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Division of Vascular Surgery
Department of Surgery
Brown University School of Medicine
OVERVIEW
The Brown Division of Vascular Surgery in the Department of Surgery incorporates full-time and voluntary faculty at the Rhode Island Hospital, Miriam Hospital and Veterans Administration Medical Center. These faculty members are responsible for coordinating academic, educational and scientific efforts relating to the teaching of medical students and residents in the discipline of peripheral vascular surgery. This includes lectures, conferences and clinical instruction in pathophysiology, outpatient management, interventional, surgical and non-operative therapies, and perioperative care of patients with arterial, venous and lymphatic disease. In addition to traditional medical and surgical care of the vascular patient, the Division maintains a cooperative academic and clinical relationship with the Division of Interventional Radiology in the Department of Diagnostic Imaging.
Research interests in the Division closely parallel its clinical activities. Clinical assessment of the role of endovascular grafts in the management of aneurysm disease represents a joint effort between the Divisions of Vascular Surgery and Interventional Radiology. A collaborative research group has been investigating muscle metabolism and physiology in patients with peripheral arterial disease and the impact of exercise therapy for claudication. This represents an ongoing effort including members from the Brown Division of Cardiology, the Section in Artificial Organs, Biomaterials and Cellular Medicine and faculty from the University of Rhode Island, Department of Exercise Physiology. Clinical research is also underway in wound care in patients with diabetes and peripheral arterial disease as a result of an interdisciplinary group of clinicians spanning various departments in the medical school.
FACULTY
Edward Marcaccio, Jr, MD
Assistant Professor of Surgery
Chief of Vascular Surgery, VAMC
Society Memberships: American Medical Association, International Society of Cardiovascular Surgery, American College of Surgeons, Peripheral Vascular Surgical Society.
Wilfred Carney, Jr., MD
Clinical Associate Professor of Surgery
Chief of Vascular Surgery, Rhode Island Hospital
Society Memberships: New England Society for Vascular Surgery, American College of Surgeons, New England Surgical Society, Peripheral Vascular Surgery Society, Eastern Vascular Society, International Society for Cardiovascular Surgery.
Robert W Hopkins MD
Professor of Medical Science, emeritus
Primary affiliate, Miriam Hospital
Society Memberships: American Association for the Surgery of Trauma, American College of Surgeons, American Heart Association, American Medical Association, American Surgical Association, Central Surgical Association, Eastern Vascular Society, New England Society for Vascular Surgery, New England Surgical Society, Society for Vascular Surgery
Robert B. Patterson, MD
Associate Professor
Division of Vascular Surgery, Lifespan AMC and Brown University
Society Memberships: Society for Vascular Surgery, Society of University Surgeons, International Society for Cardiovascular Surgery, New England Surgery Society, New England Society for Vascular Surgery, Southern Association for Vascular Surgery, Eastern Vascular Society, American College of Surgeons, International Society for Artificial Internal Organs
Jeffrey Slaiby, MD
Assistant Professor of Surgery
Primary affiliate RIH and VAMC
Albert Weyman, MD
Clinical Assistant Professor of Surgery
Primary affiliate Miriam Hospital, joint with Division of Cardiothoracic Surgery
Society Memberships: American Medical Association, American College of Surgeons, RI Medical Association, Providence Medical Society, RI College of Surgeons
RESEARCH PROGRAMS
Jeffrey Slaiby, MD
Endovascular Technologies Protocol 9801 - Clinical study of the ANCURE7 Tube and Bifurcated System, Extended Indications Evaluation.
Atrium Medical Corporation Experimental Graft Implantation
Robert Patterson, MD
Vascular Exercise Program - The Miriam Hospital has published from previously funded research several studies of exercise therapy for arterial claudication. Currently, ongoing collaborative research has been established between the Department of Exercise Physiology at University of Rhode Island (URI) and the Division of Vascular Surgery to study exercise testing protocols in a claudicant population. It is anticipated that this IRB approved project will be completed by fall of 1998 and has already provided significant information to proceed with interdisciplinary grant proposals in conjunction with URI.
