The Society for Vascular Surgery (SVS) is seeking volunteers to serve on a task force focused on population health. Applications are due by Oct. 8. The Society has identified a need to explore the strategic role of vascular surgery in achieving...
"Surgery is only part of our story." Or as SVS Public and Professional Outreach Committee chair Joseph Mills, MD, recently put it in a recent SVS Town Hall on branding: "We're the only specialty that really is a vascular surgeon,...
To deliver clinical and cost benefits, leg ulcer care pathways should be revised to include early assessment and treatment of superficial venous reflux, researchers behind a recent Journal of the American Medical Association (JAMA) Surgery study suggest. The investigators set...
New SVS president Ronald L. Dalman, MD, has several initiatives he’d like to see move forward during the year of his presidency. These include a number of areas members have found challenging. “We put together the Crawford Forum ...
Vascular surgery in the Veterans Health Administration has always been a robust service, developing into a mature specialty around the time of the Vietnam conflict. Over the years, many have called into question the quality of care within the...
The success of the Society for Vascular Surgery (SVS) in its many missions is driven by the passion and commitment of its members. Each year, the Appointments Committee seeks to fill committee and council positions with member volunteers who...
Robert W. "Bob" Gore, PhD, the man behind expanded polytetrafluoroethylene (ePTFE) and chairman emeritus of the W.L. Gore & Associates board of directors, has died. He was 83. A seasoned inventor and leader at the global materials science company behind...
Open repair of aortic aneurysms is associated with higher long-term survival in patients who fall outside the confines of endovascular aneurysm repair (EVAR) instructions for use (IFU), and should therefore be favored over EVAR among this cohort, the annual...
The explantation of aortic endografts—associated with high postoperative morbidity, particularly in patients with infected grafts—can be carried out with a low mortality rate, a new single-center study reveals. Mohammad Khasawneh, MD, a vascular surgery fellow at the Mayo Clinic in...
Vascular surgeons are being encouraged to take consideration of a set of talking points about the risks and benefits of paclitaxel-equipped devices—which has developed by a multispecialty panel of medical societies—in discussions with their patients. The document is the work...
During a storied career, Norman M. Rich, MD, carved out a reputation as a pioneering vascular surgeon—drawing distinction for the creation of the Vietnam Vascular Registry database of vascular trauma injuries. As a major during the Vietnam War, he was...
The first patient has been recruited into a trial investigating the BeGraft peripheral plus stent graft system (Bentley InnoMed) as a dedicated bridging stent in branched endovascular aortic repair (BEVAR) for the treatment of complex aortic aneurysms. It represents the...
A recent perspective published in the Annals of Surgery—which argued the shift toward endovascular care had led to a deficit in open surgical experience among the emerging cadres of trainees, impacting the treatment of vascular trauma injuries—has drawn broad...
In this supplement: Frank Arko, MD, discusses his experience with intravascular lithotripsy (IVL) and considers its value in a resource-constrained healthcare environment Andrew Holden, MBChB, and George Adams, MD, outline the benefits of fracturing intimal and medial calcium with IVL,...
A majority of vascular surgeons are in pain after a day of operating—with open and endovascular surgery identified as the types of intervention causing the greatest level of suffering from work-related discomfort, according to a study recently published in...
The recent furor over the article published in the Journal of Vascular Surgery (JVS) about unprofessional behavior among recent vascular surgery trainees occasioned a discussion between myself and my daughter, an exceptionally bright and perceptive young lady aged 23...
The Society for Vascular Surgery (SVS) has honored three members in community practice for their leadership of patients and their local communities, as well as exemplary professional practice and leadership. Recipients of the Excellence in Community Service Award, in...
The #Medbikini campaign spread like wildfire following the publication of the journal article in question. Reading the manuscript seemed like we crossed the threshold of Lewis Carroll’s looking glass into a bizarre, flipped universe of odd definitions of professionalism,...
Increases in cigarette taxes appear to be an effective strategy to cut active smoking among patients who are undergoing interventions for intermittent claudication, the New England Society for Vascular Surgery (NESVS) virtual annual meeting (Sept. 11–12) heard. That was the...
Clockwise from top left: Roger Greenhalgh, Martin Funovics, Rodney White, Ali Azizzadeh and Frank Vermassen Polling at CX Aortic Vienna points to a high level of vigilance over radiation exposure during endovascular aneurysm repair (EVAR). This was among the messages...
The 2021 Vascular Annual Meeting—to be held June 2 to 5, 2021 in San Diego—will be a celebration as well as an educational and networking event, as members break out the party hats and noisemakers to mark the 75th...
The American Venous Forum (AVF) is to stage a four-part series of educational sessions running the gamut of venous disorders aimed at residents, fellows and early-career practitioners in vascular surgery, interventional radiology and a host of other specialties. The live,...
An ad hoc, two-year analysis of the EffPac study found no signal of increased risk of long-term mortality, nor any adverse events, within two years of drug-coated balloon (DCB) angioplasty using a Luminor-35 device (iVascular). This was the conclusion presented...
Researchers from the University of Minnesota unveiled new data supporting televascular consultations as a viable solution to the shortage of vascular surgeons in rural parts of the United States during the Midwestern Vascular Surgical Society (MVSS) annual meeting held...
This interview continues our series of conversations with national vascular surgery leaders based on topics from the Kouznes and Pozner book “The Truth About Leadership.” This column highlights evidence-based behaviors on how to make a change stick. Amy Reed, MD,...
Coding for aneurysm repair, for catheterization, for lower-extremity amputation. Information on modifiers, not to mention reimbursement appeals. And don't forget new guidelines for Evaluation and Management (E/M) codes that take effect Jan. 1 next year. Attendees of this year’s...
The IN.PACT Admiral drug-coated balloon (DCB) demonstrated a significant advantage in overall survival, amputation-free survival and target-lesion revascularization after femoropopliteal artery treatment through four-year follow-up when compared to uncoated balloons, a single-institution, retrospective review that tackled a head-to-head comparison...
The next in the succession of Society for Vascular Surgery (SVS) Town Halls is coming up next week, focusing in on the branding of the field of vascular surgery—an area highlighted in this year's E. Stanley Crawford Critical Issues...
Dear editor: Submitted with little fanfare to the Society for Clinical Vascular Surgery (SCVS) in July of 2019 and accepted later that year in October, an article entitled “Prevalence of unprofessional social media content among young vascular surgeons” was...
Time marches on. Time heals all wounds. If I could turn back time. All of these may be true—but in the case of the SVS ONLINE virtual meeting, people can turn back time, in a fashion. Registrants certainly can...
There are many strategies people have for surviving turbulent times. At times like these, I am often asked for advice by younger vascular surgeons, trainees or colleagues. Typically, I respond with a question: Are you following your personal mission...
In the ascending aorta session at CX Aortic Vienna, presentations focused on various treatment options, including frozen elephant trunk (FET) and endovascular intervention. The panelists emphasized the scarcity of data in this zone and called for data gathering. Simultaneously,...
For most patients with critical limb-threatening ischemia (CLTI), Medicare reimbursement for lower extremity bypass surgery does not adequately account for case complexity in the compensation of vascular surgeons, a study published in the September issue of the Journal of...
Society for Vascular Surgery (SVS) members can help in the fight against announced reimbursement reductions included in the calendar year 2021 Medicare Physician Fee Schedule (PFS). One of the best ways is by lobbying your local member of Congress....
They are the sort of cuts the Society for Vascular Surgery (SVS) says will have a massive impact on vascular surgery practices for years to come. The recently released Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule...
In this issue: Special report—"Action plan: How to help halt sharp cuts to Medicare" (p. 1 and 4–5) "Artery-to-vein AVF technique found to improve hemodynamics, increasing maturation and patency" (p. 9) "Local matters: Three community service honorees in profile"...
A multidisciplinary limb preservation service under the leadership of vascular surgery in a level one trauma center was associated with an immediate and rapid decline in the number of amputations performed for all indications, including trauma, acute limb ischemia...

