woostermd
@woostermd
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Vascular surgeon. MD, MBA, RPVI, FSVS, FACS. Conflicted passion for complex aortic and CLI while refusing to sacrifice #comprehensivevascularcare. Salt life.
Charleston, SC
Joined January 2019
@XDPham @canuc_57 @farkomd @AortophilicMD @DonaldBaril @jmills1955 @thesurgerylife @vascularIR @IRKhalsa @AnahitaDua @limbsalvagedr @docpark @marlobat @HadyLichaaMD @monteromiguel @YsaAugust Accurate. We are all ignoring that the hypo collaterals make it to the profunda almost before the profunda fills suggesting residual disease. 6mm pretty small for CFA intervention….endo has a role for CFA. Data continues to show it as subpar results to open though.
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The future is here. #aortaed thrilled to be able to offer advanced endovascular solutions to patients without other options. #endobentall made feasible thanks to collaborative care with @DrZeigler1 @MUSCVascular @MUSCSurgery @MUSCCardFellows **patent RIMA-RCA bypass not shown**
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#aortaed. Early branches pose challenges for maintaining adequate endovascular seal. Here we demonstrate one technique for ensuring seal without having to embolize large branches by utilizing the BeBack catheter to perforate a VBX stent. **off label**
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@smbracewell @DrJayMohan @jcgeorgemd @EricSecemskyMD @JimGMelton @JunLiMD @HadyLichaaMD @LuaySayed @drochohan @ShariqShamimMD @IRKhalsa @kmadass Can use astato, I’ve also use confianza and v18 wire. I personally haven’t used it for this indication, have used it for in situ fenestration and septotomies, same concept though.
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@DrJayMohan @jcgeorgemd @EricSecemskyMD @JimGMelton @JunLiMD @HadyLichaaMD @LuaySayed @drochohan @ShariqShamimMD @IRKhalsa @kmadass Ultimately though, would consider fixing inflow only—iliac to profounda—atherectomy, dcb, etc as needed and it’s likely to be sufficient—any idea why he “failed” endart twice? Incomplete endart? Rapid neointimal response to unwashed bovine patch? Dissection/clamp injury?
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RT @DrDiGiorgio: Since the introduction of electronic health records (EHRs), US healthcare has seen zero productivity gains, while nearly e…
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RT @DrBruggeman: Going to say it again… 1998 conversion factor for doctors - $36.68 2024 conversation factor for doctors - $33.29 1999 I…
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@SDhandMD Nicely done, preserving those circumflex vessels so valuable for avoiding acute critical limb in the future! I prefer safety of viabahn here when there is a healthy nub proximal to circs, if not then PTX—with covered stent on standby especially in 87 year old arteries!
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@SDhandMD @LessneVIR @farkomd @AmputationSuck @jmills1955 @canuc_57 @paragpatel_IR @DonGarbettMD @kmadass @NorthwesternIR Nice case. We use the 400 stiff angle glide, the jaguar, or the metro wire. Depends on what has been re-ordered and is off back order!
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Excited to announce on behalf of @MUSCVascular @AdamTanious @DrZeigler1 and myself, our design for modular, transfemoral, off the shelf aortic arch repair is official US PATENT APPROVED! Hopeful to present our early series at a conference later this year #collaboration #aortaed
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Anyone found a CPT code to bill insurance companies for time spent on hold/on phone for peer to peer requests? Asking for a friend who definitely hasn’t been on hold for 30 minutes with @Humana who has taken over three weeks and counting to approve a procedure…
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Each aorta is unique. Tailoring care to individual patients by working with colleagues leads to best outcomes #withandwithoutaknife @DrZeigler1
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Another day, another #aorta treated with multidisciplinary collaborative care “team work makes the dream work”. @DrZeigler1 @MUSCVascular @MUSCSurgery @MUSChealth
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A little later news…super excited for MUSC Aortic team to have begun enrollment in the @cookvascular Zfen+ clinical trial. A great step in the right direction for #aorta care. @MUSChealth @MUSCVascular @thegreatswamy @MUSCSurgery
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Industry-physician relations are a vital part of vascular surgery, but a challenging line to walk to avoid bias. Hear @AdamTanious give his thoughts. How to others manage these relationships?
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Interdisciplinary conference the way to go! Glad so many could make it out last night.
Great presentations at the quarterly vascular & endovascular case conference with our @MUSCVascular colleagues!
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@academicaorta @farkomd @Dr_Bowser In “the community” IC does heart and peripheral—and diagnostic cards role. Similarly the IR can also offer TIPS, drains, etc It’s the equivalent of a VS performing general surgery role. But Integrated residents arent eligible for this and many fellowship trained don’t want it.
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RT @JVascSurgCIT: #ManuscriptMonday is all about #VascularTrauma! @woostermd @leith_erica @MarioDOria14 @limbsalva…
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