Podcasts about Vascular surgery

A 25-year-old pregnant woman presents with a 1-day history of progressive pain and swelling. The foot is cold, pulseless and neurologic function is deteriorating by the hour. Imaging shows a massive iliofemoral DVT. Now both the limb and the pregnancy are threatened. Do you anticoagulate, thrombolyse or operate? Join us as we break down the management and decision making behind this rare but devastating case.Hosts:·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center·      Paul Haser -Division Chief, Vascular Surgery, Brookdale Hospital Medical Center·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical CenterLearning objectives:-       Recognize the clinical presentation and pathophysiology of phlegmasia cerulea dolens-       Describe how pregnancy affects decision making in patients with phlegmasia and venous thromboembolic disease-       Discuss the goals of treatment for patients with DVT's and identify when operative intervention is indicated-       Describe the sequelae of DVT's and how this relates to post thrombotic syndrome-       Review the indications, risks, and limitations of anticoagulation, catheter-directed thrombolysis, thrombectomy, and fasciotomy in the management of DVT and phlegmasia.-       Explain the role of IVUS in managing venous thromboembolic disease and May Thurner syndromeReferences:-       Vedantham, S., Goldhaber, S. Z., Julian, J. A., Kahn, S. R., Jaff, M. R., Cohen, D. J., Magnuson, E., Razavi, M. K., Comerota, A. J., Gornik, H. L., Murphy, T. P., Lewis, L., Duncan, J. R., Nieters, P., Derfler, M. C., Filion, M., Gu, C.-S., Kee, S., Schneider, J., … Kearon, C. (2017). Pharmacomechanical catheter-directed thrombolysis for deep-vein thrombosis. New England Journal of Medicine, 377(23), 2240–2252. https://doi.org/10.1056/NEJMoa1615066-       Gomes, M. S., Guimarães, M., & Montenegro, N. (2019). Thrombolysis in pregnancy: A literature review. Journal of Maternal-Fetal & Neonatal Medicine, 32(14), 2418–2428. https://doi.org/10.1080/14767058.2018.1438402-       Mangla, A., & Hamad, H. (2023). May-Thurner syndrome. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554377/-       Bates, S. M., Rajasekhar, A., Middeldorp, S., McLintock, C., Rodger, M. A., James, A. H., et al. (2018). American Society of Hematology 2018 guidelines for management of venous thromboembolism: Venous thromboembolism in the context of pregnancy. Blood Advances, 2(22), 3317–3359. https://doi.org/10.1182/bloodadvances.2018024802-       Kahn, S. R., Comerota, A. J., Cushman, M., Evans, N. S., Ginsberg, J. S., Goldenberg, N. A., et al. (2014). The postthrombotic syndrome: Evidence-based prevention, diagnosis, and treatment strategies. Circulation, 130(18), 1636–1661. https://doi.org/10.1161/CIR.0000000000000130 https://pubmed.ncbi.nlm.nih.gov/25246013/Sponsor URL: https://www.goremedical.com/If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Welcome back to the Audible Bleeding series: Landmark Papers in Vascular Surgery. In this episode, co-hosts John and Dr. Jesse Columbo are joined by our guest, Dr. Caitlin Hicks, to discuss one of the most studied—and most debated—topics in vascular surgery: asymptomatic carotid stenosis.   In this episode, we'll trace that evolution through three pivotal trials: ACAS and ACST-1, which established carotid endarterectomy as the standard of care; and the newly published CREST-2, which challenges us to reconsider everything we thought we knew. Along the way, we'll explore how advances in statin therapy, blood pressure control, and antiplatelet agents have fundamentally changed the natural history of this disease—and what that means for our patients today."   Links to Landmark Papers:  (ACAS) Endarterectomy for Asymptomatic Carotid Artery Stenosis   (ACST-1) 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis: a multicentre randomised trial    (CREST-2) Medical Management and Revascularization for Asymptomatic Carotid Stenosis    Guests: Dr. Caitlin Hicks, MD (@CaitlinWHicks); Associate Fellowship Program Director, Vascular Surgery & Endovascular Therapy at Johns Hopkins and Director of Research   Hosts: John Culhane, MD (@JohnCulhaneMD); General Surgery Resident, Abrazo Health Dr. Jesse Columbo, MD; Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth Follow us @audiblebleeding,   Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device. 

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long (@long_brit), we cover how to evaluate and manage acute limb ischemia. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play Send us Fan Mail

Audible Bleeding editors Falen Demsas, an integrated vascular surgery resident at Massachusetts General Hospital, and Sasank Kalipatnapu (@ksasank), a fifth-year general surgery resident at UMass Chan Medical School, are joined by Megan Tracci (@MeganTracci), James Black (@JamesHBlackMD), and Lauren West-Livingston (LWestLivingston) for a discussion following the inaugural SVS Leadership and Advocacy Summit. In this episode, the group reflects on the importance of surgeon advocacy, highlights key takeaways from the Summit, and discusses how vascular surgeons throughout training and practice can engage in policy, leadership, and organized medicine at local and national levels. The conversation explores the evolving role of advocacy within the Society for Vascular Surgery, including the work of the SVS Advocacy Council and its collaboration across Government Relations, Coding, VA advocacy, and quality and policy initiatives. Dr. Tracci shares insights from her leadership roles within SVS advocacy efforts and her work as ACS Medical Director for Surgeon Engagement. Dr. Black discusses his longstanding advocacy work on behalf of patients and physicians, including numerous trips to Capitol Hill over the course of his career. Dr. West-Livingston reflects on her experience attending the recent Advocacy & Leadership Conference as a trainee and the importance of resident involvement in advocacy work. Show Guests Megan Tracci Leader within the SVS Advocacy Council, which includes Government Relations, Coding, VA advocacy, and quality and policy collaboration efforts. She also serves as the ACS Medical Director for Surgeon Engagement. James Black Chief of Vascular Surgery and Endovascular Therapy at Johns Hopkins University and longtime advocate who has made countless trips to Capitol Hill to advocate for patients and physicians. Lauren West-Livingston Integrated vascular surgery resident at Duke University and member of the SVS Government Relations Committee who attended the recent Advocacy & Leadership Conference. Notable Mentions The inaugural SVS Leadership and Advocacy Summit Advocacy efforts within the Society for Vascular Surgery, including Government Relations, Coding, VA advocacy, and quality and policy collaboration. Learn more here SVS Advocacy Council Opportunities for vascular surgeons to engage in advocacy throughout all stages of training and practice. Sign up for updates Follow us @audiblebleeding Learn more about us at Audible Bleeding and provide us with your feedback through our listener survey. Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Audible Bleeding editor Wen (@WenKawaji) discusses international vascular surgery fellowships with Dr. Judith Lin (@JudithLin4),  Dr. Adam Johnson, and Dr. Robbie Aru (@AruRobbie). Together, they reflect on what drove them abroad, what the experience actually looked like on the ground, and the professional, financial, and personal challenges that came with it. Whether you're a resident exploring your options or simply curious about roads less traveled in surgical training, this conversation offers a candid and practical look at what international fellowships in vascular surgery really entail. A must-listen for anyone considering fellowship training outside the U.S.   Articles: A contemporary guide to an international aortic super-fellowship for surgical trainees and surgeons in the United States   Show Guests  Dr. Judith Lin: professor and chief of vascular surgery in the Department of Surgery at Michigan State University's College of Human Medicine Dr. Adam Johnson: assistant professor of surgery and assistant professor in population health science at Duke university school of medicine Dr. Robbie Aru: assistant professor of surgery at Thomas Jefferson university medical college  Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

We welcome Dr. Clement Darling, Chief of Vascular Surgery at Albany Med. Sarah La Duke hosts.

SURGICAL EDUCATOR'S ACADEMY Advanced Online Surgery Masterclass Upper Limb Ischemia Overview ✔️Upper limb ischemia is significantly less common than lower limb ischemia with a ratio of approximately one to nine due to rich collateral networks and a lower workload. ✔️The vast majority of cases involve small vessel occlusive diseases affecting palmar and digital arteries while only ten percent involve large vessel occlusive disease.✔️ Common etiologies include Raynaud phenomenon and thoracic outlet syndrome plus thromboangiitis obliterans which is also known as Buerger disease. ✔️Diagnosis is primarily based on history and physical examination supported by non invasive imaging such as duplex scans and computed tomography angiography.Raynaud Phenomenon ✔️This is a dynamic vasospastic disorder of the small arteries and arterioles triggered by cold exposure or emotional stress. ✔️It is characterized by a pathognomonic triphasic color change where the digits turn white due to ischemia then blue due to deoxygenated blood and finally red due to reactive hyperemia. ✔️Primary Raynaud or Raynaud disease is idiopathic and symmetric and benign typically affecting young women without causing tissue loss. ✔️Secondary Raynaud or Raynaud syndrome is associated with underlying connective tissue diseases like scleroderma and carries a high risk of digital ulcers or gangrene. ✔️Management focuses on patient education and warmth and smoking cessation with calcium channel blockers like nifedipine as the first line pharmacotherapy for moderate to severe cases.Thoracic Outlet Syndrome ✔️This condition involves the compression of the neurovascular bundle as it exits the chest through the scalene triangle. ✔️It is classified into three types including neurogenic which accounts for ninety five percent of cases and venous and arterial. ✔️Arterial thoracic outlet syndrome is rare and often caused by mechanical compression from a cervical rib or an anomalous fibromuscular band. ✔️The most sensitive provocative maneuver is the EAST or Wright test where the patient abducts the arm to ninety degrees with external rotation to check for blanching or radial pulse weakening. ✔️Initial treatment for most patients is physiotherapy to improve posture while surgical decompression via rib resection and scalenectomy is reserved for refractory symptoms or significant arterial compromise.Thromboangiitis Obliterans or Buerger Disease✔️ This is a non atherosclerotic and segmental inflammatory occlusive disease of the small and medium sized arteries in the distal limbs. ✔️It predominantly affects young male smokers under the age of fifty. ✔️Diagnostic criteria include a history of tobacco use and onset before age fifty and distal arterial occlusion in the absence of atherosclerotic risk factors or proximal embolic sources. ✔️Arteriography typically reveals a characteristic corkscrew appearance of collateral vessels around the occlusions. ✔️The only definitive treatment that stops the progression of the disease and prevents amputation is absolute and permanent smoking cessation. ✔️Supportive therapies include intravenous iloprost for ulcer healing and sympathectomy to reduce vasospasm and manage refractory pain.Diagnostic and Management Pathways ✔️The diagnostic pathway begins with functional and non invasive tests such as bilateral segmental arm pressures and digital pulse volume recordings. ✔️Duplex ultrasound is essential for dynamic testing in suspected thoracic outlet syndrome while computed tomography angiography or magnetic resonance angiography provides anatomical mapping for surgical planning. ✔️Revascularization is generally successful for large vessel disease whereas small vessel vasospastic diseases are managed with supportive care and risk factor modification. ✔️Selective arteriography remains the gold standard for invasive imaging when planning complex interventions.

