APDVS responds to #Medbikini, re-avows commitment to diverse workforce

Vascular surgery took the national stage during the last week of July as outraged medical professionals across the country responded to a visual abstract...

Vascular fellow: ‘Keeping your head down does not save you from...

Pain is often fully experienced in isolation. It’s these experiences that serve as some of the most defining moments in life. The history of...

‘I cannot remove my black skin’: Perspective of a vascular surgery...

For each of the past 10 days, I’ve woken up and asked myself the same questions: Do I matter? Does my life have as...

Virtual catch-up: Vascular surgery and coming around to telemedicine

Remote treatment of patients, so-called telemedicine, has been around since the 1940s, when it was first used for transmission of radiology images. In later...

To drain or not to drain? That is the question

Improvements in techniques of distal organ protection decreased the risk of spinal cord injuries (SCIs) from 30% to <5% with open repair of extent...

Embracing new definition of healthcare as digital age confronts holdouts

There is no doubt that the COVID-19 pandemic has challenged our healthcare system like nothing before. We have confronted other diseases like influenza, tuberculosis,...

Medical care in time of coronavirus: Handling patients without COVID-19

The patient was thin, pale and clearly frightened, although he tried not to show it. With poor English skills, he patiently sat on the...

SVS needs assessment survey: Evaluating impact of COVID-19 on vascular surgery

The COVID-19 pandemic has stressed the healthcare workforce with unprecedented challenges, the like of which has not been experienced in a century. In response,...

COVID-19: Socially distant yet never closer

We certainly live in interesting times—times in which social distancing has literally become the new normal. COVID-19 came to the United States quietly and...

Wellness: Of dreaming in blood and the ‘moral injury’ contained in...

Have you ever “dreamt in blood”? A vivid, waking nightmare that reminds you of exsanguinating hemorrhage that can’t be stopped? I have. An Iraqi...

Advocate or adversary? Perils baked into the relationship between physicians and...

Patients with complex illnesses may not be eligible for hospital admission unless their diagnoses meet InterQual Criteria or Milliman Care Guidelines—hurdles patients must first...

Letter from Seattle: Amid COVID-19 pandemic, time to act is long...

SEATTLE—We live in unprecedented times. On Jan. 19, patient zero arrived in the United States at Seattle-Tacoma International Airport after returning from a visit...

Early adaptation of SVS, STS TBAD joint document will drive robust...

The Society for Vascular Surgery (SVS) and the Society of Thoracic Surgeons (STS) recently published a joint document on reporting standards for type B...

How will coronavirus impact medical education?

The meeting, the seminar and the symposium: Collectively, this triumvirate of forum types forms one of the core elements of postgraduate medical education. These...
x-ray image below knee amputation or BKA amputation

Deploying robust, detailed SVS VQI data to help better define role...

In December 2018, the Journal of the American Heart Association published “Risk of death following application of paclitaxel‐coated balloons and stents in the femoropopliteal...

Latest edition of USPSTF guidance produces essential reiteration, continuing to leave...

The United States Preventive Services Task Force (USPSTF) recently released an update to their 2014 abdominal aortic aneurysm (AAA) screening recommendations. The update is...
Richard Neville

Global vascular guidelines for CLTI are gaining traction but work remains...

The application of new global vascular guidelines for chronic limb-threatening ischemia (CLTI) provides an opportune and worthwhile window to revisit the concept of critical...
John F Reidt velasquez

PEARLS: A mnemonic to help handle adversity

There is accumulating evidence that adverse clinical outcomes have a negative impact on the clinician. As vascular surgeons, we are particularly vulnerable to feelings...

A call to address sexual harassment and gender discrimination in medicine

PART I Reports of sexual harassment and gender discrimination have dominated news headlines, and the #MeToo movement has brought the scope and severity of discriminatory...
Tan Siang Yong

Legal duty to nonpatients: Driving accidents

Question: Driver D strikes a pedestrian after losing control of his vehicle from insulin-induced hypoglycemia. Both Driver D and pedestrian were seriously injured. Driver...

Who’s increasing health care costs? Not us!

Determining who is responsible for the increase in health care cost in the United States has seemingly limitless possibilities. There are enough culprits to...

