Vivian Gahtan, M.D.
Yale University School of Medicine
Section of Vascular Surgery
P.O. Box 208062
333 Cedar Street, FMB 137
New Haven, CT 06520-8062
(203) 785-2564 Fax: (203) 785-7556
E-mail: vivian.gahtan@yale.edu
EDUCATION
1983-1987 M.D., The George Washington University School of Medicine
1982-1983 M.A., Biology, Montclair State College
1981-1982 Premedical Education, Columbia University
1978-1981 B.A., Psychology, Montclair State College
POSTGRADUATE TRAINING
1987-1988 Internship: General Surgery, University of South Florida
1988-1992 Residency: General Surgery, University of South Florida
1992-1994 Residency: General Vascular Surgery, University of South Florida
ACADEMIC APPOINTMENT
1994-1997 Assistant Professor of Surgery, Allegheny University of the Health Sciences, MCPuHahnemann School of Medicine (formerly Medical College of Pennsylvania and Hahnemann University), Philadelphia, PA
1997-Present Assistant Professor of Surgery, Yale University School of Medicine, New Haven, CT
STAFF APPOINTMENTS
1994-1997 Allegheny University Hospitals, MCP, Philadelphia, PA, Attending Surgeon and Medical Staff, Vascular Laboratory
1994-1997 Veterans Affairs Medical Center, Philadelphia, PA, Staff Surgeon, General Vascular Surgery, Co-Director of the Noninvasive Vascular Laboratory
1995-1997 Veterans Affairs Medical Center, Co-Director, Surgical Intensive Care Unit
1996-1997 Veterans Affairs Medical Center, Chief of Vascular Surgery for Allegheny University of the Health Sciences Section
1997-Present Yale New Haven Hospital, New Haven, CT, Attending Surgeon
1997-Present The VA Connecticut Health Care System, West Haven, CT, Staff Surgeon, Chief of Vascular Surgery
CERTIFICATION
1988 Diplomate of the National Board of Medical Examiners
1993 Diplomate of the American Board of Surgery
1995 Diplomate of the American Board of Surgery - Special Qualifications
in General Vascular Surgery
1995 Registered Vascular Technologist
LICENSURE
1997-Present Connecticut Physician
HONORS AND AWARDS
1981 Magna Cum Laude
1980-1981 Psi Chi Chapter Member
1984-1987 The Woman's Club of Englewood Scholarship
1984-1985 The William F. Grupe Foundation Scholarship
1984-1987 Edith Seville Coale, M.D. Scholarship
1986-1987 The Columbian Women of George Washington University Scholarship
1986 Memorial Sloan-Kettering Fellowship
1994 The Florida Vascular Society Resident Presentation Award
1997-Present Surgical Biology Club III
1997-Present International Society for Cardiovascular Surgery-North American Chapter
1997-Present Eastern Vascular Society
1997-Present Association for Surgical Education
1997-Present Society for Clinical Vascular Surgery
1996-Present Society of Vascular Technology
1996-Present American Registry of Diagnostic Medical Sonographers
1996-Present Association of VA Surgeons
1996-1997 Pennsylvania Medical Society
1995-Present Delaware Valley Vascular Society
1995-Present Association for Academic Surgery
1995-Present Peripheral Vascular Surgery Society
1995-Present American Institute of Ultrasound in Medicine
1995-Present Society of Critical Care Medicine
1991-Present Association of Women Surgeons
1990-Present American College of Surgeons, Candidate (1990), Associate Fellow (1992), Fellow (1997)
1984-1998 American Medical Women's Association
1983-Present American Medical Association
1983-1997 Phi Delta Epsilon Medical Fraternity, Secretary 1984, Psi Chapter
1983-1992 American Medical Student Association
PROFESSIONAL COMMITTEES AND ADMINISTRATIVE SERVICE (INSTITUTIONAL)
1994-1997 Preservation - Amputation Care and Treatment Program, Veterans Affairs Medical Center, Chairperson
1995-1996 Diabetic Guidelines Committee, Allegheny University Hospitals, MCP 1995-1996 Infection Control Committee, Veterans Affairs Medical Center