VESAP5 available for purchase

The fifth edition of the Vascular Educational Self-Assessment Program (VESAP), with a substantially enlarged section on vascular ultrasound and imaging, is now available for purchase. And because of the existing financial stresses and increased demand for online learning, SVS...
Call it a VISION for improving patient care by being able to see how specific hospitals or institutions perform in terms of long-term patient outcomes following endovascular aneurysm repair (EVAR). VISION is the vascular implant Surveillance and Interventional Outcomes...
This time last year, the ranks of vascular surgery were gearing up to head for points East, West, Midwest and Northeast as the slew of key regional meetings that take place in the early fall entered their viewfield. But like...
The inaugural CX Aortic Vienna meeting will be livestreamed Sept. 8–11 to an international, online audience, and will include registrant participation, interaction and polling. The program will focus on all matters aortic—from the aortic valve to the iliac arteries. All...
A disproportionately higher percentage of women are affected by depressive symptoms when they seek specialty care for new or worsening peripheral arterial disease (PAD) symptoms, with rates almost twice that observed in men, according to a new study published...
A recent systematic review showed that randomized trials comparing different types of peripheral endovascular arterial intervention have a high level of heterogeneity in their antithrombotic regimens. It also revealed an increasing trend for use of dual antiplatelet therapy post...
A new study carried out on both patients and rats shows that artery-to-vein configuration of arteriovenous fistulae (AVF) improves hemodynamics and decreases hyperplasia in the case of the latter, and leads to longer-term patency with reduced reintervention rates in...
Just-published six-month results of the IN.PACT AV Access study show that drug-coated balloon (DCB) angioplasty is superior to standard angioplasty for the treatment of stenotic lesions in dysfunctional hemodialysis arteriovenous fistulas (AVFs). Furthermore, it was found to be non-inferior...
How is your coding knowledge shaping up at present? Are you up to date on modifiers and how to apply them, changes in CPT (Current Procedure Terminology) and Medicare? Do you know the correct coding for key endovascular and...
The Society for Vascular Surgery (SVS) Coding Committee is best known for its work developing CPT (Current Procedural Terminology) codes, recommending physician work relative value units (RVUs) as well as working to address Medicare payment issues. However, the committee...
His was the golden age of vascular surgery, said Robert B. Smith III, MD, recipient of this year’s SVS Lifetime Achievement Award. And he enjoyed every moment of it, including getting in on the ground floor of the specialty...
A new study has found several racial disparities after mechanical thrombectomy for stroke with respect to post-procedure management and outcomes. Vineeth Thirunavu of Northwestern University Feinberg School of Medicine, Chicago, presented the data at the Society of NeuroInterventional Surgery’s...
Our great specialty and the patients we serve face an impending critical shortage of vascular surgeons in the decade ahead. The Association of Program Directors in Vascular Surgery (APDVS) and the Society for Vascular Surgery (SVS) have recognized this...
ID3 Medical Belgium has announced the first two enrollments in the SUPERSURG study to investigate the safety and efficacy of Abbotts’ Supera peripheral stent system versus surgical endarterectomy in treating patients with common femoral artery disease, with and without...
Recent months have yielded a conversation on systemic racism perhaps unlike any other before. We’ve learned about how it manifests across society, how it impacts those on the receiving end, and how it can appear in subtle guises, including...
The Journal of Vascular Surgery August issue featured a paper whose findings established a significant number of faculty of vascular surgery training programs had experienced workplace sexual harassment after an anonymous survey. “Gender disparity and sexual harassment in vascular surgery practices,”...
Some of the formative educational experiences described by Olamide Alabi, MD, read like textbook examples of the subtleties many see as baked into U.S. society, multiplying down the years as the very face of systemic racism in the country. These...
In a vascular surgery career spanning 20 years, Vincent Rowe, MD, has seen it all: Tending to patients at bedside, the vascular surgical services chief at Los Angeles County + USC Medical Center has had his very presence as...
Carotid endarterectomy (CEA) has a small but significant effect on stroke prevention through eight years compared with no surgery, investigators who carried out a cohort analysis in a large integrated health system found. A research team led by Robert Chang,...
For vascular surgeon and research scientist Elsie Gyang Ross, MD, the world of data science might hold some of the answers to the kind of healthcare disparities on which the current cultural climate has refocused minds. Ross, an assistant professor...
Andrew Gonzalez, MD, had a heart for underserved and under- resourced communities embedded early. The son of a pediatric hematologist mother who worked at Cook County Hospital in Chicago for 31 years, his mom spent a lot of her...
A recent study, published online in the European Journal of Vascular and Endovascular Surgery (EJVES), found that regional anesthesia alone is reasonable for major lower extremity amputation (LEAMP) in high-risk patients, and may initiate a more efficacious enhanced recovery program than...
Data from a new study carried out in Texas found disparities in those undergoing early carotid revascularization along gender, race and ethnic lines. A research team from Baylor College of Medicine in Houston demonstrated that women are less likely to...
In this special SVS ONLINE review issue: "Unveiling an AI-driven risk stratification tool to attain better stroke prediction" (p. 1) "COVID-19 survey: Support of hospitals and societies 'paramount' to promoting well-being of vascular surgeons" (p. 4) "CEA provides inhibitive...
In this issue: A special cover story featuring the latest science and key profiles—"Diversity, equity and inclusion: Disparities in medicine and vascular surgery" (p. 1 and 3–9) Medical editor Malachi Sheahan III, MD, on professionals and professionalism amid the...
Due to restrictions on live gatherings that are expected to remain in effect, the 2020 Coding & Reimbursement Workshop will be held online. Through a series of interactive webinars, the program will be converted completely to a virtual event...
The proposed Medicare Physician Fee Schedule Rule for 2021 was released Aug. 3 by the Centers for Medicare and Medicaid Services (CMS), revealing vascular and general surgeons face a projected 7% reduction in Medicare payments. The rule includes proposals to...
A recent study examining the effect of operative approach on outcomes in patients presenting with ruptured abdominal aortic aneurysm (rAAA) demonstrated clear short- and midterm survival benefits of endovascular repair over an open approach. The authors—Linda J Wang, MD, of...
On March 19, 2019, I sat in the audience of the scientific sessions at the Annual Meeting of the Society for Clinical Vascular Surgery (SCVS). I was there with two of my trainees who were eagerly waiting to present...
From Aug. 15 to 30, UCLA will hold its Fifth Annual UCLA/SVS Symposium: A Comprehensive Review and Update of What's New in Vascular and Endovascular Surgery. Given the circumstances of COVID-19, the program will be held virtually as a...
In early June, the Society for Vascular Surgery (SVS) Resident and Student Outreach Committee held the SVS Pathways to Vascular Surgery Practice 2020: "Planning Your Career in Vascular Surgery Practice" webinars. This program was developed specifically for general surgery...
It’s one of the most intractable areas of focus in all of vascular disease, and the source of—inarguably, Brajesh K. Lal, MD, emphasizes—the most intensely studied vascular surgical procedure anywhere in the sphere of the specialty. And for some...
Routine ultrasound-guided percutaneous transluminal angioplasty (PTA) is a feasible treatment for native arteriovenous fistula (AVF) dysfunction, according to a recent study by Antonio Granata, MD, of “Cannizzaro” Hospital, Catania, Italy. The findings were published online on 25 July in...
Vascular surgery took the national stage during the last week of July as outraged medical professionals across the country responded to a visual abstract posted on Twitter which highlighted a study recently published in the Journal of Vascular Surgery...
A team at the University of Washington in Seattle has received a funding award through the Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington Engagement Awards program to convene a collaborative of patients with—and at risk for—aortic dissection. Led by Sherene...
Society for Vascular Surgery (SVS) president Ronald L. Dalman, MD, has pledged that the SVS and its flagship title the Journal of Vascular Surgery (JVS) will “accelerate changes already underway” in order to improve the culture surrounding the specialty and...
A higher rate of stroke has been reported in adults with COVID-19 compared to a cohort of patients with influenza. A retrospective study published in JAMA Neurology concludes that around 1.6% of adults with COVID-19 who visited the emergency department or...
“The relative survival benefit of EVAR over open repair has increased over time,” conclude Rens R.B. Varkevisser, BS, of Beth Israel Deaconess Medical Center, Harvard Medical School, in Boston and colleagues in the July edition of the Journal of...
Women living with HIV who reported a high burden of psychosocial risk factors like symptoms of depression, stress and post-traumatic stress disorder (PTSD) were more likely to have prevalent subclinical atherosclerosis compared with those indicating a low burden, a...
The seismic impact of the novel coronavirus on vascular surgery across the globe continues to be absorbed. Practice changed, and the specialty pivoted to meet the challenges posed head on. In the May issue of Vascular Specialist, we explored...
COVID-19 has changed our world and surgical practices as vascular surgeons. We have been faced with unforeseen challenges, and the professional impact has been global. Elective procedures, the staple of our practice, have been indefinitely canceled and delayed. Clinics...
Following on from part one of our June issue special report in which we explored global perspectives on how vascular surgeons were coping with the COVID-19 pandemic in its earliest stages, in part two we hear from specialists in...
A new study shows significant benefits of the Ellipsys vascular access system (Avenu Medical) in easily and safely creating durable vascular access for end-stage renal disease (ESRD) patients who require hemodialysis.  The system also offers a standardized process for using...
