In this issue:

• A Vascular Specialist cover special on atherectomy and utilization rates: “Are high reimbursement amounts incentivizing inappropriate medical provider care?” (p. 1 and 6)
• Against the backdrop of appropriateness in care, Andrew J. Meltzer, MD, takes a searing look at how to succeed in vascular surgery, with a guide for the aspiring outlier (p. 2 and 4)
• Our coverage of appropriateness continues with reports on the so-called one percenters study to which Meltzer draws reference as well as a court case out of Florida (p. 7)
• Vascular surgeons from the University of Vermont pen a thoughtful commentary follow a cyberattack that sent their system back into the paper age of medicine (p. 12–13)
• Interview: We take a look at lymphedema and an NYC vascular surgeon’s experience tackling severe cases with a modified Charles’ procedure (p. 14)
• A news report on a paper from JAMA: “Fluoroquinolones linked to increased incidence of aortic aneurysms among U.S. adults” (p. 19)

View the Issue on Vascular Specialist Online