For decades, a tight carotid stenosis felt like a ticking time bomb — a plaque waiting to throw an embolus and cause the next stroke. We were taught that severe narrowing meant surgery, and trials like ACAS and ACST-1 seemed to prove it. But medicine has changed. Statins, antiplatelets, tighter blood pressure control, even PCSK9 and GLP-1 therapies have quietly slashed stroke risk, and now newer data from CREST-2 suggest that for many asymptomatic patients, the knife — or the stent — may not add much at all. So if modern medical therapy works better than ever… who actually benefits from intervention anymore? Today, we unpack the evidence, the controversies, and how to counsel the patient who feels perfectly fine but has high-grade stenosis.Hosts: Carolyn Judge, Andrew Huang, Luciano Delbono, Frank Davis, Robert BeaulieuInstitution: University of Michigan, Department of Surgery, Section of Vascular SurgeryLearning objectives: Describe how modern intensive medical therapy has transformed the natural history of asymptomatic carotid stenosis and explain why contemporary patients experience substantially lower annual stroke risk than those in earlier eras. Interpret and compare the results of landmark trials—including ACAS, ACST-1, and CREST-2—to assess the relative benefits of medical therapy, endarterectomy, and stenting. Apply current evidence and guideline recommendations to patient care by selecting which asymptomatic patients are most likely to benefit from carotid revascularization versus optimized medical therapy alone. References:SVS Guidelines:Brook, R. D., et al. (2022). Society for Vascular Surgery clinical practice guidelines for management of extracranial carotid artery disease. Journal of Vascular Surgery, 75(1), e1–e67. https://doi.org/10.1016/j.jvs.2021.09.031CREST (1)Brott, T. G., Hobson, R. W., Howard, G., et al. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. New England Journal of Medicine, 363(1), 11–23. https://doi.org/10.1056/NEJMoa0912321CREST-2Brott, T. G., Howard, G., Fong, P., et al. (2024). Randomized trial of carotid artery stenting or carotid endarterectomy vs best medical therapy for asymptomatic carotid stenosis: CREST-2 results. [Manuscript in preparation]. ClinicalTrials.gov Identifier: NCT02089217. Retrieved from https://clinicaltrials.gov/ct2/show/NCT02089217ACST-1Halliday, A., Mansfield, A., Marro, J., et al. (2004). Randomised trial of carotid artery surgery for asymptomatic stenosis. Lancet, 363(9420), 1491–1502. https://doi.org/10.1016/S0140-6736(04)16153-1ACST-2Halliday, A., Bulbulia, R., Bonati, L. H., et al. (2021). Carotid artery stenting versus carotid endarterectomy in patients with asymptomatic carotid stenosis (ACST-2): A randomised trial. Lancet, 398(10291), 1065–1073. https://doi.org/10.1016/S0140-6736(21)01980-1ACASExecutive Committee for the Asymptomatic Carotid Atherosclerosis Study. (1995). Endarterectomy for asymptomatic carotid stenosis. JAMA, 273(18), 1421–1428. https://doi.org/10.1001/jama.1995.03520420033036Sponsor URL: https://www.goremedical.com/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

This episode includes two full, sample vascular scenarios pulled directly from our Vascular Surgery Oral Board Review Course. Listen in and test your clinical pathways in real-time as we walk through the perfect answers and provide high-yield commentary to help you pass the "hot seat."Sample Scenarios Included in This Episode: Case 22: Aortoenteric Fistula (AEF). A 78-year-old woman presents to the ER with a massive upper GI bleed and a history of an open AAA repair 10 years ago. We walk you through the immediate stabilization, CTA evaluation, and the definitive operative management—including axillobifemoral bypass, aortic stump closure, and duodenal repair. Case 27: Acute Mesenteric Ischemia. A 79-year-old woman with a history of atrial fibrillation presents with abdominal pain out of proportion to her physical exam. Test your decision-making on systemic heparinization, SMA embolectomy versus stenting (ROMS), and how to appropriately evaluate bowel viability with a second-look laparotomy. About our Vascular Surgery Oral Board Review Course: 72 High-Yield Scenarios: Covering everything from carotid stump syndrome to a AAA with a horseshoe kidney. Dual-Format Learning: Each case includes "Part A" (a straight run-through of the perfect exam response) and "Part B" (the same scenario packed with expert tips, tricks, and commentary). Free Simulator Access: Every purchase of the course includes access to our new AI-powered Oral Board Simulator, allowing you to practice your verbal responses under pressure. Resources: Vascular Surgery Oral Board Review Course: https://app.behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Oral Board Simulator: https://app.behindtheknife.org/oral-board-simulator Download the BTK App on iOS and Android for on-the-go studying. DOMINATE THE DAY!

In this episode, Dr. William Shutze, a vascular surgeon at Texas Vascular Associates and former Executive Board Member of the Society for Vascular Surgery, and Dr. Robert Molnar, a vascular surgeon and Chief of Surgery at McLaren Flint and Executive Board At Large Member of the Society for Vascular Surgery, discuss how strong vascular surgery programs drive better patient outcomes, enable complex care, and strengthen hospital performance. They highlight the critical roles of early collaboration, infrastructure investment, and strategic alignment across service lines.This episode is sponsored by Society for Vascular Surgery.

For many, amputation is seen as the final step to end the agony of PAD and CLTI. But what happens when you make that heartbreaking choice, and the pain stays behind? It's Limb Loss Awareness Month—a time for honoring those who have faced limb loss, but also for addressing the hard, silent realities of life after amputation. In this special episode of The Heart of Innovation, hosts Kym McNicholas and Dr. John Phillips tackle Phantom Limb Pain, the "ghost signal" that tortures millions. We are joined by Dr. John Eidt, Chief of Vascular Surgery at Baylor Heart & Vascular, and David Veino, CEO of Neuros Medical, to reveal a medical breakthrough—a tiny implantable device specifically designed to "turn off" that phantom pain for good. In this episode, we unpack: ✔️Why amputation isn't always the end of the pain journey. ✔️The science of damaged nerves and phantom sensations. ✔️A new hope: How Neuros Medical's bioelectronic medicine is changing lives. ✔️Essential questions to ask your surgeon before a limb is lost. RESOURCES & SUPPORT:

Jacob Soucy (@JacobWSoucy) hosts an inside look at a timely and thought-provoking editorial published in The Vascular Specialist, the official news magazine of the Society for Vascular Surgery.   In this episode, we explore the evolving conversation around surgical call and compensation through the lens of the editorial "A Call for Call Pay." The discussion challenges the traditional framing of call as simply part of the job and instead examines it as a measurable burden of availability that carries legal, financial, and personal implications. This conversation highlights why the valuation of call may represent one of the defining structural issues in modern vascular surgery practice.   Jacob speaks with Dr. Malachi G. Sheahan III about the motivation behind the piece, how hospital systems value call, what the true cost of call coverage is, and what the future may hold if the current model remains unchanged.   Show Guest Dr. Malachi G. Sheahan III is Professor and Chair of Surgery at Louisiana State University Health Sciences Center and Chief of the Division of Vascular Surgery. He previously served as Program Director for both the fellowship and integrated residency in vascular surgery at LSU. Nationally, Dr. Sheahan serves as Secretary of the Society for Vascular Surgery and as Chief Medical Editor of The Vascular Specialist. With more than two decades in academic surgery, he is a recognized leader in vascular education, workforce policy, and advocacy within the specialty.   Resources and Social Media X (Twitter): @lsuvascular   Read the editorial: "A Call for Call Pay" – The Vascular Specialist   Special thanks to Dr. Malachi G. Sheahan III for sharing his time and insight and for his ongoing contributions to vascular surgery.   Follow us @audiblebleeding for updates on upcoming episodes and new research features. Learn more about us at audiblebleeding/about and share your feedback through our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Vascular surgeons treat a range of blood vessel problems such as carotid artery disease, poor circulation, varicose veins and more. Dr. Ravi Hasanadka from Sarah Bush Lincoln provides great insight and information on this surgical specialty. Support the showSarah Bush Lincoln is a 150-bed, not-for-profit, regional health system  located in East Central Illinois.  Follow us on: Faceboook InstagramLinkedIn

Audible Bleeding editor Wen Kawaji (@WenKawaji) and 5th-year general surgery resident Sasank Kalipatnapu (@ksasank) from UMass Chan Medical School host SVS QPMC leadership Dr. Shutze, Dr. Hicks and Carrie McGraw to take a deep dive into the Vascular Surgery–specific Merit Based Incentive Payment System Value Pathway or MVP.   Show Guests    Dr. William Shutze: Associate Professor at Texas A&M College of Medicine at Texas A&M Health Science Center in Dallas Texas. He is a managing partner at Texas Vascular Associates. He is the co-chair for the SVS Vascular Center Verification and Quality Improvement program, vice chair for the SVS QPMC committee  Dr. Caitlin Hicks: Associate professor at Johns Hopkins University school of medicine, vice chair of research in the department of surgery. Chair for the SVS QPMC committee Carrie McGraw: SVS manager of Quality Improvement and Practice   Important resources 2026 Vascular MVP PDF: https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3100/Vascular-Surgery-MVP-Candidate.pdf SVS Quality improvement contact email: SvsQuality@vascular.org Vascular Specialist article: https://vascularspecialistonline.com/introducing-the-vascular-surgery-mips-value-pathway-a-new-era-for-meaningful-specialty-driven-quality-reporting/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

How common are aortic dissections in Asia, and why do some patients appear to present nearly a decade earlier than in Western cohorts? Laurence Bertrand speaks with Dr. Peter Robless, founder of vascular surgery at the national university hospital of Singapore and former President of the Asian Society for Vascular Surgery, about Asian epidemiology, treatment approaches, and evolving endovascular practice.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Niv Ad, Editor-in-Chief of the journal Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery and professor of surgery at Johns Hopkins University School of Medicine in Baltimore, Maryland, USA, about the journal. Chapters 00:00 Intro 02:04 JANS 1, Adverse Effects Statin Therapy 06:21 JANS 2, Mortality & Reintervention, Robotic MR 09:15 JANS 3, Balloon vs Self Expanding Transcath Valves 11:41 JANS 4, Transcath Aortic Valve in MV Replacement 13:54 Career Center 14:33 Video 1, Endo Cone Repair w Ebstein Anomaly 16:26 Video 2, Retrograde Cardioplegia Cath Placement 17:19 Video 3, Standardized Strategy, Rheumatic MV Disease 20:31 Dr. Ad, Innovations Journal 31:05 Upcoming Events 31:38 New Podcast, The Lifeline 32:15 Closing They discussed the main topics and procedures covered by Innovations, highlighting its double-blind peer-review process and the special feature section. Additionally, they provided tips for those interested in submitting to the journal.   Joel also highlights recent JANS articles on a meta-analysis of double-blind randomized controlled trials for the assessment of adverse effects attributed to statin therapy in product labels, mortality and reintervention after robotic mitral repair in the United States, the three-year results of the LYTEN trial on balloon- vs self-expanding transcatheter valves for failed small surgical aortic, and the first-in-human study on transcatheter aortic valve-in-mechanical valve replacement.  In addition, Joel explores an endoscopic cone repair in an adult patient with Ebstein anomaly, an alternative cannulation site for the placement of a retrograde cardioplegia catheter, and a standardized surgical management strategy for rheumatic mitral valve disease. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Assessment of Adverse Effects Attributed to Statin Therapy in Product Labels: A Meta-Analysis of Double-Blind Randomised Controlled Trials  2.) Mortality and Reintervention After Robotic Mitral Repair in the United States  3.) Balloon- Versus Self-Expanding Transcatheter Valves for Failed Small Surgical Aortic Bioprostheses: 3-Year Results of the LYTEN Trial  4.) Transcatheter Aortic Valve-in-Mechanical Valve Replacement: A First-in-Human Study   CTSNet Content Mentioned  1.) Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly   2.) Placement of a Retrograde Cardioplegia Catheter: An Alternative Cannulation Site  3.) Standardized Surgical Management Strategy for Rheumatic Mitral Valve Disease  Other Items Mentioned  1.) Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery  2.) The Lifeline  3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by integrated vascular surgery resident Falen Demsas, JVS editor Dr. Duncan (@ADuncanVasc), JVS-VI editor-in-chief Dr. Dua (@AnahitaDua) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Huber, Dr. Fassler, Nishanth Konduru (@n_konduru), and Dr. Rao.   Articles:   Outcomes of open bypass and superior mesenteric artery endarterectomy for patients with chronic mesenteric ischemia resulting from long-segment superior mesenteric artery occlusive disease Retrograde tibiopedal access as an alternative procedural technique for genicular artery embolization    Show Guests  Dr. Huber Former Division Chief (served as Chief for 13 years) of Vascular Surgery at the University of Florida and the Edward R. Woodward Professor of Surgery at the University of Florida College of Medicine. He was also the chair of the writing committee for the SVS Guidelines on Chronic Mesenteric Ischemia. Dr. Fassler PGY-4 General Surgery resident at the University of Florida.  Nishanth Konduru Fourth year undergraduate at the University of North Carolina Chapel Hill Dr. Rao Interventional cardiologist with Vascular Solutions of North Carolina.   Founder of Rao Clinic https://www.raoclinic.org/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

We talk vascular surgery with Dr. Yaron Sternbach of St. Peter's Vascular Associates. Ray Graf hosts.

