Audible Bleeding

Soni and Wen discuss the new SVS Women's Section with the steering committee co-chairs, Drs. Audra Duncan and Palma Shaw.

In 2021, the society of vascular surgery approved a new membership section for women in vascular surgery. The SVS Women’s Section serves as a centralized home for women in vascular surgery to discuss gender-based issues, support each other in practice, academic research, and leadership roles, and engage the participation of women in the SVS. The section had its inaugural events at VAM 2022 in Boston with fantastic feedback.

Dr. Audra Duncan and Dr. Palma Shaw are co-chairs of the SVS Women’s Section steering committee. Dr. Duncan is a professor of surgery and chair of the division of vascular surgery at Western University in London, Ontario. Dr. Shaw is a professor of surgery and program director of the vascular fellowship at Upstate Medical University in Syracuse, NY. 

You will get an insider’s look at how the Women’s section was created, what inspired its creation, what kind of activities and support it provides, and lastly, how you can be involved.  For more information, please visit the SVS Women’s Section website below:

https://vascular.org/vascular-specialists/networking/svs-womens-section

 

Authors: Wen Kawaji and Soni Nag.

Editors: Yasong Yu and Amanda Fobare

Reviewer: Matt Chia and Adam Johnson

 

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REGISTER HERE for the NEXT webinar Hacking the EMR: Making the EMR work for you, at 6 PM CT on September 7, 2022.   This webinar is a collaboration between the Society for Vascular Surgery Community Practice Section, Health Information Technology Committee, and the Wellness Committee.

Today, we are republishing the HITC Webinar from May 4, 2022, on New Technologies in Vascular Surgery.  New technologies designed to improve surgical techniques are rapidly emerging in the vascular specialty. These technologies include Blue Dop, which assists in determining limb preservation; Voythos, an EMR assistant;  FORS technology, which provides real-time 3D visualization of the full shape of devices inside the body without the need for fluoroscopy; and Cydar AI, which advances surgical visualization and decision-making to build a future where all surgery works exactly as planned.

Click here for the full webinar video.

Faculty:

• Blue Dop - Patrick Kelly, MD, Vascular Surgeon at Sanford Health
• Voythos - Sophia Khan-Makoid, MD, CEO and Founder of Voythos
• Fiber Optic RealShape (FORS) Technology - Andre Schanzer, MD, Professor and Chief of Vascular Surgery at the University of Massachusetts
• Cydar AI - Murray Shames, MD, Professor and Chief of Vascular Surgery at the University of South Florida

Moderators:

• Judith C. Lin, MD, MBA; Chair, HIT Committee; Professor and Chief of Vascular Surgery, Michigan State University College of Human Medicine
• Oliver O. Aalami, MD; Clinical Professor and Vascular Surgeon, Stanford

Editor and Reviewers: Adam Johnson and Ezra Schwartz

As part of the Race & Representation (R&R) Series, we are doing spotlights on vascular trainees and faculty that identify as racial/ethnic minorities underrepresented in medicine (URiM), who have been historically excluded from the field. We hope to amplify these voices as examples of the unique challenges faced by URiMs within vascular surgery and as a source of inspiration and mentorship.

In this episode, Imani talks with Dr. Keith Jones and discusses his experiences transitioning from an academic practice to running and building his private practice and his experiences within both practice environments. He discusses how he manages to deal with racism in and out of the hospital and his hopes for how medicine will change moving forward.

Dr. Keith Jones currently works in private practice in Sacramento, CA.

Learn more about the Society of Black Vascular Surgeons.

Learn more about Steptember! Find out from Dr. Ben Pearce why "Why I Walk".

What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at [email protected].

Name of Surgery: Endovascular Aortic Aneurysm Repair (Infrarenal)

 

In today's episode of our Holding Pressure (HP) Series, developed by medical students for medical students, Janhavi and Andrew review the basics of endovascular abdominal aortic aneurysm repair (EVAR).

Authors: 

Janhavi Nikhil Patel is a third and final year medical student at McMaster University. She previously completed her undergraduate in Physiology from Western University. 