The paclitaxel paradox

As medical editor of Vascular Specialist, it has always been my hope to use our excellent reporters and rapid production schedule to keep readers...

Patient, heal thyself!

Octavio has prostate cancer. His prostate growth is large but localized. “What do your doctors suggest?” I asked him. “They sent me to two specialists at...

Patients who want to make you retire, and how to cope

I was at a meeting in Orlando, sitting in the front row. The speaker was a former Disney executive who was telling us how...

Commentary: Should AVFs be ligated after kidney transplant?

Hemodynamic complications of arteriovenous (AV) access are uncommon but can be potentially life threatening. Fistulas and grafts can cause a decrease in systemic vascular...

Commentary: Bias rules

Bias can be defined as a prejudice or a preformed inclination. Bias is reflective of one’s inherent mind set about any thing, concept, ideology,...

Commentary: Physician burnout: It’s good to complain

Burnout among vascular surgeons and other physicians is a serious national epidemic that needs immediate attention by senior policy makers and health care leaders....

What I learned from Navy SEALs about resilience

In 2017, the National Academy of Medicine recognized the urgent need to address burnout, wellness, and resilience in physicians. A consortium was subsequently put...

Terminating an employee

I’ve written more than once about the private practitioner’s least favorite task. Most physicians find it so objectionable that they will tolerate marginal employees...

Understanding the terminology of gender identity

TRANSforming Gynecology is a column about the ways in which ob.gyns. can become leaders in addressing the needs of the transgender/gender-nonconforming population. We hope...

Medical ethics and economics

The balance between medical research and the pharmaceutical world has always been unsettling. The recent spate of articles in the press reporting the large...

Some patients leave a scar on you

Every surgeon has experienced the anguish of an adverse outcome. The elective aneurysm that dies on the table, the asymptomatic carotid patient that has...

Reflections on women in surgery

As I reflect upon the past year, 2018 has certainly made a mark for addressing burnout among medical professionals, enforcing wellness, and targeting implicit...

Burnout

Having taken the SVS “burnout” survey, I felt that it really never got into the “whys” of what was making individuals burn out. It...

The SVS is working for you on burnout

Following a series of Vascular Specialist pieces highlighting the crisis of surgeon burnout and the unique challenges that face vascular surgeons, the SVS Wellness...

Physician value thyself!

The Merriam-Webster dictionary defines value as “the regard that something is held to deserve; the importance, worth, or usefulness of something” and “relative worth,...

Continuous certification – Not just one more hoop to jump through

Maintenance of Certification (MOC) is an American Board of Medical Specialties (ABMS) requirement for their 24 member boards. The MOC process has received much...

Guest editorial: Best of both worlds

Within 3 minutes of the car engine rumbling to a roar in the morning air, cruise control is set, freshly ground coffee is in...

Should toe amputation be delayed in diabetic patients with osteomyelitis?

Amputation: Resistance is not futile! What’s in a toe you may ask? Why worry about saving it? Just amputate and move on ... Dr. Issam Koleilat Not...

We need to reassess our primitive understanding of the venous system

If one includes the entire spectrum of venous disease, it is a more common pathology than peripheral arterial disease. The financial impact of venous...

Risking it all on the miracle of teamwork

On Feb. 4, 2018, with his team narrowly leading the New England Patriots in Super Bowl 52, Philadelphia Eagles head coach Doug Pederson made...

Preventive health: Getting rid of the middleman (uh-oh, that’s us!)

As physicians, we find that preventive health is, frankly, really difficult. It requires thinking about a changing list of recommendations unprompted by the symptoms...

Point/Counterpoint: Should FEVAR be used for a short neck?

FEVAR is generally the best option The advent of endovascular aortic aneurysm repair (EVAR) has steadily become the standard of care in the management of...

CMS clinical trials raise cardiac mortality

Nearly 2 years ago I speculated in this column that health planners or health economists would attempt to manipulate the patterns of patient care...

Carotid-axillary bypass for revascularization of the left subclavian artery in zone-2...

Stent-graft coverage of the left subclavian artery (LSA) is often performed during TEVAR treatment of thoracic aortic pathologies and, consequently, debranching of the LSA...