Bluegrass Vascular Technologies has announced the publication of the results of its prospective, multicenter SAVE-US (Surfacer system to facilitate access in venous occlusions—United States) study in the Journal of Vascular Access. The Food and Drug Administration (FDA)-approved investigational device exemption...
Coaching, institutional and cultural changes, advocacy, identifying issues and banding together all can play a part in vascular surgeons’ avoiding burnout and achieving wellness. These were among the themes to come out of Invited Session 6, "Enhancing wellness in...
Responses to the COVID-19 pandemic practice, anxiety, coping and support survey for vascular surgeons, recently presented in a Special Scientific Session on COVID-19 during SVS ONLINE on June 27, reveal higher anxiety and stress levels in vascular surgeons worried about the negative consequences...
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 race cannot be recounted without sorrow. It remains a constant reminder of our differences, a...
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 much value as that of anyone else? I haven’t had positive answers to these questions. Not...
An often omnipresent culture of white male representation in medical schools could "lead even the most well-meaning students to perpetuate healthcare disparities in their future practices," a recent perspective published in the New England Journal of Medicine argues. LaShyra Nolen,...
Like most older surgeons, my residency and trauma fellowship years at Grady Hospital— part of Emory University School of Medicine—remain a blur. With frequent, every-other-day 24-hour call, this coincided with the first three years of my oldest child's life. As...
In this issue: A Vascular Specialist special report, introduced by medical editor Malachi Sheahan III, MD, focuses on vascular surgery's role in facing up to a difficult national conversation on race and discrimination: "Cultural reckoning: Confronting systemic racism" (p....
The third-generation Anaconda endograft from Terumo Aortic provides “high technical success” as well as “satisfactory” five-year aneurysm exclusion and clinical success rates, a French multicenter prospective observational study has found. The investigators note that longer-term results with new generation endografts are “essential” due to a...
Large abdominal aortic aneurysm (AAA) repair is associated with higher adjusted five-year mortality, reintervention and rupture rates after endovascular aneurysm repair (EVAR)—but not after open repair, a prize-winning paper at the recently concluded SVS ONLINE digital conference concluded. Nevertheless, an...
Submissions to the Journal of Vascular Surgery (JVS) publications have skyrocketed over the course of 2020, increasing 78% thus far this year. Part of the increase is due to a surge in COVID-19 manuscripts, which accounted for 12% of...
It’s among the most topical areas of discussion in current U.S. cultural life: Black people face disparities in terms of healthcare outcomes. And the recently concluded SVS ONLINE digital conference produced fresh research in the affirmative. Data presented during Scientific...
The SVS ONLINE conference may be firmly fixed in the rearview mirror but attendees are now staring down the barrel of the deadline for Continuing Medical Education (CME) and Maintenance of Certification (MOC) self-assessment credits obtained through participation in...
Recent times have wrought a potent cocktail of cultural disarray on the psyche of the United States. In medicine and vascular surgery, this confluence of events has been acute. First COVID-19 halted elective surgery, bringing the specialty to a...
The American Heart Association (AHA) and the International Society on Thrombosis and Haemostasis (ISTH) issued a joint scientific statement July 8 outlining research priorities in the field of venous thromboembolism (VTE). “At the fundamental research level (T0), researchers need to...
A recent study on iliac vein stenting showed lower long-term patency rates for women when compared to their male counterparts. The data were presented on June 24 at SVS ONLINE during the Vascular and Endovascular Surgical Society (VESS) session....
The Society for Vascular Nursing (SVN) 38th Annual Conference—a virtual meeting—will be held from 6 to 9:30 p.m. Central Daylight Time Wednesday, July 15. In addition to live presentations, including the keynote address, SVN also is offering a number of...
The Society for Vascular Surgery (SVS) notched up plenty of firsts this year with its virtual meeting, SVS ONLINE: "New Advances and Discoveries in Vascular Surgery." These include the mere presentation of the first virtual meeting, of course, said Matthew...
What’s ahead for vascular surgery? Many changes, both possible and confirmed, according to the final SVS ONLINE session, “Assuring quality in vascular surgical care: The future of center, program and surgeon accreditation” held July 2. Society for Vascular Surgery (SVS)...
Endologix has announced that, after evaluating a variety of strategic options, it has initiated a voluntary Chapter 11 case and simultaneously filed a consensual plan of reorganization supported by Deerfield Partners as its largest creditor. According to a press release,...
SVS ONLINE—the virtual meeting staged by the Society for Vascular Surgery (SVS)—may be completed, but the Vascular Quality Initiative (VQI) virtual sessions have three more weeks of programming still to run. VQI sessions are held from 12 to 1 and...
A sirolimus-eluting balloon has been shown to be effective and safe for the treatment of vasculogenic erectile dysfunction (ED) in a first-in-man study presented at the PCR e-Course 2020 held from June 25–27. Giuseppe Sangiorgi, MD, of Clinica San Gaudienzio,...
The Society for Vascular Surgery (SVS) is calling for comments on the proposed SVS clinical practice guidelines for chronic mesenteric ischemia. Comments are sought—and should be submitted—by July 8 Development of the guidelines has been overseen by the SVS Document Oversight Committee (DOC). The SVS...
Active cannabis use disorder was associated with significantly higher odds of perioperative myocardial infarction in vascular surgery patients, researchers reveal. Furthermore, people with the disorder were far likelier to have an acute perioperative stroke diagnosis when undergoing carotid endarterectomy, according...
A new therapy of hydration and oncotic pressure of plasma helped 100% of certain elderly peripheral artery disease (PAD) patients in terms of pain, ankle-brachial index (ABI) and walking time, endovascular pioneer Juan C. Parodi, MD, said on Tuesday,...
Boston-based medical technology company Elucid Bio, maker of the Food and Drug Administration (FDA)-cleared and CE-marked vascuCAP software, announced Wednesday, July 1, that its novel artificial intelligence (AI) technology demonstrated a more than 70% improvement in accuracy of stroke...
The SVS Vascular Quality Initiative will discuss two important topics on Tuesday, July 7: quality improvement projects and the VQI, and clinical practice guidelines. Gary Lemmon, MD, will moderate the quality improvement abstracts from noon to 1 p.m. Adrian Fung, MD,...
Physicians may obtain Continuing Medical Education (CME) and Maintenance of Certification (MOC) self-assessment credits through their participation in SVS ONLINE. MOC credits require physicians to complete self-assessment quizzes first. Learn more and claim credits here.  Credits are available now and...
As SVS ONLINE: "New Advances and Discoveries in Vascular Surgery" prepares to become part of the past, the final presentation will look toward the future. It is part of the tradition of the Vascular Annual Meeting (VAM), which SVS ONLINE...
Livia de Guerre, MD, of Beth Israel Deaconess Medical Center in Boston has been named winner of this year’s poster contest. This year’s contest was held virtually as part of SVS ONLINE: "New Advances and Discoveries in Vascular Surgery." She...
Outgoing Society for Vascular Surgery (SVS) president Kim Hodgson, MD, delivered a data-driven insight into diversity within the organization during his June 20 State of the SVS address at the start of SVS ONLINE, one of his final acts...
Doctor-prescribed and -supervised exercise therapy is going digital. The Society for Vascular Surgery (SVS) will begin piloting a ground-breaking app for Supervised Exercise Therapy (SET), for at-home use by patients with peripheral artery disease (PAD). The SET App was introduced...
It was an encapsulation of the existential questions surrounding vascular surgery. And it was just as the newly installed Society for Vascular Surgery (SVS) president Ronald L. Dalman, MD, had designed. The Stanford University, California, vascular chief had intended it...
The Society for Vascular Surgery (SVS) has joined the Surgical Care Coalition as part of a show of solidarity against pending Centers for Medicare & Medicaid Services (CMS) payment cuts. News of the move was announced in a communique from...
SVS ONLINE: "New Advances and Discoveries in Vascular Surgery" offers more than just live programming. The virtual meeting also hosts OnDemand programming: more than 80 audio-enhanced posters and more than 20 on-demand lectures and videos, including the International Forum and...
The American College of Cardiology (ACC) and Society for Vascular Surgery (SVS) are collaborating on a single vascular registry to harness the strengths of both organizations in improving care and outcomes of patients with vascular disease. The Vascular Quality...
Paolo Perini, MD, of the University Hospital of Parma, Parma, Italy, told the audience of SVS ONLINE (June 20–July 2) that explantation of an infected abdominal aortic endograft is associated with high postoperative mortality and poor long-term survival. Furthermore,...
Gender-based differences driving career dissatisfaction and burnout exist, viewers of the SVS ONLINE (June 20–July 2) virtual conference heard during the William J. von Liebig Forum, the first scientific session, held on opening day. And an “alarming rate of...
Each Society for Vascular Surgery (SVS) president wishes for a memorable annual meeting, outgoing SVS president Kim Hodgson, MD, noted during his State of the SVS welcome address Saturday. Showing a picture of the animated genie from Disney’s “Aladdin,” he...
Renowned endovascular pioneer Juan C. Parodi, MD, will present the International Lecture at this year’s SVS ONLINE virtual meeting. He will deliver his address, “Treating intermittent claudication and rest pain: A new approach,” from 6:05 to 6:20 p.m. Central Daylight...
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 years, remote interaction between physician and patient was predominantly used by medical subspecialties such as...
VQI@VAM, the Vascular Quality Initiative’s annual meeting held in conjunction with the Vascular Annual Meeting, will also take a digital format in the wake of the COVID-19 pandemic VQI—which seeks to improve the quality, safety, effectiveness and cost of vascular...
