Gabriel Herscu, M.D.Washington Township Medical Foundation

Vascular Surgery

ChronicWound Care

Venous Disease

Aortic Disease

Renal & MesentericArterial Disease

Peripheral ArteryDisease

CerebrovascularDisease

Vascular Medicine

HemodialysisAccess

VascularTrauma

Atherosclerosis

Aortic Aneurysm Formation

Pathogenesis

Open Aortic Aneurysm Repair

Thoracic Aortic Replacement

Involvement of the aorta in the chest is even higher risk

Stent Graft Theory

Endovascular Stent Grafts

Delivery System

Leg Vein AnatomyYour legs contain

a network of veins that carry blood back to the heart

The venous system is comprised of:Deep veins Superficial veinsPerforator veins

Venous Reflux Disease

Valve Open Valve Closed Leaky Valve

Dilated VeinNormal Vein

Heart

Foot

Signs & Symptoms

Ligation & Stripping

Ligation & Stripping

Endovenous ablation

Before and After

Before and After

Related and Complementary Procedures

PhlebectomyRemoval of

diseased veins through a series of small incisions and use of specialized hooks to treat visible varicose veins

Related and Complementary Procedures

SclerotherapyExternal lasers and

intense pulsed lightUsed to treat small

superficial or “spider” veins

RealityWhat it takes to

become a vascular surgeon…DexterityCreativityCritical ThinkingAbility to ConceptualizePatienceConfidenceCompulsive natureDetermination

What are you good at?

Freshman Class Average 2011University California

UC Irvine 3.97 27 1237UC LA 4.11 30 1358

UC Riverside 3.67 25 1146

UC Merced 3.56 24 1215

UC SB 3.97 28 1260UC Davis 4.00 28 1271UC Berkeley 4.14 30 1381UC SC 3.75 26 1185

University GPA ACT SAT

Medical SchoolAAMC Data - 2011MCAT Score 31.1 (80 percentile)GPA Science 3.61GPA Non-Science 3.74Mean GPA 3.67

19,230 new students/year

ResidencySurgery Residency - 5 yearsVascular Surgery Fellowship - 2 yearsOR..Vascular Surgery Residency - 5 yearsApproximately 120 people/year become

vascular surgeons in US

TimelineGrade/High school: 13 yearsCollege: 4 yearsMedical School: 4 yearsResidency: 5 yearsFellowship: 2 years

Total: 28 years