Audible Bleeding

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. Donald Baril, who moderated one of the most popular Wednesday afternoon sessions titled “Positioning Vascular Surgeons for Success as Community Leaders in Vascular Disease.”  We also hear from the chair of the SVS Public and Professional Outreach (PPO) committee, Dr. Benjamin Pearce.  We talk about the re-launch of the SVS Branding Toolkit, complete with a contest to win a years’ worth of SVS membership dues!

Show Guests:

• Dr. Donald Baril (@DonaldBaril) is an associate professor of surgery at the Cedars-Sinai Medical Center in Los Angeles, California.  He completed medical school at the Ohio State University, general surgery residency at the Mount Sinai school of medicine, and vascular surgery fellowship at the University of Pittsburgh.
• Dr. Benjamin Pearce (@hawkeyebjp) is the William D. Jordan, Jr. Endowed Professor in Vascular Surgery and Endovascular Therapy at the University of Alabama in Birmingham.  He completed medical school at the University of Texas, general surgery residency at the University of Chicago, and vascular surgery fellowship at the University of Alabama in Birmingham.  He is the director of both their integrated residency and traditional fellowship.

Relevant Resources:

• SVS Valuation Resources: https://vascular.org/career-tools-training/branding-valuation/valuation
• • Sg2 Report on the Value of Vascular Surgery: https://vascular.org/sites/default/files/SVS_value_vascular_surgery_CS_v1.2.pdf
  • Report from the SVS Vascular Surgery Valuation Work Group: https://doi.org/10.1016/j.jvs.2020.05.056
• SVS Branding Toolkit Contest:
• • Login to the SVS Branding toolkit (https://vascular.org/career-tools-training/branding-valuation) to customize a flier for your practice and download it.  Email your customized file to [email protected] to be entered in a drawing for free membership dues for 2022!
  • Use the materials in the toolkit to promote the vascular specialty and your practice.
  • Complete the questionnaire (https://www.surveymonkey.com/r/SVSBrandingContest) for a chance to win free registration to VAM 2022 or a $250 social media campaign in your local area run by SVS staff (your choice!).  Prizes will be given for the most creative use of the branding toolkit and most effective use of the branding toolkit.

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 at Northwestern. 

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Matt Chia, Chris Audu, and Elizabeth Andraska sit down with Drs. Kevin Southerland, Karen Ho, and Andrea Obi for a panel discussion introducing basic science in vascular surgery and some tips on getting started and obtaining funding for your research.

Dr. Kevin Southerland (@kwsoutherland) is an assistant professor of surgery at Duke.  He is a co-investigator of an NIH U01 grant to study the 4D nucleome of muscle regeneration in ischemia-induced damage and repair and was selected to be the 2021 Wylie Scholar to study transcriptional dynamics and heterogeneity of macrophages in CLTI.

Dr. Karen Ho is the John Marquardt Clinical Research Professor of Vascular Surgery at Northwestern.  She was recently awarded an R01 grant from the NHLBI to study the meta-organismal pathways that impact susceptibility to arterial restenosis after vascular surgery.

Dr. Andrea Obi (@AndreaObiMD) is an assistant professor of Vascular Surgery at the University of Michigan, a recipient of the 2019 Wylie Scholar award for young investigators in vascular surgery, an NIH K08 awardee and, most recently, the recipient of the SVS Foundation/ACS Mentored Clinical Scientist Research Development Award (a K08 matching grant) to study the role of myeloid epigenetic regulation on venous thrombus resolution. 

Relevant Resources for Research and Funding:

• SVS Research Opportunities in Vascular Surgery
• AVAS award: 
• AVF/Jobst research grant
• AHA research grant
• VESS award
• SAAS award
• SUS award
• AAS award
• Vascular Cures/Wylie Scholar program
• NIH F32 Award
• Burroughs Wellcome Postdoctoral Grants
• HHMI Research Grants
• NIH RePORTER

Host Introductions: 

• Dr. Chris Audu (@ChrisAuduMD) is in his fifth 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. Elizabeth Andraska (@eandraska) is in her fifth year of training in the integrated vascular surgery residency at the University of Pittsburgh.  She is T32 funded by the National Institutes of Health and is currently a Burroughs Wellcome Foundation fellow. She is studying the role of platelet-neutrophil complexes in immunothrombosis. 
• Dr. Matt Chia (@chia_md) is in his 6th of 7 years 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. 