Andrew Lazar (@Lazar_andy) is a PGY-4 General Surgery resident at Morristown Medical Center in New Jersey. He completed a T32 research fellowship in vascular surgery at Columbia University. He graduated from Weill Cornell Medicine.

Editor: Yasong Yu

Reviewers: Imani McElroy and Amanda Fobare

Core Resource:

• Rutherford's Vascular and Endovascular Therapy 9th Edition Chapter#69, 70, 72, 73

Additional Resources:

• EVAR-1 Trial - Endovascular versus Open Repair of Abdominal Aortic Aneurysm. N Engl J Med, 362 (20) (2010), pp. 1863-1871, Endovascular versus Open Repair of Abdominal Aortic Aneurysm | NEJM
• OVER Trial - F.A. Lederle, T.C. Kyriakides, K.T. Stroupe, J.A. Freischlag, F.T. Padberg, J.S. Matsumura, et al. Open versus endovascular repair of abdominal aortic aneurysm. N Engl J Med, 380 (2019), pp. 2126-2135. Open versus Endovascular Repair of Abdominal Aortic Aneurysm | NEJM

• Relevant Audible Bleeding episodes
• Landmark Papers - IMPROVE
• VSITE Review - AAA
• Endovascular Aortic Repair Preoperative Sizing
• VSITE Review - Vascular Access

For a full outline check out our website.

Calling all medical students

Submit your questions for the mailbag episode! Ask us any question related to vascular surgery, and have it answered on the podcast. 

Include the following

• Your name, school, and year
• Who do you want to address the question to (resident, fellow, attending, or someone specific)
• Send them in writing or voice-recorded format. 

 Send to [email protected].

Please share your feedback through our Listener Survey!

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Vascular Origin Stories is a podcast series that explores the fun and engaging stories that shaped vascular surgery.

Today’s episode will be the first part of a multi-episode series exploring how the young battalion surgeons serving in MASH units in the Korean war pioneered wartime vascular repair. This episode introduces the Mobile Army Surgical Hospital (MASH), as well as some of the real-life stories from the surgeons unknowingly changing the field of medicine, which inspired the hit movie and TV series M*A*S*H.  We’ll look at what caused arterial repair to be removed from the army surgical handbook after WWI and how changing medical education helped create the environment for ingenuity in the MASH units. In part 2, we’ll explore in detail the individual stories of adversity, courage, and perseverance that led to the re-introduction of arterial repair in the military.

Major sources for the episode are linked below, and a full reference list can be found at the bottom of the page.

Articles

• In Ukraine, Gruesome Injuries and Not Enough Doctors to Treat Them, by Michael Schwirtz and Lynsey Addari
• Korea, M*A*S*H, and the accidental pioneers of vascular surgery by Dr. Steven Friedman, MD

Books

• Of Life and Limb: Surgical Repair of the Arteries in War and Peace, 1880-1960 by Dr. Justin Barr, MD, PhD
• MASH: An Army Surgeon in Korea by Dr. Otto Apel, MD and Pat Apel
• MASH: A Novel About Three Army Doctors  by Richard Hooker

