Audible Bleeding

Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by  Dr. Danielle Garcia, Dr. Robert Meyers, JVS editor Dr. Duncan (@ADuncanVasc), and JVS-VL editor Dr. Ruth Bush to discuss some of our favorite articles in the JVS family of journals. 
 
Articles:
 
Closed incisional negative pressure wound therapy vs standard surgical dressing for groin incisions following arterial vascular surgery: A prospective multicenter randomized clinical trial

When to Stop: Optimizing Abdominal Aortic Aneurysm Surveillance in the Elderly

Adding Artificial Intelligence to the PERT Improves Time to Diagnosis and Treatment of Pulmonary Embolism

  
Show Guests 
Ellie Lenselink, clinical nurse specialist working at The Wound Expertise Clinic in Hague, Netherlands. Her clinical and research focus is wound healing, particularly wounds associated with vascular disease, diabetic foot disease and surgery. She completed a Master of Science in Wound healing and Tissue Repair at Cardiff University. She is one of the driving forces behind establishing HMC's multidisciplinary Wound Expert Clinic, integrating clinical wound care with research. She currently serves on the Editorial Board of the International Wound Journal.

Dr. Daniel Eefting, MD, PhD is a vascular surgeon affiliated with Hague Medical Center and Leiden University Medical Center (LUMC). He has extensive research contributions with work centered on vascular surgery, peripheral arterial disease, wound healing, vascular access, aortic disease and endovascular techniques. 

Dr. Robert Chang is the Assistant Chair of Vascular Surgery for The Permanente Medical Group, an adjunct investigator with the Kaiser Permanente Division of Research and has a clinical vascular surgery practice based in the Bay Area. 

Dr. Elizabeth Lancaster is a San Francisco based Vascular Surgeon currently employed by the Kaiser Permanente Medical Group. She earned her MD at UCLA and completed General Surgery residency and Vascular Surgery Fellowship at UCSF

Dr. Sowmya Mangipudi is a current resident and on an implementation Science T32 at UCSF and is a former NIH-Fogarty Fellow. She received my MD at GW and her Masters of Science in Global Health & Surgery from Kings College London 

Dr. Emily Austin is a recent graduate of the TriHealth Integrated Vascular surgery residency in Cincinnati. She earned her MD from the University of Alabama in Birmingham and has joined the Montgomery Vascular Surgery group

Dr. Patrick Muck is the Section Chief of the Department of Vascular Surgery and Director of the vascular fellowship at TriHealth. He earned his MD from University of Kentucky and attended residency and fellowship at Good Samaritan Hospital. He is immediate past president of the Midwestern Vascular Surgical Society

Dr. Adam Reichard is the Co-director of the TriHealth Heart and Vascular Comprehensive Aortic Center. He earned his MD from St. George's University in Grenada and attended residency and fellowship at TriHealth – Good Samaritan Hospital

 
 
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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.

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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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.