “severe” financial...
SVS Foundation’s new initiative to address disparities in vascular health
Significant disparities in healthcare services in the United States result in unnecessary limb loss, stroke and death. Vascular health professionals are developing new programs...
Walking can relieve leg pain in people with PAD
Exercise can play an important role in treating peripheral arterial disease (PAD), a recent review by Amy Harwood, PhD, from the Centre for Sport and...
Target 2021: SVS councils and committees drill down on key goals for year ahead...
While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and...
Vascular surgery COVID-19 registry participants probe state of practice amid winter surge
The question of the COVID-19 pandemic’s effect on vascular practice continues to occupy members of the specialty. Contributors to a global vascular surgery registry...
Total endovascular aortic arch treatment shows promise in dissections, but secondary interventions remain ‘Achilles’...
Speaking at the Virtual Aortic Surgery How to Do It Highlights conference (Dec. 17–18), Stéphan Haulon, MD, a vascular surgeon at Hôpital Marie Lannelongue,...
Study: The ‘successful’ operation of TCAR in a community practice setting
A research team in Dallas demonstrated the successful operation of transcarotid artery revascularization (TCAR) in a community practice setting, reporting results in line with...
Frailty still strongly linked to mortality after EVAR for AAA
An analysis of the Vascular Quality Initiative (VQI) endovascular aneurysm repair (EVAR) registry for elective abdominal aortic aneurysms (AAAs) revealed that frailty continues to...
VOYAGER PAD: Rivaroxaban plus aspirin versus aspirin alone among CLTI patients undergoing revascularization reduced...
In one of the latest sub-analyses from the VOYAGER PAD trial, investigators found that rivaroxaban plus aspirin versus aspirin alone in the high-risk population...
Janssen applies to FDA for new indication to expand use of rivaroxaban in PAD...
The Janssen Pharmaceutical Companies of Johnson & Johnson announced today it has submitted a supplemental New Drug Application (sNDA) to the Food and Drug...
Study finds low mortality, high complication rates after aortic endograft explantation
The explantation of aortic endografts—associated with high postoperative morbidity, particularly in patients with infected grafts—can be carried out with a low mortality rate, a...
A Vascular VISION: Improved patient care
Call it a VISION for improving patient care by being able to see how specific hospitals or institutions perform in terms of long-term patient...
September slate of regional vascular meetings goes digital
This time last year, the ranks of vascular surgery were gearing up to head for points East, West, Midwest and Northeast as the slew...
Inaugural CX Aortic Vienna to take place online
The inaugural CX Aortic Vienna meeting will be livestreamed Sept. 8–11 to an international, online audience, and will include registrant participation, interaction and polling.
The...
Study identifies disparities in early revascularization for symptomatic carotid stenosis
Data from a new study carried out in Texas found disparities in those undergoing early carotid revascularization along gender, race and ethnic lines.
A research...
Vascular Connections–August 2020 (Review Edition)
In this special SVS ONLINE review issue:
"Unveiling an AI-driven risk stratification tool to attain better stroke prediction" (p. 1)
"COVID-19 survey: Support of...
Depression linked to more prevalent subclinical atherosclerosis in women with HIV
Women living with HIV who reported a high burden of psychosocial risk factors like symptoms of depression, stress and post-traumatic stress disorder (PTSD) were...
AHA, ISTH release joint statement on future VTE research priorities
The American Heart Association (AHA) and the International Society on Thrombosis and Haemostasis (ISTH) issued a joint scientific statement July 8 outlining research priorities...
Cannabis use disorder linked to greater odds of perioperative myocardial infarction in vascular surgery...
Active cannabis use disorder was associated with significantly higher odds of perioperative myocardial infarction in vascular surgery patients, researchers reveal.
Furthermore, people with the disorder...
Virtual catch-up: Vascular surgery and coming around to telemedicine
Remote treatment of patients, so-called telemedicine, has been around since the 1940s, when it was first used for transmission of radiology images. In later...
Endovascular aortic arch repair with three-vessel inner branches is safe, investigators find
Total endovascular aortic arch repair for aneurysms and chronic dissections using three-vessel inner branch stent-grafts is technically feasible and safe, a multicenter global early...
CEA found to significantly improve neurocognitive function 30 days after procedure
Revascularization by way of carotid artery endarterectomy (CEA) is linked to significant improvements in neurocognitive function a month post- procedure across multiple domains, a...
Lecture: How remote support systems will transform medical care
The prospect of remote stroke intervention may be the most exciting clinical application among the suite of benefits emerging from the ongoing transformation in...
CX 2020 LIVE aortic arch discussion highlights importance of underlying pathology and benefit of...
Roger Greenhalgh (top left), Stéphan Haulon (top right), Ludovic Canaud (bottom left), and Gustavo S. Oderich (bottom right)
Last week, the CX 2020 LIVE agenda...
