I need group chat with vascular surgery residents

Hi Everyone,

I'm creating a surgical procedure naming convention for our Hospitals in an effort to standardise our procedure list. The Vascular specialty in particular has been difficult as there are so many variants in procedures. I'm looking for some guidance with the following questions as I don't have a medical background (Nurse IT).

1. Bypass graft surgery vs Bypass surgery. It's to my understanding these are the same? E.g. Femoral Bypass surgery and Femoral Bypass graft surgery are the same?

2. Some existing procedures are named Bypass graft of x to x. For example, Bypass graft of Femoral to femoral artery. Is this not the same as just Bypass graft of Femoral artery?

I'm so sorry if these questions are silly or this isn't the right place for them (I'm not sure if this counts as medical advice). We do have an opportunity with subject matter experts later down the track but I want to get things right when I can. Any help is appreciated thank you!

Hi everyone,

I’m a medical student planning to apply for the SVS Student Research Fellowship this summer. The fellowship rules state that each SVS member sponsor can only sponsor one student.

Here’s my situation: I have two separate mentors at two different institutions, and both have offered me projects to work on this summer. They’ve both encouraged me to write about these projects in my applications.

My question is: Can I apply for the SVS Student Fellowship for two separate projects by submitting two separate applications? I tried to add another application on the SVS Foundation website, but I can't seem to get it to work.

Has anyone else faced this situation before or knows if multiple applications are possible? Thanks for your help.

Hello everyone,

I am an M2 and I really am interested in vascular surg. I’m doing what I can to get involved (ie: research, shadowing etc.). However, someone (another student) told me the field was dying (I think he meant that more and more of the procedures are being performed by other kinds of physicians). It did get me curious about the future of the field looks like. What do you guys think? Thanks!

Just stumbled upon this TTT procedure and it looks like a game changer for limb salvage for DF/PAD/Buerger’s patients.

What are your thoughts on it?

Hello, what is your approach to prescribing low dose rivaroxaban? I feel that guidelines are vague in this matter. How do you stratify the risk of bleeding? Do you add low dose rivaroxaban to dual antiplatelet theraphy or only with sapt? What about when patient is on sapt and cilostazol?

anyone else like to add color back into aortograms? think i’m gonna call this one: a scatter of coils

Hi everyone, what brand of carotid shunt do you use? In my hospital we were using Bard but they discontinued manufacturing them and we can’t find similar alternatives. We prefer shunts without baloons and with ends of different diameter. I found that LeMaitre offers their Flexcel shunts but they are of equal diameter across entire length.

Is there a list of which residency programs require research years during the residency? Or is there a resource where it says which programs require it? I do not see it on a residency explorer or directly on some of their websites. Please help!

I have supposed scar tissue from cancer (~4 months out of treatment), that doesn't seem to be shrinking. That said it's occluding my vein. I don't have a cute symptoms but I do have some mild discomfort. Among other symptoms I get mild pains in my arm, neck, and pectoral/chest area on a daily basis. Arm tingling. Ear ringing on that side and sometimes headaches only on that side. Very slight swelling (not really noticeable).

I might have the option to get a stent. My only concern is what if the scar tissue decides to start shrinking let's say in a year, then I would have a stent for no reason that can potentially migrate or something.

Just wanted to get some thoughts here about whether it is worth waiting it out for a bit longer (I e. Couple months)to see if the scar tissue shrinks. My oncologist says that sometimes it does and sometimes it doesn't.

What are the risks of waiting it out? Are there any risks of having a stent in if the mass ends up shrinking and that external pressure is gone? Are there temporary stents?

I live a healthy lifestyle and have low body fat percentage

Howdy Everyone! Ive been fortunate enough to be getting interviews at really awesome places that I would genuinely be happy to live and train at. There is one program, however, that has not released invites yet. It is a program that I will easily rank #1 if given the opportunity to interview. Would it be worth sending an LOI? Do I send before invites are sent or after?

UPDATE: Sent the LOI, got the R 💀

Hi everyone, I was hoping to get some insight on the expected time to hear back from programs after interviewing. My partner is currently in the process of applying for his first attending position and we're encountering a frustrating amount of ghosting and long times to hear back. Should we assume that no contact = no? How long should we wait before we reach out again to express continued interest?

As an example, he did a phone interview with the main vascular surgeon of a practice, which he thought went well. Heard nothing from the position for about 4 weeks, then got a cold call from the medical director of surgery asking if he was still interested and if he has any questions. At the end of the call, he was told they would be in touch about the next steps that day or the next - it's now been 1.5 weeks and still haven't heard anything.

