Pacha HM, Al-khadra Y, Darmoch F, et al. - Researchers examined if superior outcomes are achieved in octogenarians in association with endovascular intervention (EVI) vs surgical revascularization. Using the National Inpatient Sample (NIS) database, they identified 394,504 octogenarian patients, of which 184,926 underwent surgical revascularization (46.9%) and 209,578 underwent EVI (53.1%). Lower odds of in-hospital mortality, myocardial infarction, stroke, acute kidney injury, and limb amputation were observed in EVI group vs surgical group. The risk of bleeding and vascular complications was higher in the EVI group compared with the surgical group. Within the study period, they observed an increase in EVI utilization from 2.6% to 8.9% and a decrease in the use of surgical revascularization from 11.6% to 5.2% among octogenarian patients. Overall findings suggest an increasing utilization of EVI in octogenarians, and its correlation with lower risk of in-hospital mortality and adverse cardiovascular and limb outcomes as compared with surgical revascularization.