http://www.vascularweb.org/rss/ en-us ℗ & © 2007 Society for Vascular Surgery Podcast for Medical Students and Residents from the Society for Vascular Surgery Society for Vascular Surgery These podcasts address a broad scope of vascular surgery topics, as well as career opportunities for medical students and general surgery residents. The Educational Topics on Vascular Surgery for Medical Students and Residents podcasts are presented by the Society for Vascular Surgery, a not-for-profit association representing 2,400 vascular surgeons, that seeks to advance excellence and innovation in vascular health through education, advocacy, research and public awareness. These podcasts address a broad scope of vascular surgery topics, as well as career opportunities for medical students and general surgery residents. Society for Vascular Surgery communications@vascularsociety.org Society for Vascular Surgery There is a critical need for vascular surgeons as the patient base for vascular surgery will continue to grow as baby boomers age. It is expected that the population of baby boomers will rise 20 percent in five years and 50 percent in 10 years. Recently introduced, integrated vascular surgery training programs, which provide a primary certificate in vascular surgery only, will result in a shortened vascular surgery training period for junior residents or medical students who choose vascular surgery early on. Wed, 24 Oct 2007 16:28:06 EDT 4:18 vascular surgeons, integrated vascular surgery training programs, medical students, vascular surgery. Society for Vascular Surgery Dr. Clem Darling discusses an important topic for surgeons just starting their practice - how to structure vascular surgery practices to optimize time and revenue. Wed, 18 Feb 2009 18:41:56 EST 3:23 vascular surgery practices, time, revenue Society for Vascular Surgery Vascular diseases are among the most prevalent medical conditions. Listen to vascular surgeons discuss one of the most exciting fields in medicine today. Emphasis on performing open surgical, endovascular and minimally invasive procedures to treat acute and chronic arterial and venous diseases. Thu, 26 Mar 2009 12:29:16 EDT 07:12 vascular surgery, medicine, fields, surgical, endovascular, minimally invasive Society for Vascular Surgery At the 2008 Vascular Annual Meeting Ruth Bush, MD, an Associate Professor of Surgery at the Texas A&M Health Science Center College of Medicine, spoke to residents and students on the various types of job opportunities available to vascular surgeons, such as in private practice and academic settings. Tue, 30 Sep 2008 21:50:25 EDT 14:44 jobs, vascular surgery, residents and students Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Robert B. McLafferty, MD, a professor at Southern Illinois University School of Medicine, discussed the data from the expanded American Venous Forum screening program, which screened and educated approximately 4,000 people about venous disease. Complete results of the screening program were recently published in the August 2008 issue of the Journal of Vascular Surgery. Thu, 31 Jul 2008 11:50:49 EDT 08:43 expanded American Venous Forum screening program, medical students, residents Society for Vascular Surgery At the 2008 Vascular Annual Meeting, Jack L. Cronenwett, MD, a vascular surgeon at Dartmouth Medical School, spoke to residents and students about the evolution of the current vascular surgery training paradigms and the increasing demand for more vascular surgeons to treat an aging population with vascular problems. Thu, 26 Mar 2009 12:29:16 EDT 14:49 age population vascular problems workforce needs training programs Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Glenn LaMuraglia, MD, associate professor of surgery at Harvard Medical School, reviewed studies on carotid-specific lipid lowering medical therapies. Fri, 29 Feb 2008 10:31:26 EST 18:36 Carotid-Specific Lipid Lowering, therapies, vascular surgery Society for Vascular Surgery Vascular surgery offers huge opportunities in a diverse field of areas for vascular research. New devices and techniques, including imaging, are about to experience an explosion of development, and new vascular surgeons will be able to help determine where scarce health care dollars can do the most good for the greatest number of patients. Vascular surgery research truly represents the real cutting edge of medicine today. Fri, 16 Nov 2007 16:37:46 EST 3:48 research, vascular surgery, imaging, vascular surgeons, medicine Society for Vascular Surgery At the 2008 Vascular Annual Meeting, Glenn LaMuraglia, MD, associate professor of surgery, Harvard Medical School and Massachusetts General, discussed data from a new database and early outcomes study regarding the number of clinical and anatomic factors influencing the decision between infrainguinal bypass surgeries and endovascular procedures used to treat lower extremity vascular disease. Mon, 5 Jan 2009 11:16:05 EST 08:16 infrainguinal bypass surgeries endovascular procedures lower extremity vascular disease Society for Vascular Surgery As a follow-up to the Endovascular Aneurysm Repair Podcast, at the 2007 Vascular Annual Meeting, Glen