Tips and Tricks: Dealing with a troublesome peritoneal dialysis catheter

When faced with a poorly performing or nonfunctional peritoneal dialysis catheter, there is a very simple trick to make laparoscopic exploration easier. Prep the...

Tips and Tricks: Using a ‘Roman sandal’ after compartment syndrome treatment

Compartment syndrome is a common complication after revascularization for acute lower extremity ischemia. Treatment with four compartment fasciotomy can result in significant morbidity, with...

Shinal v. Toms: It’s Now Harder to Get Informed Consent

Question: Which of the following statements regarding Shinal v. Toms, a recent landmark decision on informed consent, is correct?: A. The case was heard in...

Letters to the Editor: ‘Endo hubris’ – We got...

To the Editor: Thank you for your article, “Endo Hubris.” Your observations raise many deeper issues in our specialty of vascular surgery. It appears we...

Points/Counterpoint: Should surgeons operate on functional tricuspid regurgitation?

Yes, functional TR is worth repairing (David H. Adams, MD) Functional tricuspid regurgitation is a common finding in patients undergoing degenerative mitral valve repair. Severe...

Mitigating Burnout – Part 3

It is easy to look at the changes required to mitigate burnout and improve compassionate care and see the burden being placed mainly on...

Special Report II: Tackling Burnout

Last month, we introduced the epidemic of burnout and the adverse consequences for both our vascular surgery patients and ourselves. Today we will outline...

Hard road disproving that statins make you dumb

The impact of lipid-lowering drugs on patients’ mental states was on the minds of many attendees at the American College of Cardiology’s annual meeting...

Taking a leap of faith

After a grueling first two years of surgical residency, I welcomed with open arms my surgical research years. Junior surgical residency was arguably the...

Upper arm loop grafts

Many forearm loop grafts have multiple outflow interventions before failure. These angioplasties and outflow stents create inflammation around the vein just above the antecubital...

Point/Counterpoint: Is endograft PAA repair durable?

Endovascular repair is durable Endovascular repair of popliteal artery aneurysms is vastly superior to all other previous techniques of popliteal aneurysm repair. Half of all...

Open vs. endovascular for chronic mesenteric ischemia

Chronic mesenteric ischemia is best treated in an open operation. Chronic mesenteric ischemia is a rare disorder accounting for about 1 out of 100,000 admissions.1...

The PERT Movement – Vascular surgeons must answer the call

Pulmonary embolism (PE) is the third most common cause of cardiovascular death in the United States and remains the most common preventable cause of...

Point/Counterpoint: Is limb salvage always best in diabetes?

Salvage limbs at all costs Aggressive limb salvage in people with diabetes leads to an overall reduction in cost not only economically, but also from...

SVS (Specialty of Vascular Surgery): Why, How, and When

The November 2016 issue of Annals of Vascular Surgery was devoted entirely to the history of the American Board of Vascular Surgery (ABVS) and...

Antibiotic resistance remains a challenge for hospitals

The Centers for Disease Control and Prevention just released a surveillance report describing national estimates of antimicrobial resistance among health care–associated infections (HAIs) in...

Idle intravenous catheters are associated with preventable complications

Intravenous catheters (ICs) are common and necessary for inpatient care. However, peripheral and especially central venous catheters (CVCs) are associated with increased risk for...

How to write a manuscript for publication

Writing should be fun! While some may view writing as painful (i.e., something you rather put off until all your household work, taxes, and...

Residency is like an IRONMAN

At the end of my junior surgical residency years, I was in a pretty bad physical and mental space. With resident coverage shortages, long...

Should clopidogrel be discontinued prior to open vascular procedures?

The continued use of perioperative clopidogrel is appropriate Surgeons have always worried about bleeding risks for procedures we do. Complex vascular procedures are further complicated...

Commentary: INR instability in the NOAC era

Progress in the development of new oral anticoagulants (NOACs), as well as agents for their reversal, has lowered the threshold to use these therapeutics...

Commentary: Should board exams include a technical skill assessment? A European...

The incidence of vascular diseases is steadily increasing because of an aging population. Vascular surgery is the only specialty that can offer all modalities...