Peripheral artery disease has been called the ‘silent circulatory crisis'—affecting millions, limiting mobility, and quietly raising the risk of heart attack, stroke, and limb loss. For decades, treatment focused on walking programs, aspirin, and sometimes a stent or bypass. But today, the landscape is changing. From PCSK9 inhibitors that drive cholesterol to record lows, to GLP-1 agonists like semaglutide improving walking distance, to novel antithrombotic strategies that balance bleeding and clotting—PAD care is entering a new era. In this episode, we'll explore the breakthroughs, the evidence behind them, and what they mean for patients who just want to keep moving forward." Hosted by the University of Michigan Department of Vascular Surgery: - Robert Beaulieu, Program Director - Frank Davis, Assistant Professor of Surgery - Luciano Delbono, PGY-5 House Officer - Andrew Huang, PGY-4 House Officer - Carolyn Judge, PGY-2 House Officer Learning objectives:  1.  Describe the current evidence-based recommendations for multifactorial medical management of peripheral artery disease (PAD), including lipid, glycemic, and antithrombotic strategies per 2024 SVS/AHA guidelines.  2. Interpret the clinical implications of the FOURIER trial regarding the role of PCSK9 inhibition in reducing cardiovascular events in patients with atherosclerotic disease, including PAD.  3.  Evaluate the emerging role of GLP-1 receptor agonists, such as semaglutide, in improving walking performance and quality of life among patients with diabetic PAD based on findings from the STRIDE trial. Sponsor URL: https://www.goremedical.com/ References:  H. L. Gornik et al., “2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease,” JACC, vol. 83, no. 24, pp. 2497–2604, June 2024, doi: 10.1016/j.jacc.2024.02.013. L. Mazzolai et al., “2024 ESC Guidelines for the management of peripheral arterial and aortic diseases: Developed by the task force on the management of peripheral arterial and aortic diseases of the European Society of Cardiology (ESC) Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS), the European Reference Network on Rare Multisystemic Vascular Diseases (VASCERN), and the European Society of Vascular Medicine (ESVM),” Eur Heart J, vol. 45, no. 36, pp. 3538–3700, Sept. 2024, doi: 10.1093/eurheartj/ehae179. https://pubmed.ncbi.nlm.nih.gov/40169145/ M. S. Sabatine et al., “Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease,” N Engl J Med, vol. 376, no. 18, pp. 1713–1722, May 2017, doi: 10.1056/NEJMoa1615664. https://pubmed.ncbi.nlm.nih.gov/28304224/ M. P. Bonaca et al., “Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE): a phase 3b, double-blind, randomised, placebo-controlled trial,” Lancet, vol. 405, no. 10489, pp. 1580–1593, May 2025, doi: 10.1016/S0140-6736(25)00509-4. https://pubmed.ncbi.nlm.nih.gov/40169145/ N. E. Hubbard, D. Lim, and K. L. Erickson, “Beef tallow increases the potency of conjugated linoleic acid in the reduction of mouse mammary tumor metastasis,” J Nutr, vol. 136, no. 1, pp. 88–93, Jan. 2006, doi: 10.1093/jn/136.1.88. https://pubmed.ncbi.nlm.nih.gov/16365064/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Send us a textIt's beginning to look a lot like Christmas here in Houston, and in this episode it's beginning to look a lot like divorce -- along with other family law topics. This episode brings advice for family lawyers and pro bono attorneys who find themselves working on a family law case, and it also may serve as a resource for self-represented litigants in family court.  Segment One:  Best Practices in Family Court for Family Lawyers, Pro Bono Attorneys, and Self-Represented LitigantsJudge Gloria E. López (308th Family District Court), Judge Germaine Tanner (311th Family District Court), and Judge Janice Berg (247th Family District Court), provide practice tips based on their combined 18 years of experience as judges in Harris County Family Courts. They discuss best practices for family lawyers, pro bono lawyers who have a family law case, and self-represented litigants who have cases in family law court. Segment Two: Protective Orders 101Maisha Colter, Chief Executive Officer of AVDA-Texas, talks about how to obtain a domestic violence protective order, provides statutory updates related to obtaining these orders, and addresses issues pro bono or self-represented litigants should be aware of if they end up with a case that may involve domestic violence issues. Importantly, if you are experiencing domestic violence, help is available - call 1-800-799-SAFE (7233).   Service Spotlight: Finding Time to Have a Heart and Raise AwarenessKelly LaPar (Senior Counsel for NRG Energy, Inc. in Operation and Generation) and Dr. Damian LaPar (Chief of Pediatric and Congenital Heart Surgery, Executive Co-Director of the UTHealth Houston Children's Heart Institute, and Professor in the Department of Cardiothoracic and Vascular Surgery at McGovern Medical School) are co-chairing the American Heart Association - Houston Chapter's Houston Heart Ball this February. They address the importance of giving back and how to find the time to do that, and they provide some tips (and potential New Year's resolutions) for cardiovascular wellness. It is a timely and important topic for Houston lawyers. Segment Three: When Practice Areas Intersect: Immigration and Family LawBehind-the-Lines interviewer Rinku Ray talks with Ana Maria Schwartz (Principal of Schwartz Immigration Law, PLLC) about the ways immigration law and family law intersect and provides important insight into immigration issues family lawyers may need to be aware of. This is a very interesting interview that should be of interest to all lawyers. Segment Four: The Nuts & Bolts of Guardianship Cases, A Rewarding Pro Bono ExperienceNew Behind-the-Lines interviewer Jennifer Smith talks with Gerald Kimani (Gibson Dunn) about his extensive pro bono work on guardianship cases. Kimani discusses the substantive details about filing guardianship applications as well as the benefits of this important pro bono service, and he also briefly addresses helping obtain expunction orders on a pro bono basis. For full speaker bios, visit The Houston Lawyer (hba.org/thehoustonlawyer). To read The Houston Lawyer magazine, visit The Houston Lawyer_home. For more information about the Houston Bar Association, visit Houston Bar Association (hba.org).*The views expressed in this episode do not necessarily reflect the views of The Houston Lawyer Editorial Board or the Houston Bar Association.

The 2025 year draws to a close with the December episode of RAPM Focus, where RAPM Social Media Editor Alopi Patel, MD, converses with Benjamin S. Brooke, MD, PhD, and Michael “Jay” Buys, MD, following the April 2024 publication of their original research paper, “Postsurgical opioid prescribing among veterans using community care for orthopedic surgery at non-VA hospitals compared to a VA hospital with a transitional pain service: a retrospective cohort study | Regional Anesthesia & Pain Medicine.” The research study looked at opioid prescriptions after orthopedic surgery for veterans, comparing veterans who underwent surgery at the Salt Lake City VA Hospital to those in the community. Dr. Brooke is a Professor of Surgery, Biomedical Informatics (adjunct), Population Health Sciences (adjunct), and Chief of the Division of Vascular Surgery at the University of Utah. He grew up in Salt Lake City, receiving his Doctor of Medicine from the University of Utah before heading east to complete his internship and residency in General Surgery at the Johns Hopkins Hospital. During his surgical residency, Dr. Brooke received his PhD in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health. He then completed a fellowship in Vascular Surgery at the Dartmouth-Hitchcock Medical Center. Dr. Buys is an Associate Professor (Clinical) of Anesthesiology at the University of Utah and Chief of the Acute/Transitional Pain Section at the Salt Lake City VA Medical Center. He completed his medical degree at the University of Iowa and residency in anesthesiology at the University of New Mexico, after which he served as an active duty anesthesiologist in the US Air Force at Wilford Hall Medical Center in San Antonio and at Craig Joint Theater Hospital in Afghanistan. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Jacob Soucy (@JacobWSoucy) hosts an inside look at one of the most active and collaborative vascular surgery research teams in the country, the Vascular Surgery Outcomes Research Team (VSORT) at Penn State College of Medicine.   VSORT is a dynamic academic group that brings together vascular surgery attendings, residents, postdoctoral fellows, and medical students to conduct impactful outcomes-based research. Meeting every Friday at 4 PM, the team has produced dozens of peer-reviewed manuscripts, podium presentations, and national collaborations, embodying the power of mentorship and structure in academic medicine.   In this episode, Jacob speaks with two of the key figures behind VSORT's success, Dr. Faisal Aziz and Dr. Ahsan Zil-E-Ali, to discuss how the program was founded, how it operates, and what other institutions can learn from its model.   Show Guests Dr. Faisal Aziz (@FA_VascularMD) is the Chief of Vascular Surgery and Program Director of the Integrated Vascular Surgery Residency at Penn State Milton S. Hershey Medical Center, where he also serves as the Gilbert and Elsie Sealfon Endowed Professor of Surgery. A nationally recognized leader in vascular surgery, Dr. Aziz has authored more than 150 peer-reviewed publications and holds multiple national leadership roles. His work focuses on advancing surgical education, outcomes research, and mentorship within academic vascular surgery. Dr. Ahsan Zil-E-Ali (@ahsanzileali) is a Postdoctoral Research Fellow at Penn State Milton S. Hershey Medical Center and a driving force behind VSORT's research productivity. A graduate of the University of Health Sciences in Lahore, Punjab, he has co-authored nearly 100 peer-reviewed publications and plays a central role in coordinating VSORT's data infrastructure, mentorship framework, and project pipeline. His passion for research efficiency and education continues to inspire medical students and trainees across the institution.   Resources and Social Media Twitter: @VsortVasc, @PennStVascular Instagram: @vsortvasc, @pennstatevascular   Special thanks to Dr. Faisal Aziz and Dr. Ahsan Zil-E-Ali for sharing their time and insight, and to the entire VSORT team for their ongoing contributions to vascular surgery research and mentorship.   Follow us @audiblebleeding for updates on upcoming episodes and new research features. Learn more about us at audiblebleeding.com/about-1 and share your feedback through our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by 4th year general surgery resident Joe El Badaoui (@JosephBadaouiMD), JVS editor Dr. Audra Duncan (@ADuncanVasc), and JVS-VS editor Dr. John Curci (@CurciAAA) to discuss two great articles in the JVS family of journals. The first article discusses an extensive experience using cryopreserved arterial allografts for vascular reconstruction after major oncologic surgery. The second article sheds light on nanoplastics in atherosclerotic plaques.  This episode hosts Dr. Sebastian Cifuentes, Dr. Randall DeMartino (@randydemartino), Dr. Pierce Massie, and Dr. Ross Clark, the first and senior authors of these two papers. Articles: Part 1:Ten-year experience using cryopreserved arterial allografts for vascular reconstruction during major oncologic surgery (Drs. Cifuentes & DeMartino) Part 2: Micro- and nanoplastics are elevated in femoral atherosclerotic plaques compared with undiseased arteries (Drs. Clark & Massie) Show Guests  Dr. Sebastian Cifuentes is a first year integrated vascular surgery resident at University of Michigan in Ann Arbor, MI Dr. Randall DeMartino is a Professor of Surgery and the chair of the Division of Vascular and Endovascular Surgery at the Mayo Clinic in Rochester, MN Dr. Pierce Massie is a general surgery resident in his research time at the University of New Mexico School of Medicine in Albuquerque, NM Dr. Ross Clark is an Assistant Professor of Vascular Surgery and Assistant Professor of Cell Biology and Physiology at the University of New Mexico School of Medicine in Albuquerque, NM Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

