loader from loading.io

Diagnosis and Management of Infected Aortic Endografts

Audible Bleeding

Release Date: 09/08/2024

JVS Author Spotlight - Roy, Csore, and Rahimi show art JVS Author Spotlight - Roy, Csore, and Rahimi

Audible Bleeding

Audible Bleeding editor Wen () is joined by 3rd year medical student Nishi (), JVS editor Dr. Forbes (), and JVS-CIT associate editor Dr. Jimenez to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Trisha Roy (), Dr. Judit Csore (), and Dr. Maham Rahimi, the authors of the following papers.    Articles:    Show Guests  Dr. Trisha Roy- Assistant professor of cardiovascular surgery at the Houston Methodist Debakey Heart and Vascular Center. Background of Material engineering, vascular imaging, research interest in...

info_outline
JVS CIT Editorials and Abstracts - Dec 2024/Jan 2025 show art JVS CIT Editorials and Abstracts - Dec 2024/Jan 2025

Audible Bleeding

In this episode, we spotlight editorials and abstracts from the Journal of Vascular Surgery Cases, Innovations, and Techniques (). Editorials and Abstracts are read by members of the . Guests: Dr. Gregory Magee, MD ()   Dr. Eric Pillado, MD ()   Dr. Ben Li, MD ()   Dr. Donald Baril, MD ()   Dr. Michael Malinowski, MD   Hosts: John Culhane () Nishi Vootukuru ()     Follow us   Learn more about us at and provide us with your feedback with our . *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters...

info_outline
JVS Author Spotlight - Schermerhorn, Sanders, Cox and Tsukagoshi show art JVS Author Spotlight - Schermerhorn, Sanders, Cox and Tsukagoshi

Audible Bleeding

Audible Bleeding editor Wen () is joined by 3rd year medical student Nishi (), JVS editor Dr. Forbes ), and JVS social media liaison Dr. Haurani to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Marc Schermerhorn, Dr. Andrew Sanders, Dr. Mitchell Cox and Dr. Junji Tsukagoshi, the authors of the following papers.    Articles:      Show Guests  Dr. Marc Schermerhorn: Chief of vascular and endovascular surgery at Beth Israel Deaconess and professor of surgery, Harvard Medical School  Dr. Andrew Sanders:...

info_outline
Holding Pressure: AV Fistula/Graft Complications Part 1 show art Holding Pressure: AV Fistula/Graft Complications Part 1

Audible Bleeding

Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic.   Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure...

info_outline
The Art and Science of Leadership - An Introduction to the SVS Leadership Development Program show art The Art and Science of Leadership - An Introduction to the SVS Leadership Development Program

Audible Bleeding

In this special series, core faculty members of the , Dr. Manuel Garcia-Toca, Dr. Kenneth Slaw, and Steve Robischon, discuss the program origins, research regarding good leadership, and how to join.    Manuel Garcia-Toca, MD completed his MD at the Universidad Anahuac in Mexico (1999) and MS in Health Policy at Stanford University (2020). Dr. Garcia-Toca completed his residency in General Surgery at Brown University (2008) and a fellowship in Vascular Surgery at Northwestern University (2010). He will serve within the Department of Surgery in the Division of Vascular Surgery and...

info_outline
JVS CIT Editorials and Abstracts - Oct/Nov 2024 show art JVS CIT Editorials and Abstracts - Oct/Nov 2024

Audible Bleeding

In this episode, we spotlight editorials and abstracts from the Journal of Vascular Surgery Cases, Innovates, and Techniques (). Editorials and Abstracts are read by members of the .   Readers: Nick Schaper (@schapernj) Nabeeha Khan (@Nabeeha_Khan_)   Hosts: John Culhane (@JohnCulhaneMD) Nishi Vootukuru (@Nishi_Vootukuru)   Reference Articles:     Follow us   Learn more about us at and provide us with your feedback with our . *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical...

info_outline
JVS Author Spotlight - Mota, Liang and Weinkauf show art JVS Author Spotlight - Mota, Liang and Weinkauf

Audible Bleeding

Audible Bleeding editor Wen () is joined by 4th-year general surgery resident Sasank Kalipatnapu () from UMass Chan Medical School, JVS editor Dr. Forbes ), JVS-VS associate editor Dr. John Curci () to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Mota, Dr. Liang and Dr. Weinkauf, authors of the following papers.   Articles:  Show Guests: Dr. Lucas Mota- third-year general surgery resident at the Beth Israel Deaconess Medical Center Dr. Patrick Liang- assistant professor at Harvard medical school and a practicing vascular...

info_outline
Get a Pulse on PAD Campaign show art Get a Pulse on PAD Campaign

Audible Bleeding

Nishi Vootukuru () and Dr. Ezra Schwartz () interview Dr. and Dr. () to discuss the Get a Pulse on PAD Campaign.   The initiative (#PulseonPAD), launched in February, 2024, is a patient education and advocacy campaign designed to increase the understanding of peripheral artery disease's risk factors and potential symptoms.     Dr. Shutze is a vascular surgeon with Texas Vascular Associates in Dallas, Texas and the Secretary of the SVS. Dr. Shutze completed his medical studies at Baylor University after completing general surgery residency at University of Alabama in...

info_outline
SCVS Rising Seniors / Incoming Fellows Program show art SCVS Rising Seniors / Incoming Fellows Program

Audible Bleeding

In this episode of Audible Bleeding, editor Dr. Imani McElroy () is joined by General Surgery PGY-4 Sasank Kalipatnapu() along with Dr.David Rigberg, MD (), and Dr. Guillermo Escobar, MD () to discuss the Society for Clinical Vascular Surgery (SCVS) Rising Seniors / Incoming Fellows Program. This episode brings out a conversation exploring the history behind the development of the program, the current state of the program, and the overwhelming importance of the program in the current day. The episode also provides a broad overview of the content presented in the program and the reasoning...

