Audible Bleeding

Dr. Gregorio Sicard is Professor Emeritus of Surgery and Emeritus Chief of Vascular Surgery at Washington University School of Medicine in St. Louis. He trained in general surgery at the Barnes Hospital, Washington University School of Medicine, and completed the first Transplantation Fellowship there. He eventually became the Chief of Vascular Surgery and Chief of General Surgery at Washington Hospital. He founded the Vascular surgery fellowship there in 1983. He is a former President of the Society of Vascular Surgery, and recipient of the 2018 Society for Vascular Surgery Lifetime Achievement Award. He was a pioneer in the retroperitoneal approach to the aorta, and is regarded as a master aortic surgeon by his peers.  He has a legacy of trainees who have gone on to assume leadership roles in Vascular Surgery. 

Dr. Frank Caputo is an Associate Professor of Surgery at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He is also the Vascular Surgery Director of the Aorta Center, Program Director of the Vascular Surgery Training Programs. His clinical interests include complex open and endovascular repair of  thoracic, thoracoabdominal and abdominal aortic aneurysms, management of thoracic dissection, endovascular and open repair of  failed endografts. Dr. Caputo earned his medical degree from the University of Medicine and Dentistry New Jersey, Newark, NJ, where he also served his surgical residency and two years as a National Institutes of Health research fellow. He completed his fellowship in vascular surgery at Barnes-Jewish Hospital of Washington University, St. Louis, Mo. where he served as administrative fellow. He joined the Cleveland Clinic medical staff in 2018. 

Sicard, Gregorio A, Jeffrey M Reilly, Brian G Rubin, Robert W Thompson, Brent T Allen, M.Wayne Flye, Kenneth B Schechtman, Patricia Young-Beyer, Carey Weiss, and Charles B Anderson. "Transabdominal versus Retroperitoneal Incision for Abdominal Aortic Surgery: Report of a Prospective Randomized Trial." Journal of Vascular Surgery 21.2 (1995): 174-83.

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In this episode of our monthly JVS series, Farooq, Ajay, and Yasong discuss the latest Editor’s Choice articles with the Senior Editor, Dr. Peter Lawrence

• Trends in the Use of Cerebrospinal Drains and Outcomes Related to Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair and Complex Endovascular Aortic Repair in the Vascular Quality Initiative Database (Editor’s Choice Article)

• Late Outcomes After Endovascular and Open Repair of Large Abdominal Aortic Aneurysms (CME Article of the Month)

• Evaluation of Revascularization Benefit Quartiles using the Wound, Ischemia, and Foot Infection Classification System for Diabetic Patients with Chronic Limb-Threatening Ischemia
  
  

• Revascularization for Asymptomatic Carotid Artery Stenosis Improves Balance and Mobility

Video Summary of Papers Above

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Credits:

• Guest: Dr. Peter Lawrence
• Authors: Farooq Usmani, Ajay Menon
• Reviewers: Jacob Schwartzman, Andrew Lazar
• Editor: Yasong Yu

Welcome back to our series on Landmark Papers in Vascular Surgery. In this episode, Jacob, Amanda, and Matt sit down with Dr. William Jordan to discuss arguably one of the most landmark papers in the field, the NASCET trial. 

Dr. Jordan is the John E. Skandalakis Chair of Surgery, and Professor and Chief of the Division of Vascular Surgery and Endovascular Therapy at the Emory University School of Medicine in Atlanta, Georgia.  He completed his medical degree at Emory, followed by a general surgery residency at the University of Alabama at Birmingham and a vascular surgery fellowship at Emory.  He serves on the editorial board of the JVS family of publications and for several other journals.  He is the immediate past president of the Society of Clinical Vascular Surgery, and among many contributions to research in vascular surgery in general, he has published extensively on the treatment of carotid disease.  Dr. Jordan, thanks for your leadership of the specialty, and for joining us to discuss NASCET.

The NASCET Trial is the “North American Symptomatic Carotid Endarterectomy Trial,” originally published in the New England Journal of Medicine in 1991. Below are links to the original manuscript as well as several additional related publications:

• Original Manuscript 
• Trial Methodology
• Long-Term Followup and 50-69% Stenosis Data  

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We are excited to be introducing the first episode of our new series, Holding Pressure. The contents are geared towards medical students to introduce them to the field of vascular surgery. In this episode, we have a group of distinguished medical students who are leaders or founders of Vascular Surgery Interest Group at their respective medical schools to talk about their experiences.