Carotid artery disease management has come a long way. From the days when every stroke meant an endarterectomy to a modern era defined by precision, evidence, and evolving technology. With advances in medical therapy and newer techniques like TCAR, the vascular surgeon has even more to consider when choosing the best treatment for carotid disease. Join us as we break down the major landmark trials NASCET, CREST and the Asymptomatic Carotid trials, and discuss how their findings shape our clinical decisions in practice today. Hosts: ·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center ·      Paul Haser -Division Chief, Vascular Surgery, Brookdale Hospital Medical Center ·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center ·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center Learning Objectives: · Review the key findings and clinical implications of the NASCET, ACST, and CREST trials. · Discuss patient selection for carotid endarterectomy (CEA) vs carotid artery stenting (CAS). · Understand how age, calcification, and aortic arch anatomy affect stenting outcomes or choice between stent and CEA. · Identify how advances in medical therapy have influenced management of asymptomatic disease.  · Discuss appropriate screening/ follow up plans for patients who do not meet criteria for intervention References: -       North American Symptomatic Carotid Endarterectomy Trial Collaborators. (1991). Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. The New England Journal of Medicine, 325(7), 445–453. https://pubmed.ncbi.nlm.nih.gov/1852179/ -       Brott, T. G., Hobson, R. W. II, Howard, G., Roubin, G. S., Clark, W. M., Brooks, W., ... & Howard, V. J. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. The New England Journal of Medicine, 363(1), 11–23. https://pubmed.ncbi.nlm.nih.gov/20505173/ -       Halliday, A., Mansfield, A., Marro, J., Peto, C., Peto, R., Potter, J., & Thomas, D.; MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. (2004). Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: Randomized controlled trial. The Lancet, 363(9420), 1491–1502. https://pubmed.ncbi.nlm.nih.gov/15135594/ -       Halliday, A., Bulbulia, R., Bonati, L. H., Chester, J., Cradduck-Bamford, A., Peto, R., & Pan, H., & the ACST-2 Collaborative Group. (2021). Second asymptomatic carotid surgery trial (ACST-2): A randomised comparison of carotid artery stenting versus carotid endarterectomy. The Lancet, 398(10305), 1065-1073. https://doi.org/10.1016/S0140-6736(21)01910-3 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

      Imagine navigating the complexities of wartime medicine, where every decision can mean the difference between life and death. Join us for an unfiltered conversation with Dr. Oleksandr Sokolov, a Ukrainian vascular surgeon who has been in the thick of it, bringing groundbreaking innovations to the surgical battlefield. Dr. Sokolov reveals how the use of acellular tissue-engineered vessels is not just a technical advancement, but a lifeline for those caught in the crossfire. Get a firsthand account of how these innovations are reshaping trauma management in ways that remain largely unseen by the rest of the world.     We shine a spotlight on how advanced vascular implants are making waves in combat zones, offering hope where traditional methods have faltered. Dr. Sokolov shares the striking successes of a bioengineered vascular prosthesis that is defying expectations with its high patency rate and promise of limb salvage. These tissue-engineered vessels are not just keeping soldiers and civilians alive, but are setting a new standard for what's possible in extreme surgical conditions. The potential of these technologies to transform future medical care, from pediatric surgeries to cardiac bypasses, is nothing short of revolutionary.      But amidst the technological triumphs, there is also profound human resilience. Dr. Sokolov's stories are not only about scientific breakthroughs but also about the enduring spirit of those affected by war. As we discuss the critical role of global humanitarian networks, the conversation turns to the power of collaboration and the peace-driven future we all hope for. This episode is a testament to courage, innovation, and the relentless pursuit of better patient outcomes—even in the harshest of environments.   Chapters: (00:04) Vascular Surgery in a War Zone (11:10) Advanced Vascular Implants in Combat (24:26) Enhancing Survival With Engineered Vessels (36:56) Lessons in Combat Medicine and Technology   Chapter Summaries: (00:04) Vascular Surgery in a War Zone Dr. Sokolov shares his experiences providing surgical care in war-torn Ukraine, highlighting the use of acellular tissue-engineered vessels and the collapse of the military medical system.   (11:10) Advanced Vascular Implants in Combat Nature's bioengineered vascular prosthesis offers advantages in military medicine, with high success rates and reduced surgery time.   (24:26) Enhancing Survival With Engineered Vessels Battlefield trauma surgery, engineered vessels, managing risks, and potential applications in pediatric and cardiac cases.   (36:56) Lessons in Combat Medicine and Technology Dr. Sokolov shares lessons from wartime surgery, collaboration with Humacyte, advancements in vascular surgery technology, and hope for peace.   Take Home Messages: Wartime Innovation in Medicine: The episode highlights the transformative impact of acellular tissue-engineered vessels in wartime trauma care, demonstrating how these bioengineered solutions are enhancing surgical outcomes, particularly in conflict zones where traditional methods may not suffice. Global Collaboration and Support: It underscores the vital role of global humanitarian aid and international collaboration in advancing medical care in conflict areas. This support network provides essential resources and fosters the sharing of expertise, crucial for improving patient outcomes amidst challenging conditions. Resilience and Courage in Healthcare: Through powerful narratives, the episode captures the resilience of medical professionals and patients operating in high-stakes environments. These stories emphasize the human spirit's ability to persevere and adapt, even when faced with the dire circumstances of war. Broader Applications of Bioengineered Vessels: The discussion extends beyond immediate trauma care, exploring the potential applications of these advanced vascular implants in pediatric surgery and cardiac procedures, hinting at a broader revolution in vascular health care. The Importance of Medical System Support: The episode advocates for robust system support over reliance on individual heroics, stressing the need for organized and sustainable medical frameworks to effectively manage and respond to the healthcare challenges posed by war.   Episode Keywords: Wartime medicine, vascular surgery, Ukraine conflict, Dr. Oleksandr Sokolov, bioengineered vessels, trauma care, humanitarian aid, military medical systems, acellular tissue-engineered vessels, limb salvage, infection prevention, combat zone surgery, Humacyte collaboration, pediatric surgery, cardiac procedures, medical innovation, frontline surgeons, global medical community, medical advancements, survival and resilience   Hashtags: #WartimeMedicine #VascularInnovation #UkraineSurgeons #HumanitarianAid #BioengineeredVessels #TraumaCare #MedicalBreakthroughs #ConflictZoneMedicine #AdvancedSurgery #HealingAmidstWar   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

   What drives a person with no medical lineage to become a leading figure in military medicine? Join us as we uncover the remarkable journey of Lt Col Theodore Hart, MD, whose path from the Air Force Academy to a celebrated vascular surgeon at Brooke Army Medical Center defies expectations. Discover the pivotal moments that ignited his passion for surgery and medicine, from a transformative research opportunity at the University of Cincinnati to his esteemed education at the University of Chicago and a fellowship at Stanford. Dr. Hart shares the profound influence of mentorship and the bountiful opportunities within military medicine that have shaped his career and commitment to innovative battlefield trauma care.    Prepare to be inspired by Dr. Hart's dedication to surgical training and mentorship within the military. Explore his insights on balancing the complexities of trauma surgery with an elective practice, while passionately advocating for residents and shaping robust training programs. His reflections on the vibrant research environment at Brooke Army Medical Center highlight the nurturing of future surgeons through rigorous mentorship and cutting-edge vascular surgery research. Dr. Hart's stories about witnessing the growth of his trainees into accomplished professionals underscore the core values of education and quality improvement that drive his mission.    In a world where military and medical advancements often intersect, Dr. Hart's insights into collaborative research initiatives reveal the promising future of military medicine. Learn about the ambitious multi-year research programs at Brooke Army Medical Center, supported by the Henry M Jackson Foundation, which are paving the way for breakthroughs like portable dialysis technology. Delve into the strategic partnerships that fuel innovation and the evolving field of military vascular surgery, where minimally invasive techniques are becoming essential. Dr. Hart's vision for aligning military resources with evolving surgical skills presents a compelling outlook on how emerging technologies and specialized training are poised to redefine future battlefields.   Chapters: (00:03) Dr. Hart Background (10:27) Surgical Training and Mentorship in the Military (15:24) Collaborative Research Initiatives in Military Medicine (20:21) Military Research and Collaborative Partnerships (28:55) Advancements in Military Vascular Surgery   Chapter Summaries: (00:03) Dr. Hart Background Dr. Hart's journey from the Air Force Academy to becoming a leader in military medicine, emphasizing mentorship and research.   (10:27) Surgical Training and Mentorship in Military Passion for military medicine and teaching, specializing in trauma surgery, leadership and advocacy for residents, vibrant research environment.   (15:24) Collaborative Research Initiatives in Military Medicine Collaborative research program at Burke Army Medical Center with support from Henry M Jackson Foundation, focusing on non-compressible torso hemorrhage and portable dialysis.   (20:21) Military Research and Collaborative Partnerships Integrating military training and research, collaboration with University of Washington, and passion for improving military medicine.   (28:55) Advancements in Military Vascular Surgery Vascular surgery in the military is evolving with advancements in endovascular techniques, integrated training, and innovation for future battlefields.     Take Home Messages: Pathways to Military Medicine: The journey to becoming a leader in military medicine can be unconventional, with unique opportunities for mentorship and growth available within the military medical system. A pivotal research experience can ignite a passion for medicine, even for those without a family background in the field. Surgical Training and Mentorship: Surgical residency within the military offers a challenging yet rewarding environment, with an emphasis on leadership, teaching, and advocacy for residents. Witnessing the growth of trainees from their initial days to accomplished professionals is a central and fulfilling aspect of military medical education. Collaborative Research Efforts: Successful military medical research relies on robust collaborative efforts and institutional support. Projects tackling issues like non-compressible torso hemorrhage and portable dialysis technology demonstrate the critical role of partnerships in advancing military medicine. Advancements in Military Vascular Surgery: The field of military vascular surgery is evolving, with a focus on minimally invasive techniques and the need for training programs to adapt to these changes. Ensuring that general surgeons retain essential skills is crucial for effective hemorrhage control and blood vessel reconstruction in remote locations. Passion for Innovation and Education: The drive to innovate and teach is fundamental to the continuous improvement of military medicine. Integrating new training and technologies on future battlefields is essential for aligning military resources with the evolving skill sets of newly trained surgeons.   Episode Keywords: Military Medicine, Vascular Surgery, Dr. Theodore Hart, Brooke Army Medical Center, Surgical Innovation, Mentorship, Battlefield Trauma Care, Military Research, Henry M Jackson Foundation, Portable Dialysis Technology, Endovascular Surgery, Surgical Training, Non-compressible Torso Hemorrhage, Integrated Training Programs, Future of Military Medicine, Military Doctors, Surgical Residency, San Antonio, Air Force Academy   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #VascularSurgery #BattlefieldInnovation #SurgicalMentorship #MilitaryResearch #HenryMJacksonAward #BrookeArmyMedicalCenter #FutureSurgeons #MedicalInnovation #DrTheodoreHart   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