1996-1997 Dialysis Access Process Action Team, Veterans Affairs Medical Center
1996-1997 Infection Control Committee, Allegheny University Hospitals, MCP
1996-1997 Task Force for Approval of Special Elective Requests, Allegheny University of the Health Sciences, MCPuHahnemann School of Medicine
1997 AdHoc Residency Review Committee,MCPuHahnemann School of Medicine
1998-Present Student Thesis Review Committee for the Department of Surgery, Yale University School of Medicine
PROFESSIONAL COMMITTEES AND ADMINISTRATIVE SERVICE (EXTRAMURAL)
1995-1997 Association of Women Surgeons, Mentor
1996-Present Education Committee, American Institute of Ultrasound in Medicine
EDUCATIONAL ACTIVITIES
1994-1997 Women's Mentoring Program, Allegheny University of the Health Sciences, MCPuHahnemann School of Medicine
1996-1997 Student Advisor, Allegheny University of the Health Sciences, MCPuHahnemann School of Medicine
1997 Senior Medical Student Surgery Pathway Advisor, MCPuHahnemann
School of Medicine
GRANT SUPPORT
1995-1997 Mary DeWitt Pettit Fellowship, Intramural Grant. "The Accuracy of Cepstrum Analysis in the Measurement of Blood Vessel Thickness," Principal Investigator, $10,000
1996-1997 Department of Clinical Affairs’ Generalist Physician Initiative Mini-Project Funding to the Department of Surgery for the Staged Diabetes Management in the Third Year Clerkship Project. "Diabetic Foot Disease," Principal Investigator, $3660
1997-1998 Peripheral Vascular Surgery Society’s Education Award. "The Role of Thrombospondin-1 in Vascular Smooth Muscle Proliferation and Migration," Principal Investigator, $2000
1998 Yale University School of Medicine, Department of Surgery OHSE Grant. "Thrombospondin-1 Promotes Vascular Smooth Muscle Proliferation and Migration," Principal Investigator, $10,000.
1999 VA Merit II. "The Mechanism of Thrombospondin-1 Induced Chemotaxis," Principal Investigator, $150,000.
1999-2001 American Surgical Association Fellowship. "Molecular Basis of Vascular Smooth Muscle Cell Migration: Thrombospondin-1 as a Paradigm," $50,000.
CLINICAL TRIALS
1997-Present VA Cooperative Study No. 417, Natural History of Large Abdominal Aortic Aneurysms (NHLA) Study, Participating Investigator.
BIBLIOGRAPHY
PUBLICATIONS (*peer-reviewed)
*Gahtan V, Nochomovitz LE, Robinson AM, Garcia VF, Smith LE. Gastroduodenal polyps in familial polyposis coli. The American Surgeon 1989;55:278-280.
*Gahtan V, Kurto HZ, Powers PS, Rosemurgy AS. Changes in sexual patterns following vertical banded gastroplasty and weight loss. Obesity Surgery 1992;2:97-99.
*Gahtan V, Bramson RT, Norman JG. The role of emergent arteriography in penetrating limb trauma. The American Surgeon 1994;60:123-127.
*Bandyk DF, Mills JL, Gahtan V, Esses G. Intraoperative duplex scanning of arterial reconstructions: Fate of repaired and unrepaired defects. Journal of Vascular Surgery 1994;20:426-433.
*Mills JL, Gahtan V, Fujitani RM, Taylor SM , Bandyk DF. The utility and durability of vein bypass grafts originating from the popliteal artery for limb salvage. The American Journal of Surgery 1994;168:646-650.
*Norman JG, Gahtan V, Franz M, Bramson RT. Occult vascular injuries following gunshot wounds in long bone fractures. The American Surgeon 1995;61:146-150.
*Gahtan V, Esses G, Bandyk DF, Nelson RT, Dupont E, Mills JL. Antistaphylococcal activity of rifampin-bonded gelatin-impregnated Dacron grafts. Journal of Surgical Research 1995;58:105-110.
*Mills JL, Bandyk DF, Gahtan V, Esses G. The origin of infrainguinal vein graft stenosis: a prospective study based on duplex surveillance. Journal of Vascular Surgery 1995;21:16-25.
*Gahtan V, Payne LP, Roper LD, Mills JL, Jackson MM, Bandyk DF. Duplex criteria for predicting progression of vein graft lesions: Which stenoses can be followed? Journal of Vascular Technology 1995;19:211-215.