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Matt Chia and Andy Lazar sit down with Drs. Leila Mureebe, Jeff Siracuse, and Philip Goodney for a panel discussion introducing the VQI and some practical tips on getting started with vascular health services research.

Dr. Leila Mureebe (@leils) is an associate professor of surgery in the division of vascular and endovascular surgery at the Duke University School of Medicine.  She completed her medical degree and general surgery residency at the Medical College of Pennsylvania, a vascular research fellowship at Harvard Longwood, and her vascular surgery fellowship at Yale.  She also holds dual master’s degrees in public health from the UNC and in management and clinical informatics from Duke.

Dr. Jeff Siracuse is an associate professor of surgery and radiology at the Boston University School of Medicine.  He completed his medical degree at the New York Medical College, followed by a general surgery residency at Beth Israel Deaconess, a vascular research fellowship at Harvard Longwood, and a vascular surgery fellowship at the New York-Presbyterian programs.  He also holds an MBA from Boston University and has extensive experience with the VQI data, including being the medical director and regional RAC chair for the Vascular Study Group of New England.

Dr. Philip Goodney is a professor of surgery and the associate chair for research at the Dartmouth-Hitchcock Medical center.  He received his medical degree from the University of Connecticut, followed by a general surgery residency and vascular surgery fellowship at Dartmouth.  He completed a special fellowship in outcomes research with the VA Outcomes Group in White River Junction, Vermont, while also receiving a Master’s Degree in Evaluative Clinical Sciences.  Among the many key positions he holds in our field, he is the current chair for the national VQI Research Advisory Committee or RAC.

Previous Episode - Dr. Jack Cronenwett with the origin story of the VQI

Relevant Links:

• Current SVS Regional Quality Groups
• Previously approved VQI projects
• Submit a RAC Proposal + Deadlines
• JAMA Surgery guide to the VQI
• SVS Research Opportunities in Vascular Surgery

Host Introductions: 

• Dr. Lazar (@Lazar_surgery)  is a general surgery resident at Morristown Medical Center in New Jersey and completed his second year of vascular surgery research at Columbia University, where - among other projects - he has focused on using the VQI to look at insurance and health disparities. 
• Dr. Chia (@chia_md) is in his 5th of 7 years 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. 

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We are very excited to bring you our new series on Landmark Papers in Vascular Surgery! 

We are proud to start off with the IMPROVE trial, and for that we welcome Professor Janet Powell, Professor of Vascular Biology & Medicine at Imperial College, London and Chief Investigator of the IMPROVE Trial. 

Professor Powell studied medicine in the USA (after obtaining a PhD in Biophysics in London), before returning to Britain where she completed clinical training in pathology, specialising in cardiovascular risk. Initially her research interests were confined to the laboratory but soon extended from bench (vascular biology) to bedside (clinical trials). She has been integral to all of the key UK trials in abdominal aortic aneurysm management, including the UK Small Aneurysms Trial, the EVAR-1 and EVAR-2 trials and of course, the IMPROVE Trial.  In recognition of her outstanding contribution to research in vascular surgery, she was recipient of the Lifetime Achievement Award at the Vascular Society of Great Britain and Ireland Annual Scientific Meeting in 2012, and is honoured with a named lectureship at the annual European Society of Vascular Surgery conference, called the Janet Powell Lecture in Evidence-Based Vascular Surgery.  