SAVC (Section on Ambulatory Vascular Care) formed a GPO to help SVS members in private practice access competitive pricing on medical supplies, devices, pharmaceuticals, and services. The podcast episode explores the history of the collaboration, the benefits for SVS private practice members, and how they can become involved.   Guest Info Dr. Anil Hingorani is a previous President of the Eastern Vascular Society. He is currently the Chair of the Section on Ambulatory Vascular Care (SAVC) of the Society for Vascular Surgery. Dr. Naveed A. Rahman, Editor, is a Vascular Surgery Fellow at the University of Maryland.    Website Links   SVS launches partnership to help private practice vascular surgeons cut costs  Section on Ambulatory Vascular Care in SVS. How to Join the SVS - Group Purchasing Organization  

Host: Darryl S. Chutka, M.D. Guests: Sam Farres, M.D.; and Ryan A. Meverden, PA-C Thoracic outlet syndromes is a great masquerader and often mistaken for a variety of other health conditions including cervical radiculopathy, carpal tunnel syndrome, rotator cuff injury or even multiple sclerosis. It has several causes which account for the variety of its clinical presentations. Because of this, the diagnosis is commonly delayed or diagnosed incorrectly.  Yet, it's crucial to establish an early and accurate diagnosis as this can prevent potential progression of neurologic damage or in some cases life-threatening vascular complications. It also prevents unnecessary treatments and inappropriate interventions. The topic for this podcast is “Thoracic Outlet Syndrome” and my guests include Ryan Meverden, PA-C, a physician assistant in the Vascular Center at the Rochester campus of the Mayo Clinic and Sam Farres, M.D., Division Chair of Vascular Surgery at the Florida campus of the Mayo Clinic. As we discuss thoracic outlet syndrome, we'll review the variety of presenting symptoms, potential complications, appropriate tests to evaluate patients and effective management strategies. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

In this solo episode, Dr. Tom Walters breaks down thoracic outlet syndrome (TOS)—a condition caused by compression of the nerves and blood vessels as they pass from the neck into the arm. He begins with an introduction to the condition and explains the difference between neurogenic and vascular TOS, highlighting key symptoms that require urgent medical referral. Dr. Walters then discusses how to differentiate TOS from cervical radiculopathy, a common source of confusion in clinical practice, focusing on symptom distribution, aggravating positions, and relevant clinical tests. Finally, he outlines the most effective physical therapy interventions for neurogenic TOS, including postural retraining, mobility work, scapular strengthening, breathing strategies, and activity modification. This episode is ideal for anyone interested in learning more about the anatomy, diagnosis, and rehab management of TOS, from clinicians to patients dealing with upper extremity pain and dysfunction. Rehab Science Book YouTube video References Illig KA, Donahue D, Duncan A, et al. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. J Vasc Surg. 2016;64(3):e23-e35. doi:10.1016/j.jvs.2016.04.039 Povlsen B, Hansson T, Povlsen SD. Treatment for thoracic outlet syndrome. Cochrane Database Syst Rev. 2014;(11):CD007218. doi:10.1002/14651858.CD007218.pub3 Gillard J, Perez-Cousin M, Hachulla E, et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Joint Bone Spine. 2001;68(5):416-424. doi:10.1016/S1297-319X(01)00331-2 Balci AE, Balci TA, Cakir O, et al. Surgical treatment of thoracic outlet syndrome: effect and results of surgery. Ann Thorac Surg. 2003;75(4):1091-1096. doi:10.1016/S0003-4975(02)04603-0

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Robert Cerfolio, Chief of the Division of Thoracic Surgery at NYU Langone Health, about NYU Langone Health's rise in hospital rankings. Chapters 00:00 Intro 02:19 Best Hospitals Report 08:52 JANS 1, Physician Compensation 13:54 JANS 2, International Challenges 18:36 Career Center 19:40 JANS 3, Rib Fracture Guidelines 23:16 JANS 4, Endovasc Concepts & Devices 26:05 Video 1, Redo Aortic Root David 26:43 Video 2, Removal of LAM 28:16 Video 3, Posterior MAD Correction 30:23 Dr. Cerfolio Interview 51:29 Upcoming Events 53:18 Resident Video Competition 54:10 Closing They discuss the process that contributed to this improvement, including the efficiency quality index and the benefits of discharging patients on postoperative day one while maintaining constant communication with them as opposed to keeping them hospitalized for extended stays. Additionally, they emphasize the importance of patients going home to a safe environment, postoperative protocols, and the future of NYU Langone Health.  Joel also highlights recent JANS articles on the 2025 Doximity Physician Compensation Report, the current landscape and challenges facing international medical graduates in cardiothoracic surgery training, Chest Wall Injury Society guidelines for surgical stabilization of rib fractures, and foundational endovascular concepts and devices for cardiac surgeons.   In addition, Joel explores the David procedure in a patient with a previous Type A dissection surgery, removal of a left atrial myxoma with a ministernotomy, and surgical correction of the posterior mitral annular disjunction associated with structural abnormalities of the mitral valve. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Physician Compensation Report 2025  2.) The Current Landscape and Challenges Facing International Medical Graduates in Cardiothoracic Surgery Training  3.) Chest Wall Injury Society Guidelines for Surgical Stabilization of Rib Fractures: Indications, Contraindications, and Timing  4.) Foundational Endovascular Concepts and Devices for Cardiac Surgeons  CTSNET Content Mentioned  1.) Redo Aortic Root Surgery: The David Procedure in a Patient With a Previous Type A Dissection Surgery  2.) Removal of a Left Atrial Myxoma With a Ministernotomy  3.) Surgical Correction of the Posterior Mitral Annular Disjunction Associated With Structural Abnormalities of the Mitral Valve  Other Items Mentioned  1.) Best Hospitals for Cardiology, Heart & Vascular Surgery  2.) NYU Langone Health Leads the Nation with Four No. 1–Ranked Specialties by U.S. News & World Report  3.) Cardiac Surgical Arrest—An International Conversation Series    4.) Resident Video Competition  5.) Career Center   6.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

A silent danger lurks within the descending thoracic aorta. While most Type B aortic dissections are managed medically, up to half of these patients will either require life-saving surgery or die within just five years. So how do we separate those who will quietly recover from those on the edge of catastrophe? How do we protect the spinal cord, bowel, and limbs from the devastating consequences of malperfusion? Join the University of Michigan Department of Vascular Surgery as they tackle the high-stakes decisions behind managing this unpredictable disease—where timing is critical, interventions are evolving, and lives hang in the balance. Hosted by the University of Michigan Department of Vascular Surgery: ·       Robert Beaulieu, Program Director ·       Frank Davis, Assistant Professor of Surgery ·       Luciano Delbono, PGY-5 House Officer ·       Andrew Huang, PGY-4 House Officer ·       Carolyn Judge, PGY-2 House Officer Learning Objectives: 1.         Discuss general approach to diagnosis and management of TBAD. 2.         Identifying high-risk features in uncomplicated TBAD and understanding their role in determining the need for surgical management. 3.         Review endovascular techniques for managing malperfusion of the limbs, viscera, and spinal cord and discuss associated decision making. References:  Authors/Task Force Members, Czerny, M., Grabenwöger, M., Berger, T., Aboyans, V., Della Corte, A., Chen, E. P., Desai, N. D., Dumfarth, J., Elefteriades, J. A., Etz, C. D., Kim, K. M., Kreibich, M., Lescan, M., Di Marco, L., Martens, A., Mestres, C. A., Milojevic, M., Nienaber, C. A., … Hughes, G. C. (2024). EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ. The Annals of Thoracic Surgery, 118(1), 5–115. https://doi.org/10.1016/j.athoracsur.2024.01.021 de Kort, J. F., Hasami, N. A., Been, M., Grassi, V., Lomazzi, C., Heijmen, R. H., Hazenberg, C. E. V. B., van Herwaarden, J. A., & Trimarchi, S. (2025). Trends and Updates in the Management and Outcomes of Acute Uncomplicated Type B Aortic Dissection. Annals of Vascular Surgery, S0890-5096(25)00004-4. https://doi.org/10.1016/j.avsg.2024.12.060 Eidt, J. F., & Vasquez, J. (2023). Changing Management of Type B Aortic Dissections. Methodist DeBakey Cardiovascular Journal, 19(2), 59–69. https://doi.org/10.14797/mdcvj.1171 Lombardi, J. V., Hughes, G. C., Appoo, J. J., Bavaria, J. E., Beck, A. W., Cambria, R. P., Charlton-Ouw, K., Eslami, M. H., Kim, K. M., Leshnower, B. G., Maldonado, T., Reece, T. B., & Wang, G. J. (2020). Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. Journal of Vascular Surgery, 71(3), 723–747. https://doi.org/10.1016/j.jvs.2019.11.013 MacGillivray, T. E., Gleason, T. G., Patel, H. J., Aldea, G. S., Bavaria, J. E., Beaver, T. M., Chen, E. P., Czerny, M., Estrera, A. L., Firestone, S., Fischbein, M. P., Hughes, G. C., Hui, D. S., Kissoon, K., Lawton, J. S., Pacini, D., Reece, T. B., Roselli, E. E., & Stulak, J. (2022). The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection. The Annals of Thoracic Surgery, 113(4), 1073–1092. https://doi.org/10.1016/j.athoracsur.2021.11.002 Papatheodorou, N., Tsilimparis, N., Peterss, S., Khangholi, D., Konstantinou, N., Pichlmaier, M., & Stana, J. (2025). Pre-Emptive Endovascular Repair for Uncomplicated Type B Dissection—Is This an Option? Annals of Vascular Surgery, S0890-5096(25)00007-X. https://doi.org/10.1016/j.avsg.2025.01.003 Trimarchi, S., Gleason, T. G., Brinster, D. R., Bismuth, J., Bossone, E., Sundt, T. M., Montgomery, D. G., Pai, C.-W., Bissacco, D., de Beaufort, H. W. L., Bavaria, J. E., Mussa, F., Bekeredjian, R., Schermerhorn, M., Pacini, D., Myrmel, T., Ouzounian, M., Korach, A., Chen, E. P., … Patel, H. J. (2023). Editor's Choice - Trends in Management and Outcomes of Type B Aortic Dissection: A Report From the International Registry of Aortic Dissection. European Journal of Vascular and Endovascular Surgery: The Official Journal of the European Society for Vascular Surgery, 66(6), 775–782. https://doi.org/10.1016/j.ejvs.2023.05.015 Writing Committee Members, Isselbacher, E. M., Preventza, O., Hamilton Black Iii, J., Augoustides, J. G., Beck, A. W., Bolen, M. A., Braverman, A. C., Bray, B. E., Brown-Zimmerman, M. M., Chen, E. P., Collins, T. J., DeAnda, A., Fanola, C. L., Girardi, L. N., Hicks, C. W., Hui, D. S., Jones, W. S., Kalahasti, V., … Woo, Y. J. (2022). 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 80(24), e223–e393. https://doi.org/10.1016/j.jacc.2022.08.004 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Focus Issue on Interventional Cardiology and Cardiac and Vascular Surgery

