About
Dr. Joseph L. Mills, Sr. is Professor and Chief of the Division of Vascular Surgery and…
Articles by Joseph
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New way forward in the evaluation and management of patients with Chronic Limb-Threatening Ischemia (CLTI): Focus 1st on Patient & Limb, then anatomy
New way forward in the evaluation and management of patients with Chronic Limb-Threatening Ischemia (CLTI): Focus 1st on Patient & Limb, then anatomy
By Joseph Mills MD
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DFCon 2018 in Houston - a resilient city!
DFCon 2018 in Houston - a resilient city!
By Joseph Mills MD
Activity
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Make sure you are taking time to submit your nomination(s) for the open SVS Executive Board positions! Visit the webpage to learn more about the open…
Make sure you are taking time to submit your nomination(s) for the open SVS Executive Board positions! Visit the webpage to learn more about the open…
Liked by Joseph Mills MD
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Make sure you’re focusing on your vascular health this September! SVS is hosting the third annual Vascular Health Step Challenge where registrants…
Make sure you’re focusing on your vascular health this September! SVS is hosting the third annual Vascular Health Step Challenge where registrants…
Liked by Joseph Mills MD
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Assuring all our San Antonio communities have access to healthcare and the resources to live healthy lives should be a priority…
Assuring all our San Antonio communities have access to healthcare and the resources to live healthy lives should be a priority…
Liked by Joseph Mills MD
Experience
Education
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Oregon Health and Science University School of Medicine
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Activities and Societies: Vascular Surgery Fellowship (John M. Porter, MD)
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Activities and Societies: Senior Fellow, Endovascular Surgery
Senior Endovascular Fellow
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General Surgery Residency
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Activities and Societies: AOA, cum laude; USAF HPSP Scholar
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Activities and Societies: Varsity Soccer (midfield)
cum laude; Sigma Xi
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Activities and Societies: Soccer, Cross Country, Tennis, Baseball
Latin Club
Publications
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Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication
Journal of Vascular Surgery
http://www.jvascsurg.org/article/S0741-5214(14)02284-8/abstract
Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication
Society for Vascular Surgery Lower Extremity Guidelines Writing Group
Michael S. Conte, MD, Frank B. Pomposelli, MD (Co-Chairs), Daniel G. Clair, MD, Patrick J. Geraghty, MD, James F. McKinsey, MD, Joseph L. Mills, MD, Gregory L. Moneta, MD, M…http://www.jvascsurg.org/article/S0741-5214(14)02284-8/abstract
Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication
Society for Vascular Surgery Lower Extremity Guidelines Writing Group
Michael S. Conte, MD, Frank B. Pomposelli, MD (Co-Chairs), Daniel G. Clair, MD, Patrick J. Geraghty, MD, James F. McKinsey, MD, Joseph L. Mills, MD, Gregory L. Moneta, MD, M. Hassan Murad, MD, Richard J. Powell, MD, Amy B. Reed, MD, Andres Schanzer, MD, Anton N. Sidawy, MD, MPH
Published Online: January 28, 2015
DOI: http://dx.doi.org/10.1016/j.jvs.2014.12.009Other authorsSee publication -
The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk stratification based on Wound, Ischemia, and foot Infection (WIfI)
Journal of Vascular Surgery
Critical limb ischemia, first defined in 1982, was intended to delineate a subgroup of patients with a threatened lower extremity primarily because of chronic ischemia. It was the intent of the original authors that patients with diabetes be excluded or analyzed separately. The Fontaine and Rutherford Systems have been used to classify risk of amputation and likelihood of benefit from revascularization by subcategorizing patients into two groups: ischemic rest pain and tissue loss. Due to…
Critical limb ischemia, first defined in 1982, was intended to delineate a subgroup of patients with a threatened lower extremity primarily because of chronic ischemia. It was the intent of the original authors that patients with diabetes be excluded or analyzed separately. The Fontaine and Rutherford Systems have been used to classify risk of amputation and likelihood of benefit from revascularization by subcategorizing patients into two groups: ischemic rest pain and tissue loss. Due to demographic shifts over the last 40 years, especially a dramatic rise in the incidence of diabetes mellitus and rapidly expanding techniques of revascularization, it has become increasingly difficult to perform meaningful outcomes analysis for patients with threatened limbs using these existing classification systems. Particularly in patients with dia- betes, limb threat is part of a broad disease spectrum. Perfusion is only one determinant of outcome; wound extent and the presence and severity of infection also greatly impact the threat to a limb. Therefore, the Society for Vascular Surgery Lower Extremity Guidelines Committee undertook the task of creating a new classification of the threatened lower extremity that reflects these important considerations. We term this new framework, the Society for Vascular Surgery Lower Extremity Threatened Limb Classification System. Risk stratification is based on three major factors that impact amputation risk and clinical management: Wound, Ischemia, and foot Infection (WIfI). The implementation of this classification system is intended to permit more meaningful analysis of outcomes for various forms of therapy in this challenging, but heterogeneous population.
