Neal Barshes, MD,MPH

Biathlon (cross-country skiing + target shooting) is an analogy I've used for years with surgical trainees. Two distinct modes: 1. Hustle efficiently to the target. 2. Slow down to hit the target w/ absolute precision. Good surgeons know when to switch gears. #surgtwitter

@BCM_Surgery @SpringerNature The book is available at: link.springer.com/book/10.1007/9…

So enjoyable to work with my @BCM_Surgery vascular surgeon colleague Dr. Nader Zamani on this figure, featured in our chapter in the recently published @SpringerNature book "The Patient-Centered Approach to Claudication", edited by Drs. Jessica Simons and William Robinson.

@HansrajNatasha @JVascSurg @jmills1955 @BCM_Surgery @TedGiffordMD What a great discussion this was! Comments by @HansrajNatasha, @Khalifeh_ali, @BrajeshKLal and Dr. George Howard were very insightful. Thank you to @JVascSurg Online Journal Club for @BCM_Surgery vascular fellow Dr. Steve Manek summarize key findings.

It was honor to represent Baylor and the YSS at the @JVascSurg Online Journal Club, hosted by the Young Surgeons Section—excellent discussion of the pivotal #CREST2 trial and contemporary carotid care with Ali Khalifeh, Brajesh Lal, George Howard and Vikram Kashyap. #JVSJC

Sharing an original figure of a Miller distal vein patch used for infrageniculate bypass needing prosthetic conduit, created 2024 for a book chapter. I believe distal vein patches benefit patency and reduce ALI if patency is lost. doi.org/10.6084/m9.fig…

@TCTMD Congratulations to Dr. Panos Kougias (@KougiasP), Dr. Sherene Sharath (@ShereneSharath), and all the TOP trial investigators and coordinators! An important medical advance made possible by @VAResearch and the participation of 1,400+ Veterans.

Liberal Transfusion Doesn’t Decrease MACE in Surgery Patients at High Cardiac Risk: TOP dlvr.it/TPBQLX

FEVAR and open surgical repair are both cost-effective options to treat complex AAAs. Even in older patients. Thank you to @ElsevierConnect for free access to our in-depth analysis, led by @BCM_Surgery vascular resident @HatakaMinami: authors.elsevier.com/c/1m3ri2ecZf8Q…

Rates of procedures for intact and ruptured AAAs closely associated throughout much of Texas. Would ultrasound screening benefit outlier communities? @GustavoOderich @jmills1955 Open access figure from our analysis at: doi.org/10.6084/m9.fig…

@jmills1955 @DGArmstrong @BCM_Surgery @bcmhouston @MichaelSConteMD @VAHouston @DrRosengart @ALPSlimb Wonderful conference! I love talking about our Houston/DeBakey VA Hospital's limb salvage success story. What a privilege to talk about this at DFCon 2025!

Great and thoughtful talk by @NealBarshes at #DFCon25 about 25 year at Michael E DeBakey VA Med Center efforts to reduce amputations. #CLTI #DFU #PAD

@UnTBAD @NEJM Congratulations to you and @KougiasP on getting this excellent review published in @NEJM! Highlights the advances and current challenges.

👇thank you for hilighting @NEJM

The authors of a new review describe the current state of the evidence informing clinical practice for the treatment of type B aortic dissection, as well as areas of controversy and future directions. Learn more: nej.md/4mKYgcb

Updated "Guard Your Feet" brochure graphics for 2025. Free to use: nealbarshes.github.io

A great honor to participate with @elinaq , @MattMenard6, @rowe_vincent and @PSchneiderMD in a panel session discussing the latest in CLTI management at the @AmCollSurgeons #ACSCC24 in San Francisco. @MichaelSConteMD and @OAlabiMD, thank you for putting this session together!

@DownstateSurg @VAHouston @KougiasP @sunydownstate @EimanPasand @tomasrafaeldm @YiSong3188 @EdAndresMD It was great to visit! Wonderful department. Many opportunities, incl. to address CLTI and reduce amputations in the area. Thank you @KougiasP and @ShereneSharath for the invitation and for your hospitality!

Grand Rounds Thursday: An honor to host @NealBarshes for Grand Rounds! Thank you, Dr. Barshes for sharing on "Moving the Needle in Limb Salvage" at @VAHouston. Invaluable insights from a leading expert in vascular surgery and limb preservation! @KougiasP @sunydownstate

@jmills1955 @MichaelSConteMD @TzeWoeiTan @CaitlinWHicks @DrPatGeraghty @dr_brewster @ahmedkayssi @thesurgerylife Thank you @DrPatGeraghty! I look there too (though for Linton material) and also at the ankle level. At that level, the remnant saphenous vein is often made plump by the harvest in the calf and thigh. Haven't had harvest site issues there.

Tibial bypass, no suitable vein conduit (for single-segment or spliced). Do you create a distal vein patch? If so, what is your go-to configuration? @jmills1955 @MichaelSConteMD @TzeWoeiTan @CaitlinWHicks @DrPatGeraghty @dr_brewster @ahmedkayssi @thesurgerylife

@BCM_Surgery @BcmSurgeryDEI @holder_haynes @BCMGSRes Congratulations! Dr. Erin Greenleaf and Dr. Natasha Hansraj (@HansrajNatasha) are two amazing surgeons. It has been a privilege to work with them both for the past two and three years, respectively.

2023 Women in Excellence Award Congratulations to Dr. Greenleaf, Dr. Holder-Haynes, Dr. Lloyd, Ashley Benning, Ashley Kaim, PA-C and Dr. Koci, from the Department of Surgery for receiving this prestigious award.

3:23 on 3/23/23