Registry launches pair of studies on vascular complications related to COVID-19
The new Vascular Surgery COVID-19 Collaborative (VASCC) is ready to start collecting data on two projects.
The first study to emerge from the international registry,...
Report: Safely executing CEA during COVID-19
A carotid endarterectomy (CEA) carried out on a 71-year-old stroke patient who tested positive for COVID-19 is highlighted in a recent case report as an...
‘Risk prediction models can be used for targeted screening for asymptomatic carotid stenosis,’ researchers...
Most prediction models can “reliably” identify individuals at high risk of significant asymptomatic carotid stenosis (ACS), a new study shows.
Michael H. F. Poorthuis, MD,...
Global vascular community addresses geographic disparity in COVID-19 impact and response
LONDON—Last week, the Charing Cross (CX) Symposium 2020 would have taken place in the U.K. capital. To mark the occasion virtually, experts from across...
Clopidogrel exposure along with aspirin and rivaroxaban should be ‘minimized or avoided’ in PAD...
“More bleeding with background clopidogrel, even if not severe by adjudication, may be associated with broad consequences, including discontinuation of therapies. In the absence...
Combining aspirin with rivaroxaban reduces risk equally in presence or absence of diabetes
In stable atherosclerosis, a combination of aspirin plus rivaroxaban provided a similar relative degree of benefit on coronary, cerebrovascular and peripheral endpoints in patients...
Aspirin plus rivaroxaban significantly lowers adverse events in PAD revascularization
Treatment with aspirin plus rivaroxaban following lower-extremity revascularization in patients with peripheral arterial disease (PAD) leads to a 15% reduction in the risk of...
STABLE II results published on endovascular treatment of acute complicated TBAD with Cook Zenith
Thirty-day and one-year data from the STABLE II study have been published in the April 2020 issue of the Journal of Vascular Surgery (JVS) by Joseph V....
Elevated risk of AAAs among individuals suffering depression post-risk factor adjustment discovered in HUNT...
People with depressive symptoms have a significantly higher risk of incident abdominal aortic aneurysms (AAAs) after adjustments for established risk factors, a study published...
Early adaptation of SVS, STS TBAD joint document will drive robust body of work...
The Society for Vascular Surgery (SVS) and the Society of Thoracic Surgeons (STS) recently published a joint document on reporting standards for type B...
Medical education requires a reboot in the digital age, argues stent-grafting pioneer
LAS VEGAS—Medical education is confronted by huge opportunities with the coming of what has been termed the fourth industrial revolution—that of the intersection where...
Patients with asymptomatic severe carotid stenosis may be successfully managed medically, researchers find ‘relatively...
STEAMBOAT SPRINGS, Colo.—High-risk patients with asymptomatic severe carotid stenosis may be successfully managed medically, delegates at the winter meeting of the Vascular & Endovascular...
Burned out on burnout? Changing course with peer support
Imagine a conversation with a (nonvascular surgeon) colleague about aortic dissections. “Renal malperfusion,” he says, “is just part of the natural history of the...
Early Outcomes To Be Presented From ROADSTER 2
Vikram S. Kashyap, MD, of the University Hospitals Cleveland Medical Center, will present results from ROADSTER 2, a prospective, multicenter, postapproval registry for patients...
Some patients leave a scar on you
Every surgeon has experienced the anguish of an adverse outcome. The elective aneurysm that dies on the table, the asymptomatic carotid patient that has...
Transcarotid vs. Transfemoral Carotid Artery Stenting in the SVS Vascular Quality Initiative
The Safety and Efficacy Study for Reverse Flow Used during Carotid Artery Stenting Procedure (ROADSTER) multicenter trial reported the lowest stroke rate in high-risk...
Shinal v. Toms: It’s Now Harder to Get Informed Consent
Question: Which of the following statements regarding Shinal v. Toms, a recent landmark decision on informed consent, is correct?:
A. The case was heard in...
For Dr. Dardik the First, a First-Rate Award
In the early 1950s, an aspiring teen pianist named Herbert Dardik got his big break – a chance to play on the “Ted Mack...
Open vs. endovascular for chronic mesenteric ischemia
Chronic mesenteric ischemia is best treated in an open operation.
Chronic mesenteric ischemia is a rare disorder accounting for about 1 out of 100,000 admissions.1...
The PERT Movement – Vascular surgeons must answer the call
Pulmonary embolism (PE) is the third most common cause of cardiovascular death in the United States and remains the most common preventable cause of...
New Carotid Artery Stent Procedure to be Evaluated by SVS PSO
A surveillance project to evaluate the safety and effectiveness of transcarotid artery revascularization (TCAR) in comparison with carotid endarterectomy (CEA) is being launched by...
Should clopidogrel be discontinued prior to open vascular procedures?
The continued use of perioperative clopidogrel is appropriate
Surgeons have always worried about bleeding risks for procedures we do. Complex vascular procedures are further complicated...