The IMPROVE Trial is the “Immediate Management of Patients with Rupture: Open Versus Endovascular Repair,” originally published in the British Medical Journal in 2014. Below are links to the original manuscript as well as several additional related publications:

• Original Manuscript 
• One-Year Outcomes 
• Three-Year Outcomes 
• Observations Regarding Clinical Care (2014)
• Re-intervention Data (2018)

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

• Epidemiology of endovascular and open repair for abdominal aortic aneurysms in the United States from 2004 to 2015 and implications for screening (CME and Editor’s Choice)
• Fenestrated-branched endovascular aortic repair is a safe and effective option for octogenarians in treating complex aortic aneurysm compared with nonoctogenarians
• The majority of major amputations after resuscitative endovascular balloon occlusion of the aorta are associated with preadmission trauma 
• Impact of impaired ambulatory capacity on the outcomes of peripheral vascular interventions among patients with chronic limb-threating ischemia 

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In this episode, Imani and Reginald discuss with Dr. Backhus and Dr. Goodney the historical implications of the longstanding poor relationship between the Black community and the medical community, and its effect on current practices and patient care in vascular surgery. They also explore the role of research in creating demonstrable changes in practice to aid in ameliorating this relationship.

Leah Backhus, MD, MPH, FACS (@leahbackhusmd) practices at Stanford Hospital and is Chief of Thoracic Surgery at the VA Palo Alto, where she focuses on thoracic oncology and minimally invasive surgical techniques. She is also Co-Director of the Thoracic Surgery Clinical Research Program and has grant funding through the Veterans Affairs Administration and NIH. Her current research interests are in imaging surveillance following treatment for lung cancer and cancer survivorship. She is a member of the National Lung Cancer Roundtable of the American Cancer Society serving as Chair of the Task Group on Lung Cancer in Women. She also serves on the Board of Directors of the Society of Thoracic Surgeons. As an educator, Dr. Backhus is the Associate Program Director for the Thoracic Track Residency and is the Chair of the ACGME Residency Review Committee for Thoracic Surgery.

 Phillip Goodney MD, MS (@DartmthSrgHSR) is a vascular surgeon, health services researcher, Vice-Chair of Research in the Department of Surgery, Director of the Center for the Evaluation of Surgical Care at Dartmouth (CESC), and Co-Director of the VA Outcomes Group at Veterans Affairs Medical Center in White River Junction, Vermont. His research interests include outcomes assessment using both quantitative and qualitative methods, clinical trials, patient preferences, and shared decision making. He received a Career Development Award from the National Heart, Lung, and Blood Institute in 2010, the Lifeline Research Award from the Society for Vascular Surgery (SVS), and research funding from VA HSR&D, PCORI, FDA, and others. He was elected to the American Surgical Association in 2016 and serves on multiple editorial boards of surgical, cardiovascular, and health services journals. 

Background

• The U.S. Public Health Service Syphilis Study at Tuskegee
• American Eugenics and Forced Sterilization
• The Story of Henrietta Lacks
• Johns Hopkins NP Colonoscopy Training

Additional Resources: 

• Warren et al. (2020) “Trustworthiness before Trust — Covid-19 Vaccine Trials and the Black Community.” NEJM, 383(22)
• Blanchard et al.(2020)  “A Sense of Belonging.” NEJM, 383(15): 1409–1411
• Armstrong et al. (2007) “Racial/Ethnic Differences in Physician Distrust in the United States.” AJPH. 97(7): 1283–1289.
• DeShazo, Richard D. (2020) The Racial Divide in American Medicine: Black Physicians and the Struggle for Justice in Health Care. University Press of Mississippi. 
• Jacobs et al. (2006) “Understanding African Americans’ Views of the Trustworthiness of Physicians.” JGIM. 21(6): 642–647
• Frakt, Austin. (2020) “Bad Medicine: The Harm That Comes From Racism.” The New York Times.
• Tweedy, Damon. (2016) Black Man in a White Coat: a Doctor's Reflections on Race and Medicine. Picador,
• Armstrong et al. (2013) “Prior Experiences of Racial Discrimination and Racial Differences in Health Care System Distrust.” Medical Care. 51(2): 144–150
• Greenwood et al. (2018) “Patient–physician gender concordance and increased mortality among female heart attack patients” PNAS. 115(34): 8569-8574.
• SVS Foundation VISTA Program

Host Introductions

• Imani McElroy, MD, MPH (@IEMcElroy) is a general surgery resident at the Massachusetts General Hospital in Boston, MA.
• Reginald Nkansah, MD (@NkansahReginald) is a first-year vascular surgery resident at the University of Wahington in Seattle, WA.

