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Rafael S. Cires-Drouet, MD

Academic Title:

Assistant Professor

Primary Appointment:

Medicine

Secondary Appointment(s):

Surgery

Email:

rcires@som.umaryland.edu

Location:

Paca-Pratt, 7-S-166

Phone (Primary):

(410) 328-5842

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Education and Training

  • Medical Degree
    • Universidad de Guayaquil, School of Medicine, Guayaquil – Ecuador 05/1996 – 07/2003; Medical Degree 07/2003
  • Residency
    • University of Miami / Jackson Memorial Hospital; Internal Medicine Residency, Department of Medicine, 6/2007 – 6/ 2010
  • Fellowship
    • Cleveland Clinic Foundation, Cleveland Ohio, Vascular Medicine Fellowship, Department of Cardiovascular Medicine. 7/2010-6/2011

Biosketch

Dr. Cires-Drouet is originally from Guayaquil, Ecuador and is a graduate of the University of Guayaquil School of Medicine. He completed his Internal Medicine training at Jackson Memorial Hospital at the University of Miami in Miami, Florida, and his Vascular Medicine Fellowship at the Cleveland Clinic in Cleveland, Ohio. Dr. Cires-Drouet is fluent in English and Spanish and is board certified in Internal Medicine and Vascular Medicine.

He is the medical director of the Pulmonary Embolism Response Team at the University of Maryland.  He is responsible for coordinate the medical care of the patients with pulmonary embolism admitted to the University of Maryland Midtown campus and follow them up in the post-pulmonary embolism clinic. The University of Maryland receives more than 300 PERT activations a year from 40 different hospital across the Mid-Atlantic region.

Dr. Cires-Drouet is the medical director of the Wound Healing Center at the University of Maryland Midtown campus.  The wound healing center serve about 6500 encounters per year for patients with multiple acute and chronic wounds.  The Wound Healing Center includes a multi-disciplinary team of general surgeons, internal medicine, vascular medicine, emergency medicine and nurse practitioners highly specialized in wound care and hyperbaric medicine.

Research/Clinical Keywords

Peripheral arterial disease, Deep vein thrombosis of the lower extremities, Deep vein thrombosis of the upper extremities, Vascular ultrasound images, Pulmonary embolism, residual thrombosis, chronic venous insufficiency, upper extremity deep vein thrombosis, anticoagulation, reduced left ventricular systolic function, racial and ethnicity disparities.

Highlighted Publications

Publications

  1. Cires-Drouet R, LaRocco A, Soldin D, John T, Toursavadkohi S, Nagarsheth K, Dahi S, Marsella J, Mayorga-Carlin M, Sorkin JD, Jones K, Haase D, Hong SN, Lal BK, Griffith B, Ramani G, Taylor B. Left ventricular systolic dysfunction during acute pulmonary embolism. Thromb Res. 2023 Mar;223:1-6. doi: 10.1016/j.thromres.2023.01.011. Epub 2023 Jan 20. PubMed PMID: 36689804.
  2. Cires-Drouet RS, Sama J, Han P, Jones K, Haase D, Miller T, Toursavadkohi S, Nagarsheth K, Alston L, Smedley A, Shanholtz C, Mayorga-Carlin M, Sorkin JD, Hong SN, Ramani G, Griffith B, Lal BK, Taylor B. Clinical outcomes and echocardiographic characteristics between African American and Caucasian patients with acute pulmonary embolism. Phlebology. 2022 Oct;37(9):678-685. doi: 10.1177/02683555221128120. Epub 2022 Sep 16. PubMed PMID: 36114157.
  3. Cires-Drouet RS, Nagarsheth K, Kaczorowski DJ, Toursavadkohi S, Deatrick K, Madathil RJ, Jones KM, Liskov S, Fitch J, Sayad M, Pasrija C, Mayorga-Carlin M, Herr D, Sorkin JD, Griffith B, Lal BK, Gammie JS. Catheter-based interventions versus medical and surgical approaches in acute pulmonary embolism. J Vasc Surg Venous Lymphat Disord. 2021 Nov;9(6):1382-1390. doi: 10.1016/j.jvsv.2021.02.015. Epub 2021 May 7. PubMed PMID: 33965609; PubMed Central PMCID: PMC9048149.
  4. Cires-Drouet RS, Durham F, Sharma J, Cheeka P, Strumpf Z, Cranston E, Xu C, Mayorga-Carlin M, Sorkin JD, Lal BK. Prevalence and clinical outcomes of hospitalized patients with upper extremity deep vein thrombosis. J Vasc Surg Venous Lymphat Disord. 2022 Jan;10(1):102-110. doi: 10.1016/j.jvsv.2021.05.007. Epub 2021 Jun 2. PubMed PMID: 34089941; PubMed Central PMCID: PMC9000923.

For a complete list of Dr. Cires-Drouet's publications, please visit the National Library of Medicine website.

