Journal ArticleJ Vasc Surg · September 2, 2024
OBJECTIVES: The Vascular Surgery In-Training Examination (VSITE) is a yearly exam evaluating vascular trainees' knowledge base. While multiple studies have evaluated variables associated with exam outcomes, few have incorporated training program-specific m ...
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Journal ArticleJ Vasc Surg · September 2024
OBJECTIVE: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified. METHODS: Data collected f ...
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Journal ArticleSurgery · August 12, 2024
The current sociopolitical landscape continues to infiltrate our house of surgery, leaving faculty, staff, and learners challenged by uncertainty while introducing downstream interference to cohesive health care delivery for our patients. National surgical ...
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Journal ArticleAnn Vasc Surg · August 6, 2024
BACKGROUND: Surgical site infections (SSIs) are among the most common complications after lower extremity bypass (LEB). Both patient and hospital-related factors have been associated with SSI after LEB; however, the impact of surgical closure technique on ...
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Journal ArticleJ Vasc Surg · August 2024
PURPOSE: The graduate medical education community implemented virtual residency interviews in response to travel restrictions during the COVID-19 pandemic, and this approach has persisted. Although many residency applicants wish to visit in-person prospect ...
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Journal ArticleAnn Vasc Surg · July 24, 2024
BACKGROUND: Vascular surgeons play a critical role in the functioning of a healthcare system. As a service line, vascular surgery not only performs its own complex operations but also provides support to other surgical specialties by assisting in the manag ...
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Journal ArticleCirculation · July 9, 2024
The psychological safety of health care workers is an important but often overlooked aspect of the rising rates of burnout and workforce shortages. In addition, mental health conditions are prevalent among health care workers, but the associated stigma is ...
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Journal ArticleJ Vasc Surg · July 2024
OBJECTIVE: Decision-making regarding level of lower extremity amputation is sometimes challenging. Selecting an appropriate anatomic level for major amputation requires consideration of tradeoffs between postoperative function and risk of wound complicatio ...
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ConferenceJ Vasc Surg · May 2024
BACKGROUND: Work-related pain is a known risk factor for vascular surgeon burnout. It risks early attrition from our workforce and is a recognized threat to the specialty. Our study aimed to understand whether work-related pain similarly contributed to vas ...
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Journal ArticleJ Vasc Surg · May 2024
BACKGROUND: An enriching learning environment is integral to resident wellness and education. Integrated vascular (VS) and general surgery (GS) residents share 18 months of core GS rotations during the postgraduate years 1-3 (PGY1-3); differences in their ...
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Journal ArticleJ Vasc Surg · April 2024
OBJECTIVE: Visceral branch artery dissection (VBAD) is uncommon and may occur with or without an associated aortic dissection (AD). We hypothesized that isolated VBAD would have a more benign clinical course than those with concurrent AD and compared survi ...
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Journal ArticleAnn Vasc Surg · March 2024
BACKGROUND: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic ve ...
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Journal ArticleJ Surg Res · January 2024
INTRODUCTION: The purpose of this study is to explore current perceptions within the military surgery community to stratify key obstacles to pursuing a career in academic surgery and identify opportunities for mitigation. METHODS: After receiving instituti ...
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Journal ArticleJ Vasc Surg · December 2023
BACKGROUND: Endovascular and hybrid interventions have played an increasingly prominent role in the treatment of peripheral arterial disease (PAD) in the past decade. This shift has prompted concerns about the adequacy of open surgical training for current ...
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Journal ArticleNat Genet · November 2023
Abdominal aortic aneurysm (AAA) is a common disease with substantial heritability. In this study, we performed a genome-wide association meta-analysis from 14 discovery cohorts and uncovered 141 independent associations, including 97 previously unreported ...
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Journal ArticleJ Vasc Surg · September 2023
OBJECTIVE: Mistreatment among vascular surgery trainees is a known risk factor for physician burnout. This study aims to characterize forms of and identify sources of mistreatment. METHODS: This is a cross-sectional study of United States vascular surgery ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · September 2023
OBJECTIVE: Patients with venous insufficiency can be treated with ablation or phlebectomy, or both. Patients undergoing superficial venous procedures have an elevated risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). At our institution, we in ...
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Journal ArticleJ Vasc Surg · September 2023
OBJECTIVE: As medical education systems increasingly move toward competency-based training, it is important to understand the tools available to assess competency and how these tools are utilized. The Society for Improving Medical Professional Learning (SI ...
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Journal ArticleAnn Vasc Surg · September 2023
BACKGROUND: Aberrant subclavian artery (ASA) with or without Kommerell's diverticulum (KD) is a rare anatomic aortic arch anomaly that can cause dysphagia and/or life-threatening rupture. The objective of this study is to compare outcomes of ASA/KD repair ...
