Category: innovation
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Lifelong surveillance after EVAR -is it worth it?
About ten years ago, I had a patient who came to see me for moderate carotid disease. While his carotid disease was asymptomatic, he also had metastatic colon cancer. With colectomy, cryoablation of liver mets, and chemotherapy, he was in remission. Every 6 to twelve months he had some kind of CT scan with contrast. […]
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Amazon Set Your Kindles Free
My Lenovo Yogabook C930 recently got a firmware update where the main screen image gets cloned to the e-ink display. By putting the device into tent mode, the LCD screen turns off and you now have a PC on an e-ink screen. Linked to a Bluetooth keyboard, it is a low power focused writing station, […]
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The shunt as temporary bypass -a modest proposal
The rise of cardiopulmonary bypass life support has also given a rise to the need to keep large, obstructive cannulas in femoral arteries. ECMO cannulas are often kept in for days, and it is not uncommon to discover limb ischemia and infarction relatively late. This can be avoided by placing a distal perfusion cannula to […]
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Innovating Our Way Out of Not Having Enough Vascular Surgeons
Innovating Our Way Out of Not Having Enough Vascular Surgeons This year’s SVS meeting featured a sobering assessment about the vascular manpower deficit affecting North America at the E. Stanley Crawford Critical Issues Forum, moderated by Dr. Michel Makaroun, MD, president-elect of the SVS. 35-45% of practicing vascular surgeons plan on retiring in the next […]
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Video Presentation: Removing Stent Grafts and It’s Implications for Putting Them In
This was presented at Dia De La Patología Aortíca Marbella organized by Dr. Fernando Gallardo. Here is the link.
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A lot of people can put in a stent graft, unfortunately only a few can take them out.
I recently had to remove a stent graft for infection and got to thinking about how the number of people who could comfortably and confidently manage that has thinned out in the world through the unintended consequence of the medical device market place. In every surgical specialty over the past twenty years, many open […]
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Arterial Restoration -Something New, Something Old
Something that I recently promised Dr. James S.T. Yao, I will be working to publish on my stent removal and extended remote endarterectomy cases and techniques. Meanwhile, here is a talk.
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In Medicine, We Can All Be Real-World Innovators
By W. Michael Park, MD Innovation has become a virtue in the current culture. There is an evangelical fervor around it. What are TED Talks but tent revivals for nerds? What is the new Apple campus but a cathedral born out of the values of our time? Yet in elevating the more famous innovators […]
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Park Clamp
One of the reasons why I moved my family to Cleveland was to participate in innovation at the Clinic. One of the devices that I have been working on has reached the patent stage and I am free to divulge it. Full link below. Innovation is part of the culture here like oxygen in the […]
A Surgeon's Notes 