Book Chapters

  1. Lal BK, Cires-Drouet R, Cerebrovascular Disease in the Elderly; Rabin Chaer; Vascular Disease in Older Adults. Springer 2017.
  2. Lal BK, Cires-Drouet R, Mozafarian M, Non-Invasive Vascular Diagnosis, AbuRhama Ali, Duplex Ultrasound Velocity Criteria in Carotid Artery Stenting Patients. 2017.
  3. Lal BK, Cires-Drouet R, Anagnostakos J., Duplex Ultrasound Velocity Criteria in Carotid Artery Stenting Patients. Non-Invasive Vascular Diagnosis. AbuRhama Ali, fourth edition, Springer 2020.

Additional Publication Citations

  1. Oliveros WJ., Sandoval C, Cires RS., Blum M., Tafur A., Transplante de celulas madre. Medicina. 2003 Jun; 1(9): 174-185 (Ecuador).
  2. Cires RS, Maya SV. Images in clinical medicine. Severe digital ischemia. N Engl J Med. 2007 Jul 5;357(1):52. doi: 10.1056/NEJMicm065845. PubMed PMID: 17611207.
  3. Cires RS, Patel H, Tamariz LJ, Hare JM, Zambrano JP. Effect of granulocyte-colony stimulating factor on systolic function of oncology patients. J Am Coll Cardiol. 2011 Jan 25;57(4):516-7. doi: 10.1016/j.jacc.2010.07.051. PubMed PMID: 21251592.
  4. Cires-Drouet RS, Mozafarian M, Ali A, Sikdar S, Lal BK. Imaging of high-risk carotid plaques: ultrasound. Semin Vasc Surg. 2017 Mar;30(1):44-53. doi: 10.1053/j.semvascsurg.2017.04.010. Epub 2017 Apr 27. Review. PubMed PMID: 28818258.
  5. Cires-Drouet R, Sharma J, McDonald T, Sorkin JD, Lal BK. Variability in the management of line-related upper extremity deep vein thrombosis. Phlebology. 2019 Sep;34(8):552-558. doi: 10.1177/0268355519827155. Epub 2019 Jan 31. PubMed PMID: 30704347; PubMed Central PMCID: PMC7012441.
  6. Cires-Drouet RS, Fangyang L, Rosenberger S, Startzel M, Kidwell M, Yokemick J, McDonald T, Carlin M, Sharma J, Sorkin JD, Lal BK. High prevalence of chronic venous disease among health care workers in the United States. J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):224-230. doi: 10.1016/j.jvsv.2019.10.017. PubMed PMID: 32067727; PubMed Central PMCID: PMC7375188.
  7. Cires-Drouet RS, Mayorga-Carlin M, Toursavadkohi S, White R, Redding E, Durham F, Dondero K, Prior SJ, Sorkin JD, Lal BK. Safety of exercise therapy after acute pulmonary embolism. Phlebology. 2020 Dec;35(10):824-832. doi: 10.1177/0268355520946625. Epub 2020 Jul 27. PubMed PMID: 32720853; PubMed Central PMCID: PMC8209689.
  8. Madathil R, Anagnostakos J, Pereira G, Hall M, Cires-Drouet RS. Current Management of Acute Pulmonary Embolism. Current Surgery Reports. 2021 May; 9(16). doi: 10.1007/s40137-021-00293-7.
  9. Tran D, Hays N, Shah A, Pasrija C, Cires-Drouet RS, Toursavadkohi SA, Mazzeffi MA, Herr DL, Madathil RJ, Gammie JS, Griffith BP, Deatrick KB, Kaczorowski DJ. Ultrasound-assisted catheter directed thrombolysis for pulmonary embolus during extracorporeal membrane oxygenation. J Card Surg. 2021 Aug;36(8):2685-2691. doi: 10.1111/jocs.15622. Epub 2021 May 12. Review. PubMed PMID: 33982349.
  10. Cires-Drouet RS, Nagarsheth K, Kaczorowski DJ, Toursavadkohi S, Deatrick K, Madathil RJ, Jones KM, Liskov S, Fitch J, Sayad M, Pasrija C, Mayorga-Carlin M, Herr D, Sorkin JD, Griffith B, Lal BK, Gammie JS. Catheter-based interventions versus medical and surgical approaches in acute pulmonary embolism. J Vasc Surg Venous Lymphat Disord. 2021 Nov;9(6):1382-1390. doi: 10.1016/j.jvsv.2021.02.015. Epub 2021 May 7. PubMed PMID: 33965609; PubMed Central PMCID: PMC9048149.
  11. Cires-Drouet RS, Durham F, Sharma J, Cheeka P, Strumpf Z, Cranston E, Xu C, Mayorga-Carlin M, Sorkin JD, Lal BK. Prevalence and clinical outcomes of hospitalized patients with upper extremity deep vein thrombosis. J Vasc Surg Venous Lymphat Disord. 2022 Jan;10(1):102-110. doi: 10.1016/j.jvsv.2021.05.007. Epub 2021 Jun 2. PubMed PMID: 34089941; PubMed Central PMCID: PMC9000923.
  12. Prasad NK, Boyajian G, Tran D, Shah A, Jones KM, Madathil RJ, Deatrick KB, Cires-Drouet R, Kaczorowski DJ. Veno-Arterial Extracorporeal Membrane Oxygenation for Pulmonary Embolism after Systemic Thrombolysis. Semin Thorac Cardiovasc Surg. 2022 Summer;34(2):549-557. doi: 10.1053/j.semtcvs.2021.04.004. Epub 2021 May 8. PubMed PMID: 33974966.
  13. Cires-Drouet RS, Sama J, Han P, Jones K, Haase D, Miller T, Toursavadkohi S, Nagarsheth K, Alston L, Smedley A, Shanholtz C, Mayorga-Carlin M, Sorkin JD, Hong SN, Ramani G, Griffith B, Lal BK, Taylor B. Clinical outcomes and echocardiographic characteristics between African American and Caucasian patients with acute pulmonary embolism. Phlebology. 2022 Oct;37(9):678-685. doi: 10.1177/02683555221128120. Epub 2022 Sep 16. PubMed PMID: 36114157.
  14. Hayssen H, Cires-Drouet R, Englum B, Nguyen P, Sahoo S, Mayorga-Carlin M, Siddiqui T, Turner D, Yesha Y, Sorkin JD, Lal BK. Systematic review of venous thromboembolism risk categories derived from Caprini score. J Vasc Surg Venous Lymphat Disord. 2022 Nov;10(6):1401-1409.e7. doi: 10.1016/j.jvsv.2022.05.003. Epub 2022 Aug 2. Review. PubMed PMID: 35926802; PubMed Central PMCID: PMC9783939.
  15. Cires-Drouet R, LaRocco A, Soldin D, John T, Toursavadkohi S, Nagarsheth K, Dahi S, Marsella J, Mayorga-Carlin M, Sorkin JD, Jones K, Haase D, Hong SN, Lal BK, Griffith B, Ramani G, Taylor B. Left ventricular systolic dysfunction during acute pulmonary embolism. Thromb Res. 2023 Mar;223:1-6. doi: 10.1016/j.thromres.2023.01.011. Epub 2023 Jan 20. PubMed PMID: 36689804.
  16. Celestin C, Cires-Drouet RS, Osinbowale O. Diversity, Equity, and Inclusion Task Force initiatives within the Society for Vascular Medicine: Current status and future challenges. Vasc Med. 2023 Jun;28(3):185-187. doi: 10.1177/1358863X231175930. PubMed PMID: 37293739.