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Journal ArticleJ Vasc Surg · September 2, 2024
OBJECTIVES: The Vascular Surgery In-Training Examination (VSITE) is a yearly exam evaluating vascular trainees' knowledge base. While multiple studies have evaluated variables associated with exam outcomes, few have incorporated training program-specific m ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · September 2024
OBJECTIVE: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified. METHODS: Data collected f ...
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Journal ArticleSurgery · August 12, 2024
The current sociopolitical landscape continues to infiltrate our house of surgery, leaving faculty, staff, and learners challenged by uncertainty while introducing downstream interference to cohesive health care delivery for our patients. National surgical ...
Full textLink to itemCite
Journal ArticleAnn Vasc Surg · August 6, 2024
BACKGROUND: Surgical site infections (SSIs) are among the most common complications after lower extremity bypass (LEB). Both patient and hospital-related factors have been associated with SSI after LEB; however, the impact of surgical closure technique on ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · August 2024
PURPOSE: The graduate medical education community implemented virtual residency interviews in response to travel restrictions during the COVID-19 pandemic, and this approach has persisted. Although many residency applicants wish to visit in-person prospect ...
Full textLink to itemCite
Journal ArticleAnn Vasc Surg · July 24, 2024
BACKGROUND: Vascular surgeons play a critical role in the functioning of a healthcare system. As a service line, vascular surgery not only performs its own complex operations but also provides support to other surgical specialties by assisting in the manag ...
Full textLink to itemCite
Journal ArticleCirculation · July 9, 2024
The psychological safety of health care workers is an important but often overlooked aspect of the rising rates of burnout and workforce shortages. In addition, mental health conditions are prevalent among health care workers, but the associated stigma is ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · July 2024
OBJECTIVE: Decision-making regarding level of lower extremity amputation is sometimes challenging. Selecting an appropriate anatomic level for major amputation requires consideration of tradeoffs between postoperative function and risk of wound complicatio ...
Full textLink to itemCite
ConferenceJ Vasc Surg · May 2024
BACKGROUND: Work-related pain is a known risk factor for vascular surgeon burnout. It risks early attrition from our workforce and is a recognized threat to the specialty. Our study aimed to understand whether work-related pain similarly contributed to vas ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · May 2024
BACKGROUND: An enriching learning environment is integral to resident wellness and education. Integrated vascular (VS) and general surgery (GS) residents share 18 months of core GS rotations during the postgraduate years 1-3 (PGY1-3); differences in their ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · April 2024
OBJECTIVE: Visceral branch artery dissection (VBAD) is uncommon and may occur with or without an associated aortic dissection (AD). We hypothesized that isolated VBAD would have a more benign clinical course than those with concurrent AD and compared survi ...
Full textLink to itemCite
Journal ArticleAnn Vasc Surg · March 2024
BACKGROUND: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic ve ...
Full textLink to itemCite
Journal ArticleJ Surg Res · January 2024
INTRODUCTION: The purpose of this study is to explore current perceptions within the military surgery community to stratify key obstacles to pursuing a career in academic surgery and identify opportunities for mitigation. METHODS: After receiving instituti ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · December 2023
BACKGROUND: Endovascular and hybrid interventions have played an increasingly prominent role in the treatment of peripheral arterial disease (PAD) in the past decade. This shift has prompted concerns about the adequacy of open surgical training for current ...
Full textLink to itemCite
Journal ArticleNat Genet · November 2023
Abdominal aortic aneurysm (AAA) is a common disease with substantial heritability. In this study, we performed a genome-wide association meta-analysis from 14 discovery cohorts and uncovered 141 independent associations, including 97 previously unreported ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · September 2023
OBJECTIVE: Mistreatment among vascular surgery trainees is a known risk factor for physician burnout. This study aims to characterize forms of and identify sources of mistreatment. METHODS: This is a cross-sectional study of United States vascular surgery ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg Venous Lymphat Disord · September 2023
OBJECTIVE: Patients with venous insufficiency can be treated with ablation or phlebectomy, or both. Patients undergoing superficial venous procedures have an elevated risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). At our institution, we in ...
Full textLink to itemCite
Journal ArticleJ Vasc Surg · September 2023
OBJECTIVE: As medical education systems increasingly move toward competency-based training, it is important to understand the tools available to assess competency and how these tools are utilized. The Society for Improving Medical Professional Learning (SI ...
