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Methods: The Accreditation Council for Graduate Medical Education (ACGME) database was queried for all vascular surgery residencies and fellowships registered as of July 1, 2016. The programs were broken into two groups: those with solely dedicated vascular surgery fellowships and those that with a vascular surgery integrated residency. A program that had both a fellowship and residency was listed in the residency group. Department Web sites were examined for the total, male and female faculty personnel listings. Additionally, sex of VS-PDs and GS-PDs was also collected. Results: A total of 112 programs were found, of which 61 were solely fellowships. A total of 133 female faculty (16.4%) were identified in all programs of the 813 total faculty examined. The two groups are compared in the Table. Women comprised 23.8% GS-PD positions in vascular surgery fellowships vs 21.6% in integrated vascular surgery residencies (P ¼ .83, Fisher exact test) Conclusions: Integrated vascular surgery residencies were more likely to have more total and female vascular surgery faculty. VS-PD listings were not significantly different between the two groups. Comparatively there were fewer female VS-PDs compared to GS-PDs. These data should be used to enlighten potential recruiting efforts made by vascular surgery departments to address the lack of female presence not only as vascular surgery faculty but as program directors.

The incidence of major secondary interventions is acceptable, with data pointing out indications that can serve as quality measurements in the future. The prevalence of history of DVT and intraoperative findings of DVT in the reintervention population is notable and would benefit from further study.

found to be secondary to a congenital hypercoagulable state (hyperhomocysteinemia with MTHFR mutation). DSRS was performed electively 5 months later for recurrent nonmassive hemorrhage. The patient developed worsening ascites and a CT performed 8 days postoperatively suggested DSRS thrombosis, which led to referral. Via a right femoral vein approach, the expected location of the shunt at the left adrenal vein was probed with a 2.8F microcatheter and microwire via a 5F catheter. The shunt anastomosis was crossed with a venogram revealing a severe anastomotic stenosis in the splenic vein (Fig, A). The system was exchanged for a 5F sheath, and via the sheath, a 5-mm  18-mm stent was deployed across the anastomotic stenosis. Poststent images demonstrated an improved caliber and flow but a small amount of nonocclusive residual thrombus within the shunt. Suction thrombectomy was performed via the guiding sheath. Post-treatment images demonstrated restored patency with resolution of thrombus and draining of the splenic vein into the left renal vein (Fig, B).Results: Follow-up cross-sectional imaging with duplex ultrasound and contrast-enhanced CT at 36 months demonstrated shunt patency. No episodes of hemorrhage have occurred since shunt revascularization.Conclusions: Our report demonstrates the feasibility of endovascular salvage of early postoperative occlusion of DSRS with documented long term clinical success and shunt patency.