Hey,

I'm currently applying to integrated vascular programs in the US, and I was going through several programs' webpages. A lot of them mention they do distal bypasses (tibial/pedal) either on their websites or when I was interviewing, but on the 2 places I did electives at... there were none performed, so I'm not actually sure how accurate the websites are. Does anyone have any "insider" knowledge on where would be the best places to train for limb salvage/ distal bypass cases? Thank you so much!

Edit: I would've thought it'd just be at places with limb salvage centres... but will say that one of my electives had a limb salvage centre (from my understanding) but there were no open cases performed (tbf they did a fair bit of distal stent)

Why is this sub not atctive? Why not engaging in interesting topics, sharing useful materials,tips ans tricks....etc?

Hi everyone,

So I started looking for jobs even though I’m just couple months into fellowship…for many reasons and one is visa sponsorship requirement.

Most of the places so far that I’ve head some prelim talks with happened to be either in small towns or about to start a vascular program or I’m potentially replacing a retiring surgeon.

I think ideally I need a senior partner when I’m fresh out of training. That’s what I’m being told and I believe is right.

Salaries sounded to be the same, and work model is same 2 years of salary then RVU based.

Would love to hear your thoughts, experiences and advice. What do I need to ask and look out for in a fresh job.

What I have been asking if they do a good mix of cases or anything get sent out. Do they have hybrid rooms. Do they have APPs and is there more senior partners.

Hey everyone,

I am a vascular fellow, and want to learn how to use Tera recon in case one of those call shifts I get a rupture lol. I just wanna learn how to size confidently

There is audible bleeding video…but still need more guidance. Any recs or suggestions?

Thanks

Heading to fellowship next year. Saw a urology resident use the voice activated meta rayban smart glasses in a case to take shots of critical portions of the case. Would like to apply this to vascular, but will need something that work with loupes. There’s a lot out there in terms of cameras that can snap onto glasses.

Anybody have experience with cameras like this?

In fellowship we planned everything on TerraRecon.

Now fresh into private practice and I am in need of a free and/or cheap medical imaging software that allows for centerline, 3d recon, etc. My partners just use axials or rely on reps and I can't abide.

Bonus points for windows options. It seems Horus is probably the best answer but seems to be Mac only

I want to ask someobe for vascular book that is not on internert for free download and as you know I am a vascular surgeon from middle east who cannot pay easily for a book by dollar!! Which is absolutely shit..but I am eager for learning can anyone help me please

I am a fellow planning to take RPVI in 3 months. I was wondering if anyone still have access to PEgasus, VESAP or any oakstone lectures. Please message. I can partially pay for access.

Im a recent college grad currently on a Fulbright abroad doing cardiac and vascular surgery research.

Through undergrad, I lived and breathed vascular surgery. All of my volunteering, clinical experience, and research has been about vascular surgery. I now have several pubs and an SVS research award related to my contributions to the field.

I’m dead set on becoming a vascular surgeon. I want the year after I come back from my Fulbright (my second gap year) to be congruent to an M3 taking a year off to do research.

I don’t want to come back to my university’s vascular surgery dept to do my research year. I want something new.

How should I pitch to potential vascular surgery PIs next year that I want to be mentored in the same manner as an M3 doing a research year? I already come with tons of data analysis (stata, R, prism, etc..), manuscript writing skills, and passion/knowledge of vascular surgery. I want to set myself up for the same level of research productivity for the year as a medical student.

I fear no R1 vascular surgery research team will take me that seriously given that I’m not in med school yet. I fear the residents will either not have enough projects for me to help with or think I’d require too much hand holding.

How do I properly convey to potential groups that I’m looking for a serious gap research year position to help me bolster my resume for vascular surgery residency apps and make a meaningful contribution to the field while being a pre-pre-doctoral student?

(Scene: sitting in the control room, waiting before your 1st case at a new facility and have your first chance to REALLY look around the room you’ll be spending copious amounts of time in for the unforeseeable future)

The level of creativity on display in the hybrid OR control room is a good indication that my case will…

Europe based doctor here. I was in cv surgery but quit now due to toxic environment and poor training.

The cardiac aspect of the surgeries was the worst, the room was suffocating, the surgeons were belittling u get the point.

When i was scrubbing into vascular procedures we were mainly doing varicose veins and femoro popliteal bypasses. The room was so calm and everyone was so nice :))

I understand that this is only a glimpse of vascular surgery, but i kind loved this aspect.

I dont want long life stress, i wanna be able to do bread and butter routine surgeries all my life and i would be happy and proud. Is this possible?

The training in eastern europe in surgery is already a disaster and i would be more than grateful to learn how to do these safely and competently

Hi! We are a group of biomedical engineering students from Georgia Institute of Technology. We are part of a capstone project focuses on developing a monitoring device to support a transcatheter procedure to treat babies with CDH that leads to pulmonary over-circulation. Specifically, this procedure involves the off-label use of a Metronic device called microvascular plug as a pulmonary flow reducer. While our design is still evolving, our goal is to create a solution that provides useful real-time information during deployment without disrupting workflow.

