You are staring at a pulseless foot, a ruptured aneurysm on the monitor, or an oral board examiner waiting for your next move, and the textbook on your shelf gives you paragraphs when you need a plan.

Vascular surgery rewards clinicians who can move from diagnosis to decision in seconds, yet most references teach anatomy and pathology as isolated facts, leaving trainees to build clinical judgment on their own during residency and fellowship.

This 2026 edition closes that gap with twenty-five chapters built entirely around returning patient cases. Each chapter opens a clinical scenario, develops it through new findings and complications, and closes with the reasoning an examiner or attending actually expects to hear.

Acute and chronic limb ischemia, aortoiliac and femoropopliteal disease, and diabetic limb salvage
Abdominal, thoracic, and thoracoabdominal aneurysm repair, open and endovascular
Aortic dissection, carotid disease, mesenteric ischemia, and renal artery intervention
Venous thromboembolism, chronic venous insufficiency, trauma, dialysis access, and graft infection
A dedicated oral board review chapter with integrated, examiner-style case scenarios

Every chapter includes a Mechanism Map connecting trigger to pathway to clinical sign, a What Changed box that shows how new information should revise your plan, and clinical pearls anchored to named society guidelines instead of vague generalities.

The book pairs with a free companion video course of more than 100 curated lecture and technique videos, accessed through a QR code printed on the final page, along with detailed clinical illustrations throughout showing operative anatomy, device selection, and decision algorithms.

Written for vascular surgery residents, fellows preparing for oral boards, and advanced practice clinicians who need decisions, not just descriptions.