humor Journal Club opinion random

Last Slides Should Pack a Punch

When I lecture to interventionalists (cough, cardiologists), I often end with some variation on the following:

1. The common femoral artery is the left main of the leg, so why would you ever leave a stent across the LCX?

2. Claudication is like stable angina, so is it okay to intervene on a long LAD CTO for stable angina?

3. Gangrene and ulceration are like STEMI and Non-STEMI, only you can’t take the dressing down on an infarcted heart three times a day and wash away the debris.

4. If a LIMA to LAD isn’t a failure and lasts many years beyond the best stents, how is a femoral to tibial bypass a failure?

5. Why is that [insert technology] is a failure in the coronary circulation but the latest and greatest thing in the peripheral circulation?

6. Reversible ischemia is well demonstrated in the foot by lifting it off the bed and watching the color change. It’s too bad for vascular surgeons we can’t build a giant white box around this test and have have the hospital build a center around it.

7. The ABI is a great test of cardiac risk, not so much for peripheral vascular disease.

8. Hybrid revascularization works for the legs in the same way it works for the heart -you maximize the hand that you are dealt.

9. The nitinol throne is not won without some cost.

10. One day, in the far future, someone will dig up an ancient human that is more nitinol, stainless, steel, and chromium, than bone, from the mitral valve out to the fingers and toes.

Journal Club

Journal Club May 2016


Topic is Aortic Aneurysms. Papers are:


open TAAA repair Coselli

FEVAR article type II and III TAAA


Carotid Journal Club

April 2016 Journal Club

Vascular Journal Club will be on April 19, 2016 at the usual location. Presenting will be:

Dr. Dimitri Virvilis –synchronous carotid and coronary artery disease

Dr. Max Wohlauer –neurorescue -please be prepared to discuss cerebrovascular anatomy

Dr. Roy Miler –vertebral translocation


Journal Club

March Journal Club -Peripheral Aneurysms



Journal Club Uncategorized

February Journal Club -Venous Disease

February 16, 2016 630pm at Foundation House.


Dr. Mohammed Abbasi – joi150040 -Effect of a Retrievable Inferior Vena Cava Filter Plus Anticoagulation vs Anticoagulation Alone on Risk of Recurrent Pulmonary Embolism A Randomized Clinical Trial. JAMA 2015;313:1627-1635.

Dr. Keith Glover –PIIS1078588413005947 -Percutaneous Manual Aspiration Thrombectomy Followed by Stenting for Iliac Vein Compression Syndrome with Secondary Acute Isolated Iliofemoral Deep Vein Thrombosis: A Prospective Study of Single-session Endovascular Protocol. Eur J Vasc Endovasc Surg 2014;47:68-74.


Journal Club Uncategorized

January Journal Club January 19, 2016

post angio

At usual location. Topic renal and mesenteric vascular disease. Presenting are:

Dr. Michael O’Neil – Symplicity HTN3

Dr. Daniel Scott –Reop OR Mesenteric Ischemia CCF-Mayo

Dr. Lynsey Rangel –Open v Endo Mesenteric Ischemia

Journal Club Uncategorized

December Journal Club Articles

December 15, 2015, usual place.  Topic, femoropopliteal occlusive disease.

Dr. H. El-Arousy: 1-s2.0-S0741521415000646-main (Viabahn antiplatelet v anticoagulation)

Dr. J. Rowse: Circulation-2015-Krankenberg-CIRCULATIONAHA.115.017364 (Drug coated balloon v standard balloon in stent restenosis)

Dr. F. Vargas: 1-s2.0-S0735109713014149-main (1) (Drug eluting stents)


Journal Club

May Journal Club

May Journal club is upon us. The winner of April’s was Dr. Hardy who gave an excellent review of Gwon et al’s paper on covered versus bare metal stents in malignant SVC occlusions. The presenters are (with link to PDF).

Dr. Wohlauer: EVLT vs. Stripping

Dr. Vargas: Compression stockings for PTS

Dr. Abbasi: Balneotherapy in advanced CVI

Journal Club SVC

April Journal Club

April Journal Club is coming up on us this Tuesday, April 21, and will be centered around SVC Syndrome and central venous occlusive disease. Dr. XY Teng won the award for best presentation in the March Club meeting. Our presenters this Tuesday are:

Dr. M. Abbasi – Aldoss et al link

Dr. D. Hardy – Gwon et al link

Dr. L. Rangel – Bakken et al link

Same rules apply. See you there.

Journal Club

March Journal Club -3-10-2015

The February Journal Club’s winner was Dr. Daniel Lopez.

The March Journal Club is a week earlier because St. Patrick’s Day falls on the usual day we have the Journal Club. To my international readers, St. Patrick’s Day (March 17th) is an important holiday in the United States to celebrate St. Patrick, bringer of Christianity to Ireland, by quiet contemplation of that seminal event.

Assuming the truth of genotype analysis, the Celts migrated out of West Central Asia prior to the bronze age -tombs in Mongolia have found red haired maidens in woolen plaid tartans, making them a far flung Asiatic people. Prior to St. Patrick’s conversion of the Irish, they were known for a fierce reputation wherever they settled. The Celts were even in the Middle East for a while, and have a chapter of the New Testament named after them -Galatians (Celts). The Romans tired of continuously fighting them in Northern Italy, Spain, France, Wales, Anglia, and eventually built a wall to keep them in Scotia and Hibernia. When they weren’t fighting foreign invaders, the Irish were excellent at fighting among themselves, and were eventually locked in to a plantation type share-croppery that failed when a blight affected their primary calorie source, the potato, causing an Irish diaspora that has enriched the world. So journal club is a week earlier in honor of St. Patrick.

March 10, 2015, at the usual venue, we will meet to discuss thoracic outlet syndrome. The papers are being presented by:

Dr. Xiaoyi Teng –nTOS paper link

Dr. Dimitrios Virvilis –vTOS paper link

Dr. Max Wohlauer –Paraclavicular Approach TOS paper link