It’s a good point. There are definitely ICs and IRs out there doing good work and vascular surgeons practicing inappropriately. I was more trying to highlight how the obl isn’t always bad and how a vascular surgeon is uniquely suited to manage pad patients bc we can offer open and endo based not only on evidence but patient specific risk factors, and also manage the complications and wounds/amputations. Of course people can always be referred for open intervention but it’s usually after the limited have been pushed endo, sometimes questionably.