In this compelling discussion, vascular surgeon Dr. Lily Johnston joins Dr. Philip Ovadia to share her journey from traditional surgical practice to metabolic health advocacy. After years of amputating limbs for diabetic patients who received poor nutritional guidance, Dr. Johnston couldn't unsee the devastating consequences of our healthcare system's approach to metabolic disease. She explains how surgeons fix anatomical problems without addressing the underlying metabolic dysfunction that causes blood vessel disease throughout the body.Dr. Johnston discusses how therapeutic carbohydrate reduction, hormone optimization, sleep quality, and stress management create better outcomes than surgery alone. She shares personal insights about her own health transformation through low-carb nutrition and her decision to create a practice balancing surgery with preventive care. The conversation reveals how traditional heart and vascular surgeries are temporary fixes that don't address root causes, leaving patients vulnerable to recurring problems.This interview bridges the gap between conventional medicine and functional approaches to metabolic health, offering hope for those looking to avoid major surgical interventions through targeted lifestyle modifications.BIG IDEASurgeons like Dr. Johnston and Dr. Ovadia have recognized that vascular and cardiac surgeries are temporary fixes—like placing buckets under a leaky roof rather than repairing the roof itself—and are now focusing on metabolic health interventions that address the root causes of disease.Lily Johnston MD contact infoWebsites: www.vascularhealthinstitute.orgnexushealthspan.comLinkedIn: https://www.linkedin.com/in/ljohnstonmdSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Joining Paul on the podcast is Doctor Michael Amendola, who is the Chief of Vascular Surgery at the Central Virginia VA Healthcare System in Richmond, Virginia. Michael is from the Richmond area and went to William and Mary for his undergraduate degree as well as a masters in Chemistry. He spent some time after college up working in pharmaceuticals in New Jersey and then in 1998, he came back to Richmond and started medical school. He completed medical school and seven additional years of study here in Richmond and then moved to Georgia. In 2011, he moved back to Richmond and took a position and started practicing medicine in the federal system at the Veterans Administration Hospital. Paul and Michael talked about viruses such as AIDS and Covid-19. They spent some time discussing AI and 3-D printing and the effect that both have, are and will have on general medicine and surgery, vascular surgery and the work Dr. Amendola and his team are doing at the Veterans Administration. They also discussed his upbringing and how things he learned from his parents started him on this path of working with his hands and in being an educator. They finished by talking about what he is looking forward to in the next 3-5 years as well as some job advice for Paul's son Zach.

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by vascular surgery fellow Javaneh Jabbari (@JabbariMD) in hosting Dr. Gustavo Oderich (@GustavoOderich), Dr. Shahab Toursavadkohi (@Toursavadkohi ), and Dr. Mehrdad Ghoreishi (@dr_ghoreishi) to discuss the “final frontier” in the endovascular management of aortic pathology, or the Endo-Bentall Procedure. This episode highlights collaboration between vascular and cardiac surgery as we take a deep dive into physician modification of grafts to manage aortic root pathology. We will discuss the off-label use of endovascular devices and hear insights into the future of endovascular and open aortic surgery from these leaders and innovators in the field.    For some background on the topic, see the resources below Articles:   First-in-Human Endovascular Aortic Root Repair (Endo-Bentall) for Acute Type A Dissection Link to the Presentation on this by Dr. Ghoreishi at AATS for more procedural details   Show Guests  Dr. Shahab Toursavadkohi - Professor of Vascular surgery and Co-director of the Center for Aortic Disease at the University of Maryland Medical System Dr. Mehrdad Ghoreishi - Associate Professor of Cardiac Surgery and Co-director of aortic surgery and medical director of cardiac surgery research at Baptist Health Miami Cardiac & Vascular Institute Dr. Gustavo Oderich - Professor and Chief of the Division of Vascular Surgery and Endovascular Therapy at the Texas Heart Institute and director of the new Baylor Medicine Center for Aortic Surgery   Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.    

Dr. Matthew J Blecha, Vascular Surgery at Loyola Medicine, joins Lisa Dent to discuss what chronic venous insufficiency is. President Donald Trump was seen with swollen ankles. The White House later announced that the president had chronic venous insufficiency. Dr. Blecha shares some information about the condition and what may cause it.

It's 2 a.m. The on-call resident's voice is shaky. The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak. There's gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest. Is it a rupture? A graft infection? An aortoenteric fistula? All of the above? You're the vascular surgeon, what do you do?  This episode dives deep into decision-making when EVAR fails, when infection strikes, and when the patient might not survive a definitive repair. Let's talk about what happens when clinical textbooks meet real-world chaos. Hosts: ·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center ·      Paul Haser -Division chief, Vascular Surgery, Brookdale Hospital Medical Center ·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center ·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical Center Learning objectives: · Understand the clinical implications and management of late EVAR complications, including Type 1B endoleak and aortoenteric fistula. · Explore the decision-making process in critically ill patients with multiple comorbidities and infected aortic grafts. · Compare endovascular vs open surgical approaches in the setting of infected AAA, and when each is appropriate. · Recognize the role of multidisciplinary collaboration in complex vascular cases. · Discuss the ethical considerations and goals-of-care planning in high-risk, potentially terminal vascular patients. · Highlight the importance of long-term surveillance after EVAR and the consequences of noncompliance. References ·       Karl Sörelius et al.Nationwide Study of the Treatment of Mycotic Abdominal Aortic Aneurysms Comparing Open and Endovascular Repair.Circulation. 2016;134(22):1822–1832. PubMed: https://pubmed.ncbi.nlm.nih.gov/27799273/ pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15researchgate.net+15 ·       PARTNERS Trial (OVER Trial).Outcomes Following Endovascular vs Open Repair of Abdominal Aortic Aneurysm: A Randomized Trial.JAMA. 2009;302(14):1535–1542. PubMed: https://pubmed.ncbi.nlm.nih.gov/19826022/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6jamanetwork.com+6 ·       B.T. Müller et al.Mycotic Aneurysms of the Thoracic and Abdominal Aorta and Iliac Arteries: Experience with Anatomic and Extra-anatomic Repair in 33 Cases.J Vasc Surg. 2001;33(1):106–113. PubMed: https://pubmed.ncbi.nlm.nih.gov/11137930/ sciencedirect.com+5pubmed.ncbi.nlm.nih.gov+5periodicos.capes.gov.br+5 ·       Chung‑Dann Kan et al.Outcome after Endovascular Stent Graft Treatment for Mycotic Aortic Aneurysm: A Systematic Review.J Vasc Surg. 2007 Nov;46(5):906–912. PubMed: https://pubmed.ncbi.nlm.nih.gov/17905558/ researchgate.net+15pubmed.ncbi.nlm.nih.gov+15pubmed.ncbi.nlm.nih.gov+15 ·       Hamid Gavali et al.Outcome of Radical Surgical Treatment of Abdominal Aortic Graft and Endograft Infections Comparing Extra‑anatomic Bypass with In Situ Reconstruction: A Nationwide Multicentre Study.Eur J Vasc Endovasc Surg. 2021;62(6):918–926. PubMed: https://pubmed.ncbi.nlm.nih.gov/34782231/ pubmed.ncbi.nlm.nih.gov+6pubmed.ncbi.nlm.nih.gov+6diva-portal.org+6  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by 4th year general surgery resident Sasank Kalipatnapu (@ksasank), JVS editor Dr. Thomas Forbes (@TL_Forbes), and JVS-VS editor Dr. John Curci (@CurciAAA) to discuss two great articles in the JVS family of journals. The first article discusses disability from periprocedural stroke in patients undergoing carotid artery stenting. The second article discusses the application of contrast-enhanced ultrasound and plasma biomarkers to abdominal aortic aneurysm monitoring.  This episode hosts Dr. Andrea Alonso, Dr. Jeffrey Siracuse(@MdSiracuse), Dr. Adham Ali (@AdhamAbouAli), and Dr. Rabih Chaer (@rchaer2) authors of these two papers. Articles: Part 1: Disability and associated outcomes among patients suffering periprocedural strokes after carotid artery stenting (Alonso, Siracuse) Referenced article - Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy (Levin, Siracuse) Audible Bleeding Episode - JVS Author Spotlight August 2023 Part 2: Contrast-enhanced ultrasound microbubble uptake and abnormal plasma biomarkers are seen in patients with abdominal aortic aneurysms (Ali, Chaer) Show Guests  Dr. Alonso is a general surgery resident in her second year of research at Boston Medical Center on an AHRQ T32 grant.  Dr. Siracuse is the Chief of vascular and endovascular surgery and the associate chair for quality and patient safety in the Department of Surgery at Boston Medical Center. He is also the program director for the vascular surgery fellowship and  the medical director for the Vascular Study Group of New England. Dr. Ali is Assistant Professor of Vascular Surgery at Charleston Area Medical Center. Dr. Chaer is a Professor of Surgery and Division Chief of Vascular and Endovascular Surgery at Stony Brook University. Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Send us a textUnderstanding Aortic Aneurysms with Dr. Raghuveer VallabhaneniHost: Debra Schindler Guest: Dr. Raghuveer Vallabhaneni, Director of Vascular Surgery, MedStar Health Baltimore RegionThe aorta, your body's largest blood vessel, acts like a fire hose — forcefully pumping blood from your heart to every part of your body. Over time, parts of the aortic wall can weaken and stretch, forming a bulge known as an aneurysm — a silent and potentially deadly condition. In this episode, Dr. Vallabhaneni explains the difference between aneurysms and aortic dissections, discusses risk factors such as high blood pressure, smoking, and genetic predisposition, and emphasizes the critical importance of screening and early detection, especially for men over 65 who have smoked.In this episode of DocTalk, Debra and Dr. Vallabhaneni discuss:·       Types of aneurysms (abdominal and thoracic)·       Who should be screened·       Warning signs and when to act·       How aneurysms are monitored·       Treatment options, from lifestyle changes to minimally invasive stent procedures (EVAR)·       Why lifelong follow-up care is vital after a repairDr. Vallabhaneni also shares remarkable cases, including treating a 13 cm aneurysm and how imaging advancements have revolutionized care.Key Message: Most aneurysms grow slowly and can be safely monitored, but they become dangerous when undetected. If you or someone you love is at risk, screening can be lifesaving.Baltimore-area listeners: To schedule an appointment with Dr. Vallabhaneni, call 410-554-2950.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

