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Vascular Acute Care Surgery (VACS) Services: A New Model for the Future and a Solution to the Emerging Vascular Surgery Coverage Crisis

  • M. Aizpuru
  • A. P. Sweeney
  • J. D. Watson
  • D. G. Harris
  • C. B. Drucker
  • J. J. Diaz
  • R. S. CrawfordEmail author
Vascular Surgery (R. S. Crawford, Section Editor)
  • 8 Downloads
Part of the following topical collections:
  1. Vascular Surgery

Abstract

Purpose of Review

The following is a comprehensive review of the current practice of Vascular Surgery, highlighting the existing gaps in vascular surgical care and delivery and providing evidence-based suggestions for improvements moving forward.

Recent Findings

Recent data demonstrate that a shift of many vascular surgical procedures from extensive, high-risk, inpatient operations toward minimally invasive, endovascular, same-day surgeries has created a gap in the ability of the community-based vascular surgeon to adequately care for acute vascular events.

Summary

The trends towards outpatient vascular surgery, coupled with the increasing demands of acute vascular surgical expertise for less-common open and high-risk procedures have created a crisis in the field. When the field of General Surgery was at a similar crossroads in the early 2000s, the community responded with the development of Acute Care Surgery (ACS) services to manage resource-intensive emergencies. Vascular surgery should learn from the ACS experience and consider the development of Vascular Acute Care Surgery (VACS) services responsible for the care of acute vascular patients.

Keywords

Vascular surgery Acute care surgery Vascular acute care surgery 

Notes

Acknowledgement

The editors would like to thank Dr. Anne Fischer for taking the time to review this manuscript.

Compliance with Ethics Guidelines

Conflict of interest

Matthew Aizpuru, Aidan P. Sweeney, J. Devin Watson, Donald G. Harris, Charles B. Drucker, Jose J. Diaz, and Robert S. Crawford each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • M. Aizpuru
    • 1
  • A. P. Sweeney
    • 1
  • J. D. Watson
    • 2
  • D. G. Harris
    • 3
  • C. B. Drucker
    • 4
  • J. J. Diaz
    • 5
  • R. S. Crawford
    • 6
    Email author
  1. 1.Emory University School of MedicineAtlantaUSA
  2. 2.Heart, Lung, and Vascular CenterDavid Grant Medical Center, Travis AFBFairfieldUSA
  3. 3.Department of SurgeryUniversity of WisconsinMadisonUSA
  4. 4.Department of SurgeryUniversity of Maryland Medical CenterBaltimoreUSA
  5. 5.Division of Acute Care SurgeryUniversity of Maryland School of Medicine, R Adams Cowley Shock Trauma CenterBaltimoreUSA
  6. 6.Division of Vascular & Endovascular SurgeryEmory University School of Medicine, Emory St. Joseph’s HospitalGeorgiaUSA

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