Tips for using EMRs effectively

All young physicians are adept at using electronic medical records. Do you agree? If so, you’d be wrong. It’s true that young, so-called “digital-native”...

A welcome addition

On behalf of the SVS Publications Committee I am delighted to announce the appointment of Malachi Sheahan, III, M.D., as Associate Medical Editor of...

Why be a vascular surgeon?

This edition of Vascular Specialist is being published early to coincide with the VAM. Since medical students will be attending the meeting I thought...

The end of polypill – statins for everyone

At a time when therapeutics is emphasizing personalized therapy, it is reassuring that someone is interested in the big picture. Treating a single patient...

General surgeons getting less vascular training

Vascular surgery fellow case logs reflect an increase in endovascular interventions, but general surgery residents may be missing out on training opportunities, according to...

Transitions

A few years ago I accepted an offer to work in a small community hospital. It was the only medical facility in a small...

Present vascular surgery challenges are magnified in our emergency rooms

The historical successes of emergent vascular care are known to many. The role vascular surgeons have played in providing experienced care in emergent situations...

Disappearing Act

By now you must be tired of my rants about other specialties making inroads into our “turf.” But a brochure came across my desk...

The ‘Silent Minority’

In May, Rebecca (Becky) Maron CAE, the first Executive Director of the Society for Vascular Surgery, is retiring. Becky played a pivotal role in...

Vascular Surgery Chronicles: Charles Lindbergh and Alexis Carrel: Strange Bedfellows

How does one of the smartest and most well-known men of his time become almost forgotten in history? Dr. Alexis Carrel’s contributions to medicine...

Elections?

The SVS is currently soliciting nominations for election to the positions of VP, Treasurer, and Secretary. Because this is an election year in the...

Law & Medicine: Which doctors get sued?

Question: Doctors are more prone to lawsuits if they: A. Have been sued before. B. Spend fewer dollars per hospitalized patient. C. Show poor communication skills. D. A...

Vascular surgery – it’s personal

Let’s get personal for a moment. The next time you walk past your local cancer center, pay attention to the signs, the branding, and...

Dealing with adversity in vascular surgery

Adversity is part of life and everyone must deal with it. How one manages adversity matters, separates the winners from the losers, and is...

Why you need a new SVS tie or scarf

Congratulations! You noticed that Vascular Specialist has a new look. And with your well-honed powers of observation you also noticed the inauguration of the...

Vascular: The Final Frontier – Pushing vascular science where no science...

Space is truly a magical place, enchanting philosophers, scientists, artists and dreamers. From ancient civilizations that found pantheons of gods among the stars, to...

Mischief Maker

There is a woman whose mischief is causing me a whole lot of problems. Now, I don’t want you to think that I’m a...

Analysis finds 28.8% prevalence of depression in residents

The estimated prevalence of depression or depressive symptoms was 28.8% among residents and interns worldwide in a meta-analysis of 54 studies of the issue,...

Brothers and sisters, unite!

In this month’s Vascular Specialist, there are two letters to the editor that seem to imply a division in the SVS membership. The letters...

I’m having an identity crisis

I’ve described my nightmares before. But they are becoming more frequent. Night after night I would see myself in an operating room or Endo...

The pros and cons of novel anticoagulants

Novel anticoagulants will likely replace need for vitamin K antagonists BY MADHUKAR S. PATEL, M.D., AND ELLIOT L. CHAIKOF, M.D. The discovery of oral...

Using a retrojugular approach to the carotid

Carotid endarterectomy is one of the most common operations for vascular surgeons. The standard approach, anteriorly, requires division of the facial vein, frequently additional...

From the Editor: The elephant in the operating room

Once again hospital administrators in their never-ending quest to reduce expenditures have placed vascular surgeons at a disadvantage. First they reduce the inventory of...

The six Ps of vascular surgery

Vascular Surgery has evolved to balance clinical medicine, open and minimally invasive surgical interventions, and innovation into a unique career where technological advancement is...

Witch hunts and hidden agendas

Witch hunt: An intensive effort to discover and expose disloyalty, subversion, dishonesty or the like, usually based on slight, doubtful or irrelevant evidence, and...

