Vascular Disease Service Line

VDSL

“The angiographer who enters into the treatment of arterial obstructive disease can now play a key role, if he is prepared and willing to serve as a true clinician, not just as a skilled catheter mechanic.  He must accept the responsibility for the direct care of patients before and after the procedure; now see them as patients, not just as blocked arteries.” -Dr. Charles Dotter, visionary and father of Interventional Radiology

Background:
In the realm of vascular disease, IR training varies greatly from institution to institution.  The goal of the SIR-RFS Vascular Disease Service Line is to create a universal vascular disease curriculum for all IRs based on four crucial educational pillars:  clinical education, practice building, procedural education, and imaging education.  The need for this arises from interventional radiology’s new role in medicine as a primary specialty, with which there is an implicit recognition that the Interventional Radiologist is able to evaluate and treat pathology from a unique perspective.  Now, the interventional radiologist is expected to not only diagnose radiographically, but also clinically, while delivering minimally invasive therapy and providing longitudinal patient care.  Through our initiatives, the VDSL works to provide a more standardized curriculum for like-minded medical students, residents, and fellows so that they may more effectively and completely manage their patients.

VDSL Members

Vascular Disease Service Line (VDSL)
2016-2017 Roster

Service Line Chairs:
John Smirniotopoulos
Eric King

 

Active Service Line Members:

Mithil Pandhi
Sean Kennedy
Justin Shafa
Nassir Rostambeigi
Akhil Khetarpal
Eric King
John Smirniotopoulos
Ali Malik
Raj Khalsa
Sasan Partovi
Emily Li
Millie Liao
Michael Liu
Pranav Moudgil
Nicholas Zerona
Leanne Dumeny
Eugene Bivins
Arshan Dehbozorgi
Dan DePietro
Josi Herren
Satyam Veean
Sipan Mathevosian
Jonathan Barclay
Phillip Guichet
Russell Flato
Monica Uceda
Juri Bassuner
Miltiadis Kerdemelidis
Marc Lim
Pradeep Goyal
Anthony Armetta
Colette Martin
Abdulrahman Masrani
Naoki Murai
Nabih Diab
Jason Van Rompaey
Chris Molloy

 

Former Service Line Chairs:
Ali Malik (2015-2016)
Bhavraj Khalsa (2015-2016)
Brandon Olivieri (2014-2015)

 

Faculty Advisors:
Geogy Vatakencherry
Minhaj S. Khaja
Venkatesh Krishnasamy
Reza Rajebi
Dave Saldanha

Clinical Education

Recommended Reading:

Practice Building

Business and practice building often overlooked, yet crucial areas not addressed in traditional medical school or residency training.

Resources:

Procedural Education

Imaging Education

The purpose of our dedicated radiology imaging training is to make us masters of diagnosis. A unique component of our training not available to any of our competitors, mastery of diagnostic imaging provides IR with a skill set that difficult for others to possess, something that is crucial to the maintenance and future unlimited growth potential of our field.

Vascular Anomalies

Helpful Resources:

Journal Clubs

Angioclubs

2013 SIR RFS Angioclub: Complex Aortic Pathology

 

Conducted in case-discussion format on October 24th, 2013, at the time it was held this event broke records in attendance with over 86 members-in-training present. The cases below are excellent resources for anyone interested in learning more about the endovascular treatment of complex aortic pathology.

Expert Panel of Judges:

Dr. Geogy Vatakencherry – Kaiser Los Angeles Medical Center
Dr. Ripal Gandhi – Baptist Cardiac & Vascular Institute
Dr. Rahul Patel – Mount Sinai New York
Dr. Parag Patel – Medical College of Wisconsin
Dr. Rajan Gupta – University of Colorado
Dr. Saher Sabri – University of Virginia

“Best Case” Winner:
(recieved a copy of Updates in Interventional Radiology 2013 edited by Charles E Ray Jr MD, PhD, FSIR and Brian Funaki MD, FSIR)

Transradial Type I Endoleak Ethylene Vinyl Alcohol Copolymer (Onyx) Embolization
Zachary L. Bercu MD
Department of Interventional Radiology, Icahn School of Medicine at Mount Sinai
New York, New York

