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Advances in medical management could redefine PAD care
“Peripheral arterial disease [PAD] should no longer be viewed simply as a problem of arterial obstruction requiring procedural intervention,” said Mohamed Zayed, MD, PhD, associate professor of Surgery and Radiology at Washington University School of Medicine. That assertion cuts to…
Deep vein arterialization challenges notion of ‘no-option’ CLTI
“Patients previously considered ‘no-option’ may no longer truly be without options,” said Anahita Dua, MD, associate professor at Harvard Medical School and a vascular surgeon at Massachusetts General Hospital. That assertion sums up the central finding of an analysis comparing…
DCB therapy reduces MALE rates across femoropopliteal lesion complexity
In an era of expanding device options and the clinical temptation to match procedural complexity to lesion complexity, a new study offers a counterintuitive but data-driven argument: In femoropopliteal disease, doing less may actually deliver more. Research using the Vascular…
Pre-operative guideline adherence tied to fewer major adverse limb events
For patients with claudication, surgical revascularization is meant to restore quality of life. But a new retrospective study finds that most patients are arriving for that intervention without completing the pre-operative care that guidelines recommend and that the shortfall carries…
Tibial access in claudicants linked to guideline-discordant care and CLTI progression
Retrograde tibial access has long offered technical advantages in peripheral vascular procedures, but a new study raises concern that its use in patients with claudication may be driving treatment decisions that exceed what current guidelines recommend, creating a clinically significant…
Data shows disease severity drives ALI outcomes more than treatment choice
A large retrospective study of patients with acute limb ischemia (ALI) found that early outcomes including limb salvage, survival and amputation-free survival are equivalent between open surgery-first and endovascular-first revascularization strategies. The research determined that outcomes were driven primarily by…
New data support tailored revascularization strategies for patients with CLTI
A new study comparing autologous vein bypass to endovascular intervention as the initial revascularization strategy for patients with chronic limb-threatening ischemia (CLTI) requiring infrapopliteal treatment found when patients were carefully matched for comorbidities, outcomes between the two approaches were largely…
Reducing unwanted care through better communication
Current communication practices often fail to help patients and their families understand if surgery is right for them, argued Margaret “Gretchen” Schwarze, MD, during a distinguished visiting professor address at the 2026 Society for Clinical Vascular Surgery (SCVS) Annual Symposium…
TCAR may offer lower neurological risk than CEA in older symptomatic patients
A large retrospective analysis of more than 350,000 patients drawn from the Vascular Quality Initiative (VQI) database found transcarotid artery revascularization (TCAR) maintained a more favorable neurological risk profile compared with carotid endarterectomy (CEA) in older symptomatic patients, with the…
Reclaiming joy and meaning in vascular practice
“When was the last time in surgery that you experienced joy,” asked Vincent Rowe, MD, during his presidential address at the 2026 Society for Clinical Vascular Surgery (SCVS) Annual Symposium in San Diego, California (March 28-April 1). “Not just satisfaction,…