Physician registrants: get a boost on collecting required continuing medical education (CME) and Maintenance of Certification (MOC) Self-Assessment credits during SVS ONLINE: “New Advances and Discoveries in Vascular Surgery.” The Society for Vascular Surgery (SVS) is accredited by the Accreditation...
The SVS Foundation Board of Directors has altered its infrastructure, including expanding the board and adding seats specifically for public members and changing the term of the Foundation chair to a three-year instead of a one-year term. Expanding the board...
Michael C. Dalsing, MD, has been chosen as the next SVS vice president, joining a line of succession that now includes new president Ronald L. Dalman, MD, and president-elect Ali AbuRahma, MD, while Keith Calligaro, MD, is the new...
As in the past few years, wellness and burnout—and how to mitigate them—remain topics of education and discussion at Society for Vascular Surgery meetings. This year, with the world in the midst of a global pandemic, is no exception. The...
Total endovascular aortic arch repair for aneurysms and chronic dissections using three-vessel inner branch stent-grafts is technically feasible and safe, a multicenter global early feasibility study finds. “Mortality and stroke rates compare favorably to reported outcomes of total open...
Endovascular aortic aneurysm repair (EVAR) conversion to open aortic repair (OAR) is now an increasingly common indication and associated with greater operative complexity. However, “decreased complication risk and comparable survival can be anticipated when patients are managed at high-volume...
Revascularization by way of carotid artery endarterectomy (CEA) is linked to significant improvements in neurocognitive function a month post- procedure across multiple domains, a July 1 scientific session will hear. Furthermore, presenting author Natalie Sridharan, MD, assistant professor of surgery...
The perfect match for an online meeting? An online planner. And it makes navigating SVS ONLINE a snap. It follows the basic outline of planners from the past few iterations of the Vascular Annual Meeting (VAM), with left-side navigation links...
Just don’t call it the Presidential Address: Instead, on Saturday, June 20, SVS President Kim Hodgson, MD, will present a “State of the SVS” address to kick off this year’s SVS ONLINE: New Discoveries and Advances in Vascular Surgery...
In a new field safety notice, the U.K. Medicines and Healthcare products Regulatory Agency (MHRA) states that a warning and clinical summary section will be added to the instructions for use (IFU) of 12 paclitaxel-coated balloons and paclitaxel-eluting stents used...
COVID-19 has altered almost all of our lives to a degree previously unimaginable. Millions of Americans continue to lose their jobs, hundreds of thousands have contracted the disease and thousands have succumbed to this virus. In hard-hit states such...
The fifth edition of the Vascular Educational Self-Assessment Program (VESAP), with a substantially enlarged section on vascular ultrasound and imaging, is on course to be introduced by Aug. 1. VESAP4 will expire on July 31. Several changes and additions, not...
SVS ONLINE will now feature a session that hones in on the coronavirus pandemic, consisting of nine talks dealing with such issues as acute arterial thromboembolism, decreased vascular surgery emergencies and the management of central venous access. The special scientific...
Society for Vascular Surgery (SVS) members voted decisively to change bylaws and permit all eligible voting members to participate in Society business decision-making. The vote came Monday, June 15, during the first session of the SVS Annual Business Meeting....
The prospect of remote stroke intervention may be the most exciting clinical application among the suite of benefits emerging from the ongoing transformation in surgical practice and education delivery, Alan Lumsden MD, the medical director of Houston Methodist DeBakey...
Improvements in techniques of distal organ protection decreased the risk of spinal cord injuries (SCIs) from 30% to <5% with open repair of extent I-II thoracoabdominal aortic aneurysms (TAAAs).1-4 Cerebrospinal fluid (CSF) drainage has been widely accepted as one...
On March 1, I drove down the Connecticut Turnpike in a rental car with my three sons. We had just left a somber family event, and I was listening to the news with eagerness as the initial COVID-19 invasion...
A novel twist to arteriovenous graft platforms—traditionally the preserve of hemodialysis—has the ability to open up a new paradigm of treatment across a host of metabolic disorders like diabetes, a study to be presented at a scientific session on...
The Vascular Annual Meeting’s scientific sessions traditionally kick off on the Thursday of VAM—opening day of the scientific sessions—with the William J. von Liebig Forum. In keeping with that scheduling, this year’s von Liebig Forum also will be presented...
Extracellular vesicles enhance deep vein thrombosis (DVT) via receptor interacting protein kinase-3 (RIPK3), the study that claimed this year’s SVS Foundation Resident Research Award found, raising the suggestion of a causal relationship between necroptosis and hypercoagulative states seen in...
CX 2020 LIVE’s Vascular Access Consensus panel, including (clockwise from top left): Roger Greenhalgh, Nick Inston, Domenico Valenti, Robert Jones, Robert Shahverdyan and Jennifer Hanko The CX 2020 LIVE Vascular Access Consensus session sparked global interest, with chair Nick Inston (Birmingham,...
The Vascular and Endovascular Surgery Society (VESS) takes center stage at SVS ONLINE: "New Advances and Discoveries in Vascular Surgery," on Wednesday, June 24. From 1 to 4 p.m. CDT, VESS, the Society for Vascular Surgery's longtime partner for the...
In this special SVS ONLINE preview issue: SVS president-elect Ronald L. Dalman, MD, runs through how he brought together this year's Crawford Critical Issues Forum (p. 1) Vikram Kashyap, MD, and Matthew Eagleton, MD, detail how the SVS Postgraduate...
In this issue: Special report: Vascular surgeons from across the world report on their early experiences dealing with the COVID-19 pandemic (p. 1 and 4–9) Nicholas J. Morrissey, MD, details the dark days of his time on the ground...
The Society for Vascular Nursing’s 38th Annual Conference is going virtual, from 6  to 10 p.m. Wednesday, July 15. In addition to a series of live presentations, SVN also will offer a number of accompanying on-demand sessions. The meeting kicks...
Burnout in surgery residents—associated with higher levels of depression and perceived stress—may be alleviated by programmatic social events, limiting weekend work and formal mentoring programs, a study published in the American Journal of Surgery found. Matthew Smeds, MD, division chief...
Vascular surgeons from across the country are reporting health impacts on some patients—particularly elderly ones—in quarantine, the Society for Vascular Surgery (SVS) reports. The SVS queried vascular surgeons regarding their concerns for patients’ health during the pandemic and shared...
Roger Greenhalgh (top left), Stéphan Haulon (top right), Ludovic Canaud (bottom left), and Gustavo S. Oderich (bottom right) Last week, the CX 2020 LIVE agenda turned to the technically challenging topic of aortic arch interventions. Through presentations, discussion, and polling,...
Shockwave Medical has announced new Centers for Medicare & Medicaid Services (CMS) codes for intravascular lithotripsy (IVL), a procedure performed in peripheral arteries in both hospital outpatient and inpatient settings. The new Healthcare Common Procedure Coding System (HCPCS) outpatient and...
This year’s E. Stanley Crawford Critical Issues Forum is set to come full circle from its very genesis 32 years ago at the Vascular Annual Meeting (VAM) in Chicago. Now a lynchpin of the Society for Vascular Surgery (SVS) flagship...
At first there was chaos. Then came adaptation and recognition of what was coming down the pipe—followed by assimilation into a new kind of order. Now that much of the U.S. healthcare community is coming to terms with the...
Straub Medical, which manufactures, develops and sells medical devices for the treatment of arterial and venous diseases, has been acquired by Becton, Dickinson and Company (BD). Straub Medical devices are used worldwide by vascular surgeons and interventional specialists in radiology,...
The Society for Vascular Surgery (SVS) and the Association of Program Directors in Vascular Surgery (APDVS) today issued a joint statement in support of diversity as the U.S. continues to boil after African American man George Floyd died at...
A global audience tuned into the second session and inaugural aortic offering of CX 2020 LIVE. With registrations now well over 4,000, the pioneering virtual vascular conference continues to attract delegates from far and wide. In this session, presentations, polling...
A new study by researchers at the University of Maryland School of Medicine in Baltimore found that patients with an abdominal aortic aneurysm (AAA) received no benefits from taking a common antibiotic drug to reduce inflammation. Patients who took the...
It has recently come to the attention of the Society for Vascular Surgery (SVS) that many of our industry partners are generously donating equipment and products to the vascular community during the COVID-19 pandemic. To shine a light on that...
CX 2020 LIVE came to life online—despite COVID-19—using state-of-the art broadcast technology to bring together more than 1,000 vascular specialists, live, from 95 countries across the world. The first session of the highly interactive conference, designed to deliver global vascular...
Planning continues unabated for the highly anticipated SVS ONLINE, set to kick off June 20 and run through July 2 in lieu of the Vascular Annual Meeting (VAM), with registration opening June 1. Attendees can look forward to two...
Registration has opened for the 2020 iteration of the Society for Vascular Surgery's Coding and Reimbursement Workshop scheduled to take place from Sept. 25–26. Though it remains scheduled as a live event at the Hyatt Rosemont Hotel in Rosemont,...
It’s here: 2020 is year four of the Quality Payment Program (QPP), established by the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) in 2015. QPP requires that most physicians who submit claims to the Centers for...
In a recently-published study, researchers found a significant drop in acute aortic dissection cases in New York City since the beginning of the COVID-19 pandemic. The study—”The COVID-19 pandemic and acute aortic dissections in New York: A matter of public health”—has been...
Venous thromboembolism (VTE) is the leading cause of preventable hospital death in the U.S. and worldwide. A new policy statement from the American Heart Association (AHA) provides a focused review of VTE, risk scoring systems, preventive measures for the...
The next membership application deadline for 2020 is June 1. Be part of all SVS has to offer its members, including the online community SVSConnect, which has featured robust resources and conversations on COVID-19, plus free or reduced-rate subscriptions...
