The Division of
George H. Meier III, MD Joseph S. Giglia, MD
Professor of Surgery Associate Professor of Surgery
Director, Division of Vascular Interim Director, Division of
Surgery [effective 9/1/07] Vascular Surgery
The Division of Vascular Surgery is a multi-faceted tenure before joining Eastern Virginia Medical School as
regional referral center treating the full range of arterial Chief of Vascular Surgery. Dr. Meier is certified by the
and venous disease. The Division’s substantial clinical American Board of Surgery in both general and vascular
volume is accommodated by significant investments in surgery and he also holds a certificate of added qualifica-
technology and a comprehensive team approach for tion in surgical critical care. Dr. Meier's professional inter-
evaluation and post-operative care. The Division pursues ests include the management of diabetic vascular disease,
innovation in vascular care for the improvement of patient wound healing, stroke prevention, and vascular education.
outcomes and creation of new scholarship in the field.
The Division has announced the recruitment of Dr.
George H. Meier III to become the next Director of the Members of the Division offer treatment of vascular
Division of Vascular Surgery. Dr. Meier received his M.D. disorders at The University Hospital, University Pointe,
degree cum laude from Emory University School of University Pointe Ambulatory Surgical Hospital, The Christ
Medicine. He completed his Surgical Internship, Residency Hospital, and the Veterans Affairs Medical Center. They are
in Surgery, and Fellowship in General Vascular Surgery at also part of the multidisciplinary team of UC Heart &
Massachusetts General Hospital. He then completed a year Vascular Center. Dr. Amy Reed will soon begin seeing
of postdoctoral training in General, Thoracic, and Vascular patients at the Redbank Surgery Center, a partner with The
Surgery at Massachusetts General Hospital while also serv- Christ Hospital.
ing as Assistant in Surgery at Harvard University School of
The Division of Vascular Surgery offers a full range of
Medicine. Dr. Meier then joined the faculty at Yale
minimally invasive procedures in the treatment of arterial
University School of Medicine as Assistant Professor of
and venous disease, and operates as a regional center for
Surgery, rising to Associate Professor during his 10-year
the treatment of complex vascular problems. The Division
The Division of Vascular Surgery | Page 104
also performs standard open vascular operations for
aneurysms in the chest and abdomen, reoperative aortic
repair, and lower extremity revascularization. In addition,
the Division remains a recognized leader in the clinical
applications of endovascular surgery. Innovations in vascu-
lar care include laparoscopic aortic procedures, novel
endovascular approaches for thoracic transection and
trauma, and minimally invasive approaches for critical limb
ischemia. The expanded clinical base provides an excellent
educational experience for vascular surgery fellows and
the general surgery residents.
Dr. Joseph Giglia is one of only a few surgeons in the
country who perform laparoscopic aortobifemoral bypass
to treat aortoiliac arterial occlusive disease. The procedure
is a key innovation in the treatment of peripheral arterial
disease (PAD), a condition where large blood vessels in the
abdomen and limbs become narrowed. Dr. Giglia’s work
provides the benefit of minimally invasive techniques, University Hospital and has the potential to minimize the
namely faster recovery time and less pain, with the durabil- significant morbidity and mortality associated with the
ity of the traditional gold standard by-pass procedure. standard open surgical repair in these multiply injured
Dr. Giglia’s laparoscopic approach is one step on the road patients.
toward robotic-assisted treatment of aortoiliac occlusive Dr. Amy Reed performed the Cincinnati Veterans Affairs
disease and eventually for laparoscopic treatment of Medical Center’s first cryoplasty (Boston Scientific,
aneurysms. PolarCath™) in a patient with peripheral arterial disease
Dr. Giglia received the 2006 American Vascular (PAD). Traditional treatment for PAD includes balloon
Association’s annual E.J.Wylie Traveling Fellowship Award, a angioplasty and stenting, which often need to be repeated.
professional development grant that allowed him to visit Preliminary studies have shown that 85% of treated arter-
established vascular centers across the world. This experi- ies remained open for nearly a year following cryoplasty.
ence and resulting collaborations will help Dr. Giglia create The Division offers a full range of treatment for venous
a laparoscopic vascular surgery center at UC. He attended disease. Many minimally invasive therapies including
an advanced laparoscopic aortic vascular course in percutaneous mechanical thrombectomy, venoplasty, and
Strasbourg, France, a Laparoscopic Vascular Course in stenting have been utilized to treat patients with superior
Quebec, Canada, and the International Endovascular vena cava syndrome and extensive deep vein thromboses.
