Shows
The Retrograde ApproachEpisode 27: Transitioning to life as a consultantIn our first non technical episode we discuss changes in life from going from trainee surgeon, to surgeon.2023-09-171h 09The Retrograde ApproachEpisode 26: Thoracic Aortic StentingIn this episode, Yogi and Sam delve into discussing thoracic aortic stenting. Podcast 26 - Thoracic Aortic StentingThe 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 availableThe introduction of TEVAR has added further dimensions to open surgery by creating treatment options not previously available in treating aortic dissection, thoracic and thoracoabdominal aneurysm and traumatic injury....2023-06-0159 minThe Retrograde ApproachEpisode 25: Best CLIIn 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/NEJMoa22078992023-02-0750 minThe Retrograde ApproachEpisode 24: Reflections of the Vascular Surgery Fellowship Exam 2022 feat. Dr Vikram IyerIn 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.2023-01-1756 minThe Retrograde ApproachEpisode 23: Peripheral Arterial DiseaseIn this episode of The Retrograde Approach, Sam and Yogi take an introductory look at peripheral arterial disease. 2022-09-171h 07The Retrograde ApproachEpisode 22: Balancing research and clinical careers feat. Dr Leonard ShanIn 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 of Surgery at The University of Melbourne. He received his medical education at The University of Melbourne where he graduated with honours. Following vascular surgical training at multiple centres in...2022-06-271h 04The Retrograde ApproachEpisode 21: Arteriovenous Fistula - The BasicsIn 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.2022-06-0139 minThe Retrograde ApproachEpisode 20: The Diabetic FootIn this episode, Yogi and Sam provide an overview into foot disorders within diabetic patients.2022-04-1951 minThe Retrograde ApproachEpisode 19: Asymptomatic Carotid Artery DiseaseIn 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 untreated asymptomatic significant carotid diseaseOxford Vascular StudyEnrolled 2354 consecutive patients including 207 with 50 to 99% carotid stenosisThe ipsilateral stroke rate at 5 years for the patients with 70% to 99% was 14.6% compared with 0% for 50 to < >70%) stenoses in a population...2022-02-0757 minThe Retrograde ApproachEpisode 18: Thoracic Outlet Syndrome feat. Dr Gert Frahm-JensenIn 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 thoracic outlet syndrome, and we are very appreciative of his expertise that he shares with us in this episode. 2021-12-051h 30The Retrograde ApproachEpisode 17: Early Career Development feat. Dr Nedal KatibThis 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 Wales. He also completed a further fellowship in Belgium in advanced Endovascular and Minimally Invasive Surgery. Originally born in Melbourne, his career path has taken him all over the world including Dubai UAE and graduating f...2021-10-041h 09The Retrograde ApproachEpisode 16: Radiation SafetyAbsorbed dose, effective dose, equivalent dose, air kerma and Marie Curie. In this episode, we dive into radiation safety.2021-09-0753 minThe Retrograde ApproachEpisode 15: Hyperhidrosis and thorascopic sympathectomy feat. Dr Edward TraversIn this special episode, we are joined by Adelaide vascular surgeon Dr Edwards Travers to discuss the sometimes daunting and confusing area of hyperhidrosis management.2021-08-171h 02The Retrograde ApproachEpisode 14: The Paclitaxel Controversy feat. Professor Ramon VarcoeIn 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/34106028/2021-08-1246 minThe Retrograde ApproachEpisode 13: Reflections on the Vascular Surgery Fellowship Examination 2021 feat. Dr Kalpa PereraIn 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.2021-07-2151 minThe Retrograde ApproachEpisode 13: Reflections on the Vascular Surgery Fellowship Exam with Dr Kalpa PereraIn this weeks episode, we sit down with Dr Kalpa Perera. Dr Perera, recently sat and successfully passed the Royal Australasian College of Surgeons fellowship examination in vascular surgery.
He shares insights and strategies he used to be successful in an exam that was conducted under an evolving covid landscape as lockdowns swept through Melbourne days before the final exam was scheduled to be conducted. He also reflects on life as a vascular surgical trainee before commencing his career as a fully qualified vascular surgeon.2021-07-2051 minThe Retrograde ApproachEpisode 13: Reflections on the Vascular Surgery Fellowship Exam with Dr Kalpa PereraIn this weeks episode, we sit down with Dr Kalpa Perera. Dr Perera, recently sat and successfully passed the RACS Vascular Surgery Fellowship Examination. He shares insights on the strategies he used to be successful and finally reflects on his experience on life as a vascular surgery trainee.2021-07-2051 minThe Retrograde ApproachEpisode 12: Acute limb ischaemiaIn this episode of The Retrograde Approach, Yogi and Sam delve into the world of acute limb ischaemia.2021-07-0949 minThe Retrograde ApproachEpisode 11: Meet the Expert feat. Mr Iman Bayat. Intravascular ultrasound, May Thurner Syndrome and Iliofemoral DVTIn 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!2021-06-1459 minThe Retrograde ApproachEpisode 10: Management of tibial vessel diseaseIn this episode we discuss our decision making and thought processes when it comes to managing tibial vessel disease, including open reconstruction and endovascular procedures.2021-05-201h 03The Retrograde ApproachEpisode 9: Surgical Selection InterviewsIn 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. 2021-05-1249 minThe Retrograde ApproachEpisode 8: Ruptured abdominal aortic aneurysmsIn this episode Yogi and Sam discuss their management, work up and assessment of ruptured abdominal aortic aneurysms. Link to Journal of Vascular Surgery articlehttps://www.jvascsurg.org/article/S0741-5214(20)32132-7/fulltext2021-04-301h 02The Retrograde ApproachEpisode 7: Infrainguinal bypassIn this episode of The Retrograde Approach, Yogi and Sam discuss open infrainguinal bypass and reconstruction. 2021-04-2355 minThe Retrograde ApproachEpisode 6: Popliteal Artery AneurysmsIn 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.2021-04-0840 minThe Retrograde ApproachEpisode 5: Endovascular aneurysm repair and planningIn this episode Dr Yogi Sivakumaran and Dr Sam Farah discuss how they prepare, plan and perform an endovascular aneurysm repair (EVAR).General PrinciplesQuality of the CT Scan1mm slicesIf 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 interventionAlso allows planning if a fenestrated repair required Centerline – images are not cross-sectional and end up with cross-sectional diameters Narrow diameter of the elliptical cross-section more in keeping with the true diameter Draw a diagram and compare with the rep and...2021-03-2950 minThe Retrograde ApproachEpisode 4: Blunt Thoracic Aortic InjuryIn this episode, Yogi and Sam discuss the management of blunt thoracic injury and discuss difficult and challenging operative decisions.2021-03-2242 minThe Retrograde ApproachEpisode 3: The Fellowship Exam in Vascular Surgery Part 3In 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.2021-03-0745 minThe Retrograde ApproachEpisode 2: The Fellowship Exam Part 2In our second episode, Yogi and Sam take a deeper look into the fellowship exam looking specifically at the operative and imaging vivas. They reflect on the strategies and approaches they used to successfully navigate these challenging aspects of the examination.2021-02-2845 min
The Retrograde ApproachThe Fellowship Exam in Vascular SurgeryIn our first episode of The Retrograde Approach, Dr Yogi Sivakumaran and Mr Sam Farah embark on part one of a three part series discussing their recent reflections on completing the fellowship exam in vascular surgery in a year like no other.2021-02-2152 min