CLINICAL PROGRAMS
Two areas of activity within the Division target the interface between complexities of vascular intervention and primary care identification and prevention of vascular disease. A unique community program based at the Miriam Hospital is the Vascular Exercise Program which has been successful in providing a non-operative therapeutic alternative for patients with arterial claudication. Currently, the Division is establishing a limb salvage service, predominantly targeted toward diabetic patients at risk but inclusive of all patients with lower extremity wounds, which is also an attempt to improve the primary care of the vascular patient through education of community physicians, health care providers, and the population as a whole. Both programs mesh with faculty research interests and it is anticipated will continue to grow and increase the patient base for teaching and clinical activity.
EDUCATIONAL PROGRAMS
Monthly Brown-wide Vascular Morbidity and Mortality Conference: This conference summarizes all clinical activity at the three core hospitals for the Division of Vascular Surgery (VAMC, Miriam, RI Hospital). The conference is held monthly and represents case presentations of morbidities and mortalities by the surgical housestaff with participation by core clerks, all students on elective surgical rotations, residents and faculty.
Vascular Surgery/Interventional Radiology Case Conference: This conference is held on a weekly basis and is a interdisciplinary Vascular Surgery interventional Radiology conference attended by all residents rotating on the Vascular Service at RI Hospital as well as faculty members and community physicians in the disciplines of Vascular Surgery and Interventional Radiology. This is a major teaching and clinical conference. In addition to its internal academic needs, this conference also serves as a Aoutreach@ program to community radiologists and surgeons who attend and occasionally provide case material.
The Annual Symposium on Peripheral Vascular Disease (currently in the eighth year) is a joint effort between Vascular Surgery and Interventional Radiology held in Newport, RI. Faculty for this course comprise both Brown University faculty in the sponsoring disciplines as well as invited faculty from national venues. This annual conference has continued to prove popular and is financially self-supporting.
PUBLICATIONS
Peer-Reviewed
Harler M, Weyman AK, Bozman R, Sullivan DC, Patterson RB. Isolated iliac artery dissection secondary to fibromuscular dysplasia in young adults. Vascular Surgery 1996; 30:5, 417-422.
Ricci MA, Strindberg G, Slaiby JM et al: Anti-CD 18 monoclonal antibody slows experimental aortic aneurysm expansion. J Vasc Surg 1996; 23(2):301-307.
Slaiby JM, Crowley JP, Amaral JF; Late recurrence of Hodgkin=s Disease following partial aplenectomy. J Ped Surg 1996; 31:731-732.
Patterson RB, Pinto B, Marcus B, Colucci A, Braun C, Roberts M. The value of a supervised exercise program for the therapy of arterial claudication. J Vasc Surg 1997;25:312-9.
Pinto B, Marcus B, Patterson RB, Roberts M, Colucci A, Braun C. On-site versus home exercise programs: Psychological benefits for patients with arterial claudication. Journal of Aging and Physical Activity 1997;5:311-328.
Cutry A, Whitley D, Patterson RB. Mid Aortic Pseudoneurysm Complicating Endovascular Stenting of Aortic Disease. J Vasc Surg 1997;26:958-62.
Whitley D, Patterson R, Greenburg AG. Cell Free Hemoglobin Preserves Renal Function During Normothermic Ischemia. J Surg Research (in press)
Publications (Other)
Patterson RB, Whitley D, Porter K. Critical pathways and cost effective medicine. In Seminars in Vascular Surgery, Rutherford RB, Kempczinski RF (eds) 10:(2),1997:113-118.
Patterson RB: Discussion of publication by Money, SR, Herd JA, Isaacsohn JL, Davidson M, Cutler B, Heckman J, Forbes WP. Effect of cilostazol on walking distances in patients with intermittent claudication caused by peripheral vascular disease. In J Vasc Surg 27(2):274.
Ricci MA, Slaiby JM, Gadowski GR, Hendley ED, Nichols P, Pilcher DB: Effect of hypertension and propranolol upon aneurysm expension in the Andijar/Dobrin aneurysm model. Ann NY Acad Sci, accepted for publication.
Ricci MA, Slaiby JM, Hendley ED, Stirewalt WS, Cloutier L, Nichols P, Evans JN: Hemodynamic and biochemical characteristics of the aorta in the WKY, SHR, WKHT, and WKHA rat strains. Ann NY Acad Sci, accepted for publication.
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