median arcuate ligament syndrome… Nonoperative management of median arcuate ligament syndrome (MALS) 24 Jan 202125 Jan 2021 The patient is a young woman who presented with classic symptoms and findings of median arcuate ligament syndrome (MALS). She avoided food because eating triggered severe pain in her upper…
AAA… Lifelong surveillance after EVAR -is it worth it? 20 Jul 202020 Jul 2020 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…
iliocaval venous… Leave Nothing Behind -IVC filter edition 17 Jul 202021 Jul 2020 Why There is a Literature on Filter Removal A long time ago, there was the IVC clip which survives today as a vestigial CPT code. Then in the 1980’s, the…
bypass… Debranch First! or Why Haven’t We Done This All Along for Thoracoabdominal Aortic Aneurysms? 12 Jul 202021 Jul 2020 Context Despite all the advances in endovascular repair of thoracoabdominal aortic aneurysms, no data shows their superiority in the mid to long term compared to open repair. That is why…
acute mesenteric ischemia… Abdominal Stroke Alert! 16 May 202021 Jul 2020 It is a rare day that passes without the announcement of a stroke alert at CCAD. A reflex arc of activity is initiated, as time becomes the critical metric of…
acute limb ischemia… Of Clot, Tofu, and Cheese 16 Dec 201917 Dec 2019 The process of clotting is something vascular surgeons take for granted, but patients may have a hard time understanding what a clot is because in most people’s experience, it is…
skunk works… Distraction free writing used to be the norm with technology 17 Nov 201917 Nov 2019 Distraction Free Writing: Portable, Disconnected, AA Battery Powered Distraction free writing has been a buzzword. It used to be the norm with computers by their limitations and design to focus…
acute limb ischemia… The shunt as temporary bypass -a modest proposal 3 Aug 20194 Aug 2019 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…
AAA… The Hands of a Surgeon 29 Jul 201920 Jul 2020 My partner, Lee Kirksey, Vice-Chair of Vascular Surgery, just got a paper on-line (link) about the curiously increasing volume of open surgical repairs we were experiencing from 2010-2014 at the…
Commentary… Zebras, not horses: popliteal artery entrapment syndrome 17 Jul 201917 Jul 2019 Recalling the medical school adage, “when you hear hoofbeats, it’s probably horses, not zebras,” it is critical to think about rarities down on the differential list whenever you come across…