‘Medicar’– shared decision making? part III

Recently, my daughter asked my opinion of a salesperson’s suggestion that she spend extra for additional safety features on a new car she was...

From the Editor: Knights of the Rectangular Table

In my past editorials I have made it abundantly clear that I believe that vascular surgeons, like the Knights of the Round Table in...

From the Editor: What’s in a name? In the case of...

It is apparent from the many letters I have received as medical editor of Vascular Specialist that vascular surgeons are disappointed that our patients,...

Medicare at 50: Physicians brace for transition to value-based payment

As Medicare celebrates its 50th anniversary, federal officials are beginning one of the most significant shifts in the program’s history – paying physicians based...

Shared decision making? Part two

In a previous editorial I outlined the problem with performance measures that demand that we incorporate the patient into our decision-making process. From the...

From the editors

Editor’s Note: The associate editors of Vascular Specialist were asked to provide their perspectives on the stenting controversy. Here is a selection. Dr. Frank J....

More on the PAD stenting issue

I suspect that most members of the SVS are aware of the recent New York Times article entitled “Medicare payments surge for stents to...

Private-academic surgeon salary gap raises concerns Lifestyle choice important Not just...

LAKE BUENA VISTA, FLA. – Academic surgeons earn an average of 10% or $1.3 million less in gross income across their lifetime than surgeons...

Letters to the Editor

Editors note: The following are a selection of responses from the SVS membership sent to Dr. Peter Lawrence based upon his article in a...

Using the gracilis muscle flap

Muscle flaps have come to play an invaluable role in the management of complex groin wounds (Figure 1). We have found that the gracilis...

The 10,000-hour rule

In 2002, the Accreditation Council for Graduate Medical Education, or ACGME, rocked traditional residency training paradigms by proposing a regulated residency call schedule.1 Revised...

From the editor: New column launches

This month we are introducing a new feature in Vascular Specialist – a column on medicolegal matters. After all there are few issues that...

Reducing radiation exposure

SCOTTSDALE, Ariz.– “It’s surprising to me today, when I go proctor or watch a case, how people don’t understand the impact of radiation,” Dr....

Shared decision making?

Recently I read a blog by Dr. Ira Nash at the blog site, KevinMD, where Dr. Nash suggests that it behooves physicians to fully...

Residents reluctant to recommend DNR to patients

BOSTON – Medical residents in the United States appear to understand that cardiopulmonary resuscitation or intubation is highly unlikely to benefit patients with advanced...

TLR – Target lesion recurrence

In November I attended the VEITHsymposium in New York. Almost 600 experts from around the world gave lectures on every aspect of vascular surgery....

Some things vascular surgeons should know that they don’t learn in...

All vascular surgeons want to be good doctors and to take the best possible care of their patients. They, therefore, train diligently and strive...

Reduced resident duty hours haven’t changed patient outcomes

Patient mortality and morbidity outcomes have not changed since the most recent round of reforms to medical residents’ duty hours in 2011, according to...

Last night I had a nightmare

In the dream I had an asymptomatic 5.7-cm juxtarenal abdominal aortic aneurysm. Like most of my patients I also had a 70% left internal...

EVAR vs. open repair for rAAAs

Although some vascular surgeons are convinced that endovascular aneurysm repair (EVAR) is superior to open repair for the treatment of ruptured abdominal aortic aneurysms...

Point/Counterpoint: Is TEVAR required for all Type B aortic dissections?

Yes, TEVAR is clearly indicated. Aortic dissection is a devastating condition afflicting an estimated two to eight per 100,000 people annually and comprises a large...

Helping history come alive online in Vascular Specialist

Medical history is more than just the praise of great heroes and heroines and the nearly mythical stories of serendipitous discovery and invention. It...

Pioneer Heart Surgeon, Dr. Michael DeBakey

Dr. Michael Ellis DeBakey, pioneer heart surgeon and medical device innovator, died July 11, 2008 in Houston, about 2 months shy of his 100th...

Pioneers of Heparin

The ready availability of nearly unlimited quantities of biologically-based drugs such as heparin is something that is taken for granted nowadays, such that massive...

Alexis Carrel, the “Father of Anastomoses”

In the first years of the 20th century, Dr. Alexis Carrel (1873-1944) introduced three-point end-to-end vessel anastomosis, a technique that revolutionized vascular surgery. His...