Full textLink to itemCite
Journal ArticleAnn Vasc Surg · September 2023
BACKGROUND: Aberrant subclavian artery (ASA) with or without Kommerell's diverticulum (KD) is a rare anatomic aortic arch anomaly that can cause dysphagia and/or life-threatening rupture. The objective of this study is to compare outcomes of ASA/KD repair ...
Full textLink to itemCite
Journal ArticleSurg Clin North Am · August 2023
Renovascular hypertension (RVH) is a secondary form of high blood pressure resulting from impaired blood flow to the kidneys with subsequent activation of the renin-angiotensin-aldosterone system. Often, this occurs due to abnormally small, narrowed, or bl ...
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ConferenceJ Vasc Surg · May 2023
OBJECTIVE: Aberrant subclavian artery (ASA) and Kommerell's diverticulum (KD) are rare vascular anomalies that may be associated with lifestyle-limiting and life-threatening complications. The aim of this study is to report contemporary outcomes after inva ...
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Journal ArticleJ Vasc Surg · January 2023
OBJECTIVE: Racial/ethnic discrimination is one form of mistreatment and a known risk factor for physician burnout. In the present study, we aimed to characterize the forms and identify the sources of racial/ethnic discrimination among vascular surgery trai ...
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Journal ArticleCirc Genom Precis Med · December 2022
BACKGROUND: The risk of arterial diseases may be elevated among family members of individuals having multifocal fibromuscular dysplasia (FMD). We sought to investigate the risk of arterial diseases in families of individuals with FMD. METHODS: Family histo ...
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Journal ArticleCirculation · October 18, 2022
Academic medicine as a practice model provides unique benefits to society. Clinical care remains an important part of the academic mission; however, equally important are the educational and research missions. More specifically, the sustainability of healt ...
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Journal ArticleJ Vasc Surg · August 2022
OBJECTIVE: The optimal revascularization modality following complete resection of aortic graft infection (AGI) without enteric involvement remains unclear. The purpose of this investigation is to determine the revascularization approach associated with the ...
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ConferenceJ Vasc Surg · August 2022
OBJECTIVES: Abdominal aortic coarctation and hypoplasia are uncommon diseases, recognized most often in pediatric-aged individuals. Comprehensive studies regarding the pathologic spectrum of these aortopathies are nonexistent. This investigation was undert ...
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Journal ArticleVascular · August 2022
OBJECTIVE: Endovascular techniques continue to be increasingly utilized to treat vascular disease, but the effect of these minimally invasive techniques on opioid use following surgery is not known. METHODS: Using Medicare data, we identified opioid-naive ...
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Journal ArticleAnn Surg · April 1, 2022
OBJECTIVE: The aim of this study was to obtain novel perspectives regarding the effects that surgical training has on the well-being of trainees. SUMMARY BACKGROUND DATA: Improving trainee well-being is a national concern given high rates of burnout, depre ...
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ConferenceJ Vasc Surg · April 2022
OBJECTIVE: Surgeons report higher burnout and suicidal ideation (SI) rates than the general population. This study sought to identify the prevalence and gender-specific risk factors for burnout and SI among men and women vascular surgeons to guide future i ...
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Journal ArticleAnn Surg · March 1, 2022
Sex inequity in academic achievement was well documented before the COVID-19 pandemic, and evolving data suggest that women in academic surgery are disproportionately disadvantaged by the pandemic. This perspective piece reviews currently accepted solution ...
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Journal ArticleHum Mol Genet · February 3, 2022
The etiology of renal artery stenosis (RAS) and abdominal aortic coarctation (AAC) causing the midaortic syndrome (MAS), often resulting in renovascular hypertension (RVH), remains ill-defined. Neurofibromatosis type 1 (NF-1) is frequently observed in chil ...
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ConferenceJ Vasc Surg · February 2022
OBJECTIVE: The contemporary medicolegal environment has been linked to procedure overuse, health care variation, and higher costs. For physicians accused of malpractice, there is also a personal toll. The objective of this study was to evaluate the prevale ...
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Journal ArticleJ Vasc Surg · January 2022
OBJECTIVE: Integrated vascular surgery residency (IVSR) applicant perspective about the match process has been rarely studied, yet this has important implications on trainee recruitment. We sought to better understand the nature of the interview process an ...
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Journal ArticleJ Vasc Surg · January 2022
OBJECTIVE: Burnout and suicidality are known risks for vascular surgeons above other surgical subspecialties, with surgical trainees at risk for exposure to factors that increase burnout. This study aimed to inform initiatives to improve wellness by assess ...
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Journal ArticleJ Surg Educ · 2022
OBJECTIVE: To describe the development and implementation of virtual vascular surgery rotations among 6 integrated vascular surgery programs. DESIGN: A collaborative teleconference retrospectively discussing 6 independently developed virtual vascular surge ...