At one point in the COVID-19 pandemic timeline, New Orleans was in a perilous position. In late March, the Louisiana governor reported that the state bore the highest rate of growth in cases anywhere in the world—and the Big...
How do you turn a live event for thousands of participants and exhibitors into a trimmed-down, online experience? Carefully, and not easily. “We got here because COVID-19 happened,” wryly observed Matthew Eagleton, MD, chair of the Society for Vascular Surgery...
The fifth edition of the Vascular Educational Self-Assessment Program (VESAP) will be available before the beginning of August, when VESAP4 expires. The online program, with a companion app for off-line use, is designed to meet the requirements of the Vascular...
LimFlow SA today announced publication of positive two-year data from the ALPS registry of the LimFlow percutaneous deep vein arterialization (pDVA) system. Results were published online yesterday in the Journal of Endovascular Therapy and will also appear in the August print...
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, AIDS and even the opioid epidemic; but we have never before shut down the world...
The vascular surgery world has lost one of its leading lights. Herbert Dardik, MD, a giant of the specialty renowned for his innovative work on the umbilical vein graft and as a champion of emerging vascular surgeons, has died....
The Charing Cross (CX) Symposium, with its world-class faculty and unique focus on live audience participation, has announced the launch of a not-to-be missed and timely vascular and endovascular education virtual event: CX 2020 LIVE. Mark your calendars for this live...
Intact Vascular has announced the peer-reviewed publication of its Tack optimized balloon angioplasty (TOBA) III 12-month clinical trial results in the Journal of Vascular Surgery. The multi-center, single-arm, prospective study investigated the combination of the Tack endovascular system with Medtronic’s IN.PACT Admiral drug-coated balloon as...
In this issue: Special cover feature chronicling the first set of SVS Town Halls convened in the aftermath of the COVID-19 pandemic (p. 1 and 6–7) SVS president Kim Hodgson, MD, and executive director Kenneth M. Slaw, PhD, respond...
Editors across the Journal of Vascular Surgery (JVS) group of journals are staging a special webinar Thursday, May 28, at noon (EST) on hot topics of the moment in the world of vascular science. The virtual event, being hosted by...
Vascular surgeons are being encouraged to join the Society for Vascular Surgery (SVS) Wellness Task Force, fellow SVS members and SurgeonMasters on May 28 at 7 p.m. EST, 6 p.m. CST, 5 p.m. MST, 4 p.m. PST for the...
An individual patient-level data (IPD) analysis of the safety of paclitaxel-containing devices (PTXD), conducted by VIVA Physicians, identified an absolute 4.6% increased mortality risk associated with PTXD use. The analysis, based on the most complete available data set of mortality...
The new Vascular Surgery COVID-19 Collaborative (VASCC) is ready to start collecting data on two projects. The first study to emerge from the international registry, entitled "Impact of COVID-19 on scheduled vascular operations," covers five major areas of vascular practice...
Terumo Aortic has been granted Food and Drug Administration (FDA) approval for the Treo abdominal aortic stent-graft system to be sold in the U.S. The Treo, used in the treatment of patients with abdominal aortic aneurysms (AAA), is the only...
A carotid endarterectomy (CEA) carried out on a 71-year-old stroke patient who tested positive for COVID-19 is highlighted in a recent case report as an example of the procedure's safe execution under the strains of the pandemic. Tej M. Singh, MD,...
The COVID-19 vascular service (COVER) study, a multinational, prospective, observational study that is aimed at capturing the impact of the pandemic on global vascular surgery, has gained ethical approval in the U.K. and is now recruiting worldwide. An international Vascular...
As Society for Vascular Surgery (SVS) Postgraduate Education Committee chair Vikram Kashyap, MD, tells it, the organizers behind programming for the Vascular Annual Meeting (VAM) had never before been confronted with such a mammoth task. Like it did in all...
For almost the first month after COVID-19 hit New Orleans with a vengeance, vascular nurse Jayme Boudreaux, APRN, found herself largely stuck at home, desperate to redeploy in anyway she could to do her bit to help stop the...
DALLAS—William P. Shutze, MD, has not long since finished his day's practice—a shift in which he carried out somewhere in the region of 13 televisits. This is a new era for life in general as the world struggles to adjust...
The patient was thin, pale and clearly frightened, although he tried not to show it. With poor English skills, he patiently sat on the examining table trying to understand what I was saying. His wife and two small children...
Most prediction models can “reliably” identify individuals at high risk of significant asymptomatic carotid stenosis (ACS), a new study shows. Michael H. F. Poorthuis, MD, of the Clinical Trial Service Unit and Epidemiological Studies Unit in the Nuffield Department of...
An event aimed at attracting medical students to the vascular specialty has been organized by the Society of Vascular Surgery (SVS), the Vascular and Endovascular Surgery Society (VESS) and the Association of Program Directors in Vascular Surgery (APDVS). The three...
The editors of the Journal of Vascular Surgery (JVS) group of publications have launched a freely available COVID-19 collection across the JVS family of websites. SVS members can access new papers regarding personal and institutional experiences during the pandemic, brief...
Over the course of the summer, SVS ONLINE will provide attendees with an innovative program featuring both live webinars and on-demand sessions. The event will deliver scientific abstracts and an educational component focused on timely and relevant content. To address...
Unintended consequences of COVID-19 are likely to pop up in an untold number of ways. Perhaps one of them could be the more widespread use of telemedicine. That was one of the key messages delivered in the fourth of...
On 18 March, the Centers for Medicare & Medicaid Services (CMS) recommended “limiting non-essential care and expanding surge capacity into ambulatory surgical centers and other areas” to conserve resources and staff for managing COVID-19 patients. In a statement issued...
LONDON—Last week, the Charing Cross (CX) Symposium 2020 would have taken place in the U.K. capital. To mark the occasion virtually, experts from across the globe took part in a wide-ranging, informal chat to share the impact of the...
Results from a real-world experience over more than 10 years using the Endurant stent graft (Medtronic) demonstrate that it is safe and effective, with excellent long-term outcomes for abdominal aortic aneurysm (AAA) anatomy that falls both inside and...
Operating in the shadow of New York City, Clifford M. Sales, MD, has had his finger on the pulse of North America's two worst-affected regions since the scourge of COVID-19 first started to take hold locally. New York's pandemic plight...
The SVS Wellness Task Force today announced a final push for respondents to the Society's COVID-19 needs assessment survey. The initiative, designed to help better understand the concerns and needs of vascular surgeons amid the coronavirus pandemic, closes tomorrow...
Intact Vascular has announced the first commercial use of its Tack Endovascular System (4F) in multiple sites across the United States. Notably the first Food and Drug Administration (FDA)-approved vascular implant for below-the-knee (BTK), post-angioplasty dissection repair, Tack implants are...
According to a network meta-analysis, the VenaSeal system by Medtronic is “a promising therapeutic option for anatomic success at six months.” The study, published in the Journal of Vascular Surgery: Venous and Lymphatic Disorders, also highlighted the lower number...
Several of the world’s ventilator manufacturers have formed a Ventilator Training Alliance (VTA) in partnership with Allego to create a mobile app that frontline medical providers can use to access a centralized repository of ventilator training resources. The manufacturers...
Endospan was recently granted breakthrough device designation from the Food and Drug Administration (FDA) for the Nexus aortic arch stent graft system. The FDA’s breakthrough device designation program is intended to provide timely access to medical devices that have the...
If Seattle and the broader state of Washington provided the vascular care blueprint for how to proceed once the COVID-19 pandemic started to spread out to other parts of the country, it might also hold a trail of clues...
An exemplar of how surgery can best perform its role amid a catastrophic event like the COVID-19 pandemic can be found in military medicine’s response to the events that occurred on 9/11, according to an editorial written by Todd...
The impacts of the COVID-19 pandemic have landed like a sledgehammer on vascular surgery, reducing much of practice to a standstill. For those in private practice, the effects have perhaps been even more profound, with practitioners forced to all-but...
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, the vascular surgeon community has rallied together in a similarly extraordinary way—with real-time, peer-to-peer support...
The Society for Vascular Surgery (SVS) started 2020 with plans intensifying for the Vascular Research Initiatives Conference (VRIC) in May, the Vascular Annual Meeting (VAM) in June, the launch of the branding initiative, along with a host of other...
In a brief report in the Annals of Internal Medicine, Seongman Bae, MD, of the Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea, and colleagues report that neither surgical nor cotton masks appear to be...
Sharif Ellozy, MD, has had just about as near to a front row seat as it gets to the part of the United States worst-hit by the COVID-19 pandemic—short of operating as an intensive care unit (ICU) or emergency...
In this issue: Benjamin W. Starnes, MD, and Niten Singh, MD, report from Seattle in "COVID-19: Focusing minds on need to act as virus tears path across North America" (p. 1) Linda Harris, MD, gives an insight into evolving...
The Society for Vascular Surgery (SVS) Wellness Task Force has launched an anonymous member survey in a bid to better support vascular surgeons as the coronavirus pandemic continues to run rampant. The Task Force—set to become a full-fledged committee—has gone...
The objectives of this prospective, randomized, single-blind multicenter study are to demonstrate the safety and efficacy of SELUTION SLR in the treatment of failed AV fistulae in patients undergoing renal dialysis. This study will also qualify for EU MDR...
A new vascular surgery registry launched to leverage key data gathered in the thick of the COVID-19 pandemic—and aimed at helping prepare for the fallout from future outbreaks—has acquired Institutional Review Board (IRB) approval. With members spread across 30 different...