References 

1. Robinson, A. Galen: Life Lessons from Gladiatorial Contests. The Lancet Perspective. Vol 382, Is. 9904. November 2013.
2. Friedman, S.G. A History of Vascular Surgery. Futura Publishing. 1989.
3. Van Way, C. War and Trauma: A History of Military Medicine. Mo Med. 2016 Jul-Aug;113(40:260-263
4. Hernigou, P. Ambroise Pare II: Pare’s contributions to amputation and ligature. Int Orthop. 2013 Apr; 37(4): 769-772 
5. Van Way, C. War and Trauma: A History of Military Medicine- PArt II. Mo Med. 2016 Sep-Oct; 113 950:336-340
6. Apel, O. Apel, P. MASH: An Army Surgeon in Korea. The University Press of Kentucky. 1998. 
7. King, B. Jatoi, I. The Mobile Army Surgical Hospital (MASH): A Military and Surgical Legacy. Journal of the National Medical Association. Vol. 97, No 5. May 2005.
8. Friedman, S.  Korea, MASH and the Accidental Pioneers of Vascular Surgery. Journal of Vascular Surgery. 2007. 
9. Wesselingh, R. From Milites Medici to Army Medics- A two Thousand Year Tradition of Military Medicine. Journal of Military and Veterans’ Health. Vol 16, No 4
10. Gabriel, R. Between Flesh and Steel: A History of Military Medicine from the Middle Ages to the War in Afghanistan. Potomac Books. 2016
11. Jorgensen,T.J. How Marie Curie Brought X-Ray Machines To the Battlefield. Smithsonian Magazine. Oct 11. 2017
12. Of Life and Limb: Surgical Repair of the Arteries in War and Peace, 1880-1960. Joseph Barr. University of Rochester Press; 1st edition. November 1, 2019. 
13. Duffy, T.P. The Flexner Report- 100 Years Later.  Yale Journal of Biological Medicine. 2011 Sep;84(3): 269-276 
14. Andrew Dale. Band of Brother: Creators of Modern Vascular Surgery. Deweese. 1996
15. John Kobler. The Reluctant Surgeon, a Biography of John Hunter. Doubleday and Company. 1960
16. Eugene Custers, Ollen ten Cate.The History of Medical Education in Europe and the United States, With Respect to Time and Proficiency. Academic Medicine. March 2018-Vol. 93 Is. 3S
17. Kapp, K. Talbot, G. John Hunter, The Father of Scientific Surgery. The American College of Surgeons. Poster CC2017 
18. “Alpha Omega Alpha’ History”. Website
19. Kenneth M. Ludmerer. Learning to Heal: The Development of American Medical Education. Basic Books, Inc., Publishers. New York. 1985
20. Richard Hooker and WC Heinz.  MASH: A Novel About Three Army Surgeons. Pocket Books. 1968. 
21. Jahnke Jr., E.J., Seeley S.F. Acute vascular injuries in the Korean War: an analysis of 77 consecutive cases. Ann Surg. 1953; 138: 158-177

Author + Host:

• Marlene Garcia-Neuer (@GarciaNeuer) is a PGY1 General Surgery Resident at Mayo Clinic Arizona.

Calling all medical students!

Submit your questions for the mailbag episode! Ask us any question related to vascular surgery, and have it answered on the podcast. Include the following: Your name, school, year, and to whom you want to address the question (resident, fellow, attending, or someone specific). Send them in writing or voice-recorded format. 

Send them to [email protected].

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Credits:

Author: Marlene Garcia-Neuer

Editor: Sharif Ellozy

Reviewer: Eilidh Gunn

Music and Sound Effects from Pixabay, special thanks to ZakharValaha and BlenderTimer.

The Spring VESS Session covered a wide breadth of topics ranging from disparities in care, innovation in endovascular techniques, and vascular surgery in younger patient populations. Imani sat down with Dr. Yazan Duwaryi, the VESS session program directory, to give a quick recap.

Dr. Duwayri is an Associate Professor of Surgery in the Vascular Surgery Division at Emory University School of Medicine. He serves as Medical Director of the Heart and Vascular service line at Emory University Hospital. He joined the faculty after completing his vascular surgery fellowship at Washington University in Saint Louis in 2011. He specializes in endoluminal and open vascular surgery, with his primary area of clinical interest being complex abdominal and thoracic aortic pathology. His academic interests are outcomes research in vascular surgery, quality improvement in vascular surgery, healthcare payment reform, and endovascular device design.

To submit an abstract to this year’s VESS Winter Meeting.

What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at [email protected].

Join us as we cover VAM 2022! (#VAM22)

Today we caught up with Dr. Sharee Wright (@DrASW6) who was a moderator of the Medical Student Program: How to Success as a Vascular Surgery Residency Applicant. 

We also met some medical student attendees to see how their experiences has been so far. 

Stay tuned for more coverage of #VAM22

Please share your feedback through our Listener Survey!

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

 

As the official journal of the Society for Vascular Surgery, the Journal of Vascular Surgery (JVS) aims to be the premier journal of medical, endovascular, and surgical care of vascular disease. This year, JVS transitions to a new executive board headed by Dr. Ron Dalman (Executive Editor) and Dr. Thomas Forbes (Editor-in-Chief). Many thanks to our outgoing executive board led by Dr. Peter Gloviczki and Dr. Peter Lawrence!

