Panos Kougias MD MSc

Chair, Dept of Surgery @SUNYDownstate | Vascular & Endovascular Surgery | Clinical Trials | PI #Top_Trial | co-PI #IMPROVE-AD trial

[Panos Kougias MD MSc @KougiasP]

1/5: Our work in the TOP trial is now in JAMA. TOP randomized 1428 high cardiac risk patients after major general or vascular surgery to a restrictive (Hb < 7 g/dL) or liberal (Hb < 10 g/dL) transfusion strategy. 👇

@AmCollSurgeons @VascularSVS @sunydownstate @ShereneSharath

[SUNY Downstate General Surgery Residency @DownstateSurg]

Kicking off Chief Resident Grand Rounds with Dr. Tim Le’s presentation “Surgical Style.” 🩺👔 After intro by Dr. Hashmeet Kaur, Dr. Le delivered a phenomenal talk on navigating the challenges of residency by being affable, available, and able. Congratulations Dr. Le! 👏 @KougiasP

[SUNY Downstate General Surgery Residency @DownstateSurg]

Next up—Dr. Vince Dodson’s Grand Rounds presentation “Surgery Residency: What Obstacles?” Introduced by Dr. Evelyn Ross, Dr. Dodson presented an inspiring talk incorporating Camus and Kierkegaard on redefining success in residency and life. Congrats Dr. Dodson! 👏 @KougiasP

[SUNY Downstate General Surgery Residency @DownstateSurg]

“A Cycle at Downstate” by Dr. Michael Chen

Connect the dots 🔴⚫️🔵📈 — the experiences shape your path as a surgeon

People make the place 🤝 —seek great mentors and colleagues

You are great ⭐️ — take pride in training @DownstateSurg

Congrats, Dr. Chen! 🎉 @KougiasP

[SUNY Downstate General Surgery Residency @DownstateSurg]

Today we celebrate the start of an exciting new journey. Congratulations to our newly matched residents joining Downstate Surgery! We are honored to welcome you and cannot wait to see all you achieve. #DownstateSurgery #MatchDay #NextGenerationOfSurgeons

[Panos Kougias MD MSc @KougiasP]

@farkomd Agree. In addition, there is so many different types of bias that can sneak in a database study of this type that the results become difficult - if not impossible - to interpret

[Neal Barshes, MD,MPH @NealBarshes]

@TCTMD Congratulations to Dr. Panos Kougias (@KougiasP), Dr. Sherene Sharath (@ShereneSharath), and all the TOP trial investigators and coordinators!

An important medical advance made possible by @VAResearch and the participation of 1,400+ Veterans.

[Panos Kougias MD MSc @KougiasP]

5/5: The full paper can be found here: https://t.co/dy8DcBNNYv

Very thoughtful editorial by Drs. Jacobs and Bloch can be found here: https://t.co/ybR2GQRHYr

[Panos Kougias MD MSc @KougiasP]

1/5: Our work in the TOP trial is now in JAMA. TOP randomized 1428 high cardiac risk patients after major general or vascular surgery to a restrictive (Hb < 7 g/dL) or liberal (Hb < 10 g/dL) transfusion strategy. 👇

@AmCollSurgeons @VascularSVS @sunydownstate @ShereneSharath

[Panos Kougias MD MSc @KougiasP]

4/5: It also underscores the research imperative to clarify the effect of transfusion strategy on heart failure and arrhythmias, & the need to investigate patient populations that may benefit from liberal strategies using sophisticated monitoring and diagnostic techniques.👇

[JAMA @JAMA_current]

@AHAScience 💬 Editorial: While restrictive transfusion remains standard, TOP trial results indicate some cardiac patients may benefit from a tailored approach based on clinical factors.

#AHA25 @AHAScience

https://t.co/9c5lhBvv09

[Panos Kougias MD MSc @KougiasP]

Very thoughtful editorial that highlights that a nuanced approach is needed on transfusion decisions for high cardiac risk patients undergoing major surgery.

[JAMA @JAMA_current]

@JAMACardio @AHAScience 💬 Editorial: While restrictive transfusion remains standard, TOP trial results indicate some cardiac patients may benefit from a tailored approach based on clinical factors.

#AHA25 @AHAScience

https://t.co/h3PznwhNEC

[JAMA @JAMA_current]

@JAMACardio @AHAScience 💬 Editorial: While restrictive transfusion remains standard, TOP trial results indicate some cardiac patients may benefit from a tailored approach based on clinical factors.

#AHA25 @AHAScience

https://t.co/h3PznwhNEC

[Panos Kougias MD MSc @KougiasP]

Happy to see our work in JAMA

[JAMA @JAMA_current]

Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients. 🧵

#AHA25 @AHAScience

https://t.co/8Txdfc6Rho

[JAMA @JAMA_current]

Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients. 🧵

#AHA25 @AHAScience

https://t.co/8Txdfc6Rho

[SUNY Downstate General Surgery Residency @DownstateSurg]

PGY-4 Resident Dr. Pablo Cuartas presenting his high-impact study “Economics of Pulmonary Embolism Care in a 23-Year Resource Utilization Study” 👏

@KougiasP @ShereneSharath @SurgeryiNSPIRe

#ACSCC25 #AcademicSurgery #DownstateSurgery

[Giovanni Ferrari PhD @ferrag02]

Med students curious about CT surgery? 🚨
Want to see what research looks like during residency at major centers; clinical and translational science, & Q&A with directors + scientists?
Join us Oct 18 @ColumbiaSurgery for the Inaugural CT & Vascular Surgery Research Symposium!

[Melina Kibbe @kibbemr]

So incredibly excited for Dr. Anton Sidawy to begin his tenure as President of the American College of Surgeons! #ACSCC25

[SUNY Downstate General Surgery Residency @DownstateSurg]

Congratulations to PGY-4 Resident Dr. John Perrotti on his impactful presentation “Non-Clinical Factors Predicting Surgical Management of Diverticulitis: Colostomy vs Primary Anastomosis” @KougiasP @ShereneSharath @SurgeryiNSPIRe

#ACSCC25 #AcademicSurgery #DownstateSurgery