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Professor Chris Imray is a consultant vascular, renal transplant and trauma surgery at the University Hospitals Coventry & Warwickshire NHS Trust in Coventry, UK. He is also an Honorary Professor at Warwick Medical School, Coventry and Exeter Universities and immediate Past President of the Vascular Society of Great Britain and Ireland.

Professor Imray has combined his love of mountaineering with clinical vascular surgery - he is involved in a number of polar medicine societies and is a world expert on the management of frostbite and non-freezing cold injuries. He has conducted research into hypoxia and ischemia at altitude and has published extensively.

His personal accomplishments include a wide range of expeditions across the globe, from the sea cliffs of the Outer Hebrides in Scotland to the volcanoes of Chile and, most notably, to the summit of Everest.

Useful links:

Selected papers about altitude / extreme medicine:

• Femoral stabs at 8400m with the lowest recorded ABGs: Grocott et al. Arterial blood gases and oxygen content in climbers on Mount Everest. N Engl J Med. 2009 Jan 8;360(2):140-9.
• Transcranial Doppler at 8000m, with novel insights: Wilson et al Cerebral artery dilatation maintains
  cerebral oxygenation at extreme altitude and in acute hypoxia--an ultrasound and MRI study. J Cereb Blood Flow Metab. 2011 Oct;31(10):2019-29.
• Novel insights from Everest (8000m) confirmed:
  • Sagoo et al. The use of MR to investigate the potential mechanisms involved in the development of high altitude cerebral oedema. J Cereb Blood Flow Metab. 2016 Jan 8. pii
  • Wilson et al.  The cerebral venous system and anatomical predisposition to high altitude headache. Annals of Neurology 2013
  • Wilson and Imray. The Cerebral Venous System and
    Hypoxia. J Appl Physiol. 2015 Aug 20:jap.00327.2015.
• The effect of altitude on the brain: Wilson et al.  The cerebral effects of ascent to high altitudes. Lancet Neurol. 2009 Feb;8(2):175-91.
• Women are at least as strong as men on hyper-endurance events: Hattersley et al.  A comparison of the metabolic effects of sustained strenuous activity in polar environments on men and women. Sci Rep. 2020 Aug 17;10(1):13912.
• Evidence-based guidelines on the management of frostbite:
  • McIntosh et al. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite: 2019 Update. Wilderness Environ Med. 2019 Jul 17. pii: S1080-6032(19)30097-3.
  • Handford et al. Frostbite: a practical approach to hospital management. Extrem Physiol Med. 2014 Apr 22;3:7.
• Collaborative teamwork gives the best results: Fisher et al. Pedicled Abdominal Flaps for Enhanced Digital Salvage After Severe Frostbite Injury. Wilderness Environ Med. 2019 Mar;30(1):59-62.

Other useful resources

• Information on the management of frostbite: 
  https://www.thebmc.co.uk/how-to-get-expert-frostbite-advice
• Oxford Handbook of Wilderness and Expedition Medicine: https://oxfordmedicine.com/view/10.1093/med/9780199688418.001.0001/med-9780199688418
• Media appearances by Prof Imray:
  • Radio: http://news.bbc.co.uk/today/hi/today/newsid_9722000/9722707.stm
  • Television: BBC Panorama: Horizon Doctors in the death zone: http://www.bbc.co.uk/sn/tvradio/programmes/horizon/broadband/tx/everest/
• Polar medicine / extreme environment and research organisations:
  
  • https://worldextrememedicine.com/products/courses/polar-medicine/polar-medicine-norway/
  • https://www.rgs.org/in-the-field/advice-training/expedition-medicine-(1)/committee-members/
  • https://www.rgs.org/in-the-field/advice-training/resources-for-expeditions/global-polar-altitudemetabolic-research-registr/
  • https://bmrescouk.wordpress.com
  • https://www.xtreme-everest.co.uk/Scientific-Strategy-Group

The Vascular and Endovascular Research Network (VERN) COVER Study (COVID-19 Vascular sERvice Study): https://vascular-research.net/projects/cover-study-covid-19-vascular-service-study/

To learn more about The Rouleaux Club, visit http://rouleauxclub.com

February 17th, 2021

We are very excited to have three guests on the podcast to discuss the new Society for Vascular Surgery Learning Management System. 

Dr. Kellie Brown is a Professor of Surgery and Radiology in the Division of Vascular and Endovascular Surgery at The Medical College of Wisconsin and the Chief of Vascular Surgery at the Zablocki VA Medical Center. She is the Program Director for the Vascular Surgery Fellowship at the Medical College of Wisconsin. She is the Chair of the Education Committee for the Society for Vascular Surgery. 

Dr. Rabih Chaer is a Professor of Surgery in the Division of Vascular Surgery at the University of Pittsburgh, as well as the Program Director for the Vascular Integrated Residency and the Chief of Vascular Surgery at UPMC Presbyterian. He is the Chair of the Education Council for the Society of Vascular Surgery.

Lisa Cohen is the Director of Education and Professional Development for the Society of Vascular Surgery.  She is currently the Co-Chair of the Medical Specialty Society Section of the Alliance for Continuing Education in the Health Professions.

Log on to the SVS Education portal here. 

Submit your feedback on the SVS Education portal here: [email protected]

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Dr. Todd Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders in the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma.

Dr. Marlin “Wayne” Causey is a Lieutenant Colonel in the US Army and the Chief of Vascular Surgery at Brooke Army Medical Center.

Dr. Kevin Kniery is a vascular surgeon at Brooke Army Medical Center.