Cases Selected for Presentation:

Suprarenal Aortic Mycotic Aneurysm
Jeanette Hankins Hemp MD
University of Virginia
Richmond, VA

Acute Traumatic Aortic Injury with Post-Treatment Subclavian Steal
Monzer Chehab MD
William Beaumont Hospital
Royal Oak, Michigan

Aortobi-iliac Occlusion
Andrew Bunney MD
University of Minnesota
Minneapolis, MN

Thoracoabdominal Aortic Aneurysm
Ethan M. Dobrow MD
Maine Medical Center
Portland, Maine
The Freeman Hospital
Newcastle-Upon-Tyne, UK

Ruptured Thoracic Aortic Aneurysm of Right-Sided Aortic Arch
Alex Copelan MD
William Beaumont Hospital
Royal Oak, Michigan

Other Cases:

Acute Type B Thoracoabdominal Aortic Dissection
Menaka Nadar MD
University of Virginia
Richmond, VA

Penetrating Aortic Ulcer with resultant Acute Intramural Hematoma and Type B Dissection
Brandon Olivieri MD
Mount Sinai Medical Center of Florida
Miami Beach, FL

Contained Rupture of Descending Thoracic Penetrating Aortic Ulcer
Menaka Nadar MD
University of Virginia
Richmond, VA

Type A Intramural Hematoma of the Ascending Thoracic Aorta and Arch
Candace L. White MD
Mount Sinai Medical Center of Florida
Miami Beach, FL

Ruptured Bronchial Artery Aneurysm
Gaby E. Gabriel MD
University of Kentucky
Lexington, KY

Infrarenal AAA and Bilateral Common Iliac Aneursyms
Amit Bhakoo MD
Mount Sinai Medical Center of Florida
Miami Beach, FL

Mycotic Pararenal Aneurysm Repaired with Double Chimney
Rulon Hardman MD
Rajan Gupta MD
University of Colorado
Denver, CO

Survival Guides

Click here for VDSL Survival Guides

Topics Include:
Arterial Thrombolysis
Venous Thrombolysis
Peripheral Arterial
Stenting/Angioplasty
Pulmonary Embolism (CDT/Embolectomy)
Upper Extremity
Interventions
IVC Filter Insertion/Retrieval
Venous Insufficiency
AVM
AAA
Thoracic Aorta Trauma

Journal Primer

Other Resources

Useful Mobile Apps:

  • Medscape
  • Epocrates
  • ASCVD Risk Estimator: AHA/ACC atherosclerotic cardiovascular disease risk factor app incorporates the new AHA/ACC guidelines on lipid management, important evidence-based recommendations which directly apply to our patients with arteriovascular disease.
  • Current Guidelines: ACP has an app for that!
  • Doctor’s Dilemma: Jeopardy style app
  • Prognosis: Interactive cases where you review the H&P and select the appropriate tests and therapy followed by an explanation
  • QuantiaMD: Interactive cases with community responses
  • OnExam App: To help maintain and refine physical exam skills. Nicely detailed. Buerger’s test for arterial insufficiency anyone? Check it out!

 

Other Suggested Resources:
Interventional Radiologists are the “Renaissance physicians of the 21st century,” able to provide 360 degree patient care. Below are some suggested resources for maintaining and enhancing your clinical knowledge base during Radiology Residency.
Multiple Choice Question Banks: This is a standard way of simply building our knowledge-base over the course of residency. Doing at least 10-20 questions a week is a feasible way to augment and maintain your clinical knowledge through radiology residency.

  • MKSAP: This 1200 Qbank is what medicine residents finish in about 2 years to prepare for IM boards. It also gives current guidelines and reference articles for each question.
  • USMLEWorld QBank for IM Boards: This Qbank with over 950 questions used by medicine residents to prepare for IM boards.

Internal Medicine Intensive Review Courses: Typically about 5 days in length, these courses would be a great way (after the core exam is taken) to provide a knowledge boost to get ready for a career of patient care. Imagine going to one of these after having done a question bank or MKSAP!

 

Upcoming Vascular Conferences:

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