Roseborough, MD, Assistant Professor of Surgery at the Johns Hopkins Hospital spoke to residents and students on how open vascular surgery is still a large focus of vascular care. Tue, 5 Feb 2008 13:26:46 EST 22:19 open vascular surgery, residents students Society for Vascular Surgery Brief video describing the history of Vascular Surgery Tue, 28 Aug 2007 12:17:46 EDT 02:11 History vascular surgery Society for Vascular Surgery Vascular surgeon Dr. Julie Freischlag recently spoke to the general public about vascular health and the treatments performed by vascular surgeons in an interview with Sky Radio Promotions for audio broadcast on American Airlines and Northwest Airlines. Wed, 7 May 2008 18:12:53 EDT 4:44 vascular health, baby boomers, aneurysms Society for Vascular Surgery A career in vascular surgery can offer a balanced and flexible lifestyle. With vascular surgery, you can experience a full range of practice options and opportunities such as an academic career at a university or in a private practice with options to pursue interests in research or education. Thu, 27 Sep 2007 13:37:57 EDT 5:22 vascular surgery, practice options, academic career, research, education Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Joseph L., Mills, MD, Chief of the Section of Vascular Surgery at the Arizona Health Sciences Center, discussed when endovascular therapy was sufficient for the treatment of the neuroishemic diabetic foot. Tue, 8 Apr 2008 15:44:33 EDT 15:16 At the 2007 Vascular Annual Meeting, Joseph L., Mills, MD, endovascular therapy treatment neuroishemic diabetic foot Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Manish Mehta, MD, Assistant Professor of Surgery at the Vascular Group, PLLC, spoke to residents and students on the history of endovascular abdominal aneurysm repair in vascular surgery and emerging technologies. Tue, 15 Jan 2008 11:41:26 EST 17:35 Endovascular Aneurysm Repair, residents, students, vascular Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Julie A. Freischlag, MD, the Chair of the Department of Surgery at Johns Hopkins Hospital, spoke to residents and students on how to choose the right specialty, making the most of your medical career, and taking advantage of current opportunities in vascular surgery. Thu, 13 Dec 2007 9:39:57 EST 16:34 vascular surgery, medical, career Society for Vascular Surgery At the 2008 Vascular Annual Meeting, Kristina Giles, MD, a general surgery resident at Beth Israel Deaconess Medical Center in Boston, presented research from a nationwide database of hospital discharges from 1988-2005, that reported in the U.S. population deaths from all abdominal aortic aneurysms, as well as the total ruptured AAAs is declining, while the number of elective repairs is increasing. These improved results coincide with the introduction of endovascular aneurysm repair, approved by the Food and Drug Administration in 1999. Mon, 1 Dec 2008 10:24:46 EST 7:57 abdominal aortic aneurysms endovascular aneurysm repair Society for Vascular Surgery In the United States more than 750,000 individuals have a stroke each year. To put this into perspective, there are more new strokes than cancers of the breast, prostate and colon combined. Although there are multiple causes of stroke, disease of the carotid artery, the major blood supply to the brain, is responsible for 40 percent of all strokes. Thu, 3 Dec 2009 16:09:26 EST 3:41 stroke Carotid Endarterectomy Society for Vascular Surgery Vascular surgeons are experts in the treatment of the entire spectrum of vascular disease, including arterial aneurysms and occlusive disease, venous disease and lymphatic insufficiency. Tue, 22 Sep 2009 11:14:55 EDT 3:18 vascular surgeons vascular disease venous disease Society for Vascular Surgery The basis for the treatment of extracranial cerebrovascular occlusive disease is prevention of stroke. Surgical or endovascular intervention for these lesions is warranted if it is determined that they provide a safe and more effective treatment than best medical therapy alone. Fri, 22 May 2009 13:51:07 EDT 5:17 extracranial cerebrovascular occlusive disease stroke Society for Vascular Surgery Deep vein thrombosis (DVT) is a blood clot in one of the deep veins. It can be difficult to recognize the symptoms of DVT. However, the condition can be effectively treated once diagnosed. Tue, 29 Dec 2009 16:41:19 EST 3:34 Deep vein thrombosis (DVT) blood clot Society for Vascular Surgery One of the major assets of the vascular specialist is the ability to diagnose vascular disease using non-invasive techniques, including ultrasound, blood pressures, and plethesmography. These techniques utilize sound waves or blood pressure cuffs to evaluate arteries and veins. The studies are termed non-invasive because these technologies do not require incisions, catheters or needles. Mon, 6 Jul 2009 12:55:32 EDT 5:31 vascular disease non-invasive techniques ultrasound blood pressures plethesmography Society for Vascular Surgery The current worldwide financial crisis is a stark example of what happens when there is lack of oversight and inattention to long-term planning. A similar storm is rapidly brewing in