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Journal ArticleJ Vasc Surg · December 2021
The use of social media (SoMe) in medicine has demonstrated the ability to advance networking among clinicians and other healthcare staff, disseminate research, increase access to up-to-date information, and inform and engage medical trainees and the publi ...
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Journal ArticleVascular · December 2021
BACKGROUND/OBJECTIVE: The unprecedented pandemic spread of the novel coronavirus has severely impacted the delivery of healthcare services in the United States and around the world, and has exposed a variety of inefficiencies in healthcare infrastructure. ...
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Journal ArticleNat Commun · October 15, 2021
Fibromuscular dysplasia (FMD) is an arteriopathy associated with hypertension, stroke and myocardial infarction, affecting mostly women. We report results from the first genome-wide association meta-analysis of six studies including 1556 FMD cases and 7100 ...
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Journal ArticleAnn Vasc Surg · October 2021
INTRODUCTION: Aortic graft infection remains a considerable clinical challenge, and it is unclear which variables are associated with adverse outcomes among patients undergoing partial resection. METHODS: A retrospective, multi-institutional study of patie ...
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Journal ArticleJ Vasc Surg · October 2021
OBJECTIVE: Integrated vascular surgery residency is among the most competitive specialties, but little is known about the applicant perspective. The coronavirus disease 2019 outbreak impacted the 2021 integrated vascular surgery residency match because of ...
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Journal ArticleAnn Surg · September 1, 2021
OBJECTIVE: To obtain insights into the effects of surgical training on the well-being of support persons. SUMMARY BACKGROUND DATA: Surgical trainee wellness is a critical priority among surgical educators and leaders. The impact of surgical training on the ...
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Journal ArticleJ Vasc Surg · August 2021
Healthcare is most effectively delivered by high-performance teams, which require, not simply talent, but also diversity in their members, supported by a culture of equity that is open, supportive, and inclusive. Cognitive diversity offers a performance ad ...
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ConferenceJ Vasc Surg · June 2021
INTRODUCTION: Physician burnout has been linked to medical errors, decreased patient satisfaction, and decreased career longevity. In light of the increasing prevalence of cardiovascular disease, vascular surgeon burnout presents a legitimate public health ...
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Journal ArticlePrehosp Disaster Med · June 2021
Alternate care sites (ACS) are locations that can be converted to provide either in-patient and/or out-patient health care services when existing facilities are compromised by a hazard impact or the volume of patients exceeds available capacity and/or capa ...
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Journal ArticleVascular · June 2021
BACKGROUND: The COVID-19 pandemic has made a significant impact on all spheres of society. The objective of this study was to examine the impact of COVID-19 on the practices, finances, and social aspects of Brazilian vascular surgeons' lives. METHODS: This ...
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Journal ArticleAcad Med · May 1, 2021
The COVID-19 pandemic has had significant ramifications for provider well-being. During these unprecedented and challenging times, one institution's Department of Surgery put in place several important initiatives for promoting the well-being of trainees a ...
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ConferenceJ Vasc Surg · April 2021
OBJECTIVE: Work-related pain and disability have been reported in the literature among surgeons. This national survey was designed to identify the prevalence and severity of these symptoms in vascular surgeons. METHODS: A survey was emailed to the 2910 mem ...
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Journal ArticleAnn Vasc Surg · April 2021
BACKGROUND: The impact of the coronavirus disease 19 (COVID-19) pandemic on health care workers has been substantial. However, the impact on vascular surgery (VS) trainees has not yet been determined. The goals of our study were to gauge the impact of COVI ...
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ConferenceJ Vasc Surg · March 2021
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented challenges for health care systems globally. We designed and administered a global survey to examine the effects of COVID-19 on vascular surgeons and explore the COVID-19 ...
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Journal ArticleJ Vasc Surg · March 2021
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led to widespread postponement and cancelation of elective surgeries in the United States. We designed and administered a global survey to examine the impact of COVID-19 on vascular surgeons. ...
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Journal ArticlePhlebology · February 2021
The American Venous Forum (AVF) and the Society for Vascular Surgery set forth these guidelines for the management of endothermal heat-induced thrombosis (EHIT). The guidelines serve to compile the body of literature on EHIT and to put forth evidence-based ...
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ConferenceJ Vasc Surg · February 2021
BACKGROUND: Complex abdominal aortic aneurysms (AAAs) have traditionally been treated with an open surgical repair (OSR). During the past decade, fenestrated endovascular aneurysm repair (FEVAR) has emerged as a viable option. Hospital procedural volume to ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · January 2021
The American Venous Forum (AVF) and the Society for Vascular Surgery set forth these guidelines for the management of endothermal heat-induced thrombosis (EHIT). The guidelines serve to compile the body of literature on EHIT and to put forth evidence-based ...
