{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:38:32Z","timestamp":1791931112356,"version":"4.3.4"},"reference-count":18,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jvs.2026.05.010","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:05:23Z","timestamp":1781085923000},"page":"733-744.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endovascular-first revascularization is as safe and efficacious as open-first revascularization for acute limb ischemia"],"prefix":"10.1016","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2767-2830","authenticated-orcid":false,"given":"Cuneyt","family":"Koksoy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spencer C.","family":"Bock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilse Torres","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2295-8127","authenticated-orcid":false,"given":"Sai Prasada","family":"Rao K. Manikonda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Alsarayreh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4955-4384","authenticated-orcid":false,"suffix":"Sr.","given":"Joseph L.","family":"Mills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary S.","family":"Pallister","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0706-159X","authenticated-orcid":false,"given":"Katharine L.","family":"McGinigle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Pascarella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayer","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2026.05.010_bib1","doi-asserted-by":"crossref","first-page":"e1313","DOI":"10.1161\/CIR.0000000000001251","article-title":"2024 ACC\/AHA\/AACVPR\/APMA\/ABC\/SCAI\/SVM\/SVN\/SVS\/SIR\/VESS guideline for the management of lower extremity peripheral artery disease: a report of the American College of Cardiology\/American Heart Association Joint Committee on clinical practice guidelines","volume":"149","author":"Gornik","year":"2024","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2026.05.010_bib2","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ejvs.2019.09.006","article-title":"Editor's Choice \u2013 European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of acute limb ischaemia","volume":"59","author":"Bj\u00f6rck","year":"2020","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib3","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.jvs.2024.05.043","article-title":"One-year limb salvage and quality of life following mechanical aspiration thrombectomy in patients with acute lower extremity ischemia","volume":"80","author":"Maldonado","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib4","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.ejvs.2021.10.044","article-title":"Epidemiology and prognostic factors in acute lower limb ischaemia: a population based Study","volume":"63","author":"Kulezic","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S0741-5214(96)70067-8","article-title":"Surgical revascularization versus thrombolysis for nonembolic lower extremity native artery occlusions: results of a prospective randomized trial. The STILE Investigators. Surgery versus thrombolysis for ischemia of the lower extremity","volume":"24","author":"Weaver","year":"1996","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib6","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1056\/NEJM199804163381603","article-title":"A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) investigators","volume":"338","author":"Ouriel","year":"1998","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jvs.2026.05.010_bib7","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jvs.2019.10.079","article-title":"Single-center experience with Indigo aspiration thrombectomy for acute lower limb ischemia","volume":"72","author":"Lopez","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib8","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1016\/j.jvs.2020.10.002","article-title":"Safety and efficacy of an endovascular-first approach to acute limb ischemia","volume":"73","author":"Poursina","year":"2021","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib9","doi-asserted-by":"crossref","first-page":"2379","DOI":"10.1016\/j.jcin.2024.09.010","article-title":"Contemporary practice patterns and outcomes of endovascular revascularization of acute limb ischemia","volume":"17","author":"Herzig","year":"2024","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.010_bib10","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.jvs.2025.03.195","article-title":"Comparison of open and endovascular therapy for infrainguinal acute limb ischemia in the era of percutaneous thrombectomy","volume":"82","author":"Jarosinski","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib11","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.ejvs.2024.08.039","article-title":"Editor's choice \u2013 comparison of clinical outcomes in patients with acute lower limb ischaemia undergoing endovascular therapy and open surgical revascularisation: a large scale analysis in Japan","volume":"68","author":"Ozawa","year":"2024","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib12","doi-asserted-by":"crossref","first-page":"1796","DOI":"10.1016\/j.jvs.2024.06.007","article-title":"Multilevel thrombotic or embolic burden and its role in sex-related outcomes in acute limb ischemia","volume":"80","author":"Torres Ruiz","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib13","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1177\/15266028231210232","article-title":"Outcomes after open surgical, hybrid, and endovascular revascularization for acute limb ischemia","volume":"32","author":"Konstantinou","year":"2025","journal-title":"J Endovasc Ther"},{"key":"10.1016\/j.jvs.2026.05.010_bib14","first-page":"987","article-title":"Insights from the prospective multicentre observational study evaluating acute lower limb ischemia on the influence of patient characteristics on treatment strategy selection and outcomes","volume":"82","author":"Doukas","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib15","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/S0741-5214(97)70045-4","article-title":"Recommended standards for reports dealing with lower extremity ischemia: revised version","volume":"26","author":"Rutherford","year":"1997","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib16","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jvs.2025.02.027","article-title":"Outcomes of mechanical thrombectomy for acute limb ischemia at a tertiary referral center","volume":"82","author":"Loh","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib17","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/j.ejvs.2025.06.044","article-title":"Functional outcomes in the prospective multicentre observational study evaluating acute lower limb Ischaemia (PROMOTE-ALI)","volume":"70","author":"Dubosq-Lebaz","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.010_bib18","doi-asserted-by":"crossref","first-page":"141","DOI":"10.23736\/S0392-9590.25.05366-0","article-title":"Acute limb ischemia after occluded femoro-popliteal stents: a comparative analysis between endovascular revascularization vs. open bypass (FOCUS Study)","volume":"44","author":"Bertagna","year":"2025","journal-title":"Int Angiol"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426011493?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426011493?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:33:54Z","timestamp":1787006034000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521426011493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0741521426011493"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.010","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Endovascular-first revascularization is as safe and efficacious as open-first revascularization for acute limb ischemia","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Society for Vascular Surgery. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}