Guests:

Tara Zielke (@ZielkeTara) is a 3rd year medical student and the president of VSIG at Loyola University School of Medicine

Dominique Dockery (@domdoc_) is a 3rd year medical student and the president and founder of VSIG at the Warren Alpert Medical School of Brown University

Ali Hakimi is a 3rd year medical student and the co-president of VSIG and MS3 at University of Colorado School of Medicine

Brian Leoce (@leocebm) is a 3rd year medical student and the president and founder of VSIG at Rutgers New Jersey Medical School.

Hosts:

Yasong (@YasongYuMD) is a 4th year general surgery resident at Rutgers New Jersey Medical School. He completed his medical degree at SUNY Downstate College of Medicine.

Imani (@iemcelroy) is a 5th-year general surgery resident at the Massachusetts General Hospital. She completed her medical degree at the Charles R. Drew/UCLA Medical Education Program and also holds a Master’s in Public Health from the Harvard T.H. Chan School of Public Health. 

Resources

SVS VSIG Website, including access to VSIG Toolkit

SVS Develop My Training Career

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.

Imani’s episodes on Race and Representation in Medicine

The Historical Relationship Between Black America, Medicine, and Research: Deconstructing Barriers and Optimizing Care

One Year Later - Moving Forward with Intentionality in Efforts to Combat Systemic Racism in Healthcare

Matt’s Interview with Dr. Aulivola and others at VAM21

#VAM21 Highlight, Part 4 - Jason Lee and VESS, Bernadette Aulivola and Cassius Ochoa Chaar on Outreach & Max Wohlauer on Occupational Hazard in Vascular Surgery

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Credits: 

Authors: Yasong Yu, Imani McElroy

Editor: Yasong Yu

Reviewers: Sharif Ellozy, Matthew Chia

In this installment of the Race and Representation Series, we discuss how to implement effective change to combat systemic racism within healthcare at national, regional, and local levels. Our guests, Dr. Albert Sam and Dr. Bryan Fisher describe their practices and how they have been champions of healthcare equity within both the private and academic settings. 

Show Guests:

Dr. Albert Sam is a specialty care physician board-certified in vascular and endovascular surgery. Prior to joining Inova he was in private practice in Middletown, CT, and was the founder and director of the Middlesex Health multidisciplinary limb preservation program. He previously served as the Chief of Vascular Surgery at Baton Rouge General Hospital as well as at the Tulane Heart & Vascular Institute in New Orleans. In addition to becoming one of the first physicians nationally to be board certified in general surgery, vascular surgery, and endovascular medicine, he has served as a principal investigator for numerous national and international vascular clinical trials, including the NIH stroke trials CREST and CREST-2.

Dr. Bryan Fisher, Sr. (@amputationsuck) is a board-certified vascular surgeon and a member of The Surgical Clinic in Nashville, TN. He completed his general surgery residency at the Ohio State University and his vascular fellowship at Vanderbilt University. He serves as the Chief of Vascular Surgery, Director of Wound Care, and co-Director of the Center for Limb Preservation.

• PAD Task Force Call to Action
• National Minority Quality Forum

Host Introductions:

Dr. Imani E. McElroy (@iemcelroy) is a 5th-year general surgery resident at the Massachusetts General Hospital. She completed her medical degree at the Charles R. Drew/UCLA Medical Education Program and also holds a Master’s in Public Health from the Harvard T.H. Chan School of Public Health. 

Dr. Andrew Gonzalez (@DrAGonzMD) is an attending physician at Indiana University. He received his medical degree, Master’s of Public Health, and an undergraduate degree from the University of Illinois at Chicago and his Juris Doctorate from the John Marshall Law School.

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].

Follow us on Twitter @audiblebleeding

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

#VAM21 Highlight, Part 4 - Jason Lee and VESS, Bernadette Aulivola and Cassius Ochoa Chaar on Outreach, and Max Wohlauer on Occupational Hazard in Vascular Surgery

Directly from the Vascular Annual Meeting in 2021 in San Diego, here’s a taste of some of the great things that are happening at this year’s VAM.  Hear perspectives from some first-time VAM attendees, as well as speakers, moderators, and other leaders in the field.  

In this episode, we hear three different interviews with four different guests.  We covered the Vascular and Endovascular Surgical Society with Dr. Jason Lee, Resident and Student Programming with Dr. Bernadette Aulivola and Dr. Cassius Ochoa Chaar, and occupational hazards for vascular surgeons with Dr. Max Wohlauer.  Stay tuned for followup episodes on these and other topics from VAM!