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Chapter · January 1, 2021
Women vascular surgeons face a variety of significant challenges rooted in gender inequality and discrimination that threaten gender differences in career satisfaction and wellness. Unconscious bias, explicit bias, pay inequity, challenges and opposition t ...
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Journal ArticleJ Surg Educ · 2021
OBJECTIVE: The Public Service Loan Forgiveness (PSLF) program is an option to trainees to help alleviate federal education debt. The prevalence of PSLF utilization and how this may impact career decisions of trainees is unknown. The purpose of this study w ...
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Journal ArticleJ Vasc Surg · January 2021
OBJECTIVE: The optimal revascularization modality in secondary aortoenteric fistula (SAEF) remains unclear in the literature. The purpose of this investigation was to determine the revascularization approach associated with the lowest morbidity and mortali ...
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ConferenceJ Vasc Surg Venous Lymphat Disord · January 2021
BACKGROUND: Popliteal vein aneurysms are a rare vascular anomaly first reported in the 1980s. Degeneration of elastic fibers and smooth muscle cell reduction, possibly secondary to inflammation, are implicated as integral steps in the development of these ...
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Journal ArticleJ Vasc Surg · January 2021
OBJECTIVE: The pathologic nature of pediatric renal artery occlusive lesions causing renovascular hypertension has been the subject of numerous anecdotal reports. This study was undertaken to define the character of childhood renal artery stenoses. A bette ...
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ConferenceJ Vasc Surg · December 2020
BACKGROUND: Renovascular hypertension (RVH) associated with renal artery and abdominal aortic narrowings is the third most common cause of pediatric hypertension. Untreated children may experience major cardiopulmonary complications, stroke, renal failure, ...
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Journal ArticleArterioscler Thromb Vasc Biol · November 2020
OBJECTIVE: While rare variants in the COL5A1 gene have been associated with classical Ehlers-Danlos syndrome and rarely with arterial dissections, recurrent variants in COL5A1 underlying a systemic arteriopathy have not been described. Monogenic forms of m ...
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Journal ArticleNat Commun · September 4, 2020
Spontaneous coronary artery dissection (SCAD) is a non-atherosclerotic cause of myocardial infarction (MI), typically in young women. We undertook a genome-wide association study of SCAD (Ncases = 270/Ncontrols = 5,263) and identified and replicated an ass ...
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Journal ArticleJ Vasc Surg · July 2020
These Society for Vascular Surgery Clinical Practice Guidelines describe the care of patients with aneurysms of the visceral arteries. They include evidence-based size thresholds for repair of aneurysms of the renal arteries, splenic artery, celiac artery, ...
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Journal ArticleAnn Vasc Surg · April 2020
BACKGROUND: Mentoring relationships have been encouraged for medical students interested in surgical specialties. We investigated the role of mentoring relationships of integrated vascular surgery residents, while in medical school. We hypothesized that me ...
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ConferenceJ Vasc Surg · April 2020
OBJECTIVE: In the past decade, treatment of abdominal aortic aneurysm (AAA) has dramatically shifted from open repair to an endovascular approach. The decreasing number of open AAA repairs (OAR) has raised concerns regarding future vascular surgeons' compe ...
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ConferenceJ Vasc Surg · February 2020
OBJECTIVE: Suprarenal abdominal aortic coarctation (SAAC) alters flow and pressure patterns to the kidneys and is often associated with severe angiotensin-mediated hypertension refractory to drug therapy. SAAC is most often treated by a thoracoabdominal by ...
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ConferenceJ Vasc Surg · January 2020
OBJECTIVE: Vascular Ehlers-Danlos syndrome (vEDS) is a rare disorder and 1 of 13 types of EDS. The syndrome results in aortic and arterial aneurysms and dissections at a young age. Diagnosis is confirmed with molecular testing via skin biopsy or genetic te ...
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ConferenceJ Vasc Surg · January 2020
OBJECTIVE: Trainee burnout is on the rise and negative training environments may contribute. In addition, as the proportion of women entering vascular surgery increases, identifying factors that challenge recruitment and retention is vital as we grow our w ...
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ConferenceJ Vasc Surg · December 2019
BACKGROUND: Surgical training is constantly adapting to better prepare trainees for an evolving landscape of surgical practice. Training in vascular surgery additionally underwent a paradigm shift with the introduction of the integrated training pathway no ...