Valentine Mott and the Innominate Artery

Well before the American Civil War, without benefit of anesthetics and without antiseptics, Dr. Valentine Mott performed some of the first successful operations on...

Five reasons physicians will use mobile health for patient care

Mobile health technologies will become a part of the health care landscape for all stakeholders at some point. Other sectors of society currently cannot...

Steps to incorporate business knowledge into the medical school curriculum

Declining reimbursements, health care law changes, and increased costs means the modern physician needs to have knowledge in business, law, and medicine. In today’s...

The ‘I’s have it: Ethics and the vascular community

Who in their right mind would organize the main event of a surgeons’ convention around the topic of unnecessary procedures? Surely this would almost...

IIb or not IIb?

I must admit that Shakespeare was not one of my favorite subjects at school. However, his words have relevance to some of my thoughts...

Crawford Forum: Are procedures overused?

BOSTON – This year’s F. Stanley Crawford Critical Issues Forum, titled "Appropriate Use of Vascular Surgery Procedures: Do We Have a Problem?," was a...

Just do it?

The typical American world view has always extolled the virtues of positive thinking. From the pilgrim fathers to the Western settlers, we pursued goals...

What would Charles Darwin say about collaborating with and training other...

Vascular surgery has evolved from a limited subspecialty of general and thoracic surgery into a complex and well-defined specialty. The introduction of endovascular treatments...

Residents, postop complications linked

BOSTON – Resident participation in emergency general surgery cases was independently associated with a host of complications – pulmonary embolism, surgical site infections, and...

COMMENTARY: How and why to perform research as a trainee

"Why do I need to do research if I'm going into private practice anyway?" I have heard this question multiple times throughout my career...

‘Walk out the snot’

Balloon embolectomy revolutionized the treatment of acute thromboembolism involving peripheral arteries. However, an often overlooked method that actually may be more beneficial is to...

What happened to 5-year outcomes?

I recently returned from Professor Roger Greenhalgh's excellent Charing Cross meeting in London. A plethora of exciting new developments was presented to almost 4,000...

The USPSTF says ‘Don’t do it’

The United States Preventive Services Task Force (USPSTF) recently issued a draft document recommending against screening for carotid artery disease in asymptomatic patients. The draft...

The ACA, the private practice of vascular surgery, and SVS: A...

As I view the implementation of the Patient Protection and Accountable Care Act (ACA), I am concerned that this bureaucratic, administrative, directive-driven apparatus will...

A band of brothers and sisters

In this online issue of Vascular Specialist, we mourn the passing of five pioneer vascular surgeons. One of these, Dr. James DeWeese, worked with...

Percutaneous closure

Editor’s Note: I urge readers unfamiliar with the Perclose Proglide® device to pay special attention to the instructions for use and to follow them...

Yes, give more patients statins

The question of whether or not to give more healthy patients statin drugs is one of considerable interest to the public and much debate...

Challenges in Training: Open repair in 2020

Since FDA approval of endovascular aneurysm repair in 1999, the management of abdominal aortic aneurysms has transformed. Only 5.2% of AAAs were repaired by...

‘Anti-Semantic’

I am ashamed to admit this, but I think I am becoming an "anti-semantic!" Surely it is scandalous that an editor is beginning to...

Invisible ink

Sometimes I feel like I am writing in invisible ink. I write these editorials but I have a feeling no one is actually reading...

How To Maximize a Minimal Incision

Mini-incision carotid surgery was first reported (not necessarily performed) by Ascher et al. in 2005. In light of this report and an ever-growing patient...

Welcome Our New Resident Editor

We are pleased to have Dr. Sapan S. Desai come on board as our Resident/Fellow Editor for the next year. Dr. Desai was selected...

Calling SOS — Save Our Saphenous!

For a specialty with less than 5,000 members in the United States, vascular surgery certainly has an abundance of societies – SVS, SAVS, ISVS,...

Veith’s Views: The Blacksnake Phenomenon

Two young men went camping in the wilderness. One of them went off to gather firewood. He returned an hour later, staggering, badly battered,...