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Follow us on Twitter @audiblebleeding

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

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

Dr. Gloviczki YouTube Video

• Update on workforce diversity in vascular surgery (Editor’s Choice)
• Society for Vascular Surgery femoral runoff score is associated with limb-based patency after aortofemoral bypass (CME)
• Primary mechanism of stroke reduction in transcarotid artery revascularization is dynamic flow reversal
• Comparison of surgical versus percutaneously created arteriovenous hemodialysis fistulas   

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In this month’s episode of our JVS - VL Editor’s Choice series, Jacob, Joshua, and Andrew discuss July’s selected articles with Editor-in-Chief of the JVS, Dr. Peter Gloviczki.

Dr. Gloviczki YouTube Video

Articles Discussed:

• Risk factors for acute kidney injury after pharmacomechanical thrombolysis for acute deep vein thrombosis (Editor’s Choice and CME)
• Hypersensitivity reaction after cyanoacrylate closure of incompetent saphenous veins in patients with chronic venous disease: A retrospective study
• The randomized, controlled ATLANTIS trial of aquatic therapy for chronic venous insufficiency
• Adjunctive techniques to minimize thrombotic complications following microfoam sclerotherapy of saphenous trunks and tributaries   

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This year marks the 75th Anniversary of the Society for Vascular Surgery. This year's Vascular Annual Meeting will also be a very welcome return to in-person meetings after the pandemic.  Sharif and Fanny chat with the co-Chairs of the Program Committee for the VAM, Dr. Andy Schanzer and Dr. Matt Eagleton, to give us a preview.

Dr. Andres Schanzer is a Professor of Surgery and Chief of the Division of Vascular and Endovascular Surgery at the University of Massachusetts Memorial Medical Center and University of Massachusetts Medical School in Worcester, Massachusetts, with a secondary appointment as Professor of Quantitative Health Sciences.  He serves as the Director of the UMass Memorial Heart and Vascular Center and is the founding Director of the UMass Memorial Center for Complex Aortic Disease. He serves as the national principal investigator for the United States Fenestrated and Branched Endograft Research Consortium. This is his first year as co-Chair of the Program Committee for the Vascular Annual Meeting of the Society for Vascular Surgery.

Dr. Matthew Eagleton is the chief of the Division of Vascular and Endovascular Surgery at Massachusetts General Hospital and co-director of the Fireman Vascular Center  leading a multi-disciplinary team interested in the management of vascular disease. Dr. Eagleton’s clinical and research interests are focused on the pathobiology and endovascular treatment options for complex aortic disease. Dr. Eagleton has served in a variety of national organizations including the Vascular and Endovascular Surgical Society and the Society for Vascular Surgery. This year, he is completing his tenure as Chair of the Program Committee for the Vascular Annual Meeting of the Society for Vascular Surgery.

Dr. Fanny Alie-Cusson is joining us today for her first interview as part of the Audible Bleeding family. She is an Assistant Professor of Vascular Surgery at the University of Pittsburgh Medical Center.

Click here to register for VAM21

See the VAM21 program here

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.

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

Dr. Lawrence YouTube Video

• Characterization of syndromic, nonsyndromic familial, and sporadic type B aortic dissection (CME and Editor’s Choice)
• Outcomes after transfemoral carotid artery stenting stratified by preprocedural symptom status
• Long-term symptom improvement and health-related quality of life after operative management of median arcuate ligament syndrome

The 4th article for this month, Sex-related disparities in intervention rates and type of intervention in patients with aortic and peripheral arterial diseases in the National Inpatient Sample Database, is discussed in a separate “Meet-the-Author” episode with first author Dr. Katharine McGinigle. Check it out here. 

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

Help us improve through our ALL NEW Listener Survey!

Follow us on Twitter: @AudibleBleeding