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ConferenceJ Vasc Surg · November 2019
OBJECTIVE: Vascular Ehlers-Danlos syndrome (vEDS) is a rare connective tissue disorder owing to pathogenic variants in COL3A1 that lead to impaired type III collagen production. We aim to describe the contemporary multi-institutional experience of aortic a ...
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Journal ArticleAnn Vasc Surg · October 2019
BACKGROUND: Renal artery aneurysms (RAAs) may reflect a systemic dysplastic arteriopathy, independent of a recognized connective tissue disease. It is hypothesized that RAAs are associated with an increased risk of intracranial aneurysms (IcAs). The object ...
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Journal ArticleJAMA Netw Open · August 2, 2019
IMPORTANCE: Sex equity is elusive in academic surgery departments across the United States. Persistent inequities remain a considerable problem and inhibit professional advancement for female surgeons. Identifying the factors that promulgate sex discrepanc ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · May 2019
BACKGROUND: Deep venous thrombosis (DVT) in the pediatric population is rare, occurring in about 10 to 14 out of 10,000 pediatric admissions annually, but with serious consequences such as pulmonary embolism and/or post-thrombotic syndrome. There is a dear ...
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Journal ArticleJ Endovasc Ther · April 2019
PURPOSE: To determine if stent placement across the renal vein inflow affects kidney function and renal vein patency. METHODS: Between June 2008 and September 2016, 93 patients (mean age 39 years, range 15-70; 54 women) with iliocaval occlusion underwent v ...
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Journal ArticleSemin Vasc Surg · 2019
Burnout among vascular surgery trainees is a significant problem and needs to be addressed at the level of the individual, training program duties, and at each institution. The clinical challenges and patient-oriented care required of a vascular surgeon ge ...
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Journal ArticleJ Vasc Surg · January 2019
BACKGROUND: Attrition in surgical programs remains a significant problem resulting in trainee dissatisfaction and wasted time and educational dollars. Attrition rates in general surgery training programs approximate 5% per year (30% cumulative). Attrition ...
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Journal ArticleAnn Vasc Surg · January 2019
BACKGROUND: Safe resection of intraabdominal and retroperitoneal malignancies with a goal of negative margins may require vascular surgical assistance with grafting of the aorta and/or vena cava. The current report reviews malignancies associated with majo ...
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Journal ArticleAnn Vasc Surg · November 2018
BACKGROUND: To characterize the vascular surgery Twitter network. METHODS: A total of 20,841 consecutive tweets by 8,282 unique Twitter accounts regarding vascular surgery from October 23, 2014 to January 15, 2018 were analyzed. Twitter analytics, includin ...
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Journal ArticleJ Vasc Surg · October 2018
OBJECTIVE: Pediatric splanchnic arterial occlusive disease is uncommon and a rare cause of clinically relevant intestinal ischemia. This study was undertaken to better define the clinical manifestations and appropriate treatment of celiac artery (CA) and s ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · May 2018
OBJECTIVE: The spectrum of chronic venous disease (CVD) in adults is well documented, whereas there is a paucity of data published commenting on pediatric CVD. We previously identified that there is often venous reflux present in cases of pediatric lower e ...
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Journal ArticleJ Vasc Surg · April 2018
OBJECTIVE: Chronic lower extremity ischemia in pediatric patients is uncommon. The intent of this study was to better define the arterial reconstructive options and their long-term durability in preadolescent and adolescent children having clinically relev ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · September 2017
OBJECTIVE: Anticoagulation remains the standard of care for line-associated upper extremity deep venous thrombosis (UEDVT). This treatment carries the risk of hemorrhagic complications, possibly more so in surgical patients. Considering the low-risk profil ...
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Journal ArticleVascular · August 2017
Objectives The relationship between preoperative medical consultations and postoperative complications has not been extensively studied. Thus, we investigated the impact of preoperative consultation on postoperative morbidity following elective abdominal a ...
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ConferenceAnn Vasc Surg · July 2017
BACKGROUND: Iatrogenic femoral artery trauma complicates the course of critically ill neonates and children. Complications from persistent arterial occlusion may include claudication and limb length discrepancies. Data supporting risk factors for such and ...
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Journal ArticleAnn Vasc Surg · May 2017
BACKGROUND: The purpose of this study is to better define the clinical relevance of aneurysms affecting collateral vessels in patients with celiac artery (CA) occlusive disease. METHODS: True pancreaticoduodenal artery (PDA) and gastroduodenal artery (GDA) ...
