Audible Bleeding

Jacob Soucy (@JacobWSoucy) hosts an inside look at a timely and thought-provoking editorial published in The Vascular Specialist, the official news magazine of the Society for Vascular Surgery.
In this episode, we explore the introduction of preference signaling to the integrated vascular surgery match through the lens of the editorial "This Signal Brings Noise." The discussion examines whether signaling addresses problems that exist within the vascular surgery match, how signals may influence interview selection, and the potential unintended consequences of introducing artificial scarcity into an already highly successful match process.
Jacob speaks with Dr. Malachi G. Sheahan III about the motivation behind the piece, the problems preference signaling is intended to solve, how applicants and programs may approach the new system, and why signaling may turn the application process into a strategic game. They also discuss application review, virtual versus in-person interviews, the role of program reputation and mentorship in applicant decision-making, and what the vascular surgery community should watch as signaling is implemented for the first time.
 
Show Guest
Dr. Malachi G. Sheahan III is Professor and Chair of Surgery at Louisiana State University Health Sciences Center and Chief of the Division of Vascular Surgery. He previously served as Program Director for both the fellowship and integrated residency in vascular surgery at LSU. Nationally, Dr. Sheahan serves as Secretary of the Society for Vascular Surgery and as Chief Medical Editor of The Vascular Specialist. With more than two decades in academic surgery, he is a recognized leader in vascular education, workforce policy, and advocacy within the specialty.
 
Resources and Social Media
X (Twitter): @lsuvascular
 
Read the editorial: "This Signal Brings Noise" – The Vascular Specialist
Special thanks to Dr. Malachi G. Sheahan III for sharing his time and perspective on preference signaling and its potential impact on vascular surgery applicants, programs, and the match.
 
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*Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Audible Bleeding Editor and vascular surgery fellow Sasank Kalipatnapu (@ksasank) is joined by James Martinson, a practicing general surgeon with an interest in vascular surgery, currently serving as the ship's surgeon for the USS John F. Kennedy aircraft carrier; JVS editor Dr. Audra Duncan (@ADuncanVasc); and JVS-CIT editor Dr. Matthew Smeds (@MattSmeds) to discuss two great articles in the JVS family of journals.
Articles:
Part 1: The association between multimorbidity and arteriovenous fistula creation outcomes (Wei and Woo)

Part 2: In Vitro fEVAR Deployment and Cannulation Using an Electromagnetically Steerable Guidewire (Zielasek)

Show Guests:
Dr. Melissa Wei (@melissaywei) is a professor of medicine at the David Geffen School of Medicine in UCLA within the Division of Internal Medicine and Health Services Research (LinkedIn)

Dr. Karen Woo is a professor of surgery at the David Geffen School of Medicine in UCLA, and as a practicing vascular surgeon, she has authored over 100 peer-reviewed articles, focusing on improving dialysis access outcomes (UCLA)

Dr. Christian Zielasek is a practicing vascular surgeon in Switzerland at the University Hospital of Bern (ResearchGate)

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*Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by James Martinson,  practicing general surgeon with an interest in vascular surgery currently serving as the ship's surgeon for the USS Harry S Truman aircraft carrier and Langford Green (@langfordgreen_), research fellow at the Center for Vascular Research at the University of Maryland currently applying to medical school, JVS editor Dr. Audra Duncan (@ADuncanVasc), and JVS-VI editor Dr. Anahita Dua (@AnahitaDua) to discuss two great articles in the JVS family of journals.
Articles:
Part 1: Open bypass versus endovascular therapy in chronic limb-threatening ischemia patients with prior endovascular attempts (Hamouda & Malas)

Part 2: Retrospective review of 3126 patients with chronic lower extremity wounds treated with intermittent topical oxygen therapy (Lohr & Dua)

Show Guests 
Dr. Mohammed Hamouda was a postdoctoral research fellow at UC San Diego, Division of Vascular & Endovascular Surgery, and an incoming integrated vascular surgery resident at the Houston Methodist Hospital (LinkedIn)

Dr. Mahmoud Malas is the chief of vascular and endovascular surgery at UC San Diego, and the vice chair of surgery for clinical research at UC San Diego School of Medicine (@malas_mahmoud)

Dr. JoAnn Lohr is a vascular surgeon with her own practice in Cincinnati, OH, and has also worked in the VA system of Columbia, SC (LinkedIn)

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*Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

Welcome back to the Audible Bleeding Series: Landmark Papers in Vascular Surgery. In this episode, Audible Bleeding editor John Culhane and co-host Dr. Jesse Columbo are joined by our guests, Dr. David Stone, Dr. Salvatore Scali, and Dr. Anders Wanhainen to unpack one of the longest-running debates in aortic surgery: when (and whether) to repair an abdominal aortic aneurysm.
We'll start our episode with the open-repair era and the two trials that set the basis for the 5.5 cm threshold—UKSAT and ADAM—then move into the early EVAR years with PIVOTAL and CAESAR, which asked whether fixing smaller aneurysms with endovascular technology could do better. Finally, we'll look at how modern screening programs, improved medical therapy, and current guidelines have reshaped the practical decisions we make for these patients every day.
 
Links to Papers Discussed:
Open Surgery Era
1.    UKSAT (1998)
2.    ADAM (2002) 
 
Endovascular Era
1.    PIVOTAL (2010)
2.    CAESAR (2012) 
 
Contemporary Results
1.    Oliver-Williams/NHS NAAASP 
2.    Rokosh/SVS Guidelines
3.    ESVS 2026 Guidelines
 
Guests:
Dr. David Stone, MD (@DHStoneMD); Dartmouth
Dr. Salvatore Scali, MD (@UFVascular); University of Florida
Dr. Anders Wanhainen, MD, PhD (@AWanhainen); Uppsala University, Sweden
 
Hosts:
John Culhane, MD (@JohnCulhaneMD); Vascular Surgery Fellow, Montefiore
Dr. Jesse Columbo, MD; Dartmouth
 
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*Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

In this episode, we spotlight editorials and abstracts from the Journal of Vascular Surgery Cases, Innovations, and Techniques (JVS-CIT). Editorials and Abstracts are read by Authors as well as members of the SVS Social Media Ambassadors.
 
Guests: 
Isabel Banks, MS4, SLU 
Best of 2025 - rare, high-risk, and unforgettable vascular cases

Best of 2025: Venous disease 

Hemodynamic and patient-level considerations in inferior mesenteric artery aneurysm management

Reply

Ultra-distal bypass remains a valuable option for tibial disease with tissue loss

Stewart Treves syndrome as a catastrophic sequela of chronic lymphedema: Clinical spectrum, management challenges, and outcomes

The best of 2025 - peripheral and splanchnic aneurysms and mesenteric vascular disease

Hosts:
John Culhane (@JohnCulhaneMD)
 
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Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.
 
*Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.