Audible Bleeding

In this month’s episode of our JVS Editor’s Choice series, Yasong and Ryan discuss Journal of Vascular Surgery December’s Editor’s Choice articles with the Senior Editor of the JVS, Dr. Peter Lawrence.

Dr. Lawrence’s Video Summary of the Articles

Articles Discussed:

• Cost-Effectiveness of TransCarotid Artery Revascularization versus Carotid Endarterectomy (Editor’s Choice Article)
• Predictors of Clinical Outcome of Fenestrated and Branched Endovascular Repair of Complex Abdominal and Thoracoabdominal Aortic Aneurysms in an Italian Multicenter Registry
• Claudicating Patients with Peripheral Artery Disease have Meaningful Improvement in Walking Speed after Supervised Exercise Therapy (CME Article of the Month)
• Outcomes of Bypass and Endovascular Interventions for Advanced Femoropopliteal Disease in Patients with Premature Peripheral Artery Disease
  

JVS Journal Club December

JVs Journal Club Website

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Credits:

• • Guest: Peter Lawrence
  • Authors: Ryan Meyer, Yasong Yu
  • Editor: Yasong Yu
  • Reviewers: Eilidh Gunn, Andrew Lazar

Join live for the next SVS HITC webinar on Surgeon innovator: Startups, Entrepreneurship and Venture Capital on Dec 15, 2021 at 6PM EST where 5 entrepreneurs, who have developed medical products and received funding, will share the process of developing a company and the different types of funding. 

• Register and join us on Dec. 15: https://bit.ly/31AZ0Mp

Today’s episode is a recording of the SVS Healthcare Information Technology Committee (HITC) Webinar, Artificial Intelligence in Vascular Surgery originally held on Thursday, July 22, 2021. The SVS HITC has invited a number of speakers to explore ways you should be using AI in your practice today and get a glimpse of what will be coming around the corner.

Speakers

• "Brief Overview of AI in Vascular Surgery" - Sharon Kiang, MD (@Sharon_Kiang_MD), Associate Professor of Surgery, Loma Linda University
• "Current Application of AI Technology in Vascular Surgery" - David Kuraguntla, DO, Founder and CEO of Alio (@WeAreAlio)
• "Machine Learning and Policy" - Paula Shireman, MD, MBA, Professor of Surgery, University of Texas Health Science Center at San Antonio
• "Future of AI in Vascular Surgery" - Alan Lumsden, MD (@AlanLumsdenMD) Chair of Department of Cardiovascular Surgery, Houston Methodist DeBakey Heart and Vascular Center

Moderators

• Uwe Fischer, MD - Assistant Prof. of Surgery, Vascular Division, Yale School of Medicine
• Judith Lin, MD - (@Judithlin4) Chair of SVS HITC and Professor of Surgery, Chief of Vascular Surgery, Michigan State University 

References

• Fischer UM, Shireman P, and Lin J.  Current applications of artificial intelligence in vascular surgery.  Seminars in Vascular Surgery.  Available online Oct 27, 2021.

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Credits:

• Author: SVS HITC
• Editor: Adam Johnson

Mr. Mohamed Barkat and Mr. Nick Greaves discuss what trainees should know about the evaluation and management of thoracoabdominal aneurysms with Mr. Michael Jenkins.

Mr. Michael Jenkins MD FRCS qualified in 1989 and trained in surgery at Charing Cross, University College London, the Royal Brompton, and Royal Free hospitals and was awarded the Gold medal at FRCS. He was appointed as a consultant vascular surgeon at St Mary’s Hospital, Imperial College Healthcare NHS Trust, and Chelsea and Westminster hospitals in 2001. Mr. Jenkins was the Director of AAA   screening in Northwest London from 2011-2018. He is currently President of the Vascular Society of Great Britain and Ireland and was chair of the Circulation Foundation 2016-18 and a past President of the British Society of Endovascular Therapy. He was the Director of the Major Trauma Centre at St Mary’s Hospital, 2010-16

He developed both a local and a national tertiary referral practice for thoracoabdominal aortic aneurysm and dissection.

Resources

• Crawford Classification
• ESVS recommendation of management of Thoracic aortic pathologies
• Open Repair of Thoracoabdominal Aortic Aneurysm: Step-by-Step
• https://www.circulationfoundation.org.uk
• https://www.bset.co.uk/
• https://www.vascularsociety.org.uk/
• Yale Vascular Review Podcast Episode 1: Thoracoabdominal Aneurysms

Host Introductions 

• Mr. Mohamed Barkat (@mo_barkat) is a vascular trainee in the Northwest of England and is the Vascular Society Affiliate representative for the Rouleaux Club
• Mr. Nick Greaves is a consultant Vascular Surgeon at Manchester Royal Infirmary with a specialist interest in open aortic surgery.