Laparoscopic Congress held in New York City. Dr. Giglia also For many the pain associated with varicose veins is related
was named as an Alternate for the American College of to venous reflux which often forces dramatic lifestyle
Surgeons Traveling Fellowship to Germany for 2007. changes. Dr. Reed has introduced a minimally invasive
Dr. Giglia has pioneered a novel endovascular treat- treatment for venous reflux to the Division. It uses a special-
ment of blunt aortic trauma with a self-expanding stent ly designed radio frequency ablation catheter (Closure®,
lined with aortic extender cuffs that was published in VNUS) to occlude the saphenous vein and prevent reflux
March 2006 in the Annals of Vascular Surgery, co-authored without the painful and often disfiguring standard
by Dr. Amy Reed. This procedure is available at The stripping procedures.
The Division of Vascular Surgery in conjunction with
the UC Heart & Vascular Center expanded its Vascular
Surgery Lab at University Pointe in West Chester in
September, 2004. The vascular lab continues to grow and
offer referring physicians and patients in the Butler/Warren
county area the most technologically advanced diagnostic
tests and minimally invasive procedures, including:
• Diagnosis and treatment of varicose veins
• Carotid ultrasound
• Abdominal aortic ultrasound
• Upper and lower extremity arterial non-invasive
testing, including ABI (ankle brachial indices) to test
for proper blood flow
• Upper and lower venous ultrasound to evaluate for
DVT (deep venous thrombosis)
• AAA (abdominal aortic aneurysm) screening
• Peripheral vascular disease (PVD) screening
The Division of Vascular Surgery | Page 105
The University of Cincinnati College of Medicine’s
Vascular Surgery Fellowship Program offers conventional
and endovascular training in addition to comprehensive
non-invasive vascular lab training. To assist general surgery
residents in learning vascular anatomy, cadaver labs were
set up this year with significant input from graduating vas-
cular surgery fellow, Dr. John Hutto.This allowed trainees to
perform dissections, aortic exposures and endarterec-
tomies without the time constraint of the operating room.
The Division’s strong commitment to state-of-the-art
surgical training in endovascular and complex open
surgical techniques has allowed the Division to attract top
candidates from across the country. This year the Division
was delighted to match its second female trainee in
vascular surgery, Dr. Vechvitvarakul, who will start in 2008.
Dr. Giglia is Co-Principal Investigator of a research
Top general surgery resident, Dr. Carlos Rosales, entered the
project on “In vitro model of arterial aneurysms with wall
two year vascular surgery fellowship this July 2007.
stress sensing capability” sponsored by the Minimally
Dr. Amy Reed remains the Director of the Vascular Invasive Medical Technologies Center (MIMTeC) at the
Surgery Fellowship Program. Under her guidance the University of Cincinnati Colleges of Medicine and
program has received full accreditation for 3 years and Engineering.
passed the Internal Review. In addition to a full standard
Dr. Amy Reed presented her research, “Major Lower
operative caseload, all of the fellows performed more than
Extremity Amputation after Multiple Revasularizations:Was
400 endovascular procedures during their fellowship and
It Worth It?” at the New England Vascular Surgery Society
thus met all credentialing standards for endovascular
meeting in September 2007 in Boston. The paper is
privileging. Academic and scholarly pursuits are critical to
currently in press in Annals of Vascular Surgery. Dr. Reed
a fellow’s development and future career. Each fellow is
was an invited moderator for the Vascular Video Session at
expected to publish two papers and/or chapters during
the American College of Surgeons Meeting in Chicago in
their clinical fellowship.
October 2006. Dr. Reed was also a recipient of the
A standardized reading program, which repeats on a University of Cincinnati Faculty Development Grant which
two-year cycle, has been developed and the fellows meet helped fund her travel to the American College of
monthly with the faculty to review the assigned material. A Surgeons Outcomes Course in Chicago in November 2006.
formal lecture series has been developed in collaboration She authored “Advanced Training in Vascular Surgery: How
with other departments at the College of Medicine to Does It Need to Change” published in Seminars of Vascular
enhance the fellows’ understanding of vascular physiology, Surgery in December 2006. Dr. Reed along with second
anatomy, embryology and pathology. year vascular surgery fellow, Dr. John Hutto, published
“Endovascular Repair of Blunt Popliteal Artery Injury” in the
Dr. Amy Reed has chaired the Education Committee of January 2007 edition of Journal of Vascular Surgery.