Official: SVS cancels VAM

The Society for Vascular Surgery (SVS) has officially pulled the plug on the 2020 Vascular Annual Meeting (VAM) scheduled to take place in Toronto from June 17–20 amid the continuing surge of the COVID-19 pandemic. In its place, the SVS...
Royal Philips has announced that the US government and Philips agreed to team up to increase the production of hospital ventilators in its manufacturing sites in the United States. Philips plans to double the production by May 2020 and achieve a...
Decades ago, “picture” phones were an idea straight out of science fiction. As the saying goes, the future is now. FaceTime and Skype are common; similar technology permits doctors to visit patients via telemedicine. In other health technological advancements, “wearables”...
The Global Vascular Guidelines (GVG), extensively researched and written by an international committee of leading vascular experts, will soon be available as a pocket guide. The guidelines recommend the use of the Society for Vascular Surgery (SVS) Threatened Limb Classification...
A study that set out to determine whether there was a lesser stroke or death risk by deploying transcarotid artery revascularization (TCAR) over the transfemoral approach among patients receiving treatment for carotid stenosis suggested a statistically significant advantage for...
It's an issue increasingly knocking on the door of program directors and section chiefs in hospitals across the country as COVID-19 cases escalate in their areas: the redeployment of vascular surgeons and trainees to other areas of care.  It formed...
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 then hit like a brick, creating a national emergency. It is almost difficult to remember...
PALM BEACH, Fla.— The more open aortic repair (OAR) case volume vascular surgeons take on, the more it seems to be “impactful” on OAR outcomes than a physician’s accumulated years of practice experience. The finding was revealed by Salvatore T....
Moral distress has been described as “as a phenomenon in which one knows the right action to take but is constrained from taking it.”1 Continuous exposure to moral distress leads to moral injury. The term “moral injury” was first...
PALM BEACH, Fla.—Revascularization of intermittent claudication (IC) patients is associated with an increased rate of progression to critical limb-threatening ischemia (CLTI)—as well as an increased rate of amputation. Those were the main findings of a study presented in a scientific...
The devastating effects of the novel coronavirus pandemic are multifarious and far-reaching, touching both life and limb themselves as well as less tangible aspects of daily life like economic vitality and job function. Each applies unequivocally to vascular surgeons, not...
In a new statement published on April 2, 2020, all 45 societies represented by the Council of Medical Specialty Societies (CMSS)—over 800,000 physicians—emphatically declared their belief that all frontline healthcare professionals must have access to personal protective equipment (PPE) and...
MIAMI—Data, gathered in a study on the impact of aortic neck dilation after fenestrated endovascular aortic aneurysm repair (FEVAR), show that the process does indeed occur after the procedure—but with minimal clinical implications. For principal evidence, the researchers pointed out,...
Medtronic is sharing an older version of its Puritan Bennett ventilator for free in a bid to help ramp up production of the key piece of technology in the management of respiratory illness as COVID-19 overwhelms U.S. hospitals. The medical...
The American College of Surgeons (ACS) today leapt to the defense of healthcare workers who are heading to work in the face of increasing concerns over personal protective equipment (PPE) shortages as the COVID-19 pandemic cuts trails across the...
The Society for Vascular Surgery (SVS) has placed members on notice that the Vascular Annual Meeting (VAM) slated for June 17–20 in Toronto looks increasingly “unlikely” in the shadow of the coronavirus outbreak. Writing on SVSConnect, the online community of...
Hospitals and government health departments should give careful consideration to the protection of older physicians and nurses in the face of the COVID-19 pandemic, according to a viewpoint published in the Journal of the American Medical Association (JAMA). Peter I....
The Centers for Medicare & Medicaid Services (CMS) has issued a series of temporary regulatory waivers and new rules designed to help the U.S. healthcare system respond to the COVID-19 pandemic, the federal agency announced. The actions cover increasing hospital...
AMELIA ISLAND, Fla.—As a podium talk at the annual meeting of the American Venous Forum (AVF), it represented a bit of an outlier. It was, the presenter admitted, the only non-scientific talk on the program. But the speaker was...
The imperatives of preserving personal protective equipment (PPE) in the throes of the COVID-19 pandemic were given a robust airing during a Society for Vascular Surgery (SVS) Town Hall on the specialty’s early experiences with the coronavirus strain. Some of...
The SVS Research and Education Committee and the Research Council have made the difficult decision to cancel the 2020 Vascular Research Initiatives Conference (VRIC)—a forum for cutting-edge vascular science for more than 30 years—set for May 4 in Chicago. Because...
The Society for Vascular Surgery (SVS) understands this is a very trying time for its members and hopes to provide help through various resources. On the SVS website, there is now a new COVID-19 member resources page where helpful...
HOUSTON—The picture as Jonathan Stone, MD, describes it couldn’t be more stark. Medical error, according to recent publications, he says, now sits at third place among the leading causes of death. “Right behind heart disease and cancer there is...
“More bleeding with background clopidogrel, even if not severe by adjudication, may be associated with broad consequences, including discontinuation of therapies. In the absence of clear benefit, clopidogrel exposure along with aspirin and rivaroxaban should be minimized or avoided...
STEAMBOAT SPRINGS, Colo.— Almost 90% of authors who received industry-reported payments did not disclose a financial conflict of interest in their manuscript, a study exploring the issue of compensation made to physician-specialist authors of highly-cited aortic aneurysm papers discovered. The...
In stable atherosclerosis, a combination of aspirin plus rivaroxaban provided a similar relative degree of benefit on coronary, cerebrovascular and peripheral endpoints in patients with and without diabetes, a prespecified analysis of the COMPASS trial has shown. It also...
The reputed risk of administering modern intravenous iodinated contrast media in patients with reduced kidney function has been “overstated.” That is the headline takeaway from consensus statements released by the American College of Radiology and the National Kidney Foundation on...
Treatment with aspirin plus rivaroxaban following lower-extremity revascularization in patients with peripheral arterial disease (PAD) leads to a 15% reduction in the risk of major adverse limb and cardiovascular events when compared with aspirin alone. The VOYAGER PAD study was...
Thirty-day and one-year data from the STABLE II study have been published in the April 2020 issue of the Journal of Vascular Surgery (JVS) by Joseph V. Lombardi, MD, professor and chief of vascular surgery at Cooper University Hospital, Camden, New Jersey,...
Vascular Specialist medical editor Malachi Sheahan III, MD, is no stranger to national and international emergencies—from New York City during both the 1990s AIDS crisis and the terrorist attack on 9/11, to New Orleans during Hurricane Katrina in 2005....
Efforts and resources should be directed toward continuing randomized clinical trials in spite of the specter of the coronavirus pandemic. This is because of the potential of such studies to help millions of people suffering from debilitating chronic diseases,...
The Society for Vascular Surgery (SVS) is a "solidly built bridge" across the troubled waters of the coronavirus pandemic, president Kim Hodgson, MD, today proclaimed. The path to the other side of the current COVID-19 crisis may not be clear...
A prominent hospital operating on the frontlines of the COVID-19 pandemic in Washington state has released a set of clinical practice guidelines for vascular surgery. They were put together by Benjamin W. Starnes, MD, professor and chief in the division...
Surgeons and other healthcare professionals aren’t hanging around waiting for depleted personal protective equipment (PPE) to be replenished. Amid COVID-19-related shortages, ingenuity, creativity and craftsmanship have come to the fore. Social media swirl with tales of healthcare professionals fashioning and...
The American College of Surgeons (ACS) has issued guidance for surgeons to curtail recommendations for elective surgical procedures to preserve the necessary resources for care of critically ill patients during the COVID-19 pandemic. To assist in surgical decision-making in curtailing...
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 war fighter who sustained catastrophic explosive lower-extremity and truncal wounds and required far-forward damage control...
Performance of telemedicine has been made easier and more accessible after regulations and limitations on its use were waived in the wake of the declaration of a national emergency sparked by the COVID-19 pandemic, according to Misty Humphries, MD,...
Vascular surgeons have been urged to support the health of the entire U.S. population “by immediately reducing resource expenditure, avoiding all surgical admissions unless immediately life or limb threatening and, most importantly, by staying home.” The advisory came in a...
With significant progress made on many fronts in 2019, the Society for Vascular Surgery (SVS) is looking forward to the next horizon in 2020. In late January, I updated the Strategic Board of Directors on progress to date on strategic...
In this issue: ‘No evidence’ to suggest spinal cord injury is decreased by prophylactic drainage during EVAR procedures: Cover story on Gustavo S. Oderich talk at Critical Issues America 2020 (p. 1) The replication crisis is here: Medical editor...
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 pass through in order to be admitted. Forget how bad the patient feels; an admission...
Straub Medical, the US direct-sales subsidiary of Swiss outfit Straub Medical AG, has announced the launch and first intervention performed with the Rotarex S atherectomy device designed for treating occlusive peripheral vascular disease (OPVD).  Baljeet Uppal, MD, of Pinnacle Vein...
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 to his family in Wuhan, China. He tested positive for COVID-19 on Jan. 20. Fast...
HOLLYWOOD, Fla.—A Food and Drug Administration (FDA) official delivered a talk which represents the government agency’s earliest public reaction to the latest meta-analysis suggesting significantly reduced amputation-free survival at one year when paclitaxel-coated balloons are applied in arteries below...
Many believe the adage, “There is no perfect job.” If your list of “musts” for a career in vascular surgery includes working with a completely unique patient population with unparalleled opportunities for career development, the VA (Department of Veterans...
Defining the narrative. It’s a cliché among pundits, board members and anyone who has a point to make or a story to tell. It is the defining difference between success and failure in our life’s circumstances, depicting what is...
A registry to track management of new patients who are being treated medically for a number of vascular diseases has been launched by the Society for Vascular Surgery (SVS) Patient Safety Organization® and the Society for Vascular Medicine, in...
The U.K. National Institute for Health and Care Excellence (NICE) has today published guidelines on abdominal aortic aneurysm (AAA) diagnosis and management. Discussion between physicians and patients to consider the risks of any intervention versus no intervention is encouraged,...
The American Journal of Kidney Diseases (AJKD) has published the National Kidney Foundation’s KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update, a completely revamped set of 26 individual guidelines for clinicians that focuses on dialysis access choices tailored to individual...
Lumbar spine stabilization surgery may be a risk factor in the development of symptomatic venous outflow obstruction lesions, a study published in the Journal of Vascular Surgery: Venous and Lymphatic Disorders has found. Furthermore, writes lead author Peter J. Pappas,...
The biology of vascular disease—including molecular mechanisms and the immune system—will take center stage on May 4 in Chicago at the 2020 Vascular Research Initiatives Conference (VRIC) meeting of the Society for Vascular Surgery (SVS). The conference, VRIC Chicago 2020:...
Updated recommendations on screening for abdominal aortic aneurysms (AAAs) remain consistent with the 2014 guidance while incorporating new evidence. The United States Preventive Services Task Force (USPSTF) recommendation statement, published in JAMA: The Journal of the American Medical Association, was...
People with depressive symptoms have a significantly higher risk of incident abdominal aortic aneurysms (AAAs) after adjustments for established risk factors, a study published in the Journal of the American Heart Association found. “Symptoms of depression and risk of abdominal...
NEW YORK—It’s the recurring theme on the conference circuit that stubbornly refuses to subside but one whose toll is great and lasting. At the VEITHsymposium in New York (Nov. 19–23, 2019), it was the turn of Samuel R. Money,...
PALM BEACH, Fla.—While the overall incidence of rapid carotid stenosis progression is low, patients who show any degree of a worsening condition may warrant closer follow- up—especially if they bear associated risk factors for such rapid progress. That was a...
In 2011, a new research study proved the existence of precognition, also known as Extra-Sensory Perception (ESP). The manuscript was published in the Journal of Personality and Social Psychology, a well-regarded peer-review journal with a high- impact factor. The...
AMELIA ISLAND, Fla.—“Venous leg ulcers (VLUs) secondary to deep venous stenosis represents a distinct class of patients who require a unique treatment paradigm,” stated Abhisekh Mohapatra, a vascular surgeon at the University of Pittsburgh Medical Center in Pittsburgh, presenting...
An American politician from the 1800s named John C. Crosby once said, “Mentoring is a brain to pick, an ear to listen and a push in the right direction.” Currently, there are nearly 150 medical students and general surgery residents...
Late-breaking abstracts are now being accepted for VAM 2020 by the Society for Vascular Surgery (SVS). Preference will be given to prospective, multi-institutional trials and investigational device exemption studies. Retrospective analyses will not be considered for this session, as the...
PALM BEACH, Fla.—In an address that ran the gamut of emotions—from success to tragedy and back again—W. Charles Sternbergh III, MD, may have delivered a salutary lesson in both life and work for posterity, one from which vascular surgeons...
Beyond the always popular scientific sessions detailing research and presented from the podium, the Vascular Annual Meeting (VAM) also stages more than 25 other educational offerings, many to smaller audiences and with questions and answers encouraged. Details are available...
NEW YORK—The opening of an outpatient wound care center has a positive impact on affiliated vascular surgery practice, with a significant increase in the number of peripheral interventions and a significant decrease in amputation rates, attendees of the 2019...
The Society for Vascular Surgery (SVS) and the Society of Thoracic Surgeons (STS) recently published a joint document on reporting standards for type B aortic dissection (TBAD). The purpose of this document was to establish a standardized language for...
HOUSTON—These are exciting times in the theater of dialysis access, expert in the field Eric Peden, MD, mused in the latter part of last year—“and that’s not always been easy to say because dialysis has had not too much...
The meeting, the seminar and the symposium: Collectively, this triumvirate of forum types forms one of the core elements of postgraduate medical education. These crucial arenas in which we get together with colleagues to present data and share experiences...
What is surgical coaching? The Institute for Life Coach Training defines coaching as a professional relationship that helps people produce extraordinary results in their lives, careers, businesses or organizations, helping them to bridge the gap between where they are...
LAS VEGAS—Medical education is confronted by huge opportunities with the coming of what has been termed the fourth industrial revolution—that of the intersection where “big biology and big medicine” meet “big data.” Those were the sentiments of Michael Dake, MD,...
Much has been made of the impending shortage of physicians in the United States, with ominous predictions that it could come as soon as 2030.1 The driving force behind the overall shortage is a menacing convergence of a rising,...
Registration and housing for the 2020 Vascular Annual Meeting (VAM) open March 4. The 2020 Society for Vascular Surgery (SVS) meeting will be held June 17 to 20 in Toronto, Canada. VAM starts with a full day of educational programming...
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 artery of the leg: A systematic review and meta‐analysis of randomized controlled trials” by Konstantinos...
The “Vascular Spectacular” Gala was one of the highlights of the 2019 Vascular Annual Meeting (VAM), and it’s sure to be the same in 2020. Join your colleagues and friends at 6:30 p.m. Friday, June 19, to celebrate your...
STEAMBOAT SPRINGS, Colo.—High-risk patients with asymptomatic severe carotid stenosis may be successfully managed medically, delegates at the winter meeting of the Vascular & Endovascular Surgery Society (VESS) held in Steamboat Springs, Colorado, Jan. 30–Feb. 2, were told. That was the...
NEW YORK—The marriage of 3D imaging and robotics in hybrid operating suites promises to be a pivotal aspect of the future in vascular surgery—part of advances in the field that down the road will see surgeons look back on...
MIAMI—Cerebrospinal fluid (CSF) drainage is a key component in the treatment of spinal cord injury but the evidence that prophylactic drainage decreases such injury during endovascular repair (EVAR) is “at best weak,” Gustavo S. Oderich, MD, told the Critical...
Throughout our careers—indeed even in our personal lives—we struggle to achieve a proper balance between being a giver, sharer, taker or matcher. Adam Grant, a professor specializing in organizational psychology in the Wharton School at the University of Pennsylvania, Philadelphia,...
February 2020 brings another paclitaxel device meta-analysis of randomized controlled trials in chronic limb-threatening ischemia (CLTI) patients. Krystal Dinh, BMed, of Westmead Hospital, Sydney, Australia, et al report online ahead of print that the risk of all-cause mortality after treatment...
An easy way to impact the future of the vascular specialty is to sign up as a mentor on SVSConnect. The Mentor Match Program needs more surgeons to act as mentors to medical students and general surgery residents. The program...
From 5:30 to 6:30 p.m. (CDT) on March 26, the Association of Program Directors in Vascular Surgery (APDVS) Recruitment of Medical Students and Residents Committee will present a free informational webinar called VSIG Live. This will give all U.S....
The United States Preventive Services Task Force (USPSTF) recently released an update to their 2014 abdominal aortic aneurysm (AAA) screening recommendations. The update is essentially a reiteration. They recommend a one-time screening with ultrasonography in asymptomatic men aged 65...
The Food and Drug Administration (FDA) is closely monitoring reports of higher than usual doses of heparin being required to achieve activated clotting times (ACT) during cardiac procedures. The FDA “is aware of spontaneous adverse event reports submitted to FDA’s...
PALM BEACH, Fla.—Discussion of the drug-coated technology issue was piqued during the opening session of the Southern Association for Vascular Surgery (SAVS) annual meeting (Jan. 8–11) in Palm Beach, Florida. William P. Robinson III, MD, professor and chief in the...
The Centers for Medicare and Medicaid Services (CMS) has provided some light reading with the publication of the Physician Fee Schedule (PFS), Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, as well as Quality Reporting Programs final...
The Society for Vascular Surgery (SVS) and the Society of Thoracic Surgeons (STS) have released new reporting standards to ensure patients with type B aortic dissections (TBADs) receive appropriate treatment and care. The care of patients with type B dissections...
The prospect of death rates from cardiovascular disease once again ticking upward after more than a half century of decline has led to a call for a randomized trial comparing the two new—and distinct—approaches to prevention: precision medicine and...
PALM BEACH, Fla.—The initial results of an ongoing first-in-man study in Colombia that saw the implantation of a prosthetic venous valve in 15 patients appear promising, with improvement in clinical outcomes and quality of life evaluation, delegates at the...
NEW YORK—Kim Hodgson, MD, president of the Society for Vascular Surgery, delivered a robust defense of the SVS position on the drug-coated balloon (DCB) and drug-eluting stent (DES) issue that is currently enveloping the vascular community during the 2019...
A new meta-analysis, just published in the Journal of Vascular and Interventional Radiology (JVIR), suggests significantly reduced amputation-free survival at one year when paclitaxel-coated balloons are applied in arteries below the knee for critical limb-threatening ischemia (CLTI) treatment, but...
Alucent Biomedical has received US Food and Drug Administration (FDA) approval to proceed with a phase 1 clinical trial to evaluate the safety and efficacy of its Natural Vascular Scaffolding (NVS) technology. The therapy is designed to treat peripheral...
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 limb ischemia (CLI) along with its implications as a worldwide healthcare issue. Peripheral arterial disease (PAD)...
Severe complications from placement of cerebrospinal fluid drains (CSFD) during first-stage thoracic endovascular aortic repair (TEVAR) and fenestrated-branched endovascular repair (F-BEVAR) of pararenal and thoracoabdominal aortic aneurysms (TAAAs) were found to occur at an “alarming rate” in a prospective,...
HOUSTON—World-renowned innovator and inventor of the balloon catheter Thomas Fogarty, MD, delivered a robust pitch against the singular pursuit of financial gain during the process of innovation before a gathering of surgical colleagues at the inaugural International Society of...
Imagine a conversation with a (nonvascular surgeon) colleague about aortic dissections. “Renal malperfusion,” he says, “is just part of the natural history of the condition. Nothing you can really do about it.” You, of course, take issue with this...
Attendees had a “spectacular” evening at the 2019 SVS Foundation Gala, and organizers urge all members attending the 2020 Vascular Annual Meeting (VAM) in June to keep that Friday evening clear for this year’s event. The 2020 SVS Foundation...
Translumbar embolization had a greater technical efficacy than its transarterial equivalent in the treatment of type II endoleaks after endovascular aneurysm repair (EVAR), according to a systematic review and meta-analysis published in the Journal of Vascular Surgery. As a result,...
SVS VRIC

Registration open for VRIC

Register today for the 2020 Vascular Research Initiatives Conference, to be held Monday, May 4, in Chicago. The conference emphasizes emerging vascular science and encourages interactive participation of all attendees. VRIC Chicago 2020: “From Discovery to Translation” takes place...
The Society for Vascular Surgery (SVS) is undertaking a new study to take an objective, qualitative and quantitative approach when assessing the importance and financial impact of vascular services to health systems. SVS members have said that the lack...
The Society for Vascular Surgery (SVS) has two dedicated member-supported service organizations fulfilling very distinct needs: the SVS Foundation and the SVS Political Action Committee. Both are vitally important to the future of the vascular specialty and our lives...
With the expiration of the fourth edition of the Vascular Educational Self-Assessment Program (VESAP4) on July 31, owners have a bit more than six months to complete all modules and claim credits. Those who want to purchase the educational product...
Because the Centers for Medicare and Medicaid Services (CMS) updates healthcare billing codes annually, vascular surgeons need to have updates as well. It is important they have the knowledge and understanding required to correctly apply these billing codes to...
As a member of the Society for Vascular Surgery’s Coding and Reimbursement Committee (two years), I have been able to attend both CPT and RUC meetings in conjunction with the American Medical Association (AMA). When I began, I had known...
NEW YORK—The dramatic shift away from open surgery toward an endovascular approach has landed vascular practice at a stark crossroads, attendees at the VEITHsymposium (Nov. 19–23, 2019) heard during a lecture whose title bore a clear message: “How to...
In the classic 1991 movie, “New Jack City,” drug dealer Nino Brown rhetorically asks his gang (the Cash Money Brothers), “Am I my brother’s keeper?” Nino’s subsequent murder spree suggests he was not. This well-known phrase first appeared in...
LAS VEGAS—Efforts at international collaboration across borders can drive harmony among disparate regulatory requirements and lead to greater global cooperation at the medical device level, a senior member of the Food and Drug Administration (FDA) told the opening session...
There is accumulating evidence that adverse clinical outcomes have a negative impact on the clinician. As vascular surgeons, we are particularly vulnerable to feelings of guilt, shame and self-doubt when we are confronted by a complication related to our...
Persistently high-cost patients are younger, more likely to be members of racial or ethnic minority groups, eligible for Medicare based on having end-stage renal disease and dually eligible for Medicaid compared to their transiently and never high-cost counterparts, a...
Four years ago, vascular experts from around the world were tasked with a quest to get all surgeons and providers to agree on the best ways to treat this common and debilitating illness: chronic limb-threatening ischemia (CLTI). The goal...
The diameter of an abdominal aortic aneurysm (AAA) may have an important clinical impact on patient outcomes, according to a study of cases contained in the Vascular Quality Initiative (VQI) database. The discovery, published in the Journal of Vascular Surgery,...

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LAS VEGAS—Efforts at international collaboration across borders can drive harmony among disparate regulatory requirements and lead to greater global cooperation at the medical device level, a senior member of the Food and Drug Administration (FDA) told the opening session...
NEW YORK—Vascular Specialist has a critical role to play in dictating discussion of the key issues that impact surgeons in the field, the publication’s medical editor told a gathering at the 2019 VEITHsymposium held Nov. 19-23 in New York. The...
More patients are receiving vascular surgery procedures in outpatient-based labs (OBLs). This trend is expected to increase in years to come. Right now, there are many questions surrounding OBLs , including questions about safety, equipment required for emergencies, types...
The Society for Vascular Surgery (SVS) Excellence in Community Service Award is an honor the SVS bestows on a member who has exhibited outstanding leadership within their community as a practicing vascular surgeon. Selection for this honor recognizes an...
November is National Diabetes Month, which gives SVS members the perfect opportunity to further educate their patients and loved ones with the SVS Foundation Patient flier on diabetes and vascular disease. These are available in both English and Spanish...

Find Support on SVSConnect

SVSConnect gives members an opportunity to share tough cases, discuss new breakthroughs in the industry and/or seek trusty advice from other professionals. Currently, a post about Peer Support through the new SVS Member Support Program is one of the...
Abstracts and videos for the 2020 Vascular Annual Meeting will be accepted now through January 15. The submission process may be completed on a smartphone or tablet computer. The Video Committee encourages submissions in areas such as dialysis access,...
The Vascular Research Initiatives Conference emphasizes emerging vascular science and encourages interactive participation of attendees. Scheduled the day before Vascular Discovery Scientific Sessions, VRIC is considered a key event for connecting with vascular researchers. Join us for the 2020...
The SVS' Community Practice Committee will hold a webinar, Credentialing and Privileging for New Procedures and Technologies, on Tuesday, November 12th from 7-8pm CT. The webinar will focus on critical elements for obtaining privileging, the definition of a new...
With physician distress a top concern of vascular surgeons, the SVS and its Wellness Task Force are launching a member support component of its wellness program, designed to help vascular surgeons enhance their personal resilience/wellness, and continue development of...
The SVS Foundation has just published its 2019 Annual Report. This year, the report focuses on how past award recipients have used their grants to impact and improve patient care. More than $13 million in grants over the past...
The SVS, in collaboration with the Vascular and Endovascular Surgery Society (VESS) and the Society for Clinical Vascular Surgery (SCVS), has launched a new leadership development program. Its aim is to help our community of vascular surgeons reach their...
The Society for Vascular Surgery (SVS), in collaboration with the Vascular and Endovascular Surgery Society (VESS) and the Society for Clinical Vascular Surgery (SCVS), is launching an exciting new program meant to provide a meaningful leadership development experience for...
As the holiday shopping season approaches, the SVS Foundation would like to remind you to set up your AmazonSmile account and designate the SVS Foundation as your charity. It’s easy to begin. Start at smile.amazon.com and search ‘Society for...

SVS Members: Pay Your Dues!

By renewing your membership, you continue to support the critical work the Society does throughout the year, and you contribute directly to the ongoing improvement of vascular health. Renewing will also provide you continued access to all membership benefits,...
Oct. 31 is the deadline for the Vascular Surgery Trainee Advocacy Travel Scholarship. The primary purpose of this award is to provide the recipient with an opportunity to participate in Capitol Hill visits and learn more about the SVS’...

Register for Upcoming Webinars

Registration is now open for two webinars hosted by the SVS Community Practice Committee. Sign up for webinars focusing on “Hiring for the Right Clinical Fit” and/or “Credentialing and Privileging for New Procedures and Technologies.” These webinars are meant...
The SVS has officially announced its new Mentor Match program on its online community, SVSConnect. This program provides a simple way for general surgery residents and medical students to match with vascular surgeons who will, ideally, help guide them...

Prepare for VAM 2020

Mark your calendars: the 2020 Vascular Annual Meeting will take place June 17-20 at the Toronto Convention Center in Toronto, Ontario, Canada. All U.S. residents entering Canada will be required to travel with a valid passport. Your passport expiration...
Our website contains many resources that SVS members can use for help with managing a practice, continuing education, patient education materials and much more. The patient resource pages on the site cover a variety of vascular conditions, tests and...
If you are a young vascular surgeon from outside North America, consider applying for the International Scholars Program. Recipients of the award will receive a $5,000 stipend, spend two weeks in the U.S, visiting universities and clinics, and attend...

Check on Your Fiscal Health

The Affinity Program of expanded benefits is available to SVS members and can connect them with individual disability plans. These plans – available through Principal Life Insurance Company, Securian and Lloyds of London – provide tax-free benefits and can...
If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback is now available for review on the Quality Payment Program website. Through a process called targeted review, MIPS eligible clinicians or groups can request...
The SVS PSO is looking for a part-time Associate Medical Director. This person will be responsible for assisting the SVS PSO Medical Director and the SVS PSO staff, with guidance and over site in its clinical operations. The new...