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Carotid endarterectomy tied to lower stroke, mortality rates than stenting
Carotid endarterectomy (CEA) was associated with significantly lower long-term stroke and mortality compared to carotid artery stenting (CAS) in patients with asymptomatic carotid artery disease, according to a new real-world analysis. The study, which was presented at VAM 2026, compared outcomes between patients undergoing CEA and CAS for asymptomatic carotid stenosis and evaluated stroke, mortality…
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Structured exercise after acute DVT may reduce long-term complications
New research presented at VAM 2026 showed how structured aerobic exercise combined with standard anticoagulation in patients with acute lower extremity deep vein thrombosis (DVT) may help significantly reduce the risk of developing post-thrombotic syndrome (PTS). The study was funded by the Veterans Affairs Research and Development Department. “We all understand and appreciate the most important short-term…
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‘It’s not us versus them’: Rethinking multidisciplinary collaboration in vascular care
How do vascular surgeons and other similar specialties come together for the benefit of the patient? That is the main question behind a session given by Caitlin Hicks, MD, associate professor of surgery at Johns Hopkins School of Medicine, during Leadership Corner: Turf Battles in Vascular Surgery, at VAM 2026. Vascular Specialist caught up with…
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Unequal Access, unequal outcomes: Addressing disparities in acute limb ischemia
Although unequal access to care is contributing to persistent disparities in acute limb ischemia (ALI), there is a lot that surgeons can do to improve it. That’s the sentiment of Katharine McGinigle, MD, associate professor of surgery at UNC School of Medicine, who delivered a presentation during the “Modern Management and Controversies in Acute Limb…
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Shaping the vascular workforce of tomorrow
“I have been a staunch supporter of thinking ambitiously about how we maintain what should be a viable and thriving workforce that doesn’t just address capacity of surgical support but also training for what our patients need — not just our patients of today, but our patients 20 and 30 years from now,” said Dawn Coleman, chief of the Division of Vascular and Endovascular Surgery at Duke University. That was the…
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Study explores when AAA surveillance may no longer benefit older patients
New research suggests that surveillance for small abdominal aortic aneurysms (AAA) may not always provide meaningful benefit in older patients, particularly those with significant comorbidities. The data was presented during Plenary Session 5 by Sowmya Mangipudi, MD, MSc. The study examined whether there may be a point at which continued AAA surveillance is unlikely to…
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Rethinking antiplatelet and anticoagulant use in PAD after AQUATIC
During Thursday’s Hot Topics session, John Curci, MD, an associate professor at Vanderbilt Health, discussed the changing landscape of long-term antiplatelet and anticoagulant use in the management of peripheral artery disease (PAD) in light of results from the AQUATIC trial. The AQUATIC trial evaluated whether adding aspirin to direct oral anticoagulants improved cardiovascular and limb-related…
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Data support conservative approach to claudication in elderly patients
Claudication rarely takes a limb. But in patients over 80, the attempt to treat it surgically may take something just as important. New data, presented at VAM 2026 by Jeffrey Siracuse, MD, makes the case that for octogenarians with intermittent claudication, the risks of invasive revascularization routinely exceed its benefits. The clinical tension at the…
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TCAR demonstrates durable long-term outcomes with few reinterventions
Across more than 1,000 transcarotid artery revascularization (TCAR) procedures performed over eight years at a single high-volume institution, a recent study found only 12 patients required reintervention — a 1.1% rate that speaks to the durability of TCAR. The data also showed those reinterventions had a 100% technical success rate that speaks equally to the…
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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 the heart of a presentation making the case for fundamental rethinking of how PAD is…