I found it very useful. No wound skin necrosis!

Eversion CFAe -when it works, it works well. Very efficient, no patches, just sutures. #vascsurg

Unusual condition, the carotid web, with real world consequences -ie stroke, usually in younger patients. The question is, should we operate on asymptomatic patients with this?

With 40% projected shortfall in vascular surgery staffing in a decade, will this operation even be on the menu? Endovascular skills can be expanded via lecture, observation, and repetition after establishing base skills. Open vascular surgery requires a surgical ἀγωγή. #vascsurg

If you know, you know #MALS #medianarcuateligamensyndrome #vascsurg

this operation still works -ABF for a small AAA and iliac occlusive disease. #vascsurg Also, Becker's Health posted an article predicting a 38% shortfall of vascular surgeons in a decade!

With bilateral CIAA, I still tend to coil and cover one side particularly if suboptimal and IBE the other. Do #vascsurg see a benefit to doing both -ie. bil. IBE?

Wooden loupes boxes mark you as an old guy. #vascsurg @Design4Vision

Amazing patient-centered (and lost new surgeon-centered) signage and map system!! Type in where you are trying to go and you get a dynamic map AND a link for your phone. Wow @UHhospitals

I've only recently seen the @WithAScalpel account, but it is immediately obvious that it has a steady output of high-quality visual teaching aids related to pediatric cardiac surgery and physiology, and also some general technical pointers. It should have WAY more followers. 🧐

I debated not showing up and shouting "April fools!" if someone called me, but instead have officially started and am thrilled to report I was welcomed by 10,000hrs of Epic training.

@SCVS1969 breakfast session. Just heard an insanely cool technique to treat an extent III TAAA with tiny access vessels via transcaval access. Laser to cross from IVC to Aorta, dilate, place large TAMBE access and deploy. "Fishing pole" retrograde cannulation AFX via arterial

Ever wondered why surgeons obsess over a tiny “ligament” that’s actually a clever muscle hybrid hanging from your diaphragm? It quietly divides your gut’s bleeding zones and keeps your small bowel from twisting into chaos! The Ligament of Treitz—more accurately termed the suspensory muscle of the duodenum—marks the precise anatomical transition from the duodenum to the jejunum at the duodenojejunal flexure. Far from a simple collagenous ligament as its name suggests, this fibromuscular structure comprises a superior portion of skeletal (striated) muscle fibres arising from the right crus of the diaphragm, blending into connective tissue near the coeliac artery, and an inferior part of smooth muscle fibres originating from the third and fourth duodenal segments. This unique composition allows it to suspend and stabilise the flexure, widening the angle during contraction to facilitate smooth passage of intestinal contents into the mobile jejunum. Clinically, it serves as a critical landmark: bleeding proximal to the ligament is classified as upper GI (often presenting as haematemesis or melaena), while distal bleeding counts as lower GI (typically haematochezia). Surgeons rely on it during laparotomy to identify the jejunum for procedures like feeding jejunostomy or measuring bowel length.

Fat Perez draining Tiger's famous putt on 17 was a scene. 😂

In this case report, A. Pochettino, MD & other experts discuss ascending aorta to iliac artery bypass in coral reef aorta w/multidrug resistant hypertension & worsening renal function: #JournalofVascularSurgeryCasesInnovationsandTechniques dx.doi.org/10.1016/j.jvscit.…

Some alien civilization observing us must be saying "bipedal, one head, two arms, don't over feed -they don't know when to stop, don't put too many into the same box -they'll kill each other and overpopulate."

Just heard that a resident survived a horrific home invasion because she fought back in the most impressive way. After speaking to her mentors I learned that she had a message for everyone (highlighted at the end of this report)- fight like hell Amplify: atlantanewsfirst.com/2026/02…

.⁦@HarringtonHVI⁩ Vascular Center happy hour. East side of Cleveland edition. Could not ask for a more collaborative group of APPs RNs admins docs and RVTs! ⁦⁦@docpark⁩ ⁦@JaeChoMD⁩

Good luck to all who took the VSITE yesterday! If we missed any topics so @michaelsgroi15 and I can include them in upcoming versions! a.co/d/0855FFh8