health care, especially for patients with vascular disease. There are 76 million baby boomers, individuals born between 1946 and 1964. By 2030, all baby boomers will have reached 65 years of age, and one-fifth of our United States citizens will be over age 65. Unfortunately, there will not be enough physicians to treat them. Thu, 10 Sep 2009 15:10:05 EDT 3:38 vascular disease baby boomers Society for Vascular Surgery In 1986, Dr. Juan Parodi revolutionized the treatment of abdominal aortic aneurysms by treating these with a stent/graft combination. This singular change resulted in a complete re-focusing of vascular surgery into minimally invasive endovascular treatments. The entire vascular surgery workforce was retrained in the early 1990s to include minimally invasive treatments as a routine part of vascular surgery. Thu, 28 Jan 2010 15:56:11 EST 3:57 abdominal aortic aneurysms vascular surgery minimally invasive endovascular treatments Society for Vascular Surgery The early years of vascular surgery were dominated by open aortic and carotid surgery which was challenging and often complicated, with long hospital stays the norm. While the modern vascular surgeon maintains this expertise, only a minority of the procedures today require an incision, and many of the procedures can be done as an out-patient. In vascular surgery today, minimally invasive individualized treatment is the focus. Tue, 17 Mar 2009 12:42:40 EDT 3:55 minimally invasive vascular procedures vascular surgery Society for Vascular Surgery When most people hear the words vascular, they think of a very common affliction called varicose veins. Affecting more than 20 million Americans, varicose veins represents one form of chronic venous insufficiency over an entire spectrum of venous disease. This podcast explores in more detail what is meant by the term chronic venous insufficiency Wed, 18 Nov 2009 13:12:18 EST 4:15 chronic venous insufficiency varicose veins Society for Vascular Surgery In 2008 the FDA approved two new thoracic endografts bringing up to three the number of devices approved for the treatment of descending thoracic aneurysms. Aneurysms of the thoracic aorta account for nearly 2,500 deaths per year mostly from rupture. They can result from infections, dissection, traumatic injuries or even inherited genetic disorders. Tue, 3 Mar 2009 15:49:13 EST 2:58 thoracic aortic aneurysms Society for Vascular Surgery New developments in vascular surgery permit a less invasive approach to some very complex aneurysms. This paper discusses two subgroups of aneurysms. The first group involves the arch of the aorta, where the blood vessel arise for your brain and arms. The arch of the aorta is high up in your chest, immediately behind the sternum or breastbone. The second group involves the aorta in the abdomen where the blood vessels for the intestine, bowel and kidneys arise. This is called the visceral segment of the aorta. The briefing addresses what surgeons refer to as debranching followed by aortic endografting. Tue, 22 Dec 2009 13:44:10 EST 4:03 thoracic aneurysms abdominal aneurysms aorta Society for Vascular Surgery Penetrating ulcers represent one of several atherosclerotic, degenerative diseases of the aorta. It is relatively more common in the thoracic aorta as compared to the abdominal aorta, but with respect to other degenerative pathologies such as aneurysms, penetrating ulcers occur in less than 15 percent of cases. Mon, 11 May 2009 12:45:39 EDT 3:20 penetrating ulcers thoracic aorta abdominal aorta atherosclerotic Society for Vascular Surgery Chronic mesenteric ischemia is a disease caused by blockages in the mesenteric arteries, that carry blood to the small and large intestines. Ischemia means decreased circulation and it usually develops due to atherosclerosis or hardening of the arteries. Chronic mesenteric ischemia is just one form of peripheral arterial disease (PAD) that can also present with leg pain due to decreased circulation in the legs, with chest pain due to decreased circulation in the heart, or with stroke due to blockages in the arteries of the brain. Tue, 14 Jul 2009 12:08:56 EDT 4:17 Chronic mesenteric ischemia peripheral arterial disease (PAD) Society for Vascular Surgery The majority of vascular surgeons feel the field is now different enough from traditional general surgery that independence is needed, in one form or another, from the American Board of Surgery. The proposal for full independence was not successful, but a compromise was reached the opened the way to a Primary Certificate in Vascular Surgery. Vascular surgeons no longer have to be trained in or certified as general surgeons and training programs with five years of core general and advanced vascular surgery training are being established. Wed, 26 Aug 2009 16:35:41 EDT 3:16 vascular surgery training programs Society for Vascular Surgery A career in vascular surgery allows choices for achieving balance between personal life and work as a vascular surgeon. The choices made are important to be sustainable; and interests and needs may vary at different times in your life. For some individuals, family and personal interests are paramount. For