DoctorPicVascular Surgeon

Certified in General Surgery by the American Board of Surgery

Certified in Vascular Surgery by the American Board of Surgery

Associate Professor of the Surgery Department, Medicine Program of the Ponce School of Medicine

Director of General Surgery Residency

President & Founder of Caribbean Vascular Center  

Past-President of the Society of Vascular and Endovascular Surgeons of Puerto Rico

         

 

 

AREAS OF INTERES

  • Endovascular therapy of thoracic and abdominal aortic pathology
  • Cerebrovascular interventions
  • Peripheral vascular interventions
  • Thrombolytic therapy for proximal deep venous thrombosis
  • Venous re canalization
  • Research and academics

 

UNDERGRADUATE EDUCATION

7/90-6/95 Universidad de Puerto Rico-RUM, Mayagüez, P.R.

 

ACADEMIC APPOINTMENT

07/05-06/06 Assistant Professor of Surgery, North East Ohio University College of Medicine, Youngstown, OH

08/2009… Assistant Professor of Surgery, Ponce School of Medicine; Ponce, PR

07/2010… Program Director AppointmentGeneral Surgery Residency
Hospital Episcopal San Lucas- Ponce School Of Medicine Consortium

2014… Associate Professor of Surgery Department, Medicine, Program of the Ponce School of Medicine and Health Sciences

2014… Assistant Professor of Clinical Medicine, University of Medicine and Health Sciences
St. Kitts (UMHS)

 

ADMINISTRATIVE POSITIONS

04/2010-11 President, Vascular Surgery Chapter of “Colegio de Médicos Cirujanos de Puerto Rico”

06/2010-11 Vice President, Consejo de Disciplinas Medicas, Colegio de Medicos Cirujanos de Puerto Rico

11/2010-2013 President, Sociedad de Cirujanos Vasculares y Endovasculares de Puerto Rico

10/2012 Vocal, Asociación Latinoamericana de Cirugía Vascular y Angiología

01/2015 Secretary of American College of Surgeons – Chapter of Puerto Rico

 

MEDICAL EDUCATION

07/06-06/08 Vascular Resident, Jobst Vascular Center, Toledo, OH

07/02-06/06 General Surgery Residency, Western Reserve Care System, Youngstown, OH

06/03-06/05 Cancer Fellow, Forum Health Cancer Care Center, Youngstown, OH.

07/00-06/02 General Surgery Residency, Mayaguez Medical Center-HREB, Mayagüez, Puerto Rico

07/99-06/00 New York Medical College, Valhalla, NY

07/95-06/99 Universidad Autónoma de Guadalajara, Mexico

 

HONORS AND AWARDS

12/18/2001 3rd place, Case Presentation, First Scientific Encounter, Mayaguez Medical Center-HREB, Mayaguez, Puerto Rico

02/23/2008 Servier Traveling Fellowship Award at the 20th American Venous Forum

2011 The Doctors’ Choice Award, Buena Vida Magazine. Recognition for being selected by peers as one of the most outstanding doctors.

2014 2nd place “Raffucci Lecture” Award from American College of Surgeon

 

LICENSE AND CERTIFICATION

01/2014 Registered Physician in Vascular Interpretation (RPVI)

05/2009 Board Certified in Vascular Surgery

04/2008 Board Certified in General Surgery

12/2004 Medical License State of New York, No 227363-1 (Inactive)

04/2002 Medical License Puerto Rico, No 14241

04/2006 Medical License State of Ohio, No 35.087567 (Inactive)

 

ASSOCIATIONS AND MEMBERSHIPS

07/2008 Member, Vascular Endovascular Surgical Society

05/2008 Member, Society for Clinical Vascular Surgery

07/2006 Member, Society for Vascular Surgery

11/2010 Joint Director, Sociedad de Cirujanos Endovasculares de Puerto Rico

02/2010 Member, American Venous Forum

11/2010 Fellow of the American College of Surgeons

02/2011 Member American College of Surgeons Puerto Rico Chapter

10/2012 Asociación Latinoamericana de Cirugía Vascular y Angiología

10/2013 Member, Sociedad Vascular de Habla Hispana

1/2014 Member, Asociación Médica de Puerto Rico

 

ABSTRACTS AND PRESENTATIONS

1. Martinez JL. Gastrointestinal Stromal Tumor. First Regional Scientific Encounter, Ponce School of Medicine, April 4, 2001.