Show Guests:

• Dr. Jason Lee is the President of the Vascular and Endovascular Surgical Society, in addition to being the chief of vascular surgery for Stanford Medicine.  He has held multiple leadership roles within many professional societies, having completed his medical degree at the University of California San Diego, general surgery residency at the Harbor-UCLA Medical Center, and vascular surgery fellowship at Stanford.
• • Join the VESS (@VESurgery): https://vesurgery.org/my-vess/why-join-vess/ 
  • VESS Annual Winter Meeting: https://vesurgery.org/meetings/winter/ 
  • VESS Virtual Residency Fair: https://vesurgery.org/virtual-residency-fair/ 
• Dr. Bernadette Aulivola (@BAulivolaMD) is the chief of vascular surgery at Loyola University in Chicago, Illinois, and chaired the resident and student outreach committee for VAM21.  She completed her medical degree at the Washington University School of Medicine, general surgery residency at Rush University Medical Center and Cook County Hospital in Chicago, and vascular surgery fellowship at the Beth Israel Deaconess Medical Center.
• Dr. Cassius Ochoa Chaar is an associate professor of vascular surgery at the Yale School of Medicine in New Haven, Connecticut, and was vice chair of the resident and student outreach committee for VAM21.  He completed his medical degree and master’s of science at the American University of Beirut, followed by general surgery residency at Yale, and vascular surgery fellowship at the University of Pittsburgh Medical Center.
• • Join the SVS as a Medical Student: https://vascular.org/about/membership/medical-student 
  • Join the SVS as a General Surgery Resident: https://vascular.org/membership/candidate/general-surgery-resident 
  • Find a mentor in the SVS Mentor Match Program: https://vascular.org/career-tools-training/develop-my-training-career/mentor-match-program 
• Dr. Max Wohlauer (@doctormaxw) is an assistant professor at the University of Colorado School of Medicine, as well as an associate program director of their residency and fellowship.  He founded the Vascular Surgery COVID-19 Collaborative (VASCC, https://medschool.cuanschutz.edu/surgery/divisions-centers-affiliates/vascular/research/vascc/vascc).  He obtained his medical degree from the Albany Medical College and completed general surgery residency at the University of Colorado followed by vascular surgery fellowship at the Cleveland Clinic.
• • Audible Bleeding with Dr. Samuel Money on Ergonomics in Surgery: https://www.audiblebleeding.com/money-ergonomics/ 
  • Physical discomfort, professional satisfaction, and burnout in vascular surgeons: https://doi.org/10.1016/j.jvs.2018.11.026 
  • Physical pain and musculoskeletal discomfort in vascular surgeons: https://doi.org/10.1016/j.jvs.2020.07.097 
  • Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force: https://doi.org/10.1016/j.jvs.2020.10.065 

Host Introductions: 

• Dr. Matt Chia (@chia_md) is in his 6th year in the integrated vascular surgery program at Northwestern University. He obtained his medical degree from the University of Illinois College of Medicine, and also holds a Master’s in Health Services and Outcomes Research from Northwestern. 

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

In this month’s episode of our JVS - VL Editor’s Choice series, Jacob, Andrew, and Ryan discuss September’s selected articles with Senior Editor of the JVS, Dr. Peter Lawrence.

Dr. Lawrence YouTube Video

Articles Discussed:

• A comparison of cyanoacrylate glue and radiofrequency ablation techniques in the treatment of superficial venous reflux in CEAP 6 patients (CME and Editor’s Choice)
• Endovenous laser ablation of incompetent great saphenous veins with 1470-nm laser using bare tip and radial fibers results in similar short-term outcomes
• Pelvic venous insufficiency secondary to iliac vein stenosis and ovarian vein reflux treated with iliac vein stenting alone
• Clinical outcomes of venous self-expanding stent placement for iliofemoral venous outflow obstruction    

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: Dr. Peter Lawrence
• Authors: Andrew Lazar, Ryan Meyer
• Reviewer: Imani McElroy
• Editor: Jacob Schwartzman

In this episode of our monthly JVS series, Jacob, Philip, and Yasong discuss the latest Editor’s Choice articles with Editor-in-Chief, Dr. Peter Gloviczki.

• Popliteal scoring assessment for vascular extremity injuries in trauma study (CME and Editor’s Choice)
• A population-based study of post-endovascular aortic repair rupture during 15 years
• Long-term safety and efficacy of angioplasty of femoropopliteal artery disease with drug-coated balloons from the AcoArt I trial
• A health insurance claims analysis on the effect of female sex on long-term outcomes after peripheral endovascular interventions for symptomatic peripheral arterial occlusive disease   

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

Help us improve through our ALL NEW Listener Survey!