Seminal Papers in Blunt Thoracic Aortic Injury

• AAST 1997 Paper: https://pubmed.ncbi.nlm.nih.gov/9095103/
• AAST 2008 Paper: https://pubmed.ncbi.nlm.nih.gov/18545103/
• JVS 2011 Paper: https://pubmed.ncbi.nlm.nih.gov/20974523/
• Timing of repair of BTAI JVS 2020: https://www.jvascsurg.org/article/S0741-5214(20)31575-5/fulltext

Dr. Ben Starnes’ podcast on Behind The Knife on BTAI: https://bit.ly/2LuycWq

Mr. Paul Blair graduated Queens University Medical School in 1982, became consultant vascular surgeon and director of trauma at the Royal Victoria Hospital in Belfast, Northern Ireland, in 1995, and subsequently rose to the clinical director for vascular and plastic surgery at the Royal Victoria Hospital and president of the Vascular Society of Great Britain and Ireland in 2014/2015.  He has an international reputation and is widely published in carotid body tumor surgery and vascular trauma, in addition to having a very busy clinical practice.  He has recently retired from the National Health Service but continues to work clinically and is the public health lead for the Northern Ireland AAA screening program. 

Useful links:

• Further reading on the Northern Ireland Troubles: Bardon, Jonathan.  A History of Ulster.  Newtownards, Blackstaff Press, 2005.
• Earnshaw JJ. The Indication for Elective Repair of Abdominal Aortic Aneurysm Should Be Reviewed. Eur J Vasc Endovasc Surg. 2021 Jan;61(1):7-8. doi: 10.1016/j.ejvs.2020.09.001. Epub 2020 Sep 12. PMID: 32933823.
• Barros D’Sa A.  Twenty five years of vascular trauma in Northern Ireland.  BMJ 1995;310:1. PMID:  7827542

To learn more about the Rouleaux Club, visit: http://rouleauxclub.com/

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February 2nd, 2021

The Society for Vascular Surgery has created a branding tool kit which is available exclusively and at no cost to SVS members. It is designed to help vascular surgeons communicate our role in comprehensive vascular care. We are excited to have Dr. Joseph Mills on to discuss the genesis and development of the branding initiative, as well as Dr. Linda Harris and Dr. Kathryn Bowser to discuss its implementation in their practices. To learn more, register here for the upcoming Branding Toolkit Town Hall (Thursday, Feb. 4th, 2021, at 6pm CST)

Branding and Valuation Tools

How to Use the Branding Tool Kit Platform

View the September 17th Town Hall: Putting the New SVS Branding Toolkit to Use

Dr. Bowser's website

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

Dr. Lawrence YouTube Video

• The value of the modern vascular surgeon to the health care system: A report from the Society for Vascular Surgery Valuation Work Group (Editor’s Choice)
• Dual fluoroscopy with live-image digital zooming significantly reduces patient and operating staff radiation during fenestrated-branched endovascular aortic aneurysm repair (CME)
• Performance of Viabahn balloon-expandable stent compared with self-expandable covered stents for branched endovascular aortic repair
• Increased mortality with paclitaxel-eluting stents is driven by lesion length

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Kush Sharma and Ash Mansour of Michigan State University sit down to discuss Upper extremity arterial pathology for the VSITE and board review.  

January 20th, 2021

Become a JVS Intern!

We are excited to announce a fantastic educational opportunity for vascular trainees! The Journal of Vascular Surgery is initiating an internship program geared at both senior integrated vascular residents and vascular fellows. The program is designed for those who have an interest in learning the JVS Journals review and editorial process. The goals of the program are to teach the next generation of vascular surgeons how to be good reviewers of clinical and basic scientific research papers and to diversify the reviewer pool to better reflect practitioners in the field, and the patients we care for. Interns will be mentored by senior editorial staff throughout the process and will be expected to review a select number of papers and produce at least one co-authored commentary.

Application: Interested residents, fellows should email the following items to [email protected], attention Dr. Ulka Sachdev, by February 1, 2021. 

1. Curriculum vitae 
2. Recommendation letter from a clinical or research mentor highlighting the applicant’s potential to contribute to the goals of the journals review process 
3. A statement of interest (not to exceed 500 words) which highlights the applicant’s career goals and commitment to dissemination of knowledge across a broad spectrum of experiences 
4. A statement from either the program director or Chief of the Division affirming that the trainee has adequate time to fulfill the goals of the program

Full details of the program can be found here.

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January 18th, 2021

Dr. Sachdev-Ost graduated from medical school at Icahn School of Medicine in New York City, where she stayed to complete both her general surgery residency and vascular surgery fellowship. During her residency she also completed 2 research years in basic science at Mount Sinai and Rockefeller University studying platelet-leukocyte interactions in vascular disease. She then went on to UPMC in 2006 as a surgeon-scientist, where she also secured an independent R01 grant in 2018. Dr. Sachdev heads a research lab that focuses on the role of Toll-like receptors in angiogenesis and muscle regeneration. She is currently the site chief of vascular surgery at Magee Women’s Hospital, the associate program director of the vascular surgery residency and fellowship at UPMC and was recently appointed as an associate editor for clinical research focused on diversity, equity and inclusion at JVS.

Useful links:

Dr. Sachdev-Ost Editorial “Moving ahead”: https://www.jvascsurg.org/article/S0741-5214(20)32361-2/fulltext

Recruiting women to vascular surgery and other surgical specialties: https://www.jvascsurg.org/action/showPdf?pii=S0741-5214%2812%2901613-8

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Dr. Bajakian and Dr. Katib discuss part two of Peripheral Arterial Occlusive Disease (PAOD) focusing on Chronic Limb Threatening Ischemia