- Michael E. DeBakey VA Medical Center (Hospital)
- 2002 Holcombe Boulevard OCL-112 Houston, Texas 77030 United States
- dr. barshes' research
- VIICTR research database
- Assistant Professor of Surgery
- Division of Vascular Surgery & Endovascular Therapy
- Baylor College of Medicine
- Houston, TX, US
- BS from University of Illinois at Urbana-Champaign
- MD from University of Illinois at Chicago College of Medicine
- MPH from University of Texas at Houston Health Science Center
- healthcare delivery systems
- Residency at Michael E. DeBakey Department of Surgery / Baylor College of Medicine
- general surgery
- Clinical Fellowship at Harvard Medical School / Brigham and Women's Hospital
- vascular surgery and endovascular therapy
- General Surgery
- American Board of Surgery
- Vascular Surgery
- American Board of Surgery
- Registered Physician in Vascular Interpretation
- American Registry for Diagnostic Medical Sonography
Honors & Awards
- Who’s Who in America
- "Outstanding Teaching Faculty" Award
- Raleigh Ross Scholarship Award
- "Young Investigator" Award
- Peripheral arterial disease (PAD) / chronic limb ischemia
- Diabetic foot osteomyelitis
- Vascular surgery
Dr. Neal R. Barshes is a board-certified vascular surgeon specializing in all aspects of the diagnosis and treatment of vascular disorders, including a wide variety arterial, venous and lymphatic problems.
Dr. Barshes currently sees patients exclusively at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) in Houston, Texas.
Dr. Barshes is actively researching ways to improve the care of patients with limb-threatening complications of diabetes. He has contributed numerous articles to scholarly professional journals such as Journal of Vascular Surgery, the Annals of Vascular Surgery, and the Journal of the American College of Surgeons. He has written many book chapters related to vascular disease management. He is an Associate Editor for the journal Diabetic Foot and Ankle and has reviewed manuscripts for more than 12 other professional journals.
The clinical efforts of Dr. Barshes are focused on preventing amputations among patients with diabetes mellitus. He focuses on aggressively working to heal foot wounds, especially those associated with poor arterial circulation and/or infection. This is often accomplished with a combination of: leg bypass surgery or angioplasty/stenting; foot surgery; and antibiotic therapy. Dr. Barshes also works with a multidisciplinary team of providers to help avoid delays in diagnosis and treatment, streamline care, and minimize unnecessary testing.
- Barshes NR, Menard MT, Nguyen LL, Bafford R, Ozaki CK, Belkin M. "Infrainguinal bypass is associated with lower perioperative mortality than major amputation in high-risk surgical candidates.." J. Vasc. Surg.. 2011 May;53(5):1251-1259.e1. Pubmed PMID: 21292432
- Barshes NR, Ozaki CK, Kougias P, Belkin M. "A cost-effectiveness analysis of infrainguinal bypass in the absence of great saphenous vein conduit.." J. Vasc. Surg.. 2013 June;57(6):1466-70. Pubmed PMID: 23395205
- Barshes NR, Belkin M. "A framework for the evaluation of value" and cost-effectiveness in the management of critical limb ischemia."." J. Am. Coll. Surg.. 2011 October;213(4):552-66.e5. Pubmed PMID: 21943802
- Barshes NR, Chambers JD, Cantor SB, Cohen J, Belkin M. "A primer on cost-effectiveness analyses for vascular surgeons.." J. Vasc. Surg.. 2012 June;55(6):1794-800. Pubmed PMID: 22608043
- Barshes NR, Chambers JD, Cohen J, Belkin M. "Cost-effectiveness in the contemporary management of critical limb ischemia with tissue loss.." J. Vasc. Surg.. 2012 October;56(4):1015-1024.e1. Pubmed PMID: 22854267
- Barshes, NR, Gold B, Garcia A, Bechara CF, Pisimisis G, Kougias P.. "Minor Amputation and Palliative Wound Care as a Strategy to Avoid Major Amputation in Patients with Foot Infections and Severe Peripheral Arterial Disease." Int J Low Extrem Wounds. 2014 Pubmed PMID: 25049375
- Barshes NR, Rodriguez-Barradas MC, Bechara CF, Pisimisis G, Young EJ, Kougias P.. "Microbial Isolates and Their Antimicrobial Susceptibilities in Inframalleolar Foot Infections." Surg Infect. 2014 Pubmed PMID: 24827989
- Barshes NR, Bechara CF, Pisimisis G, Kougias P. "Preliminary experiences with early primary closure of foot wounds after lower extremity revascularization.." Ann Vasc Surg. 2014 January;28(1):48-52. Pubmed PMID: 24189006
- Barshes NR, Sigireddi M, Wrobel JS, Mahankali A, Robbins JM, Kougias P, Armstrong DG. "The system of care for the diabetic foot: objectives, outcomes, and opportunities." Diab Foot Ankle. 2013 October Pubmed PMID: 24130936
- Barshes NR, Kougias P, Ozaki CK, Pisimisis G, Bechara CF, Henson HK, Belkin M.. "Cost-effectiveness of revascularization for limb preservation in patients with marginal functional status." Ann Vasc Surg. 2014 January;28(1):10-17. Pubmed PMID: 24332257
- American College of Surgeons
- Society for Vascular Surgery
- Vascular and Endovascular Surgical Society
- American Diabetes Association
- Society of Brigham Surgical Alumni
- Prospective, Randomized Clinical Trial of a Silver Eluting Dressing System for the Prevention of Lower Extremity Revascularization Wound Complications
- Grant funding from Brigham and Women's Hospital
- Primary site investigator a multicenter, randomized trial to determine whether a post-operative dressing that elutes silver nanoparticles would help decrease wound infections or other complications.
- Randomized, Multicenter, Controlled Trial to Compare Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb Ischemia
- Grant funding from the National Institutes of Health (NIH); the National Heart, Lung and Blood Institute (NHLBI)
- Primary site investigator for an ongoing multicenter trial comparing endvascular therapy (angioplasty +/- stent placement) to bypass surgery to improve leg circulation for limb-threatening conditions / avoidance of leg amputations.
- "Value-Based Healthcare Delivery"
- Sponsor: Harvard Business School
- "Clinical Trial Methodology"
- Sponsor: American College of Surgeons
- "Diabetic Limb Salvage: A Team Approach"
- Sponsor: Georgetown University Hospital