Hometown: Madison, WI
Education: Yale University (New Haven, CT)
MD Mentor: Jason Alexander
Staff Mentor: Stephanie Ebnet
Projects: Treating Infrainguinal Arterial Disease in Patients with Below the Knee Amputations; Does an algorithm for the management of percutaneous femoral arterial access decrease the risk of surgical complications?
Max Golden comes by way of Madison, Wisconsin and is currently a senior with plans on graduating in May of 2020 from Yale University. Max would like to pursue a career as a physician and is motivated by the daily intellectual challenges that a career in medicine presents. Max also appreciates the evolving and expanding nature of medicine, and he is hopeful that one day “I have the opportunity to work in medicine and make sure that patients get the best possible care.”
Max was interested in participating in this research internship because of the unique opportunity to explore his interest in clinical research while having the ability to shadow established physicians in the clinical setting. He is also looking forward to observing the life-cycle of a clinical research project and studying the medical device design process with visits to Boston Scientific and Medtronic. Max hopes to separate himself from other pre-medical students by gaining early exposure to experiences typically reserved for medical school students.
Throughout the duration of this summer’s research internship, Max will be involved in two studies under the guidance of Dr. Jason Alexander and staff mentor Stephanie Ebnet. The first study is: Does an Algorithm for the Management of Percutaneous Femoral Arterial Access Decrease the Risk of Surgical Complications? The goal of this study is to establish whether a standard protocol for percutaneous femoral arterial access decreases the incidence of life-threatening bleeding or limb-threatening ischemia. The second study is: Treating Infrainguinal Arterial Disease in Patients with Below the Knee Amputations, which pertains to determining whether patients with below-the-knee amputations and infrainguinal vascular disease can successfully undergo arterial intervention instead of further amputation above the knee- which could severely hinder their mobility.
As a summer research intern, Max has discovered that caring for a patient and conducting a clinical study can coexist. After this summer Max has plans to finish his bachelor’s degree from Yale University, and during his gap year, he plans on either working on clinical research projects or working full-time as an Emergency Medical Technician.
Treating Infrainguinal Arterial Disease in Patients with Below-the-Knee Amputations
Background: Amputations are a common procedure for patients with peripheral vascular disease. Patients who undergo a below the knee amputation (BKA) are far more functional than patients with an above the knee amputation (AKA). However, patients can develop threats to their BKA due to vascular disease. This can present as non-healing wounds, rest pain in the stump, or even in rare cases as claudication with prosthetic use.
- Revascularization can be done on patients with BKAs and infrainguinal arterial disease (67% success rate in this study).
- Revascularization can be difficult, as it often takes multiple procedures and techniques.
- Despite this difficulty, it may still be worth trying to intervene as many of these patients would have likely gotten AKAs or died without arterial intervention.
- Large sample studies ought to be conducted to obtain statistically sound conclusions on the efficacy of arterial intervention for patients with a BKA and infrainguinal arterial disease.