Follow us on Twitter: @AudibleBleedin

Credits:

• Guest: Dr. Peter Gloviczki
• Authors: Philip Lettieri, Yasong Yu
• Reviewers: Eilidh Gunn, Shivik Patel
• Editor: Jacob Schwartzman

Directly from the Vascular Annual Meeting in 2021 in San Diego, here’s a taste of some of the great things that are happening at this year’s VAM.  Hear perspectives from some first-time VAM attendees, as well as speakers, moderators, and other leaders in the field.  

In this episode, we hear from Dr. Carlos Bechara and Dr. William Shutze on the new SVS Surgical Coaching Program. We discuss the basics of the program and get a first hand look at what a coach and mentee interaction will look like as Dr. Bechara provides Dr. Shutze with his perspective and advice on a common non-clinical problem. 

Show Guests:

• Dr. Carlos Bechara (@cfbechara) is a professor of Vascular Surgery and Endovascular Therapy at Loyola University Medical Center in Chicago, Ill. He is also the Co-Medical Director of Vascular Surgery and the Program Director of the Vascular Surgery Fellowship. Dr. Bechara has a focus on aortic disease and is part of the first cohort of surgical coaches. He completed medical school at American University of the Caribbean, general surgery residency at Tulane and Baylor University and vascular fellowship at Baylor University.
• Dr. William P. Shutze is a vascular surgeon with Texas Vascular Associates in Plano, Tx. He has served numerous roles for the Society of Vascular Surgery and the Southern Vascular Outcomes Network.  He is past president of the Texas Vascular and Endovascular Society and will be the chair of the 2021-2022 SVS Clinical Practice Council. He went to medical school at the Baylor College of Medicine, general surgery residency at the University of Alabama Birmingham, and vascular surgeryfellowship at Baylor University. 

SVS Surgical Coaching for Vascular Surgeons: https://surgicalcoaching.org/svs/ 

• Email: [email protected]
• Phone: (608) 301-5156
• Surgical Coaches are SVS members and practicing vascular surgeons. The program is open to all active SVS members in good standing.

Host Introductions: 

• Dr. Matt Chia (@chia_md) is in his 6th year in the integrated vascular surgery program at Northwestern University. He obtained his medical degree from the University of Illinois College of Medicine, and also holds a Master’s in Health Services and Outcomes Research from Northwestern. 

Follow us @audiblebleeding

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

Directly from the Vascular Annual Meeting in 2021 in San Diego, here’s a taste of some of the great things that are happening at this year’s VAM.  Hear perspectives from some first-time VAM attendees, as well as speakers, moderators, and other leaders in the field.  

In this episode, we hear from Dr. Alan Dardik on the brand-new JVS: Vascular Science journal, which is the latest addition to the JVS family of publications.  We discuss the frontiers of vascular physiology, the scope of basic science beyond the wet lab, and his favorite articles from the journal to date.

Show Guests:

• Dr. Alan Dardik (@adardik) is a surgeon-scientist, and a professor of Surgery (Vascular) and of Cellular and Molecular Physiology at the Yale School of Medicine.  He leads the NIH-funded and VA-funded Dardik lab to study the healing and function of blood vessels and blood vessel substitutes used to treat patients with vascular disease, and is the editor of the JVS: Vascular Science journal.  He completed his MD/PhD, general surgery residency, and vascular surgery fellowship all at the Johns Hopkins University.  

Relevant Resources:

• JVS: Vascular Science: https://jvsvs.org/
• • Inaugural issue cover article: https://doi.org/10.1016/j.jvssci.2020.09.004
  • JVS: VS May 2021 webinar: https://www.youtube.com/watch?v=xaByfdcOxRU
• Dardik Lab webpage: https://medicine.yale.edu/lab/dardik/
• • Cyclosporine and AVF article: https://doi.org/10.1161/ATVBAHA.120.315875
• Vascular Research Initiatives Conference (VRIC): https://vascular.org/meetings/vascular-research-initiatives-conference-vric
• Previous Audible Bleeding Basic Science Episode: https://www.audiblebleeding.com/getting-started-in-basic-science/

Host Introductions: 

• Dr. Chris Audu (@ChrisAuduMD) is in his 5th year of training in the integrated vascular surgery residency at the University of Michigan. His research studies the role of chromatin modifying enzymes on wound healing pathways as well as learning the details of high throughput experimentation in discovering novel acid-amine organic reactions for vascular-focused, medicinal chemistry. He is currently F32 funded and was recently awarded the 2020 VESS Resident Research Award.
• Dr. Matt Chia (@chia_md) is in his 6th year in the integrated vascular surgery program at Northwestern University. He obtained his medical degree from the University of Illinois College of Medicine, and also holds a Master’s in Health Services and Outcomes Research at Northwestern. 

Follow us @audiblebleeding

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