Why be a vascular surgeon?
This edition of Vascular Specialist is being published early to coincide with the VAM. Since medical students will be attending the meeting I thought...
The end of polypill – statins for everyone
At a time when therapeutics is emphasizing personalized therapy, it is reassuring that someone is interested in the big picture. Treating a single patient...
Mischief Maker
There is a woman whose mischief is causing me a whole lot of problems. Now, I don’t want you to think that I’m a...
I’m having an identity crisis
I’ve described my nightmares before. But they are becoming more frequent. Night after night I would see myself in an operating room or Endo...
The pros and cons of novel anticoagulants
Novel anticoagulants will likely replace need for vitamin K antagonists
BY MADHUKAR S. PATEL, M.D., AND ELLIOT L. CHAIKOF, M.D.
The discovery of oral...
From the editor: New column launches
This month we are introducing a new feature in Vascular Specialist – a column on medicolegal matters. After all there are few issues that...
Shared decision making?
Recently I read a blog by Dr. Ira Nash at the blog site, KevinMD, where Dr. Nash suggests that it behooves physicians to fully...
Choosing Wisely: A good start to explaining vascular best practices
Choosing Wisely was initiated by the American Board of Internal Medicine Foundation to provide recommendations to both patients and physicians about the evaluation and...
Reduced resident duty hours haven’t changed patient outcomes
Patient mortality and morbidity outcomes have not changed since the most recent round of reforms to medical residents’ duty hours in 2011, according to...
Future vascular surgeons could face training gap
The combination of healthier patients, stricter work-hour limits, and the increase in minimally invasive procedures could create a training gap among vascular surgeons, particularly...
Just do it?
The typical American world view has always extolled the virtues of positive thinking. From the pilgrim fathers to the Western settlers, we pursued goals...
The USPSTF says ‘Don’t do it’
The United States Preventive Services Task Force (USPSTF) recently issued a draft document recommending against screening for carotid artery disease in asymptomatic patients.
The draft...
Yes, give more patients statins
The question of whether or not to give more healthy patients statin drugs is one of considerable interest to the public and much debate...
Future challenges for vascular surgeons
How does one talk about the future? We start with a look at our recent past. We looked at our recent work in five...
Veith’s Views: The Blacksnake Phenomenon
Two young men went camping in the wilderness. One of them went off to gather firewood. He returned an hour later, staggering, badly battered,...
‘That 5% Thing’
On a recent flight back from Europe I had a most unsettling but thought provoking experience when I watched the Oscar-winning foreign movie "Amour."
You...
Progress Report on SVS Foundation Multicenter Clinical Studies Planning Grant
In 2012 Thomas S. Hatsukami, MD, Professor of Surgery, Division of Vascular Surgery at the University of Washington in Seattle, was presented the first...
Message From David Deaton, MD, SVS PAC Chair
Dear Colleagues:
On behalf of the Society for Vascular Surgery® (SVS) Political Action Committee (PAC), I want to thank all SVS members who contributed to...
How cultural differences influence your patients
Culture is comprised of values, convictions, and practices that have developed over time within ethnic, religious, or geographically distinct societies or groups and have...
Vascular Surgery News a Click Away
Interested in the latest news about Vascular Surgery?
VascularWeb visitors may now link directly to, and register for an RSS feed for vascular news provided...
Quality and Performance Measures Committee: How It is Working For SVS Members
The Quality and Performance Measures Committee oversees the quality measure portfolio for SVS. Members develop, test, and submit quality measures for national endorsement. It...
Veith’s Viewpoint: Extend and Fix the Sunshine Act, or End It
The Affordable Care Act (ACA) has the laudable goals of extending health care insurance coverage and reducing overall health care costs. However, hidden in...
Veith’s Viewpoint: The Vascular Disease Paradox
Vascular patients who most need treatment are often difficult and risky to treat by open operation or an endovascular intervention. In contrast, patients who...
New Patient Education Videos Are Available on VascularWeb.org
"The Public and Patient Outreach Committee is pleased to announce new patient videos," said Steven Leers, MD, chair of the SVS Public and Professional...
A Brief History of the New SVS
The modern SVS is a vibrant blend of two rich historical and co-evolving traditions – the original SVS and the American Association for Vascular...
Can RCTs be misleading and biased?
Randomized controlled trials (RCTs) constitute level 1 evidence, which is widely considered the best data upon which to base medical practice. This is particularly...
Presidential Address
During his address, outgoing SVS President Robert M. Zwolak, MD, PhD, took the opportunity to inspire incoming students and residents, to commend the Society...
Impact of Fellowship Programs on Residents’ Case Logs Examined
BOCA RATON, FLA. – Coexisting subspecialty fellowship programs have at most only minimal adverse impact on general surgery residency training operative volumes, according to...