‘That 5% Thing’

On a recent flight back from Europe I had a most unsettling but thought provoking experience when I watched the Oscar-winning foreign movie "Amour." You...

Ten tips for chronic venous ulcers

The underlying pathophysiology of chronic venous insufficiency is complex and involves many factors. Studies have shown that average venous ulcers may need 6-12 months...

Democracy – best, but only if….

A stated goal of the United States is to support and promote democracy throughout the world. This seems reasonable, because democracy has often worked...

From the Editor: Let the ‘Sunset Act?’

The Physician Payment Sunshine Act is now in place, and I’m concerned that it may become the "Sunset Act" since it may be another...

Keep RUC in mind

In July, the Society for Vascular Surgery sent requests to its members to complete surveys regarding the work involved with creation, revision, and thrombectomy...

Stopping the ooze

Many of us will do anything or use any product available to stop oozing from suture needle holes. After all, waiting for bleeding to...

SVS Resident Research Prize given to AAA study

Dr. Nathan D. Airhart, Washington University School of Medicine, St. Louis, was the recipient of this year’s SVS Foundation Resident Research Prize Paper, which...

Forecast from your new editor

I am extremely thrilled to be named the new editor of Vascular Specialist. Uniquely unblemished by commercialism, Vascular Specialist has provided updated information with...

Veith’s Views: Second opinions are overrated

A middle aged man goes to his primary care physician for his annual check-up. Because of an abnormal physical finding or laboratory test, he...

Professional Courtesy

In an early Peanuts cartoon Charlie Brown asked Linus what he wanted to be when he grew up, and Linus replied that was going...

Kudos to our departing Medical Editor, Dr. George Andros

Dr. George Andros, departing Medical Editor of Vascular Specialist, was presented with a Presidential Citation Award by Dr. Peter Gloviczki in recognition of his...

Ancient Aneurysms

Before anesthetics, before antibiotics, before surgery had even become a scientific discipline, surgeons throughout history did not shy away from the treatment of aneurysms,...

Questions on OECs

Several months ago we asked our readers to respond to an eleven-part questionnaire dealing with outpatient endovascular centers (OECs). Forty-three of you took the...

The FREEDOM trial: Is it sui generis?

I have never understood how the cardiology community is able to organize so many excellent trials while vascular surgeons struggle to complete a small...

Veith’s Viewpoint: Good doctor, good medical care: priceless

Today all we hear about is the high cost of U.S. health care, and how for our country to survive economically, it must cut...

Vascular Chronicles: EVAR: 20 years in North America

The first endovascular treatment of an abdominal aortic aneurysm (EVAR) in North America was performed 20 years ago last November. Dr. Juan Parodi, Dr....

Endovascular Therapy First for All CLI?

The Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease (TASC I), published in January 2001, resulted from cooperation between fourteen medical, radiological...

Welcome to our Online Edition and a New Voice

This issue's editorial is a calling card by our newest editorial board member, Dr. Joseph Mills of the University of Arizona. Demography is destiny....

The Affordable Care Act: Oversight on Providing for Graduate Medical Education

For more than 50 years, the federal government has accepted the responsibility for financial support of graduate medical education. Legislation passed during the 1960s...

General Residents See Fewer Aortic Surgeries

MILWAUKEE – General surgery residents in a community-based residency program experienced a significant 49% decline in open aortic surgeries over the last decade, an...

Solving the Surgical Workforce Dilemma

"For every complex problem, there is an answer that is clear, simple, and wrong." – H.L. Mencken Every time I think about trying to solve the...

The Prince of Surgery: Sir Astley Cooper

Imagine ligating an arterial aneurysm in the early 1800s, when clipper ships were the fastest mode of transport. Thomas Jefferson was still President and...

Primary Care Physicians Don’t Get Patients Well

(Editor's Note: Read Dr. George Andros' introduction to this installment of Veith's Viewpoint.) The Affordable Care Act (ACA) has the laudable goals of extending health...

Who Gains, Who Pays?

Once you’ve read this month’s Veith’s Viewpoint, you will see it doesn’t shy away from topical and highly controversial realities that will come into...

Outpatient Endovascular Suites: Are They Good for the Patient or the...