*Huffman JL, Gahtan V, Bowers V, Mills JL. Neurofibromatosis and arterial aneurysms. The American Surgeon 1996;62:311-314.
*Mureebe L, Gahtan V, Kahn MB, Kerstein MD, Roberts AB. Popliteal artery injury after total knee arthroplasty. The American Surgeon 1996;62:366-368.
*Zavela NG, Gravlee GP, Benckart DH, Park SB, Gahtan V. Unusual cause of hypotension after cardiopulmonary bypass. Journal of Cardiothoracic and Vascular Anesthesia 1996;10:553-556.
*Noritomi T, Sigel B, Gahtan V, Swami V, Justin J, Feleppa E, Shirouzy K. In vivo detection of carotid plaque thrombus by ultrasonic tissue characterization. Journal of Ultrasound in Medicine 1997;16:107-111.
*Gahtan V, Goode SE, Kurto HZ, Schocken DD, Powers P, Rosemurgy AS. Body composition and source of weight loss after bariatric surgery. Obesity Surgery 1997;7:1-5.
*Noritomi T, Sigel B, Swami V, Justin J, Gahtan V, Chen X, Feleppa EJ, Roberts AB, Shirouzu K. Carotid plaque typing by multiple-parameter ultrasonic tissue characterization. Ultrasound in
Medicine and Biology 1997;23:643-650.
*Kerstein MD, Welter V, Gahtan V, Roberts AB. Toe amputation in the diabetic. Surgery 1997;122:546-547.
*Polsky S, Heller L, Gahtan V, Roberts A, Sariego J, Matsumoto T, Kerstein MD. Failed vascular reconstructive procedures with profoundly limbs - treated by lumbar sympathectomy. Vascular Surgery 1997;31:657-661.
*Gahtan V, Weiss JP, Kerstein MD, Harpavat M, Roberts AB. Percutaneous transluminal angioplasty in the treatment of vein graft stenosis. Vascular Surgery 1997;31:721-726.
*Roth JJ, Gahtan V, Brown JL, Gerhard C, Swami VK, Rothman VL, Tulenko TN, Tuszynski GP. Thrombospondin-1 is elevated with both intimal hyperplasia and hypercholesterolemia.
Journal of Surgical Research 1998;74:11-16.
*Harpavat M, Gahtan V, Ierardi R, Kerstein MD, Roberts AB. Does renal failure influence infrainguinal bypass graft outcome? The American Surgeon 1998;64:155-159.
*Ortega M, Gahtan V, Roberts AB, Matsumoto T, Kerstein, MD. Efficacy of anticoagulation post-inferior vena cava filter placement. The American Surgeon 1998;64:419-423.
*Gahtan V, Harpavat M, Roberts AB, Kerstein MD. Impact of diabetes on infrainguinal bypass grafting. Journal of Diabetic Complications 1998;12:197-200.
*Aungst M, Gahtan V, Berkowitz H, Roberts AB, Kerstein MD. Carotid endarterectomy is not affected in patients with a contralateral carotid artery occlusion. American Journal of Surgery 1998; 176:30-33.
*Gahtan V. The non-invasive vascular laboratory. The Surgical Clinics of North America, 1998; 78:507-518.
*Roberts AB, Roslyn JJ, Gahtan V, Kerstein MD, Bradford S, Weiss JP. Changing patterns in the diagnosis and treatment of pancreaticoduodenal artery aneurysms. Vascular Surgery 1998; 32:433-437.
*Gahtan V, Peyman JA, Sumpio BE. Understanding molecular biology. Seminars in Vascular Surgery 1998; 11:125-133.
*Gahtan V, Wang X, Tuszynski GP, Rothman VL, Sumpio BE. Signaling pathways by which thrombospondin-1 promotes vascular smooth muscle cell proliferation and chemotaxis. Surgical Forum 1998 XLIX:309-311.
*Gahtan V, Polak JF. Color duplex imaging for graft surveillance of the autologous vein graft. AIUM Technical Bulletin Journal of Ultrasound in Medicine 1998;17:789-795.
*Dupont E, Gahtan V, Mills JL. Heparin-induced thrombocytopenia: An iatrogenic catastrophe.
Vascular Surgery (In Press)
*Mirza N, Gahtan V, Weber RS. Management of patients after elective carotid artery resection. American Journal of Otolaryngology (In Press).