For a complete list of Dr. Cires-Drouet's publications, please visit his My Biography page on the National Library of Medicine website.

Research Interests

As a Vascular Medicine specialist, Dr. Cires-Drouet interests are focused on coagulation and thrombosis, hypercoagulable states, thrombembolic disease, IVC filters, peripheral vascular disease, arterial aneurysms, chronic venous insufficiency, sclerotherapy, lymphedema, vasculitis, vasospastic disorders, and vascular laboratory.

Dr. Cires-Drouet is a physician-scientist, who is NIH and industry funded. He has a great interest in venous thromboembolic disease and venous insufficiency. He is the site Principal Investigator for an international multicenter study “A randomized trial of ultrasound-facilitated, catheter-directed, thrombolysis versus anticoagulation for acute intermediate-high risk pulmonary embolism: The higher-risk pulmonary embolism thrombolysis study. HI-PEITHO trial”; to evaluate the benefit of catheter-directed thrombolysis in patients with intermediate high risk pulmonary embolism.

Dr. Cires-Drouet is also interested in thrombus resolution, he is the principal investigator of an Investigator Initiated Study that is looking for the role of Macitentan (a pulmonary vasodilator) to enhance thrombus resolution in the lungs after a pulmonary embolism, MAC-PRO trial. Dr. Cires-Drouet is interested in venous insufficiency, and he obtained a R21 award from the NIH to study “The Role of compression stockings in heart failure patients”, ROCK-HF trial.

Awards and Affiliations

Awards

  • -NHLBI Training Grant in Cardiovascular Signaling; Cardiovascular Research Symposium; first placeClinical Science Poster Presentation Award. March 12th, 2009

Afiliations:

  • Member of "Colegio de Medicos del Guayas" since 2003
  • American Medical Association since 2007 No. 31903030022
  • American College of Physicians since 2010 No. 01478799
  • Society of Vascular Medicine since 2011.
  • American Registry for Diagnostic Medical Sonography; since 2011, No. 157648

Grants and Contracts

  • A randomized trial of ultrasound-facilitated, catheter-directed, thrombolysis versus anticoagulation for acute intermediate-high risk pulmonary embolism: The higher-risk pulmonary embolism thrombolysis study. HI-PEITHO trial. International multicenter study. Position: Site Principal Investigator. Funded by Boston Scientific.
  • The role of MACitentan on the prevention of residual Pulmonary vasculaR Occlusion (MAC-PRO). Position: Sponsor-Principal Investigator (Investigator-Initiated Study). Funded by Janssen.
  • The ROle of Compression StocKings in Heart Failure Patients. ROCK-HF. Principal Investigator. Funded by National Institutes of Health / National Institute on Aging.

UMMS Physician Profile Video

Recorded by University of Maryland Medical System on April 2018

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