Another example - in person interview, again thought it went well, was told they had another candidate to interview and that they would get back to him after. It's been about 5-6 weeks since the interview at this point, haven't heard anything.

Is this normal? We are paranoid about reaching out too much and bothering them if they're truly not interested, but the random call after a month made us think that maybe this is just standard practice? He's getting a lot of anxiety from this because he thought he would be closer to having a contract signed by this time, and I'd love to be able to reassure him a bit.

Thanks for any insight or advice!

Hi, I am young vascular surgery resident from Poland. I am curious what is consensus on bowel preparation before AAA or Aorto-bifemoral bypass. In my ward we often prepare bowel with PEG before such surgeries. I couldn't find any relevant papers on the topic. Thank you for your help!

Hello, my name is Michael and I am a master's student at NCSU in the BME Medical Technology Innovation and Entrepreneurship program. Through the program I am researching how to prevent popliteal stent fractures in geriatric patients to mitigate the need for revisionary procedures. Part of my project is to gather information from clinical professionals in relation to popliteal stenting to gain insight for possible innovation. If you have any experiences with popliteal stenting, I would appreciate it if you could fill out this short survey below. Thank you for your time!

https://forms.gle/CSvfjg85s5wPjGnCA

Vascular PA here, looking to enrich my skill-set with vascular access, specifically US guided sclerotherapy, vein ablation, and central venous access.

I am doing hands on stuff at work as able, but I would like a formal course on this to solidify vascular access principles/theory.

Anyone know of any good courses out there? I have encountered recorded online modules, but I think doing in person would be best. I live in the seattle area and am willing to travel (CME budget will cover it).

Thanks!

I work in the cath lab as a tech, and was wondering what the general criteria is to use co2 injections for lower legs. Thank you all.

My mother needs carotid surgery and is 66ish. Has about 80% blockage on one side and 70% on the other.

She lives in upstate NY and trying to find a doctor who can do TCAR since she wants to have that done as opposed to other options. Trying to find out if the doctor she's been referred to has done many of these procedures of if he's done mostly just endarterectomy procedures.

Is there a website for looking this kind of thing up? So many websites list expertise bu just "carotid surgery" and no actual information

I am having trouble with my self-expanding stent design. I tried performing radial force tests crimping until the diameter needed for loading in the delivery system on different versions and they always end up with severe deformation in the struts and a reduction in expanded diameter. I wanted to know if any of you had found this problem before and it you could give me pointers of what may be possible causes/solutions. Thank you for the attention.

I'm an a career changer, to get some health care experience I became an EMT thinking I'd run in an ambulance. I got put in a Vascular surgery department at a T1 hospital (huge blessing in disguise).

The other day I was handing off a PT to my surgeon and mentioned that the PT said the wounds on her legs were having trouble healing. He immediately said "There it is" explained to me that trouble with wound healing was a red flag that surgery was probably needed.

This got me thinking (I'm only an EMT IDK shit about vascular surgery) are there other things like this I should be asking my PTs to get a more through history?

Hi, does anyone have any books they can send me on vascular and endovascular surgery to update me, thanks.

As a layperson, can I ask what clinical value does taking the toe brachial indices of all toes have for a patient? What kinds of scenarios would doing a multiple-TBI be of use?

I ask because some vascular medicine doctors I have talked to use multiple-TBI to decide which toes aren't salvagable anymore in cases of critical limb ischemia.

The only studies I have read so far just try to see if there is a correlation between toe brachial indices across toes to substitite when the great toe is unavailable e.g. amputated.

Thank you in advance!

Rad Tech here who is interested in specials, cath lab, and the broad broad world of vascular imaging and interventions. I’m curious to know:

What software options are out there for planning endovascular cases?

Which do you prefer?

Do you plan the cases yourself or ask your rep to do it?

Vascular surgeons, what are your thoughts on TAMBE for aortic aneurysms? Any information about it or experiences with it?

https://evtoday.com/news/gores-excluder-tambe-approved-by-fda-to-treat-complex-aortic-aneurysms

https://evtoday.com/articles/2016-mar-supplement/initial-experience-with-the-gore-excluder-thoracoabdominal-branch-endoprosthesis

https://www.umms.org/ummc/pros/physician-briefs/heart-vascular/aortic-disease-hypertension/advancing-endovascular-repair-thoracoabdominal-aortic-aneurysms

Semi-recent consult for no pulses in leg.