My conversation with Dr Dua begins at about 35 mins Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. This show is Ad free and fully supported by listeners like you! Please subscribe now for as little as 5$ and gain access to a community of over 750 awesome, curious, kind, funny, brilliant, generous souls Healthcare For Action was founded in 2022 to support healthcare workers running for Congress. Dr. Anahita Dua, Chair of Healthcare for Action, is a Vascular Surgeon at Massachusetts General Hospital and an Associate Professor of Surgery at Harvard University. As a surgeon, she knows that in order to get things done and save lives, the surgery team has to work together and take action. Our politics shouldn't be any different.  In 2023, Healthcare For Action merged with Doctors In Politics, founded in 2020 by a group of physicians specializing in psychiatry, family medicine, OBGYN, and neurology. They were committed to patient-centered and equitable political change at all levels of government and grew to a membership of nearly 10,000. We believe fundamentally that all policy is health policy.  There are too many existential threats facing our democracy. From reversing climate change, preserving access to abortion, and curbing the epidemic of gun violence we must take action now and play the long game. From acute care to prevention, healthcare workers know how to get the job done. That is the guiding vision of the largest Democratic healthcare workers PAC in the country - Join our community at Healthcare For Action! Anahita Dua, MD, MS, MBA, FACS, is a vascular surgeon at Massachusetts General Hospital and an associate professor of Surgery at Harvard Medical School. At Mass General, she is the director of the Vascular Lab, co-director of the Peripheral Artery Disease Center and Limb Evaluation and Amputation Program (LEAPP), associate director of the Wound Care Center, director of the Lymphedema Center and associate director of the Vascular Surgery Clerkship and director of clinical research for the division of vascular surgery. She specializes in advanced endovascular (minimally invasive) and traditional (open) limb salvage techniques for treating peripheral arterial disease and critical limb ischemia, diabetic limb disease, aortic disease, carotid disease, thoracic outlet syndrome and venous disease. Dr. Dua completed her vascular surgery fellowship at Stanford University Hospital, her general surgery residency at the Medical College of Wisconsin and her medical school in the United Kingdom. She has also completed a master's degree in trauma sciences, a master's in business administration in health care management and has a certificate in health economics and outcomes research as well as a certificate in drug and device development from the Massachusetts Institute of Technology. She is board-certified in vascular surgery, general surgery and advanced wound care and management. Dr. Dua has published over 140 peer reviewed papers and has edited five vascular surgery medical textbooks. She serves on multiple national vascular surgery committees through the Society for Vascular Surgery and other vascular organizations including the South Asian-American Vascular Society and American College of Surgeons. Dr. Dua's lab focuses on anticoagulation and biomarkers that are predictive of thrombosis and hemostasis in patients that have undergone revascularization. She is interested in creation precision, point of care medical approaches to anticoagulation for patients post revascularization. Her clinical and outcomes research focuses primarily on diseases involving peripheral vascular disease, limb salvage and critical limb ischemia. She is part of a technology development team that creates tools to increase walking distance and wound healing while decreasing pain in patients with peripheral vascular disease. Dr. Dua is also involved heavily in surgical outcomes-based research using large medical databases to generate both quality outcomes and cost effectiveness data. Dr. Dua is a self-described animal lover and rescuer of pitbulls. At one point, she housed 14 pitbull puppies and their mother at once. Nowadays, her spare time is spent with her husband, son, daughter and dog Leo. Join us Monday and Thursday's at 8EST for our  Bi Weekly Happy Hour Hangout!  Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe Buy Ava's Art  Hire DJ Monzyk to build your website or help you with Marketing  

Send us a textDr. Nicole Gensicke, PCI Vascular Surgeon with St. Luke's Vascular Surgery, returns to the podcast to discuss Peripheral Artery Disease (PAD).To learn more about services offered at St. Luke's Heart and Vascular Center, visit unitypoint.org/cr-heart.Do you have a question about a trending medical topic? Ask Dr. Arnold! Submit your question and it may be answered by Dr. Arnold on the podcast! Submit your questions at: https://www.unitypoint.org/cedarrapids/submit-a-question-for-the-mailbag.aspxIf you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.

Send us a textLily Johnston, MD, MPH, is board-certified in both vascular and general surgery. Dr. Johnston obtained her undergraduate education at Princeton University in New Jersey and received her Medical Doctorate from the University of California, San Diego; she completed her residency in general surgery at the University of Virginia in Charlottesville and then completed a fellowship in vascular surgery at the Mayo Clinic in Rochester, MN.After several years of practicing vascular surgery full-time, Dr. Johnston witnessed too many people losing their limbs and even their lives to preventable and reversible diseases - this inspired her to found Vascular Health Institute in an effort to forward cardiovascular health and wellness. Dr. Johnston has now dedicated her career to addressing the root cause of cardiovascular disease and is passionate about bringing the principles of functional medicine and metabolic health to her patients.Dr. Johnston's clinic: www.nexushealthspan.comDr. Greg's clinic: www.fitrxwellnessok.com

In this episode, Audible Bleeding Editors Sasank Kalipatnapu (@ksasank), Falen Demsas sit down with Dr. Rabih Chaer (@rchaer2), Dr. Michael Conte(@MichaelSConteMD), Dr. Sherene Shalhub and Dr. Malachi Sheahan III, the four SVS secretary candidates for this year to learn more about them as part of the ongoing election process.    Show links: SVS 2025 Meet the Secretary Candidates—Home Page—provides a comprehensive overview of all the candidates. Their professional biographies and answers to questions about their plans for the future are available in both text and video formats.   Show Guests: Dr. Rabih Chaer, Professor of Surgery and Chief of the Division of Vascular Surgery at Stony Brook University Dr. Michael Conte, Professor and Chief of the Division of Vascular & Endovascular Surgery at the University of California, San Francisco. Dr. Sherene Shalhub, Professor and Chief of the Division Vascular and Endovascular Surgery at Oregon Health & Science University (OHSU). Dr. Malachi Sheahan, Professor and Chair of the Division of Vascular and Endovascular Surgery at Louisiana State University Health Sciences Center in New Orleans. Sasank Kalipatnapu - PGY4 general surgery resident, University of Massachusetts Falen Demsas- PGY 3 integrated vascular surgery resident, Massachusetts General Hospital    Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

In this episode of Deep Cuts: Exploring Equity in Surgery, Dr. Ross Milner and Kathy Kaluhiokalani on what patients can expect before, during, and after surgery. We'll also explore new ways technology may be able to support patients when it comes to accessing necessary surgeries.Dr. Ross Milner is a Professor of Surgery and the Chief of Vascular Surgery at UChicago Medicine. He is an internationally recognized expert in vascular surgery, specializing in the treatment of complex aortic diseases. He has published over 100 abstracts and manuscripts. In addition to his work as an expert clinician, Dr. Milner is also a dedicated mentor to medical students, residents, and fellows. Kathy Kaluhiokalani is the CEO and co-founder of Pip Care, a surgical optimization company aimed at supporting patients in their surgical journeys. Pip Care helps guide surgery patients through their journey with supportive personal health coaches, digitalized evidence-based care program, and a consumer-friendly mobile app designed to maximize surgical outcomes such as post-operative infections, hospital length of stay, and ER visits. Pip Care was founded in 2022.Deep Cuts: Exploring Equity in Surgery comes to you from the Department of Surgery at the University of Chicago, which is located on Ojibwe, Odawa and Potawatomi land.Our executive producer is Tony Liu. Our senior producers are Alia Abiad, Caroline Montag, and Chuka Onuh. Our production team includes Megan Teramoto, Ria Sood, Ishaan Kumar, and Daniel Correa Buccio. Our senior editor and production coordinator is Nihar Rama. Our editorial team also includes Beryl Zhou. The intro song you hear at the beginning of our show is “Love, Money Part 2” from Chicago's own Sen Morimoto off of Sooper Records. Our cover art is from Leia Chen.A special thanks this week to Dr. Jeffrey Matthews — for his leadership, vision, and commitment to caring for the most vulnerable in our communities. Let us know — what have you most enjoyed about our podcast. Where do you see room for improvement? You can reach out to us on Instagram. @deepcutssurgery. Find out more about our work at deepcuts.surgery.uchicago.edu.

Dean's Chat hosts, Drs. Jeffrey Jensen and Johanna Richey welcome Dr. David Armstrong to the podcast.  This discussion wasn't about the "Diabetic Foot" as much as it was getting to know what makes the world leader in "Diabetic Foot" click.  His background and fascination with technology, intro to podiatry (he considered law) to transforming clinical opportunities at Kern Hospital and UT- San Antonio.   Dr. Armstrong is Distinguished Professor of Surgery and Neurological Surgery with Tenure at the University of Southern California. Dr. Armstrong holds a Master of Science in Tissue Repair and Wound Healing from the University of Wales College of Medicine and a PhD from the University of Manchester College of Medicine, where he was appointed Visiting Professor of Medicine. He is founder and co-Director of the Southwestern Academic Limb Salvage Alliance (SALSA).  Dr. Armstrong has produced more than 720 peer-reviewed research papers in dozens of scholarly medical journals as well as over 120 books or book chapters. He is founding co- Editor of the American Diabetes Association's (ADA) Clinical Care of the Diabetic Foot, now in its fourth edition.  Armstrong is Director of USC's National Science Foundation (NSF) funded Center to Stream Healthcare in Place (C2SHiP) which places him at the nexus of the merger of consumer electronics, wearables, and medical devices in an effort to maximize hospital-free and activity-rich days. Dr. Armstrong was selected as one of the first six International Wound Care Ambassadors and is the recipient of numerous awards and degrees by universities and international medical organizations including the inaugural Georgetown Distinguished Award for Diabetic Limb Salvage. In 2008, he was the 25th and youngest-ever member elected to the Podiatric Medicine Hall of Fame. He was the first surgeon to be appointed University Distinguished Outreach Professor at the University of Arizona. He was also the first podiatric surgeon to be selected as President of Faculty at Keck School of Medicine of USC. Furthermore, he was the first podiatric surgeon to become a member of the Society of Vascular Surgery, and the first US podiatric surgeon named fellow of the Royal College of Surgeons, Glasgow. He is the 2010 and youngest ever recipient of both the ADA's Roger Pecoraro Award and 2023 recipient of the ISDF's Karel Bakker Award, the highest awards given in the field. Dr. Armstrong is past Chair of Scientific Sessions for the ADA's Foot Care Council, and a past member of the National Board of Directors of the American Diabetes Association. He sits on the Infectious Disease Society of America's (IDSA) Diabetic Foot Infection Advisory Committee and is the US appointed delegate to the International Working Group on the Diabetic Foot (IWGDF). Dr. Armstrong is the founder and co-chair of the International Diabetic Foot Conference (DF-Con), the largest annual international symposium on the diabetic foot in the world. He is also the Founding President of the American Limb Preservation Society (ALPS), a medical and surgical society dedicated to building interdisciplinary teams to eliminate preventable amputation in the USA and worldwide. https://limbpreservationsociety.org/ https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/  

Audible Bleeding editor Wen (@WenKawaji) is joined by 3rd year medical student Nishi (@Nishi_Vootukuru), 2nd year vascular fellow Donna, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Matt Smeds (@mattsmeds) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Aridi, Dr. Motaganahalli, Dr. Nagarsheth, and Dr. Madabhushi, the authors of the following papers.    Articles:   Physicians preference for carotid revascularization impacts postoperative stroke and death outcomes Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia    Show Guests  Dr. Hanaa Aridi (@aridi_hanaa)- PGY3 at Indiana University School of Medicine  Dr. Raghu L. Motaganahalli (@Rmotaganahalli)- Professor of Surgery at the Indiana University School of Medicine and an attending Surgeon at the Indiana University Methodist Hospital. He is the Division Chief of Vascular Surgery and the Program Director of vascular surgery training program Dr. Nagarsheth (@KNagarshethMD) -Associate Professor of Surgery and Associate Program Director of Vascular Surgery Fellowship Program at the University of Maryland Medical Center in Baltimore. Program director of the integrated vascular surgery program. Dr. Madabhushi -Vascular Surgery Fellow at the University of Maryland Medical Center in Baltimore Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

