The Retrograde Approach

In our first non technical episode we discuss changes in life from going from trainee surgeon, to surgeon.

In this episode, Yogi and Sam delve into discussing thoracic aortic stenting. Podcast 26 - Thoracic Aortic Stenting The first endovascular thoracic aneurysm repair was performed by Dale in 1994 - with the use of custom designed graft with a combination go Gianturco Z-stents and polyester fabric. It was not till 2005 that a commercially available thoracic graft became available The introduction of...

In this episode, Yogi and Sam unpack and explore the highly anticipated Surgery or Endovascular Therapy for Chronic Limb-Threatening Ischemia (Best CLI) publication. This study has sought to clarify questions that had been raised in regards to the optimal treatment of chronic limb threatening ischaemia in the era of modern endovascular treatment. https://www.nejm.org/doi/full/10.1056/NEJMoa2207899

In this episode we discuss the recent sitting of the vascular surgery fellowship exam with Dr Vikram Iyer. He shares his experiences and reflections on getting through the final hurdle before becoming a fully qualified vascular surgeon.

In this episode of The Retrograde Approach, Sam and Yogi take an introductory look at peripheral arterial disease.

In this weeks episode, we are joined by Dr Leonard Shan. A vascular surgeon working at St Vincent's hospital in Melbourne. Dr Shan is currently completing a PhD through the University of Melbourne, and joins us to talk today about balancing his busy research career, with his professional career and his home life. Dr Shan is an academic vascular surgeon and honorary senior fellow in the Department...

In this episode, we aim to give a basic overview to arteriovenous fistula's for dialysis access. Although, we could spend hours discussing AVFs - we have attempted to provide a general overview for those new to the concepts.

In this episode, Yogi and Sam provide an overview into foot disorders within diabetic patients.

In this episode we delve into the interesting world of carotid artery disease and discuss our management of patients who are asymptomatic. See Yogi's (amazing) crib notes below: Why do we care about asymptomatic carotid artery disease? About 10 to 15% of all first ever stroke patients will experience an unheralded ischaemic, carotid territory stroke following thromboembolism from a previously untr...

In this exciting episode we are joined by Dr Gert Frahm-Jensen, who is an Australian trained Vascular and Endovascular Surgeon working in the Australian Capital Territory. After attaining his medical degree from the Australian National University he completed specialist training in vascular surgery throughout Victoria, Queensland and the ACT.  He has a special interest in the management of th...

This episode of The Retrograde Approach is proudly supported by The Australian and New Zealand Society for Vascular Surgery ( anzsvs.org ). We are excited to welcome Dr Nedal Katib ( http://www.specialistvascular.com.au/dr-nedal-Katib/ ). Dr Katib completed his Vascular Surgery Training through the Royal Australasian College of Surgeons, which took him to South Australia, New Zealand and New South...

Absorbed dose, effective dose, equivalent dose, air kerma and Marie Curie. In this episode, we dive into radiation safety.

In this special episode, we are joined by Adelaide vascular surgeon Dr Edwards Travers to discuss the sometimes daunting and confusing area of hyperhidrosis management.

In this very special episode, we are joined by Professor Ramon Varcoe to discuss his updated meta-analysis on the mortality rates after paclitaxel coated device use in patients with occlusive femoropopliteal disease. Found in the Journal of Endovascular Therapy: https://pubmed.ncbi.nlm.nih.gov/34106028/

In this weeks episode we are joined by Dr Kalpa Perera, a final year vascular surgery trainee who recently successfully completed the Royal Australasian College of Surgeon Fellowship Examination in Vascular Surgery in Melbourne. He reflects on his time as a vascular surgery trainee, and shares insights and advice about the strategies he used to succeed in the exam.

In this episode of The Retrograde Approach, Yogi and Sam delve into the world of acute limb ischaemia.

In this weeks episode of The Retrograde Approach, we are joined by Mr Iman Bayat. Mr Bayat is the Head of vascular surgery at Northern Health and Head of complex venous disorders at Northern Health. In this episode he shares with us a wealth of knowledge when it comes to managing all things iliofemoral. Buckle up, this is a good one!

In this episode we discuss our decision making and thought processes when it comes to managing tibial vessel disease, including open reconstruction and endovascular procedures.

In this episode of The Retrograde Approach, we are joined by Dr Tom Lovelock, a first year vascular surgery trainee to talk about his strategy and approach for success in the selection process for vascular surgery training, and unpack his strategy to conquer the selection interview.

In this episode Yogi and Sam discuss their management, work up and assessment of ruptured abdominal aortic aneurysms. Link to Journal of Vascular Surgery article https://www.jvascsurg.org/article/S0741-5214(20)32132-7/fulltext

In this episode of The Retrograde Approach, Yogi and Sam discuss open infrainguinal bypass and reconstruction.

In this episode Yogi and Sam discuss their approach to the assessment and management of patients presenting with popliteal artery aneurysms. Including both acute and elective presentations.

In this episode Dr Yogi Sivakumaran and Dr Sam Farah discuss how they prepare, plan and perform an endovascular aneurysm repair (EVAR). General Principles Quality of the CT Scan 1mm slices If initial scan – scan thoracic, abdomen and lower limbs; allows for exclusion of aneurysmal disease elsewhere as well as if baseline status of the aortia prior to intervention Also allows planning if a fenestra...

In this episode, Yogi and Sam discuss the management of blunt thoracic injury and discuss difficult and challenging operative decisions.

In our third and final part in our review of the vascular exam in vascular surgery we discuss the clinical decision making viva, as well as the long case and the short cases.