Vascular surgeons, as well as related specialists, have increasingly become involved in the ownership of outpatient endovascular suites as proprietors (individual or partnered with...

Welcome to the August Online Issue: Take the SVS Survey

When the Society for Vascular Surgery (SVS) was approached to become involved in assessing vascular out-patient centers (OEC) the Clinical Practices Committee (CPC) convened...

Rudolph Matas, M.D.

Rudolph Matas, M.D, is yet another of the famous surgeons of the past 2 centuries to whom the sobriquet "father of Vascular Surgery" has...

John Hunter and the Vasculature

"If Hunter were to return to life, nothing, I believe, would grieve him so much as the fact that tying the femoral artery where...

E. Stanley Crawford

Ernest Stanley Crawford (1922-1992) was an internationally renowned cardiovascular surgeon whose greatest technical work involved innovative surgical techniques in the treatment of complex aortic...

Michael E. DeBakey

Dr. Michael Ellis DeBakey, pioneer heart surgeon and medical device innovator, died July 11, 2008, in Houston, about 2 months shy of his 100th...

Applying Education Theory to Vascular Training

Citing a revolution in the way surgeons learn their craft, Dr. Erica L. Mitchell and Dr. Sonal Arora present an analysis of vascular training...

Veith’s Viewpoint: Vascular Surgery and Creativity

Vascular surgery is an exciting field. It also faces enormous challenges. These include a difficult economic climate and intense competition from other specialties, both...

Dealing With the Disruptive Surgeon

"Get this thing out of my operating room! The colon stapling device exploded into pieces when I hurled it against the operating room wall." Most...

Veith’s Viewpoint: Extend and Fix the Sunshine Act, or End It

The Affordable Care Act (ACA) has the laudable goals of extending health care insurance coverage and reducing overall health care costs. However, hidden in...

Veith’s Viewpoint: The Vascular Disease Paradox

Vascular patients who most need treatment are often difficult and risky to treat by open operation or an endovascular intervention. In contrast, patients who...

February Fix-Up

Welcome to the February online edition of Vascular Specialist. We all had hoped for more but had to settle for another temporary fix to the...

Einstein’s Aneurysm: Of Cellophane and Rudolph Nissen

In December 1948, Dr. Rudolph Nissen, later famed for his esophageal surgery technique called fundoplication, operated on Albert Einstein, at the Jewish Hospital in...

‘Our What’s In It For Me’ Society

These are hard times for the United States. Our economy is floundering. Unemployment is high. Bankers and financiers seem to be getting away with...

A Thoughtful December

Welcome to our December Online issue. I hope you all have a happy holiday season and as prosperous a new year as Congress will...

Editor’s Diary

A vascular surgeon friend from the Midwest recently stopped by my office here in Southern California. His visit gave me a chance to compare...

Introducing Our New International Editors

If our readers have any doubt, all they need do is casually scan the program for the recent VAM in Chicago or examine the...

Can RCTs be Misleading and Biased?

Randomized controlled trials (RCTs) constitute level 1 evidence, which is widely considered the best data upon which to base medical practice. This is particularly...

APDVS: Tapping the Minds of Vascular Trainees

CHICAGO – Vascular surgery trainees are increasingly turning to online texts for clinical information and seek more training on the business aspects of vascular...

Impact of Fellowship Programs on Residents’ Case Logs Examined

BOCA RATON, FLA. – Coexisting subspecialty fellowship programs have at most only minimal adverse impact on general surgery residency training operative volumes, according to...

Vascular Surgery Chronicles

Ernest Stanley Crawford (1922-1992) was an internationally renowned cardiovascular surgeon whose greatest technical work involved innovative surgical techniques in the treatment of complex aortic...

About The Residents’ Forum

With this issue, we begin a new column which we have chosen to call Residents' Forum. We hope that Vascular Residents, Fellows, and others...

Fear and Loathing on the Interview Trail

As we strive to provide the most advanced care possible to our patients with vascular disease, there is one area of our practice that...

Vascular Surgery Chronicles: Michael E. DeBakey

Dr. Michael Ellis DeBakey, pioneer heart surgeon and medical device innovator, died July 11, 2008, in Houston, about 2 months shy of his 100th...