Other authorsSee publication
Projects
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Validation of SVS Threatened Limb Classification
http://www.sciencedirect.com/science/article/pii/S0895796714000672
Early validation of SVS WIFI Threatened Limb Classification System
Languages
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German; Intermediate Spanish
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Organizations
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Society for Vascular Surgery
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Recommendations received
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Join now to viewMore activity by Joseph
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It’s an absolute pleasure to be in Mexico City once more for our annual endovascular event in LatAm. HENDOLAT
It’s an absolute pleasure to be in Mexico City once more for our annual endovascular event in LatAm. HENDOLAT
Liked by Joseph Mills MD
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Changes afoot ... UT Health San Antonio and The University of Texas at San Antonio to merge; creating a global hub for academics, research, and…
Changes afoot ... UT Health San Antonio and The University of Texas at San Antonio to merge; creating a global hub for academics, research, and…
Liked by Joseph Mills MD
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ESVS Society at European Society of Cardiology London Kak Khee Yeung alison halliday Philippe Kolh Victor Aboyans Christine Vermeulen, MD PhD FEBVS…
ESVS Society at European Society of Cardiology London Kak Khee Yeung alison halliday Philippe Kolh Victor Aboyans Christine Vermeulen, MD PhD FEBVS…
Liked by Joseph Mills MD
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Thrilled to be part of this great faculty speaking about arterialization for amputation prevention
Thrilled to be part of this great faculty speaking about arterialization for amputation prevention
Liked by Joseph Mills MD
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🚨TWO DAYS AWAY!🚨 Shoutout to our INCREDIBLE teams who have already joined the movement to get moving. Your participation will help fund a Vascular…
🚨TWO DAYS AWAY!🚨 Shoutout to our INCREDIBLE teams who have already joined the movement to get moving. Your participation will help fund a Vascular…
Liked by Joseph Mills MD
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What sets DFCon apart is its respect for its audience—delivering cutting-edge innovations and ideas that foster real, meaningful discussions. Each…
What sets DFCon apart is its respect for its audience—delivering cutting-edge innovations and ideas that foster real, meaningful discussions. Each…
Liked by Joseph Mills MD
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Improving the outcomes after an arterialization. An important topic for multidisciplinary teams. The role of foot surgery in no option patients -…
Improving the outcomes after an arterialization. An important topic for multidisciplinary teams. The role of foot surgery in no option patients -…
Liked by Joseph Mills MD
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We're thrilled to have participants around the world #STEPwithSVS this September. Hear from a few participants on this #WhyIWalkWednesday. Join them:…
We're thrilled to have participants around the world #STEPwithSVS this September. Hear from a few participants on this #WhyIWalkWednesday. Join them:…
Liked by Joseph Mills MD
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Ready for the amazing HENDOLAT 2024 August Ysa Andrea Casini Mexico City Hotel Sheraton
Ready for the amazing HENDOLAT 2024 August Ysa Andrea Casini Mexico City Hotel Sheraton
Liked by Joseph Mills MD
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Global effort to study the best management of uTBAD. If you center, you should be enrolling 2 patients per month
Global effort to study the best management of uTBAD. If you center, you should be enrolling 2 patients per month
Liked by Joseph Mills MD
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Breaking news in limb preservation! ALPS and the Society for Vascular Nursing (SVN) are teaming up to take action against preventable limb loss! This…
Breaking news in limb preservation! ALPS and the Society for Vascular Nursing (SVN) are teaming up to take action against preventable limb loss! This…
Liked by Joseph Mills MD
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Ezio Faglia’s legacy at the International Symposium of the Diabetic Foot in Cali -Colombia Sociedad Colombiana de Ortopedia y Traumatología (SCCOT)…
Ezio Faglia’s legacy at the International Symposium of the Diabetic Foot in Cali -Colombia Sociedad Colombiana de Ortopedia y Traumatología (SCCOT)…
Liked by Joseph Mills MD
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The treatment of chronic venous thoracic outlet syndrome is not fully understood, making its management challenging. In this series published in the…
The treatment of chronic venous thoracic outlet syndrome is not fully understood, making its management challenging. In this series published in the…
Liked by Joseph Mills MD
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Back home from APMA, where I bumped into this gentleman. It was great seeing the big interest for #DFCon24 (we only have very few stands left, so…
Back home from APMA, where I bumped into this gentleman. It was great seeing the big interest for #DFCon24 (we only have very few stands left, so…
Liked by Joseph Mills MD
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