the American Program Directors of Vascular Surgery
(APDVS) this past year. Under her guidance, the APDVS Dr. Reed was appointed to the Society for Vascular
will be rolling out the first Vascular Surgery In-Training Surgery Women’s Issues Committee in 2006 and was an
Examination (VSITE), set to be administered in spring 2008. invited speaker to Miami University on “Women in
She continues in her fourth year as a consultant to the Medicine” in November 2006 and invited panelist for the
American Board of Surgery Vascular Surgery Examination. University of Cincinnati College of Medicine’s “Women
Physicians: Changing the Face of Medicine” in January
Research 2007. She was invited to be the Keynote Speaker at the
University of Cincinnati Women’s Leadership Conference,
Dr. Joseph Giglia is the local Principal Investigator for “Women in Surgery: Cutting Into the Glass Ceiling,” in
the Open versus Endovascular Repair of Abdominal Aortic March 2007. Dr. Reed was also asked to participate in the
Aneurysm Trial, and received a Certificate of Achievement Society for Vascular Surgery’s DVD project that included
for his work in the trial. This 8-year multimillion dollar her commentary on life as a vascular surgeon and which
Veterans Affairs Cooperative Study critically compares has been distributed nationwide to medical students and
morbidity, mortality, quality of life, and cost between the general surgery residents.
two methods of abdominal aortic aneurysm repair. Dr.
Giglia is working with the Department of Biomedical
Engineering to develop techniques to decrease ischemia
during thoracoabdominal aneurysm repair. He continues
to work on laparoscopic techniques for aortic surgery.
The Division of Vascular Surgery | Page 106
Community Connections Dr. Giglia has a special interest in complex aortic surgery,
laparoscopic aortic surgery and in minimally invasive treat-
A goal of the Division is to increase public awareness ment of thoracic and abdominal aortic pathology. He is
and understanding of vascular disease. The Division of board certified in Vascular Surgery, General Surgery, and
Vascular Surgery holds several free screenings per year at Surgical Critical Care.
University Pointe and The University Hospital in conjunc-
tion with the American Vascular Association’s annual Amy B. Reed, MD, FACS
nationwide early detection education program. During Assistant Professor of Surgery
Vascular Awareness Month, participants are screened for Director, Vascular Surgery Fellowship Program
peripheral arterial disease, abdominal aortic aneurysms, Director, Non-Invasive Vascular Laboratory, University Pointe
and carotid artery stenosis.The vascular screening program
targets men and women aged 60 and older with a history Dr. Reed specializes in percutaneous treatment of aortic
of high blood pressure, smoking, diabetes or heart disease. aneurysms and peripheral vascular disease including com-
Vascular surgeons meet individually with each participant plex lower extremity revascularization for limb salvage. She
to review their screening results. Participants also receive a is board certified in Vascular Surgery and General Surgery.
vascular report card outlining their test results to share
with their family physician. George H. Meier III, MD, FACS
Professor of Surgery
The Division sponsored a free vascular screening for
Director, Division of Vascular Surgery
the Cincinnati Police Department in February 2007. Not
Director, Vascular Services, The University Hospital
only did this provide valuable information to the police
force, but also an opportunity for education about abdom-
Dr. Meier specializes in the management of diabetic vascu-
inal aortic aneurysms, stroke from carotid artery disease
lar disease, wound healing, and stroke prevention. He is
and peripheral vascular disease.
board certified in General Surgery and General Vascular
Both Drs. Reed and Giglia actively educate the commu- Surgery.
nity about vascular disease and treatment through screen-
ings, public lectures and media interviews. Further information on the Division of Vascular
Surgery, including presentations and publications, can be
Dr. Giglia was a 2007 “Health Care Hero” Finalist in the viewed on our website http://surgery.uc.edu.
Innovator Category for his laparoscopic approach to aorto-
bifemoral bypass, sponsored by the Cincinnati Business
Courier. Both Drs. Giglia and Reed were listed among “Top
Doctors” in vascular surgery by Cincinnati Magazine
in April 2007.
(To view the full CV, visit our website at http://surgery.uc.edu)
Joseph S. Giglia, MD, FACS
Associate Professor of Surgery
Interim Director, Division of Vascular Surgery
Chief, Vascular Surgery, Veterans Affairs
Medical Center Cincinnati
Director, Noninvasive Vascular Laboratory, Veterans Affairs
Medical Center Cincinnati
Director, Noninvasive Vascular Laboratory, The University
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