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Journal ArticleArterioscler Thromb Vasc Biol · May 2017
OBJECTIVE: Warfarin is the current standard for oral anticoagulation therapy in patients with mechanical heart valves, yet optimal therapy to maximize anticoagulation and minimize bleeding complications requires routine coagulation monitoring, possible die ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · March 2017
Aneurysmal disease of the internal iliac vein is rare, with no standard indication for or accepted modality of treatment. Here we report an instance of unilateral, primary left internal iliac venous aneurysm and associated pelvic venous insufficiency. Foll ...
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Chapter · January 1, 2017
Venous reconstruction techniques can be used to treat acute deep vein thrombosis (DVT) and chronic venous disorders (CVDs). Venous reconstruction may also be considered in other less common clinical scenarios, including venous disruption due to malignancy ...
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Chapter · January 1, 2017
Open renal revascularization for arteriosclerotic and fibrodysplastic renovascular hypertension (RVH)1-9 in adults has been performed less often in recent years given the advances in endovascular therapy of these diseases. However, conventional open arteri ...
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Chapter · January 1, 2017
Symptomatic renal artery aneurysms and those coexisting with functionally important renal artery stenoses warrant operative treatment.1-3 Asymptomatic aneurysms >2 cm in diameter, especially in hypertensive patients, justify treatment by experienced interv ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · January 2017
Venous dilations of the jugular veins are uncommon and external jugular varix even rarer. We present the case of a 57-year-old woman with ruptured external jugular varix and the surgical repair of such. Surgical intervention is warranted in these rare veno ...
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ConferenceJ Vasc Surg · December 2016
OBJECTIVE: The natural history of type II endoleak (T2EL) after endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA) remains elusive; as such, treatment guidelines are ill defined. The purpose of this study was to better deline ...
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Journal ArticleJ Vasc Surg · November 2016
OBJECTIVE: Pediatric abdominal aortic aneurysms (AAAs) are rare. The intent of this report was to review the presentation and surgical management of AAAs in infancy and early childhood. METHODS: The clinical courses of young children undergoing AAA surgery ...
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ConferenceJ Vasc Surg Venous Lymphat Disord · October 2016
OBJECTIVE: Macrophages are involved in venous thrombus (VT) resolution and vein wall remodeling. This study was undertaken to identify variations in macrophage phenotypes in thrombi and vein wall in multiple models of VT to clarify the natural history of m ...
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ConferenceJ Vasc Surg Venous Lymphat Disord · October 2016
BACKGROUND: The spectrum of chronic venous disease (CVD) is well documented in adults; clinical guidelines standardize diagnosis and treatment. There is a paucity of data published commenting on pediatric CVD exclusive of Klippel-Trénaunay syndrome (KTS) a ...
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Journal ArticlePhlebology · October 2016
BACKGROUND: Patients with painful varicose veins and venous insufficiency can be treated by eliminating axial reflux only or by eliminating axial reflux plus phlebectomy with transilluminated powered phlebectomy. This study was undertaken with the aim of d ...
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Journal ArticleAnn Vasc Surg · May 2016
Severe hypertension in infancy is a rare cause of failure to thrive. The successful surgical management of this disease in an infant having refractory renovascular hypertension and growth failure is reported. ...
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Journal ArticlePediatr Nephrol · May 2016
BACKGROUND: Percutaneous transluminal angioplasty (PTA) for the treatment of pediatric renovascular hypertension (RVH) in contemporary practice is accompanied with ill-defined complications. This study examines the mode of pediatric renal PTA failures and ...
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ConferenceJ Vasc Surg · February 2016
OBJECTIVE: Pediatric arterial aneurysms are extremely uncommon. Indications for intervention remain poorly defined and treatments vary. The impetus for this study was to better define the contemporary surgical management of pediatric nonaortic arterial ane ...
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ConferenceAnn Vasc Surg · November 2015
BACKGROUND: Secondary aortoduodenal fistula (SADF) is a rare, life-threatening complication of abdominal aortic reconstruction. Clinical presentation varies and treatment requires complex surgical repair associated with considerable morbidity and mortality ...
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Journal ArticleJ Vasc Surg · September 2015
Renal artery aneurysms are rare in the general population, although the true incidence and natural history remain elusive. Controversy over criteria for repair persists across decades. Indications for repair presently include aneurysm size >2 cm, female ge ...
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Journal ArticleJ Vasc Surg · July 2015
OBJECTIVE: Although imaging surveillance is mandatory for all patients after endovascular aneurysm repair (EVAR), many patients are not compliant with follow-up. We sought to determine predictors of compliance with EVAR surveillance and to examine how comp ...
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ConferenceJ Vasc Surg · April 2015
BACKGROUND: Renal artery aneurysms (RAAs) are rare, with little known about their natural history and growth rate or their optimal management. The specific objectives of this study were to (1) define the clinical features of RAAs, including the precise gro ...