Nam JH, Gahtan V, Roberts AB, Kerstein MD. Influence of incisional complications on infrainguinal vein bypass grafting. Annals of Vascular Surgery (In Press).
Lee DJ, Sigel B, Swami VK, Justin JR, Gahtan V, O’Brien SP, Dwyer-Joyce L, Feleppa EJ, Roberts AB, Berkowitz HD. Determination of carotid plaque risk by ultrasonic tissue characterization. Ultrasound in Medicine and Biology (Accepted).
Zickler RW, Gahtan V, Matsumoto T, Kerstein MD. Deep venous thrombosis and pulmonary embolism in bilateral lower extremity amputees. Archives of Physical Medicine and Rehabilitation (Accepted).
BOOK CHAPTER
Gahtan V, Kerstein MD: Surgery questions. In: Goldberg JS (ed): Appleton & Lange’s Practice Tests for the USMLE Step 2, First Edition, Appleton & Lange, Stamford, CT, 1998 (Accepted).
ABSTRACTS (*peer-reviewed)
*Gahtan V, Nochomovitz LE, Robinson AM, Garcia VF, Smith LE. Gastroduodenal polyps in familial polyposis coli. Society of American Gastrointestinal Endoscopic Surgeons Scientific Session, San Antonio, Texas, April, 1988.
*Gahtan V, Bramson RT, Bandyk DF, Norman JG. The role of emergent arteriography in penetrating limb trauma. The 61st Annual Scientific Meeting of the Southeastern Surgical Congress, Innisbrook, Florida, February, 1993.
*Kerr TM, Driscoll JL, Gahtan V, LePain MF, Server CJ. Venous duplex scanning of the lower extremities in patients with symptoms: Is scanning of the contralateral asymptomatic extremity justified? Journal of Vascular Surgery 1993;17:439.
*Gahtan V, Dupont E, Nelson RT, Mills JL, Bandyk DF. The in vitro and in vivo bioactivity of rifampin-bonded gelatin-impregnated Dacron grafts. The Sixth Annual Meeting of the Florida Vascular Society, Scientific Session, Amelia Island, Florida, May, 1993.
*Bandyk DF, Mills JL, Gahtan V, Esses G. Intraoperative duplex scanning of arterial reconstructions: Fate of repaired and unrepaired defects. Southern Association for Vascular Surgery, The 18th Annual Meeting, Scottsdale, Arizona, January, 1994.
*Norman JG, Gahtan V, Bramson RT. Occult vascular injuries following gunshot wounds in long bone fractures. The 62nd Annual Scientific Meeting of the Southeastern Surgical Congress, Lake Buena Vista, Florida, February, 1994.
*Mills JL, Gahtan V, Fujitani RM, Taylor SM, Bandyk DF. The utility and durability of vein bypass grafts originating from the popliteal artery for limb salvage. The Southwestern Surgical Congress Annual Meeting, Tucson, Arizona, April, 1994.
*Gahtan V, Esses G, Bandyk DF, Nelson RT, Dupont E, Mills JL. Antistaphylococcal activity of rifampin-bonded gelatin-impregnated Dacron grafts. Association of VA Surgeons Eighteenth Annual Surgical Symposium, Reno, Nevada, May, 1994.
*Mills JL, Gahtan V, Bandyk DF, Esses G. The origin of infrainguinal vein graft stenosis: A prospective study based on duplex surveillance. Society for Vascular Surgery and the North American Chapter of the ISCVS, Seattle, Washington, June, 1994.
*Gahtan V, Payne LP, Roper LD, Mills JL, Jackson MM, Bandyk DF. Duplex criteria for predicting progression of vein graft lesions: Which stenoses can be followed? Society of Vascular Technology 17th Annual Conference, Orlando, Florida, August, 1994.
*Dupont E, Gahtan V, Mills JL. Heparin-induced thrombocytopenia: An iatrogenic catastrophe. Southern Medical Journal 1994;87:S121.
*Gahtan V, Mills JL, Neal R, Beckett WC. Minimizing morbidity in the surgical repair of
inflammatory abdominal aortic aneurysms. Southern Medical Journal 1994;87;S122.