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Credits: 

• Authors: Rachael Forsythe, Mohamed Barkat
• Editors: Sharif Ellozy, Leanna Erete

Andrew Nickinson and Aminder Singh discuss what vascular trainees should know about venous disease with Mr. Manj Gohel.  This podcast is aimed at preparing UK vascular trainees for the Fellowship of Royal College (FRCS) vascular examination but should apply to any vascular surgery exams.

Mr. Manj Gohel MD FRCS FEBVS (@ManjGohel) is a consultant vascular and endovascular surgeon at Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. He is also an Honorary Senior Lecturer at Imperial College, London, and the honorary secretary of the Royal Society of Medicine’s Venous Forum.

Mr. Gohel has a specialist interest in venous disease and has been actively involved in venous research for over 15 years, speaking regularly at national and international conferences. He spearheaded the landmark EVRA and ESCHAR trials and has recently co-chaired the European Society of Vascular Surgery Venous Thrombosis Guidelines.

Hosts:

• Mr. Andrew Nickinson (@AndrewNickinson)is a vascular specialty trainee in the Wessex Deanery and the SAC representative for the Rouleaux Club.
• Mr. Aminder Singh (@AminderASingh)is an NIHR Academic Clinical Fellow in Vascular Surgery at the University of Cambridge, a Vascular trainee in East of England and European/Venous representative for the Rouleaux Club.

Selected papers:

• Gohel et al. Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): randomised controlled trial BMJ 2007; 335(7618)
• Gohel et al; EVRA Trial Investigators. A Randomized Trial of Early Endovenous Ablation in Venous Ulceration. NEJM. 2018; 378(22):2105-2114.
• Kakkos et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis. EJVES. 2021 Jan;61(1):9-82.
• Vedantham et al. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. NEJM. 2017;377(23):2240-2252.
• Brittenden et al. A randomized trial comparing treatments for varicose veins. NEJM. 2014;371(13):1218-27.

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Credits:

• Authors: Andrew Nickinson, Aminder Singh
• Editor: Leanna Erete
• Reviewers: Adam Johnson, Rachael Forsythe

In this month’s episode of our JVS Editor’s Choice series, Yasong and Andrew discuss November’s Editor’s Choice articles in the Journal of Vascular Surgery Venous and Lymphatic issue with the Editor in Chief, Dr. Peter Gloviczki.

Dr. Gloviczki’s Video Summary of the Articles

Articles Discussed:

• Early thrombosis after iliac stenting for venous outflow occlusion is related to disease severity and type of anticoagulation (Editors Choice and CME Article of the Month)
• Catheter-based interventions versus medical and surgical approaches in acute pulmonary embolism
• Stratification of pelvic venous reflux in patients with pelvic varicose veins
• Utility of the 50% stenosis criterion for patients undergoing stenting for chronic iliofemoral venous obstruction
  

Other discussed articles:

• The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders
• Shaking Our Foundations
  

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Credits:

• Guest: Dr. Peter Gloviczki
• Authors: Yasong Yu, Imani McElroy
• Editor: Yasong Yu
• Reviewers: Eilidh Gunn, Andrew Lazar
  

In the second episode of our medical student series, Holding Pressure, Marlene and Megan sit down with Kirthi, Paulina, and Alexandra to discuss some of their advice on interviewing for residency. They also revisited excerpts from an episode published December 2020 titled “Advice for Applicants to the Integrated Vascular Surgery Residency,” where Dr. Chelsea Dorsey from University of Chicago, Dr. Murray Shames from University of South Florida, and Dr Arash Fereydooni, who was a PGY1 at Stanford integrated vascular program at the time, gave us their take on the entire application process (Link to full episode below). 

Guests:

Kirthi Bellamkonda (@kirthisb) is a PGY-1 at the Vascular Surgery Integrated Residency Program at Dartmouth-Hitchcock Medical center. She graduated from Yale School of Medicine, and also holds a bachelor’s degree from University of Illinois at Chicago, as well as a masters degree from University of Oxford. 

Paulina Villanueva is a PGY-1 at the Vascular Surgery Integrated Residency Program at THE Ohio State University Hospital Wexner Medical Center. She graduated from Charles Drew/UCLA School of Medicine, and also holds a bachelor’s degree  in Neuroscience from UCLA, as well as a masters degree from California State Polytechnic University in Biological Sciences.  

Alexandra Gobble is a PGY-2 at the Vascular Surgery Integrated Residency Program at THE Ohio State University Hospital Wexner Medical Center. She graduated from University of Washington School of Medicine, and also holds a bachelor’s degree in Material and Biomaterials Engineering from the New Mexico Institute of Mining and Technology .

Related Contents

Advice for Applicants to the Integrated Vascular Surgery Residency - complete episode from which sound clips were extracted

So You’ve Matched into Vascular...Now What (Part 1) - featuring Kirthi as a medical student

“It’s Time to End the Interview” - Dr. Malachi Sheahan’s take on the modern interview process for surgical trainees

More Medical Student Content

Hosts:

Marlene Garcia-Neuer (@GarciaNeuer) is a MS4 at THE Ohio State University College of Medicine.