Focus Issue on Cardiac and Vascular Surgery and Arrhythmias

The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives -  Review the definition and prevalence of burnout - Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout  - Review the effects of burnout on trainees and attending surgeons References 1.    Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/ 2.    Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057. https://pubmed.ncbi.nlm.nih.gov/39233022/ 3.    Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence and risk factors for burnout in U.S. vascular surgery trainees. J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476.  https://pubmed.ncbi.nlm.nih.gov/34298120/ 4.    Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg. 2019 Sep;70(3):913-920.e2. doi: 10.1016/j.jvs.2018.11.026.  https://pubmed.ncbi.nlm.nih.gov/31279532/ 5.    Pillado E, Li RD, Chia MC, Eng JS, DiLosa K, Grafmuller L, Conway A, Escobar GA, Shaw P, Sheahan MG 3rd, Bilimoria KY, Hu YY, Coleman DM. Reported pain at work is a risk factor for vascular surgery trainee burnout. J Vasc Surg. 2024 May;79(5):1217-1223. doi: 10.1016/j.jvs.2024.01.003.  https://pubmed.ncbi.nlm.nih.gov/38215953/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Want to add a healthy habit to your daily routine that is absolutely free and incredibly effective? Looking to reduce insulin resistance and lose visceral fat? Want to boost mental health and improve cognitive function? Look no further than walking! Tune in to hear us unpack the myriad of research-supported benefits.   In this episode, we discuss the incredible benefits of walking, from lowering blood pressure to improving heart rate variability to reducing stress and so much more. Learn about the magic number when it comes to step count, our thoughts on walking in nature vs. on a treadmill, and get practical tips for getting those steps!    Also in this episode:  Naturally Nourished Teas are buy 3 get 1 FREE, use code FREETEA Gift cards at Naturally Nourished Detox Masterclass 1/8 Keto Masterclass 1/15 Walking Pad C2 use code ALIMILLERRD for savings Health Benefits of Walking Lowers Blood Pressure Hypertension: Brisk walking for 30 minutes, five days a week reduces blood pressure (Hypertension, 2020). Improves Cholesterol Levels Cholesterol: Effects on LDL and HDL cholesterol (Journal of the American Heart Association, 2021). Lipid Profiles: Walking improves triglycerides and HDL (Atherosclerosis, 2021). Reduces the Risk of Coronary Artery Disease Coronary Artery Disease Risk: 150 minutes of walking weekly (Circulation, 2022). Enhances Cardiorespiratory Fitness Reduces Systemic Inflammation Systemic Inflammation: Walking lowers CRP and IL-6 (Arteriosclerosis, Thrombosis, and Vascular Biology, 2020). Systemic Inflammation: Walking reduces inflammatory cytokines (The Journal of Endocrinology, 2022). Helps Maintain Healthy Weight and Prevent Obesity Improves Heart Rate Variability Heart Rate Variability: HRV improvement with regular walking (Heart, 2022). Prevents Peripheral Artery Disease Peripheral Artery Disease: Walking improves circulation and function in PAD patients (Journal of Vascular Surgery, 2021). Reduces Resting Heart Rate Enhances Endothelial Function Supports Recovery After Cardiac Events Improves Insulin Sensitivity Insulin Sensitivity: Improvements with post-meal walks (Diabetes Care, 2021). Enhances Glucose Regulation Boosts Fat Oxidation Fat Oxidation: Brisk walking boosts fat metabolism (Journal of Applied Physiology, 2022). Reduces Visceral Fat Reduction of visceral fat after 10,000 steps/day (Obesity, 2021). Promotes Energy Balance Energy Balance: 12,000 steps/day for maintaining weight (Medicine & Science in Sports & Exercise, 2020). Regulates Hormones Related to Metabolism Increases Mitochondrial Efficiency Improves Metabolic Flexibility Prevents Metabolic Syndrome Helps Manage Type 2 Diabetes Mental health Stress Reduction: Nature walks lower cortisol more than treadmill (Environmental Research, 2022). Stimulates Neurogenesis and Brain Plasticity Brain Connectivity: Walking improves default mode network activity (Journal of Aging Research, 2021). Enhances Neurotransmitter Balance Supports Autonomic Nervous System Regulation Improves Sensory Integration Vestibular Function: Enhancing balance and stability with walking (Frontiers in Neuroscience, 2021). Strengthens Cognitive Function Neurogenesis and Cognitive Function: Exercise-induced brain growth (Nature Neuroscience, 2021). Promotes Myelination and Nerve Health Enhances Emotional Regulation via the Vagus Nerve Reduces Neurological Disease Risk Synchronizes the Nervous System Through Rhythmic Movement Improves Sleep and Circadian Rhythm Bone and Joint Health Immune System Support Longevity and Reduced Mortality Gut Health Gut Health: Positive effects on microbiota diversity (Gut Microbes, 2020). The Science of Step Counts Thoughts on Nature vs. Treadmill Walking Cognitive Benefits: Nature walking improves attention restoration (Nature Neuroscience, 2021). Proprioception: Benefits of uneven terrain in natural settings (Journal of Sports Medicine, 2023). Motivation: Outdoor walkers maintain habits better than treadmill users (Behavioral Medicine, 2022). Immune Boosting: Increased NK cell activity in forest walkers (International Journal of Environmental Health Research, 2021).   Sponsors for this episode:  According to extensive research by the Environmental Working Group, virtually every home in America has harmful contaminants in its tap water. That's why you've got to check out AquaTru. AquaTru purifiers use a 4-stage reverse osmosis purification process, and their countertop purifiers work with NO installation or plumbing. It removes 15x more contaminants than ordinary pitcher filters and are specifically designed to combat chemicals like PFAS in your water supply. Naturally Nourished Podcast listeners can use code ALIMILLERRD at AquaTru.com to save 20% off. 

A 67 year old woman with a history of hypertension, hyperlipidemia, diabetes, and a 25 pack year smoking history is referred your clinic and is referred for evaluation of her peripheral arterial disease. She reports pain with walking that has limited her doing some daily activities. How can you optimally manage this patient? Does she need an operation? In this episode, we will cover the basics of peripheral arterial disease, discuss the specifics of optimal medical management and dive into the nuances of when (or if) you should offer these patients an operation.  Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives - Review the definition, prevalence, and risk factors for peripheral arterial disease - Understand the specifics of optimal medical management of patients with peripheral arterial disease  - Discuss the controversy regarding operative management of patients with claudication and review indications for an operation in patients with peripheral arterial disease - Review the appropriate anti-platelet and anti-coagulation strategies after interventions in patients with peripheral arterial disease References 1.    Woo K, Siracuse JJ, Klingbeil K, Kraiss LW, Osborne NH, Singh N, Tan TW, Arya S, Banerjee S, Bonaca MP, Brothers T, Conte MS, Dawson DL, Erben Y, Lerner BM, Lin JC, Mills JL Sr, Mittleider D, Nair DG, O'Banion LA, Patterson RB, Scheidt MJ, Simons JP; Society for Vascular Surgery Appropriateness Committee. Society for Vascular Surgery appropriate use criteria for management of intermittent claudication. J Vasc Surg. 2022 Jul;76(1):3-22.e1. doi: 10.1016/j.jvs.2022.04.012. Epub 2022 Apr 22. PMID: 35470016. https://pubmed.ncbi.nlm.nih.gov/35470016/ 2.    Nordanstig J, Behrendt CA, Baumgartner I, Belch J, Bäck M, Fitridge R, Hinchliffe R, Lejay A, Mills JL, Rother U, Sigvant B, Spanos K, Szeberin Z, van de Water W; ESVS Guidelines Committee; Antoniou GA, Björck M, Gonçalves FB, Coscas R, Dias NV, Van Herzeele I, Lepidi S, Mees BME, Resch TA, Ricco JB, Trimarchi S, Twine CP, Tulamo R, Wanhainen A; Document Reviewers; Boyle JR, Brodmann M, Dardik A, Dick F, Goëffic Y, Holden A, Kakkos SK, Kolh P, McDermott MM. Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Asymptomatic Lower Limb Peripheral Arterial Disease and Intermittent Claudication. Eur J Vasc Endovasc Surg. 2024 Jan;67(1):9-96. doi: 10.1016/j.ejvs.2023.08.067. Epub 2023 Nov 10. PMID: 37949800. https://pubmed.ncbi.nlm.nih.gov/37949800/ 3.    Gornik HL, Aronow HD, Goodney PP, Arya S, Brewster LP, Byrd L, Chandra V, Drachman DE, Eaves JM, Ehrman JK, Evans JN, Getchius TSD, Gutiérrez JA, Hawkins BM, Hess CN, Ho KJ, Jones WS, Kim ESH, Kinlay S, Kirksey L, Kohlman-Trigoboff D, Long CA, Pollak AW, Sabri SS, Sadwin LB, Secemsky EA, Serhal M, Shishehbor MH, Treat-Jacobson D, Wilkins LR. 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. Circulation. 2024 Jun 11;149(24):e1313-e1410. doi: 10.1161/CIR.0000000000001251. Epub 2024 May 14. PMID: 38743805. https://pubmed.ncbi.nlm.nih.gov/38743805/ 4.    Belch JJ, Dormandy J; CASPAR Writing Committee; Biasi GM, Cairols M, Diehm C, Eikelboom B, Golledge J, Jawien A, Lepäntalo M, Norgren L, Hiatt WR, Becquemin JP, Bergqvist D, Clement D, Baumgartner I, Minar E, Stonebridge P, Vermassen F, Matyas L, Leizorovicz A. Results of the randomized, placebo-controlled clopidogrel and acetylsalicylic acid in bypass surgery for peripheral arterial disease (CASPAR) trial. J Vasc Surg. 2010 Oct;52(4):825-33, 833.e1-2. doi: 10.1016/j.jvs.2010.04.027. Epub 2010 Aug 1. Erratum in: J Vasc Surg. 2011 Feb;53(2):564. Biasi, B M [corrected to Biasi, G M]. PMID: 20678878. https://pubmed.ncbi.nlm.nih.gov/20678878/ 5.    Eikelboom JW, Connolly SJ, Bosch J, Dagenais GR, Hart RG, Shestakovska O, Diaz R, Alings M, Lonn EM, Anand SS, Widimsky P, Hori M, Avezum A, Piegas LS, Branch KRH, Probstfield J, Bhatt DL, Zhu J, Liang Y, Maggioni AP, Lopez-Jaramillo P, O'Donnell M, Kakkar AK, Fox KAA, Parkhomenko AN, Ertl G, Störk S, Keltai M, Ryden L, Pogosova N, Dans AL, Lanas F, Commerford PJ, Torp-Pedersen C, Guzik TJ, Verhamme PB, Vinereanu D, Kim JH, Tonkin AM, Lewis BS, Felix C, Yusoff K, Steg PG, Metsarinne KP, Cook Bruns N, Misselwitz F, Chen E, Leong D, Yusuf S; COMPASS Investigators. Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease. N Engl J Med. 2017 Oct 5;377(14):1319-1330. doi: 10.1056/NEJMoa1709118. Epub 2017 Aug 27. PMID: 28844192. https://pubmed.ncbi.nlm.nih.gov/28844192/ 6.    Bonaca MP, Bauersachs RM, Anand SS, Debus ES, Nehler MR, Patel MR, Fanelli F, Capell WH, Diao L, Jaeger N, Hess CN, Pap AF, Kittelson JM, Gudz I, Mátyás L, Krievins DK, Diaz R, Brodmann M, Muehlhofer E, Haskell LP, Berkowitz SD, Hiatt WR. Rivaroxaban in Peripheral Artery Disease after Revascularization. N Engl J Med. 2020 May 21;382(21):1994-2004. doi: 10.1056/NEJMoa2000052. Epub 2020 Mar 28. PMID: 32222135. https://pubmed.ncbi.nlm.nih.gov/32222135/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen