Vascular specialists have long recognized that there is more to the treatment of peripheral arterial disease (PAD) than the immediate procedural success and early outcomes. The patient experience should not only be measured in clinical outcomes such as patency...
SVS Performance Committee members Mounir Haurani, MD, and Jose Almeida, MD, weigh up the importance of patient-reported outcomes (PROs) and how they can be effectively deployed in practice. MH: Patient-reported outcomes (PROs) are direct reports from the patient of their...
There are new vistas in Oklahoma for those in need of vascular care. That’s “vista” as in Vascular Volunteers In Service To All, or VISTA, a new initiative of the Society for Vascular Surgery (SVS) Foundation whose mission is...
Let’s be clear here: Political action committees (PACs) are a good thing. Whether or not you like the concept, they create an opportunity for more people to be involved in the political process. Contributions by PACs have increased dramatically over...
Endologix today announced the company’s ChEVAS (chimney endovascular aneurysm sealing) system has been granted a Breakthrough Device designation from the Food and Drug Administration (FDA). The ChEVAS system is an investigational endovascular abdominal aortic aneurysm (AAA) sealing therapy designed to...
In academia, the start of summer brings about new beginnings and a changing of the guard. Chief residents and senior fellows graduate and start new jobs. This month, we decided to pick some of their brains to share their...
The proposed Medicare Physician Fee Schedule for calendar year 2022 (CY2022) released Tuesday by the Centers for Medicare & Medicaid Services (CMS) fails to address pending cuts to surgical care "and therefore continues to threaten patient care by reaffirming...
Incoming Society for Vascular Surgery (SVS) President Ali AbuRahma, MD, knows the topic of this year’s E. Stanley Crawford Critical Issues Forum at the Vascular Annual Meeting (VAM) might make him as many enemies as it will friends. “You...
Since the inaugural #SVSTweetChat that covered early career advice went live on Twitter in April, the monthly social media initiative has proven to be a valuable and interactive resource for the vascular surgeon community. It even inspired an episode...
Practicing vascular surgeons, learn all about preventing and managing type II endoleaks—a common situation faced by specialists—from the experts on Thursday, July 15. Benjamin Jackson, MD, will moderate the session, alongside panelists Wei Zhou, MD, and Sunita Srivastava, MD. Participation...
The World Federation of Vascular Societies (WFVS) has entered a new era of transformation, seeking to better pave the way for disparate vascular surgeons and societies to disseminate the latest science and best practices to every corner of the...
The Society for Vascular Surgery (SVS) has scheduled two Town Halls for the summer—one to cover vascular surgeon wellness programs (July 13) and the other to discuss the SVS’ first-ever appropriate use criteria (AUC) guidelines being developed on intermittent...
Dramatic increases in rates of diabetes—particularly among Black females—through 2060 underscore the importance of a multidisciplinary team approach to limb salvage, according to Vincent Rowe, MD, professor of vascular surgery and endovascular therapy in the Keck School of Medicine...
In this special VAM preview issue: Incoming SVS President Ali AbuRahma, MD, talks through this year's E. Stanley Crawford Critical Issues Forum: "The vasculature united: Bringing together competing specialties for better patient care" (p. 1–2) The 2021 SVS Foundation...
Surmodics recently announced that it has acquired privately-held Vetex Medical Limited, expanding the company's thrombectomy portfolio with a second Food and Drug Administration (FDA) 510(k)-cleared device, the ReVene thrombectomy catheter. The ReVene mechanical thrombectomy catheter is specifically designed to remove large,...
In this issue: "Fighting the good fight: The case for multidisciplinary limb salvage in face of increasing diabetes, diversifying nation" (p. 1 and 6) Guest editorialist Bhagwan Satiani, MD: "The choice between autonomy, true partnership—or the slow drift to...
The Janssen Pharmaceutical Companies of Johnson & Johnson recently announced it has submitted a new drug application (NDA) to the Food and Drug Administration (FDA) for the use of Xarelto (rivaroxaban) in pediatric patients. The NDA seeks two pediatric indications: treatment...
The Society for Vascular Surgery (SVS) has released updated clinical practice guidelines accompanied by an implementation document on the management of patients with extracranial carotid artery disease. The documents, both published in the Journal of Vascular Surgery, aim to use...
The first time Bruce A. Perler, MD, attended the Southern Association for Vascular Surgery (SAVS) annual meeting, he was a young faculty member who had already started developing the keen interest in carotid disease for which he is now...
The Society for Vascular Surgery (SVS) has released new clinical practice guidelines to ensure that patients with popliteal artery aneurysms receive appropriate treatment and care. Aneurysms of the popliteal artery are the most common aneurysms outside of the brain...
The next Society for Vascular Surgery (SVS) Town Hall will focus on the value of an office-based lab (OBL) to the healthcare system, patients and physicians. The webinar, sponsored by the SVS Section on Outpatient & Office Vascular Care (SOOVC),...
To better meet the needs of those Society for Vascular Surgery (SVS) members who practice in the community setting, the SVS has approved a proposal to evolve the SVS Community Practice Committee to a new Community Practice Section (SVSCPS)....
Among patients with a Caprini score of ≥11 who received standard prophylaxis for venous thromboembolism (VTE), adjunctive intermittent pneumatic compression (IPC) resulted in a significantly lower incidence of asymptomatic venous thrombosis. This is according to the findings of the IPC SUPER...
The ability to pivot in the face of changes to reimbursement while still meeting the needs of patients is a key facet of success in the office-based lab (OBL). That was among the key messages delivered by Brian DeRubertis,...
According to a new, population-based analysis, abdominal aortic aneurysm (AAA) mortality has continued to decline and “at a faster rate than ever” in the second decade of the 21st century. Authors C. Y. Maximilian Png, MD, a vascular surgery...
Femoropopliteal bypass is associated with decreased reinterventions at one year compared to endovascular therapy in patients with advanced premature peripheral arterial disease (PAD). This is the primary conclusion of Tanner I. Kim, MD, an integrated vascular surgery resident at Yale...
The first segment of a five-part virtual series for attending physicians, fellows and allied health professionals, Craig Walker, MD, Chris LeSar, MD, Sreekumar Madassery, MD, and Timothy Yates, MD, discuss the state of the art in peripheral arterial disease...
Society for Vascular Surgery (SVS) voting members have elected Joseph Mills, MD, of Baylor College of Medicine in Houston, Texas, as their next vice president. He now joins a line of succession that includes the new SVS President Ali AbuRahma,...
A new study, published online in The Journal of Vascular Access (JVA), suggests that arteriovenous fistulas (AVFs) contribute to higher survival of hemodialysis patients with COVID-19. Authors Ahmet Murt, MD, of Istanbul University-Cerrahpasa, Istanbul, Turkey, and colleagues urge that end-stage renal disease (ESRD) patients...
American College of Surgeons (ACS) President-elect Julie A. Freischlag, MD, CEO of Wake Forest Baptist Health and a past president of the Society for Vascular Surgery (SVS), has been named the Triad Business Journal 2021 recipient of the Outstanding...
A few years ago, in his presidential address to the Midwestern Vascular Surgical Society (MVSS), Mark Mattos, MD, spoke eloquently about the need to “protect our specialty.” A large part of this, he argued, is protecting our patients; no...
A pointed letter aimed at electronic health record (EHR) behemoth Epic, an argument in favor of endovascular treatment of ruptured abdominal aortic aneurysms (rAAAs) and the first-ever Corner Stitch column were among the best-read stories here on the Vascular...
Registration for the live, in-person 2021 Vascular Annual Meeting (VAM) has begun—and organizers promise you won’t want to miss the meeting. VAM will be Aug. 18 to 21 in beautiful San Diego, California. Educational programming will be presented across...
It’s June and, in less than a month, a swarm of new faces, and freshly minted MDs and DOs will descend upon most academic teaching hospitals. Many will just be getting used to being called “Dr.” They may look...
Over the course of the last year, the Society for Vascular Surgery (SVS) has been on a journey toward fostering greater diversity, equity and inclusion (DEI). From the nadir of #Medbikini almost a year ago, the SVS Executive Board has...
The United States has been living through some charged times recently. Our profession is not immune to these conflagrations. In recent times, minority members of the diverse specialty of vascular surgery have seen people who look like them come...
“What do you mean your partner? Does that mean a man?” These were among the questions one of my mentors asked me when we were discussing my list of pros and cons regarding the vascular surgery residency training programs...
Kathryn Bowser, MD, a member of the Society for Vascular Surgery (SVS) Diversity, Equity and Inclusion (DEI) Committee, talks to Justin Michel, 29, who identifies as a non-binary trans masculine person, about the patient experience navigating medical care as...
I doubt many people remember a specific time they watched C-SPAN, let alone the exact date. But on Dec. 18, 2010, there I was, in my Durham, North Carolina, apartment, watching the U.S. Senate vote on the Don’t Ask, Don’t...
Royal Philips recently announced positive two-year results from the TOBA (Tack optimized balloon angioplasty) II below-the-knee (BTK) clinical trial. The data show the Philips Tack endovascular system (4F), a first-of-its kind dissection repair device, provides a sustained treatment effect and positive...
Stenting reduced mortality risk in patients undergoing interventions for peripheral arterial disease (PAD) by more than 30% when compared to plain balloon angioplasty, and 40% contrasted with atherectomy, a recent propensity-matched analysis found.  The Vascular Quality Initiative (VQI)-derived data drew...
While the COVID-19 pandemic and its effects dominated 2020–21 fiscal year—including the cancellation of the live 2020 Vascular Annual Meeting (VAM)—it did not deter progress on many important initiatives. “When COVID hit, it intensified our focus on what was...
Medical imaging artificial intelligence (AI) specialist, Avicenna.AI, recently announced that it has received certification in the U.S. and European Union (EU) for CINA CHEST, its new AI solution that leverages deep learning algorithms for emergency triage of deadly vascular conditions. In...
Many individuals with kidney failure have been unable to self-isolate during the COVID-19 pandemic because they require dialysis treatments in clinics several times a week. New research that will appear in an upcoming issue of the Clinical Journal of the...
In this special issue: Members of the SVS Diversity, Equity and Inclusion (DEI) Committee introduce a multi-part special, featuring personal stories of overcoming prejudice, as part of Pride Month (p. 1 and 4–10) We interview Andres Schanzer, MD, on...
Members, be sure to register for the June 16 Virtual Annual Business Meeting, the first of two business meetings for 2021. Registration is required to assure a quorum. Register at vascular.org/ABM1Register.  The second meeting will be held Saturday, Aug....
A recent article published in Vascular Specialist summarized data regarding the undeniable relationship between electronic health records (EHRs) and burnout amongst physicians. There is ample irony in the fact that a graph depicting the increased focus on “physician wellbeing”...
Boston Scientific and BD have both initiated recalls of venous stents. According to a Food and Drug Administration (FDA) medical device recall notice posted May 21, Boston Scientific has recalled its Vici venous stent system (Vici SDS) and Vici...
Over a one-year period, Association of American Medical Colleges data showed that 25% of women in surgery reported experiencing disrespect based on their gender, Melina R. Kibbe, MD, chair of the department of surgery at the University of North...
Vascular surgeons at the University of Massachusetts became the first in the United States to carry out procedures using the breakthrough imaging technology Fiber Optic RealShape (FORS) last month, reporting a 75% decrease in fluoroscopy use after one of...
Inflation-adjusted Medicare reimbursement rates for the 20 most common vascular surgical procedures decreased by more than 20% in the last decade, a new analysis found. The study, which looked the buying power of vascular surgeons, uncovered data showing an unadjusted...
The European Union (EU) Medical Devices Regulation (MDR) takes effect from today (May 26). The Regulation revises quality and safety standards and the range of regulated devices and was first initiated in May 2017, with an initial three-year transition period...
Medtronic has announced that it has sent physicians updated patient management recommendations related to its voluntary recall of the Valiant Navion thoracic stent graft on Feb. 17. The original recall notice included the recommendation for physicians to follow best clinical...
According to a medical device recall notice posted on the Food and Drug Administration (FDA) website, Boston Scientific has recalled its Vici venous stent system (Vici SDS) and Vici RDS venous stent system due to reported instances of stent...
Renowned vascular surgeon David Rosenthal, MD, co-founder of the Atlanta Vascular Society and a former president of both the Southern Association for Vascular Society (SAVS) and the Georgia Vascular Society, has died. He was 76. Beginning practice in Atlanta in...
Twelve-month data from the full patient cohort in the PROMISE I study of the LimFlow percutaneous deep vein arterialization (pDVA) system have been published in the Journal of Vascular Surgery. Results showed sustained positive outcomes for both amputation-free survival...
The candidates in the running to be the next Society for Vascular Surgery (SVS) vice president—and a future SVS president—have been unveiled. They are William Shutze, MD, and Joseph Mills, MD, both of whom operate in Texas and who, respectively,...
Researchers have found no statistically significant difference in mortality between patients treated with drug-coated devices and non-drug-coated devices in the SAFE-PAD study. Eric Secemsky, MD, an interventional cardiologist at Beth Israel Deaconess Medical Center (BIDMC) in Boston, reported this...
Rivaroxaban combined with low-dose aspirin led to a significant reduction in the occurrence of total ischemic events in patients with symptomatic peripheral arterial disease (PAD) who underwent lower-extremity revascularization, according to researchers conducting the VOYAGER PAD trial. The findings were...
The Vascular Annual Meeting (VAM) is more anticipated than ever after the annus horribilis of 2020 and the pared-back, digital VAM alternative that was SVS ONLINE. While organizers have previously relayed the changes made for this year’s meeting, Program...
Many of you may have already heard about the controversial Comparative Billing Reports (CBRs) that have been received by some of our vascular surgery colleagues. In case you haven’t, this is your chance to catch up and to prepare...

In brief: Spotlight

Ravi Chandra, MD, of Ocala, Florida, has been appointed to the Florida Board of Medicine, subject to Florida Senate confirmation. Peter McDonnell, MD, 65, Oak Park, Illinois, died March 20, of injuries he received in a bicycle-car accident March 9. Calvin...
A Vascular Quality Initiative (VQI) analysis uncovered a reduction in the risk of myocardial infarction after transcarotid artery revascularization (TCAR) compared to carotid endarterectomy (CEA) when general anesthesia is used—an observation mainly found in patients with symptomatic carotid artery...
“I am going to give you reasons to be excited about your critical limb practice,” Peter Schneider, MD, professor of vascular and endovascular surgery at the University of California San Francisco, told delegates attending the International Symposium on Endovascular...
Medical students and general surgery residents have until May 19 to apply for Society for Vascular Surgery (SVS) Vascular Annual Meeting (VAM) travel scholarships. The scholarships are the SVS General Surgery Resident/Medical Student VAM Travel Scholarship and the SVS...
Registration and housing opened today for the 2021 Vascular Annual Meeting (VAM), which takes place Aug. 18–21 in San Diego. Educational programming is ready to run across all four days, with exhibits open Thursday and Friday. The meeting will be subject...
Voting runs from May 17 to 24 on proposed bylaws amendments and for the position of vice president of the Society for Vascular Surgery. Immediately preceding the opening of voting, SVS leaders will host a Town Hall from 6...
Society for Vascular Surgery (SVS) members can honor their mentors in a wonderful and consequential way by making a donation to the SVS Foundation in their mentors’ honor. Several members did just that for National Doctors’ Day, with $3,100...
Register today for the remaining Society for Vascular Surgery (SVS) "Meet the Experts" webinars, including "Redo Carotid Revascularization,” to be held May 20. These webinars are free for SVS members and residents/trainees. Non-members will pay $35 for each webinar. They...
Our April cover story on the links between electronic health records (EHRs) and physician burnout, the continuing problem of manels (or all-male speaking panels) at vascular surgery meetings, and some of the latest details on the 2021 Vascular Annual...
Endologix today announced the first implant of its Alto abdominal stent graft in Canada following recent approval from Health Canada. Alto was also recently approved for commercial sale in Argentina. The company heralds the Alto abdominal stent graft system as...

A love for writing

Welcome to Corner Stitch, a brand new section by and for trainees. First up is outgoing Vascular Specialist residents and fellows editor Laura Marie Drudi, MD, who introduces this monthly column with a retrospective on her time representing medical...
Dear Epic, I am not writing to you today as a customer, but rather on behalf of your users. More specifically, I am representative of the 870 American Medical Association (AMA) physicians who gave their electronic health record (EHR)...
The SVS Political Action Committee (PAC) is critically important for our voices to be heard in the places where policies that affect all of our practices are being made. The PAC’s role is one of advocacy and influence—to educate...
Micro Medical Solutions (MMS) recently revealed Food and Drug Administration (FDA) breakthrough device designation for its MicroStent vascular stent. This novel technology is designed to achieve and maintain vessel patency, enhance wound treatment and improve quality of life and...
With social media having such a prevalent presence today, it continues to play a significant role in connecting surgeons, prospective trainees and medical students throughout the vascular community. The Society for Vascular Surgery (SVS) Social Media Committee has launched...
Registration and housing are set to open in mid-May for the 2021 Vascular Annual Meeting (VAM), which takes place Aug. 18–21 in San Diego. Educational programming is ready to run across all four days, with exhibits open Thursday and Friday. The...
In this issue: Frank Veith, MD, makes the case for EVAR being "the treatment of choice" for ruptured AAAs (p. 1 and 6) Malachi Sheahan III, MD, pens an open letter to Epic on the effects of electronic health...
If the equipment and requisite skillset are available, and a patient’s anatomy is suitable, endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysms (rAAAs) “should be the treatment of choice in 2021 and beyond,” vascular titan Frank Veith, MD,...
Peripheral vascular interventions for intermittent claudication were linked to "poor" two-year relief of symptoms in the Vascular Quality Initiative (VQI) database, a new study published in the May issue of the Journal of Vascular Surgery (JVS) found. First-named author Jonathan...
Enrollment has begun and the first patients have been treated in the postmarket surveillance study, CONNECT-AV, of the WavelinQ (BD) endovascular arteriovenous fistula (endoAVF) system. CONNECT-AV is a prospective, single-arm, open-label study that will follow patients treated with WavelinQ (BD)...
A new wearable device designed to remotely monitor arteriovenous (AV) fistulae function in dialysis access patients uncovered promising data, leading one set of researchers to conclude the technology offers hope for improved care and lower costs among a challenging...
The Society for Vascular Surgery (SVS) Community Practice Committee will host two webinars in May designed to support members in community-practice settings. Members may register now for either or both.   The Coding Webinar starts at 7 p.m. CDT on...
The Southern Association for Vascular Surgery (SAVS) has announced its officer slate for 2021–2022. Incoming president is William A. Marston, MD, professor in the department of surgery at the University of North Carolina School of Medicine in Chapel Hill,...
Soundbite Medical Solutions has announced Food and Drug Administration (FDA) 510(k) approval for the SoundBite crossing system—Peripheral (SCS-P) with the 0.014” active wire (14P). The SoundBite crossing system—Peripheral (14P) is a recanalization tool, designed to help physician’s placement of conventional...
The Society for Vascular Surgery (SVS) and the Academy for Surgical Coaching are developing a first-of-its-kind coaching program that strengthens wellness support for vascular surgeons. Studies show they—along with physicians across specialties—are experiencing an increase in burnout, anxiety, depression...
Racial and ethnically based disparities exist in healthcare. To highlight these disparities, and what the Society for Vascular Surgery (SVS) is doing to address them, the 2021 Vascular Annual Meeting (VAM) will feature a special session on diversity, equity...
Details of a planned pilot study investigating the merits of performing endovascular aortic repair (EVAR) on abdominal aortic aneurysms (AAAs) in office-based labs (OBLs) and other free-standing ambulatory facilities emerged during the recent Critical Issues America annual meeting (April...
Endovascular aortic repair (EVAR) is safe, durable and effective, the five-year interim results of the Global Registry for Endovascular Aortic Treatment (the GREAT registry) show. In this analysis of more than 3,000 abdominal aortic aneurysm (AAA) patients treated with...
The Society for Vascular Surgery (SVS) is on the lookout for candidates for the next Excellence in Community Service Award, with the deadline for submissions falling on May 1. The accolade is bestowed on an SVS member who has exhibited...
Endologix recently announced completing the acquisition of PQ Bypass, a medical technology company pioneering a first-of-its-kind technology that addresses severe peripheral arterial disease (PAD). PQ Bypass’ proprietary Detour platform for percutaneous femoropopliteal bypass has been designated by the Food and...
The recent reintroduction of the bipartisan Amputation Reduction and Compassion (ARC) Act—aimed at improving peripheral arterial disease (PAD) education, increasing access to PAD screening and preventing avoidable lower limb amputations—has drawn a mixed response from vascular surgeons. The move gained...
Hancock Jaffe Laboratories recently revealed that the United States Patent and Trademark Office (USPTO) issued the first patent covering the company’s VenoValve. The patent is entitled Implantable Vein Frame and is U.S. patent number 10,959,841. The company recently announced that only...
The moving pieces that comprise the 2021 Vascular Annual Meeting (VAM), set to take place Aug. 18–21 at the San Diego Convention Center, San Diego, California, are being assembled into a blockbuster whole. Though plenary sessions have yet to...
Patients who have known abdominal aortic aneurysms (AAAs), who may have had a COVID-19 infection, might need to have more frequent or a different surveillance regimen until a better understanding of the relationship between the virus and potential symptomatic...
Discussion during the opening day of the Charing Cross (CX) 2021 Digital Edition emphasized the potential of Philips’ Fiber Optic RealShape (FORS) technology to reduce radiation and ease technical success, with moderator Gustavo Oderich, MD, professor and chief of...
The recent decision from the National Heart, Lung and Blood Institute (NHLBI) to reduce the dedicated research effort from 75 to 50% for K awards is a landmark change and will have a tremendous impact on vascular surgeons. The decision...
A mid-term assessment of bridging stentgraft integrity and flare geometry following fenestrated endovascular aortic repair (FEVAR) finds that, although there is a substantial reintervention rate post-procedurally, most are not related to the use of balloon-expandable covered stents (BECS). This...
The year 2020 was one of firsts and of resilience. We had a plague of biblical proportions; civil unrest; fiery political and racial tensions; riots; polar vortices, where it was literally freezing in the Southwest; and, last but not...
The care of patients with peripheral arterial disease (PAD) is challenging and costly. Every practicing vascular surgeon knows that when patients present with ulcerations, infection, ischemia and comorbidities, we can accomplish amazing things. In an ideal world, our approaches...
A multicenter retrospective study of the PROOVIT (Prospective observational vascular injury treatment) registry suggests the use of temporary intravascular shunts (TIVSs) results in lower rates of amputation during the early phase of care and should be part of a...
Society for Vascular Surgery (SVS) leaders continue to plan for a live, in-person Vascular Annual Meeting (VAM), the SVS has announced. As COVID-19-related restrictions ease in California, the event remains set to take place in San Diego from Aug. 18–21. "We...
A pooled meta-analysis found that patients with symptomatic carotid stenosis enrolled in recent randomized controlled trials (RCTs) had a lower risk of stroke after randomization than historical controls. According to authors Urs Fisch, MD, PhD, of the University of...
While there is large variability based on the site of insertion, patient characteristics and previous accesses, fluoroscopically-guided insertion of tunnelled central venous catheters (td-CVC) for dialysis can be considered a “low exposure” procedure, according to a report. The report, which is published...
The CEO of Epic, Judith Faulkner, recently made a statement questioning whether there was any evidence tying the EHR (electronic health record) to physician burnout. Here, as Gabriela Velazquez, MD, London C. Guidry, MD, and Amit Chawla, MD, detail,...
The next SVS Town Hall will deal with vascular practice's path forward from the ravages of the COVID-19 pandemic. The event is intended to help vascular surgeons learn about the virus and its ongoing impact on vascular surgery. Taking place...
A recent study on iliac vein stenting showed better short and mid-term patency rates when intravascular ultrasound (IVUS) was utilized prior to stent deployment in addition to multiplanar venography compared to venography alone. The data were presented at VENOUS2021,...
Society for Vascular Surgery (SVS) travel scholarships for trainees to attend the Vascular Annual Meeting (VAM) are set to begin accepting applications on April 21. The SVS offers two categories of travel scholarships for VAM—the SVS General Surgery Resident/Medical Student...
To help broaden its physician assistant (PA) members’ knowledge of vascular care and help them engage and interact with each other virtually, the Society for Vascular Surgery (SVS) PA Section has introduced the “PA Case of the Month.” The...
The Society for Vascular Surgery (SVS) is introducing a new webinar series, with the first installment set to take place this month. The "Meet the Experts" Webinar Series will feature expert faculty and attendees interacting in small groups for...
Inari Medical has announced the enrollment of the first high-risk pulmonary embolism (PE) patient in the FLAME (FlowTriever for acute massive pulmonary embolism) study. One in 20 PE diagnoses is categorized as high risk, and these are associated with...
On June 12, 2019, the director of the National Institutes of Health, Francis Collins, MD, made a public commitment to decline to take part in panels that “do not fairly evaluate scientists of all backgrounds for speaking opportunities.”1 Collins...
“The available data suggest that exercise training improves de-oxygenation and re-oxygenation patterns, as measured with near infrared spectroscopy (NIRS), in patients with lower extremity arterial disease (LEAD),” conclude Nils Cornelis, PhD, of KU Leuven in Leuven, Belgium, and colleagues...
In this issue: Three vascular surgeons journey through more than 60 peer-reviewed papers that make the connection between electronic health records (EHRs) and physician burnout in our April cover story: "Settled Science: The indisputable link between EHR and burnout"...
Surmodics recently announced the successful first uses in patients for two devices within its Sublime radial access platform: the Sublime radial access guide sheath and Sublime radial access .014 RX percutaneous transluminal angioplasty (PTA) dilatation catheter. Constantino Pena, MD, Andrew Niekamp,...
W. L. Gore & Associates (Gore) today announced the first use of the Food and Drug Administration (FDA)-approved Gore Excluder conformable abdominal aortic aneurysm (AAA) endoprothesis with Active Control system in cases outside of clinical trials. Cases were successfully...
The Association of Program Directors in Vascular Surgery (APDVS) bestowed its first-ever Lifetime Achievement in Education Award on the association's one-time president Jack L. Cronenwett, MD, during its annual Spring Meeting (March 26–27) today. Making the presentation, APDVS immediate past...
In celebration of the 75th year of the SVS, the Vascular Research Initiatives Conference (VRIC), typically held in early May, is moving this year to be held during the 2021 VAM in August. In a year when so...
A new review concludes that the implementation of clinical guidelines for the management of patients with deep vein thrombosis (DVT) varies among countries, from strict adherence to no adherence at all. “In this content,” suggest authors Carla Rognoni, PhD, of...
Researchers suggest that in patients with chronic limb-threatening ischemia (CLTI), two-dimensional (2D) perfusion angiography is a “reliable tool” when used according to standardized methods. Jetty Ipema, PhD, of St Antonius Hospital, Nieuwegein, The Netherlands, and colleagues write in the European...
A simple cost reduction strategy implemented among providers in an academic vascular surgery practice yielded data demonstrating sometimes significant cost savings—in the case of common femoral endarterectomy of nearly 70%. The researchers behind the study found significant savings made across...
No data currently exist to support the use of atherectomy over other procedures for the treatment of peripheral arterial disease (PAD), and the healthcare expenditure associated with the procedure is substantial, write Caitlin W. Hicks MD, assistant professor of surgery at...
The Southern Association for Vascular Surgery (SAVS) has announced the election of Margaret (Megan) Tracci, MD, as its next recorder. Tracci is currently associate professor of vascular and endovascular surgery at UVA Health in Charlottesville, Virginia, and a past president...
Three members of the Society for Vascular Surgery (SVS) Diversity, Equity and Inclusion (DEI) Committee, chaired by Vincent M. Rowe, MD, explain use and understanding of the term Latinx. Have you ever heard or read the term Latinx? This piece...
ELVeS Radial laser system Long-term results of patients who underwent outpatient laser treatment for varicose veins at the great saphenous vein (GSV) or small saphenous vein (SSV) in 2008–2009 have been published in the Journal of Vascular Surgery: Venous and Lymphatic...
The first patient has been included in the BeGraft fenestrated endovascular aneurysm repair (FEVAR) study investigating the Bentley BeGraft peripheral balloon expandable covered stent in complex aortic aneurysms. The patient was referred for FEVAR with a 6cm juxtarenal abdominal aortic...
Vetex Medical has announced positive one-year outcomes from a European clinical study of the ReVene thrombectomy catheter. In patients with iliofemoral vein thrombus, the device was found to significantly improve symptoms and quality of life, while reducing leg swelling....
Higher frailty scores were associated with higher rates of postoperative complications and mortality among a national cohort of veteran patients who underwent endovascular aneurysm repair (EVAR) for infrarenal abdominal aortic aneurysm (AAA) or dissection. This was one of the...
The Society for Vascular Surgery (SVS) Foundation recognizes and thanks all SVS surgeons and physicians on National Doctors’ Day, which falls on March 30. This annual observance began in 1933 in Winder, Georgia, when Eudora Brown Almond, wife of Charles...
Cervical artery lesions are frequent and mostly asymptomatic in patients with vascular Ehlers-Danlos syndrome, investigators seeking to systematically assess arterial complications in the region found. "Local dissections and aneurysms are the most frequent type of lesions, but transient ischemic...
The American Venous Forum (AVF) will hold its 33rd annual meeting, Venous2021, in a virtual format from March 17–20. The conference features scientific sessions covering such topic areas as COVID-19 and venous disease, deep venous disease, superficial venous disease and...
The healthcare system always conducts a “root cause” analysis when a medical error occurs. It looks for a systemic problem to address in order to prevent a recurrence. Although multidimensional, we have failed to address one of the root causes...
Despite it being a year unlike any other, the increased generosity of the SVS Foundation donors allowed for the mission work to continue as planned. When the Foundation's fiscal year began, April 1, 2020, the pandemic had only recently...
ControlRad has announced Food and Drug Administration (FDA) 510(k) clearance to market ControlRad Select, a technology that utilizes proprietary semi-transparent filters, a user-interface tablet, and image processing algorithms to reduce radiation exposure during fluoroscopically guided procedures. The technology is retrofitted...
The Medicare Access and CHIP Reauthorization Act (MACRA) is in its fifth calendar year, and the Centers for Medicare & Medicaid Services (CMS) continues to publish rule changes annually. CMS has limited the changes for 2021 Merit-based Incentive Payment...
The first detailed surgical results from the U.K. National Health Service (NHS) Abdominal Aortic Aneurysm Screening Programme (NAAASP) show that, over a seven-year period, the turn down rate after referral for treatment with a screen-detected AAA and perioperative mortality were...
This year's Vascular Research Initiatives Conference (VRIC) will be held during two sessions at the 2021 Vascular Annual Meeting (VAM) in August. VAM is scheduled for Aug. 18 to 21 in San Diego, California; the VRIC sessions will each be...
Ice, cold and snow make it tough to walk outside in Lansing, Michigan, right now. So, jokes Doug Giller, he is wearing a path in his carpeting instead. For 45 minutes each evening, he walks a path throughout his...
“A good coach will make his players see what they can be rather than what they are.” Those are words ascribed to football coach Ara Parseghian, who guided the University of Notre Dame to two national championships in the...
Call it timing on several fronts, each part coming together for the benefit of patients with peripheral arterial disease (PAD). Included in the mix was an interest on the part of the Society for Vascular Surgery (SVS) to utilize technology...
The deadline for the SVS Foundation Clinical Research Seed Grant has been extended to Monday, March 8. The award, which provides researchers with $25,000 to cover direct costs for one year, seeks to recognize the importance of clinical investigation in vascular...
The Zenith fenestrated+ endovascular graft (ZFEN+) product (Cook Medical) has received breakthrough device designation from the Food and Drug Administration (FDA). This designation is granted for devices that have the potential to provide more effective treatment or diagnosis for...
In order to recognize the diverse ways members interact and consume information, a new Society for Vascular Surgery (SVS) Communications Committee, replete with three subcommittees, has been formed. The move is designed to allow the SVS to coordinate and...
Vascular surgery has undergone dramatic changes over the last 30 years. What was once a traditional open surgical discipline has now become a hybrid specialty that involves open surgery and endovascular techniques. As vascular surgeons became more adept at...
In this supplement, sponsored by Cydar: Tom Carrell, MB BChir, Cydar Medical executive director and co-founder, gives an overview of the company’s Cydar EV software Charles J. Bailey, MD, details how Cydar EV has allowed a U.S. vascular center’s...
In this issue: Outpatient centers like OBLs have lately come under heavy scrutiny in light of new evidence highlighting outlier utilization rates. Last month, the practice patterns of vascular surgery’s so-called 1% entered the crosshairs. But there is a...
The virtually administered Vascular Surgery Certifying Exam (CE) has been declared "a huge success" by members of the Vascular Surgery Board (VSB). The VSB recently entered somewhat uncharted waters by conducting the image-heavy CE for remote test takers but...

VESAP5 mobile app now available

The mobile app for the fifth edition Vascular Educational Self-Assessment Program (VESAP5)—for both Android and Apple operating systems—is now available. Apple users need to visit the App Store, while Android users should visit Google Play (play.Google.com). The companion application...
Silk Road Medical has announced positive results from a comparative-effectiveness study involving transcarotid artery revascularization (TCAR) that was published in JAMA Network Open. The study found the availability of TCAR at a hospital was associated with a significant decrease in...
The CLI Global Society is launching the first peer-reviewed academic journal focusing on interventional techniques pertaining to critical limb ischemia (CLI). The new title, Journal of Critical Limb Ischemia, will appear in the spring. According to the CLI Global Society, the...
Endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs) in those 80-plus decreases one-year mortality rates compared to non-operative management, researchers at the University of Texas (UT) Southwestern Medical Center in Dallas found. Working from a cohort of 11,829 patients...
The past year in which the concept of “the meeting” shifted almost entirely into the digital realm challenged everything from the constitution of the working day to the breadth of collective patience. Or, as Matthew Corriere, MD, at the helm...
A Food and Drug Administration (FDA) advisory panel has recommended against premarket approval of BD’s Lutonix 014 drug-coated balloon (DCB) for use in below-the-knee (BTK) arteries. In a meeting on Feb. 17, the majority of the FDA Cardiovascular Devices Panel concluded...
The title of the Southern Association for Vascular Surgery (SAVS) Jesse E. Thompson, MD, Distinguished Guest Lecture was heralded as “Leading when everyone is watching,"—but COVID-19 lent the message Julie Ann Freischlag, MD, was attempting to transmit a certain...
"This is what happens to you when you show grit: You end up being elected president of the American College of Surgeons." Those were among the words delivered by Gilbert R. Upchurch Jr., MD, in his presidential address at the...
New officers are in place with the Society for Vascular Surgery (SVS) Section on Outpatient and Office Vascular Care (SOOVC) Executive Committee, which covers office-based labs (OBLs). They are Robert Molnar, MD, chair; Clifford Sales, MD, vice chair; and...
Noor Gul Shah, MD, who passed away in October last year aged 29, was a remarkable fourth-year resident in general surgery at NYU Langone Health in New York City. Born and raised in Cherry Hill, New Jersey, she attended...
Medtronic has voluntarily issued a global recall of its Valiant Navion thoracic stent graft system and informed physicians to immediately cease use of the device until further notice. In accordance with its commitment to patient safety—and in consultation with independent...
A new Society for Vascular Surgery (SVS) report highlights both the critical skills vascular surgeons provide to a healthcare system and the specialty’s benefit to an institution’s bottom line. "The value of the modern vascular surgeon to the healthcare system:...
To great excitement on the part of leaders and members, the Society for Vascular Surgery (SVS) has launched its new Education Portal, the online hub for all SVS education content. The portal links to SVS’s live education offerings, the...
It is difficult to put 2020 into words. However, despite everything bad that has gone on in the U.S. and nationally, the SVS PAC was lucky to have some successes. At the beginning of 2020, the PAC was losing ground...
The first major conference in the vascular surgery universe to incorporate an in-person element as part of a hybrid format has been declared a success, portending what attendees might expect from the 2021 Vascular Annual Meeting (VAM) set for...
The Society for Vascular Surgery (SVS) is seeking comments by Feb. 24 on proposed clinical practice guidelines for the management of extracranial cerebrovascular disease—which would update those published in the Journal of Vascular Surgery (JVS) in 2011. The SVS Document...
Two-and-a-half years back, when Kathryn E. Bowser, MD, joined her current institution as a vascular surgeon, a confluence of unfolding events led her to a realization: "A lot of people did not understand what the modern vascular surgeon actually...
The Society for Vascular Surgery (SVS) is on the lookout for volunteers to help fine-tune a planned overhaul of vascular.org, the SVS website. Testers are required to undertake 10- to 15-minute website navigation tests before Feb. 22. The effort is...
MedAlliance has announced enrollment of the first patient in SUCCESS PTA, its large post-market study with the drug-eluting balloon Selution SLR for the treatment of patients with peripheral arterial disease (PAD). Selution SLR is a novel sirolimus-eluting balloon that...
A study of more than 10,000 U.S. veterans with peripheral arterial disease (PAD) undergoing endovascular interventions in the femoropopliteal segment found that rates of two‐ and three‐year all‐cause mortality were similar among patients undergoing revascularization with a paclitaxel-coated device...
Richard McCann, MD, a vascular surgeon who reinvented his skills after the endovascular revolution in the 1990s and implanted the first endograft for an abdominal aortic aneurysm (AAA) at Duke University in Durham, North Carolina, has died. Born in Portland,...
There is some evidence to indicate that the inclusion of wearable activity monitors in home-based exercise therapy improves walking ability and quality of life in patients with intermittent claudication. This is the main finding of a systematic review that recently...
The pandemic-induced discount applied to the fifth edition of the Vascular Educational Self-Assessment Program (VESAP5) will end March 31.   VESAP5 was introduced in July 2020 at a 25% discount due to the financial difficulties caused by COVID-19. The online program—designed to...
Nominations for the solitary Society for Vascular Surgery (SVS) 2021 officer position is now open. The nominations received will inform who will fill the SVS vice president role currently held by Michael C. Dalsing, MD, after the professor emeritus of...
“Deep vein arterialization is safe and technically feasible,” Peter Schneider, MD, a professor in the division vascular and endovascular surgery at the University of California San Francisco, said during a recent presentation on 12-month data from the PROMISE I...
To enhance the chances of being able to hold the 2021 Vascular Annual Meeting (VAM) in-person, the Society for Vascular Surgery (SVS) has moved the conference, lock, stock and barrel to mid-August. This pre-eminent event for vascular education now...
The United States Preventive Services Task Force (USPSTF) has recommended against screening for asymptomatic carotid artery stenosis in the general adult population—a reaffirmation of the 2014 D recommendation. The USPSTF statement came in a recommendation statement recently published in the...
The Society for Vascular Surgery (SVS) has selected 24 members for the year-two cohort of the Leadership Development Program. Because of the pandemic, the program will include virtual webinars, with an in-person acknowledgement of the group at the 2021...
The SVS Foundation received an extra infusion of contributions in late 2020, thanks to more than 40 new donors and the generosity of four members who matched a portion of these donations. The Foundation received $11,878 from new donors...
In the wake of approval by the Food and Drug Administration (FDA) of the Treo abdominal aortic stent-graft system for the treatment of patients with abdominal aortic aneurysms (AAAs), Terumo Aortic has announced the publication of the primary endpoint...
The Society for Vascular Surgery (SVS) and the American College of Cardiology (ACC) have completed a move to create a single vascular registry. The new joint venture is designed to harness the strengths of both organizations in improving care and...
Disclaimer: The views expressed here do not reflect those of Mayo Clinic, the Society for Vascular Surgery, Vascular Specialist, or even the author, for that matter. It’s satirical—everybody relax. Our recent paper, “Practice patterns of vascular surgery’s '1%'” created...
In this issue: A Vascular Specialist cover special on atherectomy and utilization rates: "Are high reimbursement amounts incentivizing inappropriate medical provider care?" (p. 1 and 6) Against the backdrop of appropriateness in care, Andrew J. Meltzer, MD, takes a...
A key theme among the late-breaking trial data presented at the recent LINC 2021 (the Leipzig Interventional Course), held digitally from Jan. 25–29, was the emergence of long-term evidence on paclitaxel devices in the femoropopliteal segment. Results out to five years...
The initial stages of the COVID-19 pandemic resulted in three-month sustained decreases in operative and outpatient clinical volume as well as a “severe” financial loss for a U.S. academic vascular surgery division, researchers from a prominent health system in...
Democratic victories for Georgia’s two Senate seats in the runoff election Jan. 5 have solidified the Democrats’ control of the federal government for the next two years. The victories by Democrats Rev. Raphael Warnock over incumbent Sen. Kelly Loeffler...
Significant disparities in healthcare services in the United States result in unnecessary limb loss, stroke and death. Vascular health professionals are developing new programs to address these inequities, through the Society for Vascular Surgery (SVS) Foundation. The SVS Foundation...
Kuldeep Singh, MD, calls them a labor of love. They are tough—the patients having endured repeated hospitalizations, infections, embarrassment: The sorts of severely affected lymphedema cases he ends up treating find individuals in the end stage of the disease...
A recent analysis established an association between depression and non-home discharge after revascularization for chronic limb-threatening ischemia (CLTI)—providing further evidence, the authors say, that an increased awareness of mental health is fundamental to care for vascular surgery patients. Joel L....
The Society for Vascular Surgery (SVS) has launched its Education Portal, linking to eagerly anticipated new learning management system (LMS) SVS OnDemand. Education Committee chair Kellie Brown, MD, hailed the site an online hub that covers all educational needs. Links...
Royal Philips has announced the final, five-year results of two randomized controlled trials (RCTs) that show no difference in all-cause mortality between patients treated with the Stellarex drug-coated balloon (DCB) and those treated with percutaneous transluminal angioplasty (PTA), the current...
Vascular injuries of the upper extremity are associated with a lower rate of limb loss but have an increased prevalence of nerve deficits after trauma, a new analysis comparing vascular trauma of the extremities reveals. The investigators behind the study—delivered...
New data that analyze the preoperative and intraoperative assistance vascular surgeons provide to other surgical subspecialties underscores “the essential hospital resource” that vascular surgery represents. These findings by a team of researchers from Robert Wood Johnson Medical School at Rutgers...

Reimbursement

Reimbursement
Reimbursement-per-procedure for femoropopliteal atherectomy and stenting has increased at about the same rate for national providers as a whole and vascular surgeons specifically—at the same time as much higher rates were recorded for radiologists and general surgeons, an analysis...
The Society for Vascular Surgery (SVS) is developing Appropriate Use Criteria (AUC) for claudication using the RAND Appropriateness Method. The AUC process consists of a writing panel that develops clinical scenarios and a rating panel that rates the appropriateness of...
The latest research around practice patterns and appropriateness in care came shortly after a criminal case in Florida at the tail end of last year in which the owner of an outpatient catheterization lab pled guilty to committing healthcare...
Just 1% of vascular surgeons receive “an inordinate amount” of the total Medicare payments that flow toward the specialty, with disproportionate use of outpatient atherectomy among a small number of providers raising concerns on appropriateness and overutilization, an investigation...
Defining culture is amorphous, and mostly subjective. Being hard to define, it falls behind other measures of leadership—and team success or failure—like strategy or communication skills. Michael Watkins, PhD, professor of leadership and organizational change at the International Institute for...
Fluoroquinolones—one of the most commonly prescribed antibiotic classes in the United States—were associated with increased incidence of aortic aneurysm formation in U.S. adults, a new study published in JAMA (Journal of the American Medical Association) Surgery found.   “This association...
The Society for Vascular Surgery (SVS) is starting 2021 with updated clinical practice guidelines and reporting standards for three vascular conditions. Guidelines on chronic mesenteric ischemia have been developed to provide the best possible evidence for the diagnosis and treatment...
Ample published data from from large, observational datasets, randomized-controlled trial (RCT) subgroup analyses and long-term follow-up from pivotal paclitaxel-coated device RCTs have not been able to replicate an association between such devices and mortality, an expert analysis recently published...
On Oct. 28, 2020, the University of Vermont Health Network—consisting of six hospitals in Vermont and upstate New York, was hit by a cyberattack.1 Leading up to the attack—the U.S. Cybersecurity and Infrastructure Security Agency (CISA) released a warning regarding...
Representatives from the Food and Drug Administration (FDA) referenced "important and reassuring" results from the recent interim analysis of the SWEDEPAD clinical trial in which patients with peripheral arterial disease (PAD) received treatment with paclitaxel-coated or uncoated endovascular devices.  However, writing in...
Ronald L. Dalman While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and dedication of SVS committee, council and task force members to deliver on the...
While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and dedication of SVS committee, council and task force members to deliver on the mission has...
A symposium designed to educate graduating vascular fellows on succeeding in a community or private practice as well as an academic setting is set to take place at the end of February. The 2021 Mote Symposium, hosted by the Mote...
Exercise can play an important role in treating peripheral arterial disease (PAD), a recent review by Amy Harwood, PhD, from the Centre for Sport and Exercise Life Sciences at Coventry University and the faculty of health sciences at the University...
The deadline for the Society for Vascular Surgery (SVS) Resident Research Award has been extended to Feb. 17—a knock-on effect of the date shift for the Vascular Annual Meeting (VAM). The SVS Basic and Translational Research Committee selects one recipient...
While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and dedication of SVS committee, council and task force members to deliver on the mission has...
*The January 2021 issue of Vascular Specialist, which contained this story, went to press prior to the news that Congress had moved to halt cuts to Medicare. At the conclusion of a challenging 2020, we at the Society for Vascular Surgery (SVS)...
While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and dedication of SVS committee, council and task force members to deliver on the mission has...
A retrospective study analyzing approximately 55,000 patients undergoing abdominal aortic aneurysm (AAA) repair suggests current screening guidelines may be inadequate in detecting a significant number of new cases. Additionally, expanding screening for certain population segments may be warranted. The...
While there is little doubt the pandemic has impacted each vascular surgeon and the SVS as a Society in numerous ways, the commitment and dedication of SVS committee, council and task force members to deliver on the mission has...
Fulfilling one of the first recommendations—and the highest priority—of the Diversity, Equity and Inclusion (DEI) Task Force, the Society for Vascular Surgery (SVS) has created and appointed members to the new Diversity Committee. As is the case with the...
The Society for Vascular Surgery (SVS) Diversity, Equity and Inclusion (DEI) Task Force’s findings and recommendations are taking shape, with some already implemented. After more than a year of study and information-gathering, the task force presented its findings and...
Have you paid your 2021 Society for Vascular Surgery dues? If you haven’t, you’re missing access to all of the latest research in the Journal of Vascular Surgery publications. And that’s not all. SVS membership confers an array of...
Educational content will soon be as close as the nearest Internet connection. SVS OnDemand is slated to go live at the end of this month along with a new Education section/portal on the SVS website through which to access...
Applications are due early in 2021 for a number of Society for Vascular Surgery (SVS) and SVS Foundation awards, honors and grants. Information on all awards and scholarships is available at vsweb.org/Awards. January: Applications are due Jan. 13 for the...
For the first time since 1992, office/outpatient evaluation and management (E/M) Current Procedural Terminology (CPT) codes have been extensively revised. As of Jan. 1, the lowest level new patient visit code 99201 will be deleted, and the remaining new...

A healing touch

Since March 2020, my life has literally spiraled out of control both personally and professionally. The COVID-19 pandemic shattered my life, and I am still left picking up the pieces, wondering if it will ever be put back together...
The inaugural cohort of the Society for Vascular Surgery (SVS) Leadership Development Program had to show some resilience early. Not long after the initiative’s maiden run, COVID-19 struck, and a program meant to take place in person went digital....
*The January 2021 issue of Vascular Specialist went to press prior to the news that the dates for VAM had been moved to August, and that Congress had moved to halt cuts to Medicare. In this issue: Target 2021: In...
The question of the COVID-19 pandemic’s effect on vascular practice continues to occupy members of the specialty. Contributors to a global vascular surgery registry collecting data on its impact on scheduled operations and virus-related thrombotic complications detailed a series...
Speaking at the Virtual Aortic Surgery How to Do It Highlights conference (Dec. 17–18), Stéphan Haulon, MD, a vascular surgeon at Hôpital Marie Lannelongue, Paris, France, discussed total endovascular treatment of the aortic arch in chronic dissections. Detailing global...
According to Daniela Branzan, MD, a senior vascular surgeon at University Hospital Leipzig, in Leipzig, Germany, and colleagues, pre-emptive embolization of aneurysm sac side branches for patients with abdominal aortic aneurysm (AAA) is “safe and effective” in preventing type...

VAM dates shifted to mid-August

The Society for Vascular Surgery (SVS) has shifted the 2021 iteration of its flagship conference, the Vascular Annual Meeting (VAM), to August in a bid to increase the likelihood of an in-person event.  The meeting was originally scheduled to take...
Both the House of Representatives and Senate have approved legislation to delay steep cuts to Medicare that were set to take effect Jan. 1, 2021. It is anticipated President Donald Trump will eventually sign the bill; however, if it is...
New pocket guides of the Society for Vascular Surgery (SVS) clinical practice guidelines and reporting standards are now available, with printed guides sent to all members. SVS guidelines and reporting standards are extensively researched and written by leading vascular experts....
A recent systematic review found that “carefully designed and structured” simulation-based training (SBT) in open vascular surgery is effective and can improve technical skills, especially in less experienced trainees. But authors Jonathan Lawaetz, MD, of Rigshospitalet in Copenhagen, Denmark),...
Efemoral Medical has announced the first-in-human (FIH) use of the company’s Efemoral Vascular scaffold system (EVSS) with FlexStepv technology in the EFEMORAL I FIH clinical study. The medical device company said the technology offers a new approach to treat...
The wound, ischemia and foot infection (WIfI) score is as accurate a predictor of risk for limb loss in Black people as it is among whites, an SVS Foundation-supported study found. The research on patients with chronic limb-threatening ischemia (CLTI)...
Craig Walker, MD, of Houma, Louisiana; Bryan Fisher, MD, of Nashville, Tennessee; and Andre Biuckians, MD, of Towson, Maryland, give a multi-specialty perspective in regards to the new Philips QuickClear device. They discuss how they are utilizing QuickClear for...
Revascularization of the lower extremity improves hemodynamics, walking performance, quality of life and calf-muscle pathology in claudicating patients with peripheral arterial disease (PAD), researchers in Nebraska found.  Furthermore, baseline systolic pressure in the foot, at 15 seconds after relief of...
An unplanned interim analysis of the registry-based SWEDEPAD clinical trial, in which patients with peripheral arterial disease (PAD) received treatment with paclitaxel-coated (drug-coated balloons or drug-eluting stents) or uncoated endovascular devices, “did not show a difference between the groups...
Shockwave Medical has announced that as part of the calendar year 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) has created four new codes for intravascular lithotripsy (IVL) procedures...
The Society for Vascular Surgery (SVS) has launched an Annual Physician Member Census aimed at capturing current issues of importance and the changing demographics of the membership body. The inaugural survey, due by Dec. 14, comes as the SVS places...
Terumo Aortic has announced the midterm results from the RelayPlus thoracic stent graft system post-approval study, revealing low operative mortality and morbidity— supporting its use as a "safe and effective" thoracic aortic aneurysm treatment. Over a three-year period, the RelayPlus...
Hypercoagulability in COVID-19 patients leads to an increase in the malfunction rate of temporary hemodialysis catheters—but heparin locking of the catheters is linked to decreased malfunction rates. Those are among the main findings of a study recently published in the...
A gift to the SVS Foundation funds not just things—patient education fliers, research awards and community awareness projects—but also hope for a better future. Hope that screenings identify people at risk for a ruptured abdominal aortic aneurysm. That research...
Vesper Medical recently announced initiation of its Food and Drug Administration (FDA) investigational device exemption (IDE) study, VIVID (Venous stent for the iliofemoral vein investigational clinical trial using the Vesper Duo venous stent system). The VIVID trial is a prospective, multicenter, single-arm study to...
Humans are social animals, and, over time, they have found that their best times are spent in groups. We have just celebrated Thanksgiving, spending time with our most important group, our family, reflecting on our present life situation and...
Though many individual components will remain the same, the 2021 Vascular Annual Meeting (VAM) will have a different look and feel. "The meeting has been reorganized. We’re creating an expanded version of VAM that will take place Wednesday morning...

Present imperfect

On the morning of Nov. 9, I received a phone call from my sister. My father had been found unresponsive in his Manhattan apartment and was being taken to the hospital. Ok, I told her, call me when you...
Every year a number of graduating vascular trainees look for jobs in academic surgery to develop a career as a surgeon-scientist in basic, translational or health services research. The current era of productivity-based compensation and competing demands in clinical,...
The Centers for Medicare and Medicaid Services’ (CMS) has delivered a blow to vascular surgery in the form of a 7% cut in total payment for the services it provides. The cuts are included in the agency’s final rule...
For aspiring vascular trainees, interview season is a time of great stress as well as opportunity. Graduating medical students and residents are preparing the pitches of a lifetime. But during these arduous times of social distancing, the process of...
In this issue: OBL: Community surgeons talk through surviving private practice in office-based labs (p. 1 and 4) "Present imperfect": Vascular Specialist medical editor Malachi Sheahan III, MD, discusses coping with loss amid the pandemic after the recent passing of...
Applications for three Society for Vascular Surgery (SVS) Foundation awards are coming up early in the new year. The Resident Research Award (Jan. 13, 2021) is open to surgical and vascular surgery trainees. This prestigious award carries with it...
In a recent systematic review and meta-analysis, Venkata Sai Jasty, from the University of Arizona College of Medicine in Tuscon, Arizona, and colleagues found that the risk of ischemic steal syndrome, “one of the most feared complications in vascular...
Outpatient settings like office-based laboratories (OBLs) have attracted increased scrutiny in recent times amid efforts to shine greater light on appropriateness in care. During the COVID-19 pandemic, they have been among some of the hardest-hit private vascular surgery practices...
A research team in Dallas demonstrated the successful operation of transcarotid artery revascularization (TCAR) in a community practice setting, reporting results in line with large-scale TCAR trials. Among the 279 TCAR procedures the investigators analyzed, they found a major adverse...
The last nine months took away much. The Vascular Annual Meeting (VAM) was canceled. The Vascular Research Initiatives Conference (VRIC) suffered a similar fate—its content latterly resuscitated in virtual form earlier this month. The traditional Society for Vascular Surgery...
Fenestrated-branched endovascular aneurysm repair (F-BEVAR) for thoracoabdominal aortic aneurysms (TAAAs) carried out on women “demonstrate metrics of increased complexity and have a lower level of technical success, particularly among patients with higher extent aneurysms,” a research team in Seattle...
The low rate of events that occur in small abdominal aortic aneurysms (AAAs) supports continued ultrasound surveillance every three years for aneurysms that measure between 3–3.9cm and every year for those 4–4.9cm, researchers found. Investigators at the Cleveland Clinic, Ohio,...
The Society for Vascular Surgery (SVS) has launched three new mobile apps to help guide surgeons in the treatment and management of chronic limb-threatening ischemia (CLTI). The apps help facilitate translating the Global Vascular Guidelines on the management of CLTI....
The Society for Vascular Surgery would like to welcome the popular Audible Bleeding podcast into its communications family. SVS has reached and executed an agreement with the Audible Bleeding team that will navigate the popular podcast series to the...
During the virtual annual meeting of the New England Society for Vascular Surgery (NESVS), outgoing president Marc L. Schermerhorn, MD, called for the NESVS to follow the lead of the Society for Vascular Surgery (SVS) by creating a diversity...
The American Medical Association's Board of Trustees has named SVS' longtime coding expert and member Robert M. Zwolak, MD, as the AMA alternative representative to the organization’s RVS Update Committee (RUC), and alternative vice chair. The RUC is a unique...
An analysis of the Vascular Quality Initiative (VQI) endovascular aneurysm repair (EVAR) registry for elective abdominal aortic aneurysms (AAAs) revealed that frailty continues to be highly correlated with mortality after the procedure among those aged 80 and over. Researchers from...
Foot vein arterialization (FVA) is a safe procedure with good early graft patency and a limb salvage rate of 77.8%, Qi Yan, MD, and colleagues found during a retrospective review of patients treated between 2019–2020. Yan et al, of the...
Treatment with the mVASC microvascular tissue graft product (MicroVascular Tissues) results in superior wound closure compared to standard of care alone, the first randomized controlled trial using microvascular elements to treat microvascular dysfunction—the HIFLO trial—finds. Presented at the Symposium...
The management of the severely injured trauma patient often requires delicate coordination among multiple specialties, and multiple separate operative procedures are often necessary. In particular, the clinical management of concomitant vascular and orthopedic injuries can be complicated. As a...
Stent grafts with active fixation below the renal arteries as well as oversizing by less than 10% seem to have the least effect on aortic neck degeneration over time, according to a research team who conducted a retrospective review...
The holidays are close upon us, and many Society for Vascular Surgery (SVS) members will be shopping online this month and next. The COVID-19 pandemic has, in fact, prompted many people to do even more shopping online then before....
Since 2002, the SVS Political Action Committee (PAC) has been a vehicle for advocacy specifically for vascular surgeons. As the only voice geared for vascular surgeons in Washington, D.C., it plays an instrumental role in championing pressing concerns that...
In one of the latest sub-analyses from the VOYAGER PAD trial, investigators found that rivaroxaban plus aspirin versus aspirin alone in the high-risk population of patients with critical limb-threatening ischemia (CLTI) undergoing lower-extremity revascularization reduced the risk of a...

SVS members in the news

Richard Lynn, MD, a vascular surgeon from Palm Beach, Florida, has been elected second vice-president-elect of the American College of Surgeons (ACS). Alan Dardik, MD, of Yale University School of Medicine, New Haven, Connecticut, and Andres Schanzer, MD, of...

Dig deep this Giving Tuesday

Will you give on Giving Tuesday? This will be the SVS Foundation’s third year marking the annual global day of giving—Dec. 1, this year—which follows Thanksgiving and the big shopping days of Black Friday and Cyber Monday. The day...
November is Diabetes Awareness Month. The Branding Toolkit can help SVS members promote the valuable care they provide those with the disease. One of the three customizable condition fliers currently available covers diabetic foot ulcers (the other two address...
The Society for Vascular Surgery (SVS) has submitted comment letters to the Centers for Medicare & Medicaid Services (CMS) on two proposed rules that directly affect SVS members: the Medicare Physician Fee Schedule and the Hospital Outpatient Prospective Payment...
Patient-centered clinical success after lower-extremity revascularization for people with diabetic foot wounds was achieved among 63% of patients in a new analysis—but researchers suggest the measure on which the study was based may define clinical success too strictly given...
During a late-breaking data session at this year’s Vascular Interventional Advances virtual annual meeting (VIVA 2020) Nov 6–8, Ehrin Armstrong, MD, a professor of cardiology at the University of Colorado, Denver, presented two-year outcomes from the DETOUR I trial...

Abstracts for VRIC, VAM 2021

Calling surgeons and scientists: Your research is wanted. Submission sites are now open for two annual SVS meetings in 2021, the Vascular Research Initiatives Conference (VRIC) and the Vascular Annual Meeting (VAM). The VRIC submission site will close Jan. 6,...
William Shutze, MD, a member in community practice in Dallas, has lost no time in putting the new SVS Branding Toolkit to use. In fact, he was experimenting with it during the SVS Town Hall in mid-September at which...
Ten years ago when we wrote a paper on diversity that was published in the Journal of Vascular Surgery (JVS), it barely caused a ripple. Entitled “Diversity in membership and leadership positions in a regional vascular society,” it was...
The DISRUPT PAD III randomized controlled trial (RCT) provides the largest level-one evidence for the treatment of heavily calcified femoropopliteal arteries, noted William Gray, MD, an interventional cardiologist at Main Line Health, Philadelphia, during the second and final late-breaking...
Members asked; SVS listened. The Society for Vascular Surgery (SVS) has launched a Branding Toolkit to help its members brand the specialty in order to elevate and differentiate their practices. This first set of branding tools tells referring physicians...
Given the absence of a safety signal in data from the VOYAGER PAD trial, a new analysis examined the potential benefit of drug-coated device versus non-drug-coated device treatment for reducing limb outcomes. Connie Hess, MD, an associate professor of...
In this issue: "Anatomy of a branding campaign: Making vascular surgery more visible"—how the SVS crafted a strategy aimed at elucidating what it is vascular surgeons do and the longitudinal care they provide (p. 1 and 4) The new...

New committee needs volunteers

The Society for Vascular Surgery (SVS) has extended the deadline for volunteers to apply to its new Communications Committee. The Society is seeking members who are currently not on an SVS committee and have a desire to shape and...
The new SVS Branding Toolkit—a robust set of tools designed to help members communicate their roles in comprehensive vascular care—is now available exclusively and at no cost to members of the Society for Vascular Surgery (SVS). Additionally, most are...
When Benjamin W. Starnes, MD, talks vascular trauma, he does so from a position of certain authority. As the recent Southern California Vascular Surgical Society (SCVSS) annual meeting (Oct. 24–25) heard, few in modern practice can draw on the...
The Janssen Pharmaceutical Companies of Johnson & Johnson announced today it has submitted a supplemental New Drug Application (sNDA) to the Food and Drug Administration (FDA) for a new indication to expand the use of Xarelto (rivaroxaban) in patients...
An investigation of differences in patient outcomes following open repair of abdominal aortic aneurysms (AAAs) found in three national registries showed that mortality rates were lower for those contained in the Vascular Quality Initiative (VQI). Researchers at Brigham and Women’s...
Patients treated with a paclitaxel-coated balloon saw greater survival, freedom from amputation and amputation-free survival through four-year follow-up after their initial femoropopliteal revascularization operation than those who received treatment using an uncoated device, researchers behind a propensity-matched retrospective review...
Getinge is investing €3 million in its manufacturing of polyester grafts and patches to treat aneurysmal and occlusive diseases. The investment aims at increasing manufacturing capacity in Getinge’s site in La Ciotat, France. “We have seen a growing demand from...
A multidisciplinary limb salvage alliance found that operating room (OR) and clinic volumes as well as work relative value units (wRVUs) all increased significantly over a three-year period after the recruitment of podiatrists into the program. Studying data from 2015–2019,...
To know where to go, you first have to know the starting point. "We cannot adequately measure our progress in the SVS on diversity, equity and inclusion if we do not have the requisite data to measure,” said Society for...
It took Journal of Vascular Surgery (JVS) associate editor Ulka Sachdev-Ost, MD, a while to realize just how much of an impact her mother’s journey in medicine had had on her own career. Sachdev-Ost reveals an intriguing backdrop to an...
Findings from a series of late-breaking trials in the endovascular field were delivered recently at TCT Connect (Oct. 14–18), the 32nd annual scientific symposium of the Cardiovascular Research Foundation (CRF), held virtually, with the first from Connie N. Hess,...
Following a year of study and including more than 40 separate goals, objectives and requested actions, the SVS Executive Board has received, reviewed and embraced the report of the SVS Diversity, Equity and Inclusion (DEI) Task Force as a...
Let’s start with our mission statement: We at the SVS Political Action Committee (PAC) exist as the fundraising arm for the advancement of the legislative priorities of the SVS. Through education and advocacy, we interface with legislators regarding key...
Data gathered from patients presenting with acute limb ischemia (ALI) during the peak of the COVID-19 pandemic at the heart of New York City—a U.S. epicenter—demonstrated a 50% rate of limb salvage as well as a 70% 30-day mortality...
The COVID-19 pandemic’s impact on surgery and medicine continues, prompting the Centers for Medicare and Medicaid Services (CMS) to propose changes in year five of the CMS Quality Payment Program (QPP). These changes were to take effect Jan. 1,...
A new American Limb Preservation Society (ALPS) was launched during the recently concluded Diabetic Foot Conference (DFCon), held virtually this year from Oct. 9–10. The organization aims to serve as an interdisciplinary bridge between patients and medical specialties, surgery, nursing,...
The Surfacer Inside-Out access catheter system device (Bluegrass Vascular) is safe and effective for patients with thoracic central venous obstruction requiring central venous access. That is the conclusion of the prospective, multicenter SAVE (Surfacer system to facilitate access in...
Before we can look to where we’re going, we need to look to where we’ve been. And we do just that, in the pages of the Society for Vascular Surgery (SVS) Foundation Annual Report, available at vsweb.org/FoundationReport2020. This has been...
Abstracts for next year’s Vascular Research Initiatives Conference (VRIC) will be accepted beginning Nov. 3. VRIC 2021 is held the day before and in the same location as the American Heart Association’s “Vascular Discovery” scientific sessions. The meeting date...
Julie Ann Freischlag, MD, the first female president of the Society for Vascular Surgery (SVS), will be the next president of the American College of Surgeons (ACS). The Winston-Salem, North Carolina-based vascular surgeon was elected to serve as the 2020–2021...
Almost nothing will go untouched by artificial intelligence (AI) in healthcare and surgery, notably in the quickly evolving world of vascular and endovascular surgery, Elsie Gyang Ross, MD, told the American College of Surgeons (ACS) Clinical Congress 2020 (Oct....
Thomas Jefferson sat alone in a Philadelphia boarding house. He was nervous; much was riding on the words he would now write. The sovereignty of a nation, the coming war, and, perhaps most important to Jefferson, his own life....
For Laurel Hadley Hastings, MD, membership in the Society for Vascular Surgery (SVS) provides a great collection of valuable benefits. They include an ongoing connection to academia and research, potential mentoring, interacting and working with more experienced surgeons and...
In 2019, Kim Hodgson, MD, kicked off his presidential year by placing appropriateness and quality of care under the microscope. His turn organizing the E. Stanley Crawford Critical Issues Forum at the 2019 Vascular Annual Meeting (VAM) saw the...
In this issue: Special interview: Kim Hodgson, MD, discusses his SVS presidency, his appropriateness-in-care agenda, the new SVS SET app, and his post-presidential priorities (p. 1 and 4) Medical editor Malachi Sheahan III makes the case for science and...
The Journal of Vascular Surgery (JVS) has announced the appointment of a new associate editor for clinical research who will be focused on diversity, equity and inclusion. Ulka Sachdev-Ost, MD, associate professor of vascular surgery at the University of Pittsburgh...
This article has little, yet everything to do with surgery. It is about decision-making under adverse circumstances. If you have not listened to the 43-minute YouTube video about King Air 559 Delta Whiskey, you should. It will inspire you....
The Centers for Disease Control and Prevention (CDC) has approved a proposal to distinctly recognize critical limb ischemia (CLI) and critical limb-threatening ischemia (CLTI) in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). A coalition organized by the...
The American Heart Association (AHA) recently announced the publication of a study identifying 14 new genes linked to an increased risk of abdominal aortic aneurysm (AAA). Previous studies have detected 10 locations in the human genome associated with potential AAA...
There is an incremental increase in the risk of an abdominal aortic aneurysm (AAA) among those with a family history of the disorder based on degree of relation—with a significantly higher risk found in patients with a first-degree relative...
An entirely preoperative risk-scoring tool for the prediction of 30-day mortality after a ruptured abdominal aortic aneurysm (rAAA) was found to be accurate after a retrospective review of a prospectively collected database at Harborview Medical Center in Seattle. The calculator...
The Society for Vascular Surgery (SVS) is offering a virtual Vascular Research Initiatives Conference (VRIC) ONLINE 2020 featuring abstracts that were intended to be presented in May at the canceled VRIC 2020: "From Discovery to Translation." The VRIC program...
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 been developed by a multispecialty panel of medical societies—in discussions with their patients. The document is the...
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 chronic 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...