others, home life fits around career. There are many different work settings: academic, Veterans Administration, private practice, hospital employee and HMO employee. Although there is some common ground, each of these different work settings holds certain advantages and disadvantages. Wed, 7 Oct 2009 17:39:37 EDT 4:35 vascular surgery Society for Vascular Surgery After training in vascular surgery, vascular surgeons can take care of a myriad of patient’s problems with a wide array of treatment plans. The best thing about practicing as a vascular surgeon is that the patients come back to see the same physician over a long period of time, a lifetime actually, with the need for the surgeon to monitor their lifestyle as well as the results of any interventions they perform. Fri, 19 Jun 2009 10:25:43 EDT 3:26 vascular surgery training Society for Vascular Surgery In 1975, a 33 year-old resident at the Cleveland Clinic began a friendship with an 82 year old patient. The patient was recovering from an open abdominal aortic aneurysm (AAA) procedure, and his recovery was protracted. His suffering inspired the young resident to dream about a less-invasive way to repair these aneurysms. Fifteen years later, that same physician, Juan C. Parodi, accomplished what he had envisioned years earlier; he repaired an abdominal aortic aneurysm using an intraluminal graft that was placed through a less invasive transfemoral approach. Fri, 24 Apr 2009 15:58:07 EDT 5:04 Juan Parodi abdominal aortic aneurysm transfemoral approach Society for Vascular Surgery It’s not uncommon for someone to experience chest or back pain that requires evaluation in an emergency room. While these symptoms can often be the result of cardiac problems, it may also be from a separation of the layers in your major artery: the aorta, and is referred to as an aortic dissection. Mon, 30 Nov 2009 16:10:18 EST 2:56 abdominal aortic aneurysm endovascular treatment of disections chest back pain separation of layers major artery aorta Society for Vascular Surgery The role of carotid stenting in the treatment of carotid artery disease remains murky. A recent Society for Vascular Surgery® Clinical Practice guideline published in the Journal of Vascular Surgery® in August 2008 recommends against carotid stenting in all but the most limited situations: that is, the symptomatic patient with high grade stenosis and predicted high perioperative risk based primarily on surgical or anatomic complexity. Tue, 14 Apr 2009 17:00:03 EDT 3:31 carotid stenting carotid artery disease Society for Vascular Surgery Elective aortic aneurysm repair has evolved over the past decade. Today, the majority of patients are evaluated for endovascular treatment and only those who do not meet the anatomic criteria are offered open surgical reconstruction. More recently, we have extended this technology to patients who present with ruptured abdominal and/or thoracic aortic aneurysms. Fri, 5 Jun 2009 12:22:52 EDT 2:43 endovascular ruptured aortic aneurysms elective aortic aneurysm Society for Vascular Surgery Choosing a fellowship is an exciting, albeit stressful time in a young surgeon’s career. An applicant should look for a program that has an adequate volume and distribution of surgical and interventional procedures. That is, infra-renal aortic and thoracic stentgrafts, diagnostic and therapeutic peripheral interventions, open aortic reconstructions, infrainguinal bypass, and carotid-based procedures, including carotid stenting. Each program will have a different distribution as well as an increased participation in either open or endovascular treatments. Wed, 25 Nov 2009 11:50:22 EST 2:02 vascular surgery fellowships Society for Vascular Surgery The past 20 years have seen a gradual shift away from direct open surgery in favor of minimally invasive techniques. The treatment of vascular disease is no exception. Minimally invasive endovascular techniques of aneurysm repair substitute trans-femoral access for direct aortic exposure and stents for sutures. Tue, 12 Jan 2010 16:15:24 EST 4:28 Minimally invasive endovascular techniques aneurysm repair vascular disease Society for Vascular Surgery Persons with advanced PAD and severe symptoms may have multiple areas of blockage from their iliac arteries to the vessels below the knee joint. Traditionally, a bypass to circumvent the iliac lesion would be necessary. Now, with modern technology, such extensive complex disease may require that a minimally invasive approach be performed to open a blood vessel such as the iliac artery to provide blood flow into the lower leg. Thu, 13 Aug 2009 13:56:17 EDT 2:50 PAD iliac arteries minimally invasive Society for Vascular Surgery At the 2007 Vascular Annual Meeting, Timothy A.M. Chuter, DM, Professor of Surgery in Residence at the University of California San Francisco (UCSF) discussed a UCSF study regarding how a modular stent-graft that incorporates multiple caudally-directed branches to the visceral arteries to repair thoracoabdominal aortic aneurysm can offer a safer surgical alternative to open repair. Mon, 2 Jun 2008 17:45:51 EDT 09:55 Dr. Chuter, endovascular treatment, thoracoabdominal Aortic aneurysms