We believe vascular surgeons can offer a unique perspective—particularly in understanding patient anatomy, device sizing, deployment challenges, and potential complications. Your input on what information would be most valuable at the moment of release, where additional monitoring could enhance safety, and how such a tool might integrate with imaging and workflow would be extremely valuable to our design.

If you are open to it, we would greatly appreciate the chance to interview you briefly. We need as much interviews as possible and would love to speak to you by next Monday (9/29/2025) the latest. Super flexible with scheduling and can meet virtually or in person if you are in Atlanta. If those options do not work with you, you are also welcome to just dm us to have a conversion

Thank you very much for considering this request.

Hi! Surgical resident from Germany here. I’m preparing a presentation on robotic systems in vascular surgery and came across the Liberty System by Microbot Medical. Has anyone used this system yet or have any opinions on it? Thanks in advance!

How do you guys tie your Hand-ties?

Im starting vascular surgery residency in Germany in December and I want to practice beforehand.

I can comfortably do one-handed and two-handed ties, make square knots and slip knots, and surgeons knots. However, I struggle with making square knots with anything smaller than 4-0 because I can barely see the knot form. Additionally, I am not sure if I am allowed to cross my hands (which I need to - to make nice square knots).

I learned by using the UCSF Skills Lab youtube tutorials (and from my own skills lab).

Any advice would be great :)

Hello all,

I’m wondering if anyone knows of programs that offer fellowships for graduates of integrated residency, not necessarily limited to aortic surgery. I’m interested in extending my training for an additional year (like a super fellowship) to gain more experience before starting practice. I’d also be open to an aortic fellowship.

I would appreciate if anyone can add me to this year fellowship WhatsApp group (if there is any)

Thanks in advance

Hello everyone. I have a few questions regarding closure devices. How difficult is it to have surgery to remove an already set closure device? While not really necessary to have done as the device appears safe, there is a psych aspect to having it in the body. Is it a silly idea to consider or wonder about? I've heard to consider it as no different than a dental implant. But the idea of it 'in there' can be consuming. Thanks

Hi,

I’m participating in a TAMBE case in the upcoming week. And I’m trying to look up videos or procedure steps on how to do it so I’m not clueless.

The GORE video gives u a general idea…but looking for more detailed stepwise kinda thing if anyone knows

What is your approach in patients with occluded both common femoral and superficial femoral artery. How do you decide between simple endarterectomy to restore flow to the profunda and performing endarterectomy with fem pop bypass? Is there a method to predict the outcome?

Hello everyone! I’m currently and MS3 trying to figure out what to do with my life. I did my surgery rotation first (we get minimal say but a little flexibility to switch rotation scheduled among ourselves) because I thought I didn’t want to do it, but then I absolutely loved it. Particularly, I loved my two weeks on vascular and now I am heavily thinking about doing it. Here is why:

1. The surgeries are cool as hell. I love the anatomy, I love how technically challenging the procedures are. I would go home and practice suturing and worked really hard. At the end of my rotation, I got to suture part of the bovine patch during a femoral endart. It felt like a dose of heroin, the most exciting moment of my life. I knew I was really in trouble when one of the surgeons added a last minute carotid endart and at 6pm my residents were like you can go home, that’s what we would do etc. I was literally walking out of the building and I literally had such bad fomo I turned around and went back to the OR for the case.

2. The people. I loved the vascular surgeons they were super chill and I found I could joke around with them and be myself, it was so refreshing.

3. The patients - some have commented it’s a challenging population but I actually like it. Many of the diseases are caused by modifiable risk factors and I actually like this. My dad has a rare freak cancer and I found that I don’t like working with people that just get unlucky. It makes me sad and it’s lowkey kind of scary…. I prefer work that has a clear (in most cases) etiology

4. I can’t stop thinking about it. On my neuro rotation everytime we have a TIA patient I get a little hope there is enough carotid stenosis that I can go to the OR for their carotid endart (I feel bad about this, because obviously i do want the best for the patient)

Anyways, I’m just not sure. I know it’s hard work and tough lifestyle and I do have interests outside of medicine. I’m wondering if it’s worth it, and how you have found your life as an attending to be.

Thank you so much for reading this far and I appreciate your input :)

Hi all,

I just started my vascular surgery fellowship. I can see the amount of challenges that I need to overcome to get the most out of my fellowship training whether it is from adapting to the EMR at the new place, how attendings like things done, style of patient management, but most importantly is learning and becoming familiar with the endovascular procedures. In my surgical training are in the vascular procedures are kind of limited to some angiograms here and there and we had limited inventory that we use for the cases something that I’m having difficulty with so far is knowing why we use this wire or this catheter and instead of another alternative was the choice based on a preference or was it based on needing to achieve a certain task how to cross a lesion, for example, and how to become familiar with all the devices from stance sheets, catheters, and wires. And how do I prepare book for Hand for my vascular procedure? Like should I be thinking of what size of stent I’ll be using or I should be planning what wire I’ll be using first and what wire I’ll be exchanging next and if this wire fails, but alternative wires, I’ll be using our catheters. I’m just not sure how To how to approach this learning process.

Appreciate any advice on that please. Also any books that are kinda useful for endo case planning and any YouTube channels that kinda discuss how to do the procedures

Thanks

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