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Journal ArticleHum Pathol · February 2015
It is hypothesized that cigarette smoke may increase MMP2 and MMP9 secretion through Jak/Stat pathway in the aorta, thereby facilitating abdominal aortic aneurysm (AAA) formation/progression in smokers. We observed through zymograms that treatment of male ...
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Chapter · January 1, 2015
Superficial venous thrombophlebitis (SVT) is a relatively common problem that may yield under-appreciated complications of venous thromboembolism including deep venous thrombosis (DVT) and pulmonary embolism (PE) . Duplex ultrasonography remains the diagno ...
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Journal ArticleAnn Vasc Surg · April 2014
Infections involving the aorta are associated with high rates of morbidity and mortality, and their management is complex. Saturating Dacron grafts in rifampin (60 mg/mL) inhibits the growth of organisms commonly found to be involved in both primary aortic ...
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Journal ArticleCancer Res · March 15, 2014
Pancreatic ductal adenocarcinoma (PDAC) is characterized by therapeutic resistance for which the basis is poorly understood. Here, we report that the DNA and p53-binding protein ATDC/TRIM29, which is highly expressed in PDAC, plays a critical role in DNA d ...
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Journal ArticleJ Vasc Surg · March 2014
OBJECTIVE: The purpose of this study was to characterize the prevalence and natural history of aneurysms among abdominal transplant recipients. METHODS: This article is a retrospective review of adult patients who underwent a kidney or liver transplant at ...
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Journal ArticleSemin Vasc Surg · December 2013
Renal malperfusion associated with renal artery dissection can present as either an isolated disease process or in the setting of branch vessel stenosis complicating aortic dissection. Isolated renal artery dissection is a rare disorder, the clinical prese ...
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Journal ArticleAnn Vasc Surg · October 2013
BACKGROUND: With the growing prevalence of endovascular repair for abdominal aortic aneurysm (AAA), the number of patients requiring graft explantation is increasing. Therefore, knowledge related to outcomes after explantation may lead to improvement in su ...
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Journal ArticleJ Vasc Surg · July 2013
INTRODUCTION: Flow-limiting lesions or embolic phenomena can produce vertebrobasilar ischemia. This study aims to differentiate the pathophysiology of vertebral ischemia and examine contemporary outcomes after distal vertebral reconstruction. METHODS: Betw ...
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ConferenceJ Vasc Surg · June 2013
INTRODUCTION: Renal transplantation has been performed with increasing frequency, and interventions to preserve graft function and integrity have been steadily increasing. This study examines the outcomes of endovascular therapy based on indication for ren ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · January 2013
BACKGROUND: Chronic occlusion of the femoral or the proximal popliteal vein responsible for venous obstruction and the constellation of clinical sequelae that ensue remains a surgical challenge that carries notable patient morbidity. Sapheno-popliteal bypa ...
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Journal ArticleJournal for Vascular Ultrasound · January 1, 2013
Background. - Duplex ultrasonography remains the diagnostic modality of choice used to assess for venous reflux. Historically, our institution's practice assessed for deep venous reflux at the level of the common femoral and femoral veins, and the saphenou ...
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Journal ArticlePerspect Vasc Surg Endovasc Ther · September 2012
The treatment of occlusive vascular disease has evolved considerably over the past decades, with management strategies shifting from open surgical approaches toward less-invasive endovascular solutions or hybrid open and endovascular therapies. The treatme ...
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Journal ArticleJ Vasc Surg · August 2012
Developmental coarctation, hypoplasia, and occlusion of the abdominal aorta is a rare disease encompassing many differing etiologies and diverse methods of treatment. Long-segment thoracoabdominal aortic occlusion, an extreme manifestation of this disorder ...
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Journal ArticleExpert Opin Med Diagn · July 2012
Venous thromboembolic disease (VTE) remains a significant source of morbidity and mortality. As non-specific subjective complaints and a paucity of objective clinical examination findings complicate the diagnosis of both deep venous thrombosis (DVT) and pu ...
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Journal ArticleJ Vasc Surg · June 2012
OBJECTIVE: Renal dysfunction following endovascular abdominal aortic aneurysm repair (EVAR) remains a significant source of morbidity and mortality. We studied the use of carbon dioxide (CO(2)) as a non-nephrotoxic contrast agent for EVAR. METHODS: Recorde ...
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Journal ArticleJ Endovasc Ther · April 2012
PURPOSE: To examine the outcomes following interventions for type II endoleaks in patients with aneurysm sac expansion after endovascular aneurysm repair (EVAR). METHODS: A retrospective review was conducted of all patients who underwent treatment for type ...
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