 

In this episode, Imani and Sharif sit down with the incoming Executive Editor and Editor-in-Chief, Dr. Dalman and  Dr. Forbes. We discuss their transition into their new roles, their goals for the journal, and how they hope to grow academic publishing in the era of social and digital media.

 

Come to the JVS Special Session at VAM on Thursday, June 16th, 2022 at 1:30 PM EDT. Submit ideas/topics for the session here.

 

If you want to submit an article to JVS. 

 

Follow JVS on Twitter!

 

What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at [email protected].

We are very excited to bring you the top papers from the 2022 Society for Clinical Vascular Surgery meeting. This episode features 3 papers, discussed by the primary author with commentary provided by Dr. Caron Rockman, President of the SCVS, Professor of Surgery at NYU, and program director of Vascular Surgery training programs. Vice-President Dr. Ashraf Mansour, Professor and Chair of Surgery at Michigan State University, and Dr. Jean Bismuth, SCVS Secretary, from Houston, Texas.

1. Clinical Presentation, Operative Management and Long-term Outcome of Rupture Following Previous Abdominal Aortic Aneurysm Repair
   • Discussed by: Dr. Indrani Sen
   • Authors: Indrani Sen, Irina Kanzafarova, Jennifer Yonkus, Bernardo Mendes, Jill Colglazier, Fahad Shuja, Randall DeMartino, Manju Kalra, Todd Rasmussen
2. Utilization of Thromboelastography with Platelet Mapping Assay to Predict Graft Thrombosis in Lower Extremity Revascularization
   • Discussed by: Dr. Monica Majumdar
   • Authors: Monica Majumdar MD MPH, Zach M Feldman MD, Imani McElroy MD, Natalie Sumetsky MS, Harold D Waller MD, Srihari Lella MD, Ryan P Hall MD, Young Kim MD, Kathryn Nuzzolo BS, Amanda Kirshkaln MS, David Chang PhD MPH MBA, Jessica Cardenas PhD, Eric Grabowski MD, Rushad Patell MD, Matthew Eagleton MD, Anahita Dua MD MS MBA 
3. Outcomes Of Upper Extremity Vs. Transfemoral Access For Fenestrated-branched Endovascular Aortic Repair (FB-EVAR)
   • Discussed by: Dr. Khalil Chamseddin
   • Authors: ​​Khalil Chamseddin MD, Carlos H. Timaran MD, Gustavo S. Oderich MD, Emanuel R. Tenorio MD, PhD, Mark A. Farber MD, F. Ezequiel Parodi MD, Darren B. Schneider MD, Andres Schanzer MD, Adam W. Beck MD, Matthew P. Sweet MD, Sara L. Zettervall MD, Bernardo Mendes MD , Matthew J. Eagleton MD, on behalf of the U.S. Aortic Research Consortium

Follow us on twitter at: @audiblebleeding

Dr. Amanda Fobare: @amandafobare

Dr. Caron Rockman: @CaronRockman

Dr. Jean Bismuth: @Jean Bismuth

Dr. Indrani Sen: @IndraniSenvasc

Dr. Monica Majumdar: @Monica_Majumdar

In this month’s episode of our JVS Editor’s Choice series, Adam and Wen discuss the Journal of Vascular Surgery: Venous and Lymphatic Disorders Editors' Choice articles for May 2022 with the Senior Editor, Dr. Peter Lawrence.

Submit your questions here for the JVS VAM Session

Video Summary of the Articles

Articles Discussed:

• Surgical resection and graft replacement for primary inferior vena cava leiomyosarcoma: a multicenter experience.
• Dr Quinones-Bladrich’s paper on IVC Leiyomyosarcoma
• Editor's Choice--Ten-year follow-up of a randomized controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia.
• Severity of disease and treatment outcomes of anterior accessory great saphenous veins compared with the great saphenous vein.
• CME--Comparative analysis of the results of cyanoacrylate ablation and radiofrequency ablation in the treatment of venous insufficiency.

JVS Journal Club Website

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Credits:

• Guest: Peter Lawrence
• Authors: Yasong Yu and Wen Kawaji
• Editor: Adam Johnson