*Harpavat M, Gahtan V, Ierardi R, Kerstein MD, Roberts AB. The impact of renal failure on infrainguinal bypass grafting. Delaware Valley Vascular Society, 17th Annual Scientific Meeting, Philadelphia, Pennsylvania, September, 1995.
*Noritomi T, Sigel B, Gahtan V, Swami V, Chen X, Justin J, Roberts AB, Feleppa EJ. Detection of complicated plaques by ultrasonic tissue characterization. Journal of Ultrasound in Medicine 1996;15;3:S16-17.
*Gahtan V, Weiss JP, Kerstein MD, Harpavat M, Roberts AB. Percutaneous transluminal angioplasty in the treatment of vein graft stenosis. Peripheral Vascular Surgery Society, Seventh Annual Winter Meeting, Breckenridge, Colorado, January, 1997.
*Kerstein MD, Gahtan V, Roberts AB. A shift to home health care for venous leg ulcers: cost-effective and patient friendly - or is it? Ninth Annual Meeting of the American Venous Forum, San Antonio, Texas, February, 1997.
*Roth JJ, Gahtan V, Brown JL, Gerhard C, Swami VK, Rothman VL, Tulenko TN, Tuszynski GP. Thrombospondin-1 levels are elevated in myointimal hyperplasia after angioplasty in hypercholesterolemic rabbits. Association of VA Surgeons Twenty-First Annual Meeting, Louisville, Kentucky, May 1997.
*Roberts AB, Roslyn JL, Gahtan V, Kerstein MD, Weiss JP. Changing patterns in the diagnosis and treatment of pancreaticoduodenal artery aneurysms. Society for Clinical Vascular Surgery, San Diego, California, 1998.
*Gahtan V, Nam J, Roberts AB, Kerstein MD. The influence of incisional complications on infrainguinal vein bypass grafting. Peripheral Vascular Surgery Society, San Diego, California, 1998.
Gahtan V, Wang X, Ikeda M, Tuszynski GP, Rothman VL, Sumpio BE. Thrombospondin-1 induces activation of FAK in vascular smooth muscle cells. New England Society for Vascular Surgery, Toronto, Canada, 1998.
POSTER SESSIONS (*peer-reviewed)
Dupont E, Gahtan V, Nelson RT, Fabri PF, Bandyk DF. Efficacy of different factors to optimize rifampin-bonded vascular prostheses. The 3rd Annual Student Research Day, University of South Florida, College of Medicine, February, 1993.
Gahtan V, Bandyk DF, Dupont E, Nelson RT, Mills JL. A comparison of in vivo to in vitro bioactivity of a rifampin-bonded, gelatin-impregnated Dacron vascular graft. The University of South Florida, College of Medicine Faculty Research Day, April, 1993.
*Dupont EL, Gahtan V, Mills JL. Heparin-induced thrombocytopenia: an iatrogenic catastrophe. Southern Medical Association's 88th Annual Scientific Assembly, Orlando, Florida, November, 1994.
*Huffman JL, Gahtan V, Bowers V, Mills JL. Neurofibromatosis and arterial aneurysms. The 63rd Annual Scientific Meeting of the Southeastern Surgical Congress, New Orleans, Louisiana, February, 1995.
McCully K, Gahtan V, Chavin S, Roberts A, Posner J. Non-invasive management of muscle metabolism and oxygen delivery in the elderly. The 2nd Annual Gerontology Conference, Allegheny Health, Education and Research Foundation, Philadelphia, Pennsylvania, June, 1995.
*Zickler RW, Gahtan V, Roberts AB, Matsumoto T, Kerstein MD. Incidence of deep venous and pulmonary embolism in bilateral lower extremity amputees. Eighth Annual Meeting of the American Venous Forum, San Diego, California, February, 1996.
*Roth JJ, Brown J, Gahtan V, Gerhard C, Swami V, Rothman VL, Berger DH, Tulenko T, Tuszynski GP. Thrombospondin-1 is increased in vascular smooth muscle after angioplasty in hypercholesterolemic rabbits. The 24th Annual Workshop on Hemostasis and Thrombosis, The Cardeza Foundation, Philadelphia, Pennsylvania, November, 1996.
*Gahtan V, Harpavat M, Ierardi R, Kerstein MD, Roberts AB. Does renal failure influence
infrainguinal bypass graft outcome? The 65th Annual Meeting of the Southeastern Surgical Congress, Nashville, Tennessee, February, 1997.
