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.

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

 

March Journal Club -Peripheral Aneurysms

 

 

February Journal Club -Venous Disease

February 16, 2016 630pm at Foundation House.

Presenters:

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.

 

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

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)