80 hrs of call #rupture #aorta #EVAR x2 #Endoanchors @MDT_Cardiac #DVT @Pen #GSW fem artery #relegatedtoryhthmguitar #freedomfromcall #DVT @Pen #GSW to artery @zacharko17 @ArkoJace #fathersday2020 #DocsWhoRock #impromptujamsession

This year @VascularSVS VAM two of my colleagues @DrAGonzMD @greg_westin received the SVS Foundation awards for their research efforts. Our @iu_vascular Division and @IU_Surgery continues to support their research aspirations. Congratulations Andrew and Greg

RCTs are great but there has not been a study in the past few decades that show open surgery is superior to modern Endo rx of ALI and theres more studies that show superior outcomes with endo first approach (STRIDE, INDIAN…) one approach filets the leg open, other is a bandaid…

A look at the retroperitoneal (RP) approach to open AAA repair a technique that’s become disproportionately important in the endovascular era, as the AAAs left for open repair are increasingly those with hostile anatomy. 🧵 1/10

This is the week of vascular complications in pregnancy. Phlegmasia on @BehindTheKnife and now Aortic dissection in JVS-CIT. I hope it doesn’t follow me to my weekend call. 🫣

Congratulations to Dr. Peter Lawrence, recipient of the 2026 SVS Lifetime Achievement Award, recognizing his lifetime of extraordinary leadership, integrity and dedication to advancing vascular surgery. #VascSurg #SVS #VAM26

Patient for second opinion. Argument for IVUS 🤷🏽‍♂️ @EricSecemskyMD @ACCinTouch @SIRspecialists @SIRRFS @SIR_ECS @kmadass @SDhandMD @t_intheleadcoat @_backtable @AustinBourgeois @farkomd

Congrats to Peter Lawrence on the @VascularSVS Lifetime Achievement Award. Much said about his accomplishments; what I appreciate is his willingness to engage with/mentor/create opportunities for young vascular surgeons. I’m grateful for his impact on my career. Well deserved.

Nicely done! These are such high flow grafts that they usually thrombose from a technical problem with graft or from severely restricted outflow. What was your impression of why it failed?

This patient had an ABF 4 years ago and went on to occlude the right limb. Was told nothing can be done and was berated for still smoking. Helpless, patient came to me for a second opinion. I Opened up her native aorta and right CIA. @farkomd @VascularSVS

First time I've submitted a paper in a very long time. Total torture and ridiculous. Accepted! Yeah for me. Then 7 editorial redos..the last one because I said Graph 1 not Figure 1. 😂

Now live. A first ever video textbook of Aortic Surgery at a great price——free! textbook.houstonmethodist.or…

I’m sure the government getting involved in policing health care will make everything worse. BUT since societies refused to act when the alarm was sounded almost a decade ago, here we are. Continuing on with inappropriate procedures certainly isn’t the answer.

Don’t always agree with you - but agree with you on this 💯

A true honor to work alongside this remarkable multidisciplinary and international group of experts to develop the ARCH-ARC consensus statement. Bringing together specialists in aortic disease, stroke, neurology, cardiology, cardiac surgery, vascular surgery, imaging, industry, and regulatory science reinforced the importance of collaboration in advancing care for patients with complex thoracic aortic disease. Grateful to all of my co-authors for their expertise, collegiality, and commitment to improving outcomes. #ARCH-ARC @NimeshDesaiMD @GregoryPiazza4

New research from Drs. Arash Fereydooni, @ChandraVenita, Jason Lee, John Harris, and @elgeorge_vascmd found vascular reconstruction for extremity sarcomas achieved excellent graft durability and high rates of limb preservation. brnw.ch/21x3drh

"If you have done nothing wrong, then you have nothing to worry about" is such a cliche. Even if you prevail by proving that you are doing the right thing, the economic impact of the investigation itself can be devastating. It could literally cost you hundreds of thousands of dollars to prove your innocence. The "crime" is also one of strict liability. Intentions are irrelevant. The OIG report is based on claims data that is well-known to be inaccurate. It exaggerates the use of tibial intervention for claudication because whatever pathology was being treated was incorrectly coded as such. In addition, there is also the question of atherectomy. The subject is a matter of scientific debate. It is not appropriate to settle these questions as a law enforcement exercise. We all know that PAD is rampant and the majority of limb amputations related to PAD occur without even an angiogram being done. The OIG report is going to have a chilling effect on the inadequate numbers of interventions that are being done. It would be awesome to think that the DOJ/OIG would bring a scalpel to this issue. But they don't have any instruments that fine. There is a significant probability that someone is going to get caught up in this process that doesn't deserve to be.

If the indications for intervention are appropriate, then the interventionalists need not worry. If they are not……..

Do the right thing at the right time for the patient. It’s based on indications which is what I’ve stated. If the indications are appropriate one need not be concerned. I’ve given no cliche such as you stated.

RT @DrThawaba: Please add this to the case report, I have kept this beautiful oral contrast study since 2014 for this moment. Students: y…