2. Martinez JL, Lopez R. Hernias, Prosthetic Materials, and Infection Complications. Grand Round Series, Western Reserve Care System, September 9, 2002.

3. Martinez JL, Dawood M, Schmetterer L. Lymph Node Biopsy or Systematic Lymph Node Dissection in Resectable Non-small Lung Cancer; What Shall We Do? 2003 North East Ohio University College of Medicine Surgery Residents Research Day, April 4, 2003.

4. Martinez JL, Smith J. The Anatomy of Liver Metastasis. Grand Round Series, Western Reserve Care System, February 2, 2004.

5. Martinez JL, Hirko MK. Safety and Efficacy of Infra Renal Abdominal Aortic Aneurysm Stent Repair in the Community Setting. 2005 North East Ohio University College of Medicine Surgery Residents Research Day, 2005

6. Martinez Trabal JL. Isolated segmental pharmacomechanical thrombolysis for the treatment of iliofemoral venous thrombosis. Presented at European Venous Forum, Istanbul, Turkey, July 2007.

7. Martinez Trabal JL, Paolini D, Comerota AJ. Chest and abdominopelvic CT scans are important tools for evaluating patients with idiopathic iliofemoral venous thrombosis. Presented at Peripheral Vascular Surgical Society, June 2008.

8. Martinez Trabal JL, Comerota AJ, Kazanjian S, DiSalle R, Sepanski D, Assi Z. The quantitative benefit of isolated, segmental, pharmacomechanical thrombolysis for iliofemoral DVT. Presented at American Venous Forum September 2007. (Servier Traveling Fellowship Award)

9. Martinez Trabal JL, Comerota AJ, Kazanjian S, DiSalle R, Sepanski D, Assi Z. The quantitative benefit of isolated, segmental, pharmacomechanical thrombolysis for iliofemoral DVT. Presented at European Venous Forum July 2008. (Servier Traveling Fellowship Award)

10. Martinez Trabal JL, (Servier Traveling Fellowship Award-Interim Report) American Venous Forum, February 2009

11. Martinez Trabal JL, Evidence Based Approach to Peripheral Vascular Disease; St. Lukes Hospital Symposium. December 2008

12. Figueroa Vicenty R, Torruella L, Martinez Trabal JL Catheter Directed Thrombolysis (CDT) for the Treatment of Proximal (Iliofemoral and Caval) Deep Venous Thrombosis, Should be Standard of Care in Puerto Rico. American College of Physicians Puerto Rico Chapter Annual meeting. March 2010 (1st price on paper presentation)

13. Martinez Trabal JL, Anatomical Clasification and Indvdualized Treatment of Venous Thromboembolism; St Lukes Hospital Symposium June 2010

14. Martinez Trabal JL, Prompt Diagnosis and Treatment of Venous Thromboembolism for the Emergency Physcian; 4th Scientific Annual Metting and Convention, Emergency Medicine-Ponce School of Medicine, June 2010

15. Martinez Trabal JL, Management of Proximal DVT International Radiology Society, Santiago, Chile 2010

16. Figueroa Vicenty R, Torruella L, Martinez Trabal JL, Jugular Venous Access for IFDVT Does not Cause Mechanical Damage to Valves; Rafucci Lecture ACS- PR chapter 2011

17. Martinez Trabal JL, Acute Mesenteric Ischemia, Management and Prognosis; Grand Round ER Residency Hospital Episcopal San Lucas (05/2012)

18. Martinez Trabal JL, Venous Thromboembolism Prevention and Management in the OB-GYN Patient; OB-GYN Residency Grand Round Hospital Episcopal San Lucas (03/2012)

19. Torres I, Martinez Trabal JL, Novel U/S Guided Perforator Phlebectomy, Technical Success and Initial Follow Up; Poster presentation at American College of Surgeons Puerto Rico Chapter 02/2012 (Third Place)