*Gahtan V, Harpavat M, Karimi S, Kerstein MD, Roberts AB. Gender does not influence bypass graft outcome. The 51st Annual Meeting of the Society of Vascular Surgery, Boston, Massachusetts, June, 1997.
*Gahtan V, Wang X, Tuszynski GP, Sumpio BE. Antibody inhibition of thrombospondin induced vascular smooth muscle cell migration. Association for Academic Surgery, Seattle Washington, November, 1998.
PRESENTATIONS
M.A. Research Paper, Montclair State College: "Wernicke-Korsakoff Syndrome," 1983.
Society of American Gastrointestinal Endoscopic Surgeons Scientific Session, San Antonio, Texas: "Gastroduodenal Polyps in Familial Polyposis Coli," April 1988.
The 61st Annual Meeting of the Southeastern Surgical Congress, Innisbrook, Florida: "The Role of Emergent Arteriography in Penetrating Limb Trauma," February 1993.
The Sixth Annual Meeting of the Florida Vascular Society, Scientific Session, Amelia Island, Florida: "In Vitro and in Vivo Bioactivity of a Rifampin-Bonded, Gelatin-Impregnated Dacron Graft," May 1993.
Vascular Disease Update, University of South Florida Department of Surgery, Tampa, Florida: "When Should Abdominal Aortic Aneurysms Be Repaired?" March 1994.
The Seventh Annual Meeting of the Florida Vascular Society, Scientific Session, Key West, Florida: "Duplex Criteria for Revision of Infrainguinal Vein Graft Stenosis," April 1994.
Association of VA Surgeons Eighteenth Annual Surgical Symposium, Reno, Nevada:
"Antistaphylococcal Activity of Rifampin-Bonded Gelatin-Impregnated Dacron Grafts," May 1994.
South Jersey Vascular Group, Haddon Heights, New Jersey: "Rifampin-Bonded Dacron Grafts: Techniques, Bioactivity, Experimental and Clinical Efficacy," October 1994.
Southern Medical Association's 88th Annual Scientific Assembly, Orlando, Florida: "Minimizing Morbidity in the Surgical Repair of Inflammatory Abdominal Aortic Aneurysms," November 1994.
Management of Vascular Problems for the Primary Care Physician, Philadelphia, Pennsylvania: "Office Diagnosis for Peripheral Vascular Disease - The Non-Invasive Vascular Laboratory," September 1995.
Surgical Grand Rounds, Allegheny University of the Health Sciences, MCPuHahnemann School of Medicine, Philadelphia, Pennsylvania: "Progress in Infrainguinal Bypass Grafting," May 1996.
Seventh Annual Winter Meeting of the Peripheral Vascular Surgery Society, Breckenridge, Colorado: "Percutaneous Transluminal Angioplasty in the Treatment of Vein Graft Stenosis," January 1997.
Surgical Grand Rounds, Yale University School of Medicine, New Haven, CT: "Infrainguinal Bypass Grafting - An Update," April 1998.
Peripheral Vascular Surgery Society, 23rd Annual Spring Meeting, San Diego, CA: "The Influence of Incisional Complications on Infrainguinal Vein Bypass Grafting," June 1998.
Yale at Mystic: An Ultrasound Review, Mystic, CT: "Noninvasive Tests of Peripheral Vascular Disease," September 1998.
Yale at Mystic: An Ultrasound Review, Mystic, CT: "Clinical Indications and Testing of Arterial Bypass Grafts in Limbs," September 1998.
Twenty-Fifth Annual Meeting of the New England Vascular Society, Toronto, Canada: "Thrombospondin-1 Induces Activation of FAK in Vascular Smooth Muscle Cells," September 1998.
American College of Surgeons, Surgical Forum, Orlando, FL: "Signaling Pathways by which Thrombospondin-1 Promotes Vascular Smooth Muscle Cell Proliferation and Chemotaxis," October 1998.
Bridgeport Hospital Surgery Grand Rounds, Bridgeport, CT: "Lower Extremity Revascularization: Who Is a Good Candidate?" December 1998.
Jobst, Stamford, CT: "Diagnosis and Management of Venous Insufficiency," December 1998.