Megan Tenet (@megantenet) is a MS4 at Georgetown University School of Medicine

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 you want to address the question to (resident, fellow, attending, or someone specific)
• Send them in writing, or in voice recorded format. 

Send them to [email protected]. Also send us any ideas, suggestions, or comments.

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

Credits: 

Authors: Yasong Yu, Marlene Garcia-Neuer, Megan Tenet

Editor: Yasong Yu

Reviewers: Christopher Audu, Amanda Fobare

In this month’s episode of our JVS Editor’s Choice series, Yasong, Andrew, and Ajay discuss Journal of Vascular Surgery November’s Editor’s Choice articles with the Editor in Chief of the JVS, Dr. Peter Gloviczki.

Dr. Gloviczki’s Video Summary of the Articles

Articles Discussed:

• Intraoperative consultation of vascular surgeons is increasing at a major American trauma center
  
• Effects of supervised exercise therapy on blood pressure and heart rate during exercise, and associations with improved walking performance in peripheral artery disease: Results of a randomized clinical trial
  
• Preoperative risk score accuracy confirmed in a modern ruptured abdominal aortic aneurysm experience (CME Article of the Month)
  
• Evaluation of the Gore TAG thoracic branch endoprosthesis in the treatment of proximal descending thoracic aortic aneurysms
  

If you enjoy our content, please contribute to Support Audible Bleeding!

Help us improve through our ALL NEW Listener Survey!

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Credits:

• Guest: Peter Gloviczki
• Authors: Andrew Lazar, Ajay Menon
• Editor: Yasong Yu
• Reviewers: Eilidh Gunn, Ryan Meyer
  

In today's episode, Adham Elmously and Matt Spreadbury discuss diagnosis and management of type B aortic dissections with Drs Einar Brevik and Joseph Lombardi.

An outline can be found on our website

References

• Lombardi et al. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. J Vasc Surg. 2020 Jan;71(3): P723-747
• Lombardi JV et al. STABLE II Investigators. STABLE II clinical trial on endovascular treatment of acute, complicated type B aortic dissection with a composite device design. J Vasc Surg. 2020 Apr;71(4):1077-1087.

Authors:

• Dr. Adham Elmously (@elmouslyMD) is a second-year vascular surgery fellow at the New York-Presbyterian Cornell/Columbia Program in New York, NY.
• Dr. Matthew Spredbury (@mattspreadbury) is a second-year vascular surgery resident at Haukeland University Hospital in Bergen, Norway.

Guests:

• Dr. Joseph Lombardi (@VascSurgMD) is the Professor and Chief of Vascular Surgery at Cooper University Hospital in Camden, New Jersey, and the PI on the STABLE I and STABLE II trials.
• Dr. Einar Brevik (LinkedIn) is a consultant vascular surgeon and the previous president of the Norwegian Society of Vascular Surgery.

Editor: Matt Smith

Reviewers: Adam Johnson and Matt Chia

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

In today’s episode we will explore the search for the ‘spark of life’ to reanimate man, and how it inspired innovative arterial anastomosis techniques and frankensteinian operations. Specifically, I’ll talk about our understanding of circulation from Greeks and Galen to our modern knowledge brought to us by William Harvey, as well as other electrifying attempts at reanimation. Hear how Robert Abbe proved vascular circulation was critical for limb-replantation and how his friendship with a novelist inspired the future father of vascular surgery Alexis Carrel.  Finally, I will explore how Drs. Carrel and Guthrie mastered arterial- anastomosis and opened the floodgates to major arterial repair, limb-replantation and organ transplantation, even if some of their experiments seem a little frankensteinian.

Host:  Marlene (@GarciaNeuer ) is a 4th year medical student at THE Ohio State College of Medicine.

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Credits:

Author: Marlene Garcia-Neuer

Editor: Yasong Yu

Reviewers: Sharif Ellozy and Adam Johnson

We are excited to introduce the first episode of our new series, Vascular Surgery History. This podcast series will explore the fun and engaging stories that shaped vascular surgery.

Today’s episode will focus on early vascular surgeons, including Dr. Robert Liston, John Hunter, Lambert Hallowell, and Astley Cooper and their success and failures.

Sources and further reading:

[1] A History of Vascular Surgery. Steven G Friedman. Blackwell Publishing. 2005

[2] The Greatest Benefit to Mankind. A Medical History of Humanity. Roy Porter. Norton and Company 1997.

[3] Time me, gentlemen! The Bravado and Bravery of Robert Liston. Adrew J Jones, Robert

Nesbit Jr, Steven Holsten. American College of Surgeons, Poster Competition 2016 CC201

Host:  Marlene (@GarciaNeuer ) is a 4th year medical student at THE Ohio State College of Medicine.

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Credits:

Author: Marlene Garcia-Neuer

Editor: Yasong Yu

Reviewers: Sharif Ellozy