info_outline
JVS Author Spotlight - Straus, Schermerhorn, and Etkin show art JVS Author Spotlight - Straus, Schermerhorn, and Etkin

Audible Bleeding

Audible Bleeding contributor and first year vascular surgery fellow Richa Kalsi () is joined by vascular fellow Donna Bahroloomi (),  fourth year general surgery resident, Sasank Kalipatnapu (), JVS editor-in-chief, Dr. Thomas Forbes (), and JVS-CIT editor Dr. Matt Smeds () to discuss two great articles in the JVS family of journals. The first article analyzes seven years worth of VQI data on TCAR, CEA, and TF-CAS to elucidate modern management of carotid disease. The second article provides a simple but powerful method of assessing adequacy of revascularization in the management of...

info_outline
 
More Episodes

In this episode, we discuss the challenges of explanting aortic grafts, the diagnosis and management of infected aortic grafts, as well as tips and tricks for once we're in the operating room.

 

Interviewers/Editors:
Mark Basilious, MD Candidate (@markrbasilious)

Eva Urrechaga, MD (@urrechisme)
Sharif Ellozy, MD (@SharifEllozy)

 

Guests:

Dr. Francis Caputo (@FrankCaputoMD) is an Associate Professor of Surgery at the Cleveland Clinic Lerner College of Medicine, Vascular Surgery Director of the Aorta Center, and Program Director of the Vascular Surgery Training Programs. His clinical interests include complex open and endovascular repair of thoracic, thoracoabdominal, and abdominal aortic aneurysms, management of thoracic dissection, and endovascular and open repair of failed endograft. Dr. Caputo earned his medical degree from the University of Medicine and Dentistry New Jersey, Newark, NJ, where he also served his surgical residency and two years as a National Institutes of Health research fellow. He completed his fellowship in vascular surgery at Barnes-Jewish Hospital of Washington University, St. Louis, MO and joined the Cleveland Clinic medical staff in 2018.   

Dr. Peter Rossi (@peterjrossi) is a Professor of Surgery, Radiology, and Orthopedic Surgery, and Chief of the Division of Vascular and Endovascular Surgery at the Medical College of Wisconsin. His primary research and clinical interests are in complex  “re-do” and revision surgery, including for thoracoabdominal and abdominal aortic aneurysms, carotid artery surgery, and renal and mesenteric arterial disease, as well as vascular reconstruction for complicated soft tissue sarcomas. Dr. Rossi completed medical school at the University of Illinois College of Medicine before completing his general surgery training at the University of Chicago and his vascular surgery training at the Medical College of Wisconsin, where he has been a member of the faculty since 2009. 

Dr. Xavier Berard (@XavierBerardMD)  is a French vascular surgeon who has been a Consultant in the Department of Vascular Surgery and Professor of Vascular and Endovascular Surgery in Bordeaux University Hospital in Bordeaux, France since 2010 and a full Professor of Vascular Surgery at the University of Bordeaux since 2016. He has also completed a PhD in Vascular Biomaterials and in 2010 worked as a research fellow at Lausanne University Hospital in Switzerland. He has been board certified by the French College of Vascular and Endovascular Surgeons since 2008 and by the European Society for Vascular and Endovascular Surgery since 2010. He has served as an examiner for the FEBVS exam since 2014 and as a reviewer for the European Journal of Vascular and Endovascular Surgery since 2016. Additionally, he is a member of the ESVS guidelines writing group for vascular graft infection and AAA.  His personal surgical interests include open surgery of (thoraco)abdominal aneurysms, redo aortic surgery, infections in vascular surgery, EVAR explantation, and biomaterials. He works closely with Institut Bergonié Bordeaux Cancer Center for sarcomas. You can see educational videos and learn more about Dr. Xavier Berard here.

Helpful links and resources:

Video of explantation of infected chimney EVAR with duodenal fistula (courtesy of Dr. Berard)

Video of reimplanting the IMA after explanting an infected graft

Video of explantation of infected graft with suprarenal fixation

Videos of using the syringe technique to remove an aortic stent graft here and here (courtesy of Dr. Berard)

References

  1. Kim YW. Aortic Endograft Infection: Diagnosis and Management. Vasc Specialist Int. 2023 Sep 21;39:26. doi: 10.5758/vsi.230071. PMID: 37732343; PMCID: PMC10512004.

  2. Papas TT. Patient Selection Is Essential for Explantation of Infected Abdominal Aortic Endografts. Angiology. 2023 Nov 23:33197231218622. doi: 10.1177/00033197231218622. Epub ahead of print. PMID: 37995099.

  3. Anagnostopoulos A, Mayer F, Ledergerber B, Bergadà-Pijuan J, Husmann L, Mestres CA, Rancic Z, Hasse B; VASGRA Cohort Study. Editor's Choice - Validation of the Management of Aortic Graft Infection Collaboration (MAGIC) Criteria for the Diagnosis of Vascular Graft/Endograft Infection: Results from the Prospective Vascular Graft Cohort Study. Eur J Vasc Endovasc Surg. 2021 Aug;62(2):251-257. doi: 10.1016/j.ejvs.2021.05.010. Epub 2021 Jun 14. PMID: 34140225.

  4. Lumsden AB. Explant of the Aortic Endograft: Today's Solutions, Tomorrow's Problems. Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):38-48. doi: 10.14797/mdcvj.1176. PMID: 36936357; PMCID: PMC10022536.



Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.