20. Martinez Trabal JL, Management of Carotid Artery Disease; Endo Summit (06/2012)

21. Torres C, Martinez Trabal JL, Hybrid Operative Venous Thrombectomy, initial results and Mid Term Follow Up Submitted to American Venous Forum (2013)

22. Martinez Trabal JL, Venous Disease Clasification, Diagnosis and Symptomatic Relief; Surgical Ground Round Series University of Puerto Rico General Surgery Residency 08/2012

23. Martinez Trabal JL, Venous Thromboembolism Diagnosis, Clasification and Treatment; Surgical Ground Round Series University of Puerto Rico General Surgery Residency 08/2012

24. Martinez Trabal JL, Venous Disease Clasification, Diagnosis and Symptomatic Relief; Sociedad de Cirujanos Endovasculares de Puerto Rico Anual Convention (04/2012)

25. Martinez Trabal JL, Percutaneous Treatment with Radio Frequency of the Superficial Veins, NACET Symposium (04/2012)

26. Martinez Trabal JL, Operative Venous Thrombectomy, Is There Room for It in Todays Medicine? Asociación Latinoamericana de Cirugía Vascular y Angiología (Bolivia 10/2012)

27. Martinez Trabal JL, Stent Carotidio, XIV Convencion de Cirujanos Vasculares de Habla Hispana (10/2013)

28. Martinez Trabal JL, Carotid Diseased Next Step in Decision Making, Damas Hospital Yearly Simposium (05/2014)

29. Martinez Trabal JL, Avoiding Venous Thromboembolism; Hospital Association Puerto Rico, San Juan, PR (06/2014)

30. Santini Rafael MD, Velez Waika MD, Martinez Trabal JL MD FACS, Vascular Surgery Division Ponce School of Medicine and St Luke’s Episcopal Hospital Ponce, Puerto Rico; Effective Reducing Recurrence of Venous Ulcerations with Radiofrequency Ablation of the Greater Saphenous Veins (GSV) in Patients with a CEAP Class 5 at the American College of Surgeons – San Francisco, CA (2014)

31. Martinez Trabal JL, Challenging Cases Presentation with Experts Panel Discussion: DVT and PE, presenting along with Dr. Colleen More; Chicago Vascular Conference (07/2014)

32. Martinez Trabal JL, RF vs. Laser Ablation for the Treatment of Great Saphenous Reflux: Results of the Recovery Trial; Chicago Vascular Conference (07/2014)

33. Martinez Trabal JL, Promoting AVF Maturation: Surgery or Angioplasty?; Chicago Vascular Conference ( 07/2014)

34. Martinez Trabal JL, Diagnosis, Classification and Treatment of Thromboembolic Events; Congreso Colegio Medicos Cirujanos de Puerto Rico (12/2014)

35. Rodriguez L MD, Aponte Francisco MD, Figueroa Ricardo MD, Martinez Trabal JL MD FACS; Intermediate Results for Hybrid Operative Thrombectomy (HOT) in the Treatment of Acute Ileofemoral Deep Vein Thrombosis; American Venous Forum at Palm Spring, CA (02/2015)

36. Martinez Trabal JL, Endovenous Thermal Ablation: Improving Outcomes and Avoiding Complications; Chicago Vascular Conference (7/2015)

37. Martinez Trabal JL, Nerve Injury and Other Complications of Thermal Ablation; Chicago Vascular Conference (07/2015)

38. Martinez Trabal JL, Panelist of Deep Venous Diseases III, Superficial Venous Disease I and Superficial Venous Disease II; Chicago Vascular Conference (07/2015)

39. Rodriguez Limael MD; Ramirez Jonathan MD, Martinez Trabal JL MD FACS; Neovascularization After Lower Extremity Arterial ByPass Surgery (2015)

 

PUBLICATIONS
1. Martinez Trabal JL, Pigott JP, Comerota MD. Use of the abdominal aorta as an alternative access site for thoracic aortic stent-graft placement. Vascular Endovascular Surgery. 2008, Jul 11

2. Martinez Trabal JL, Comerota AJ, Assi ZI, DiSalle R, Sepanski DM. Isolated segmental pharmacomechanical thrombolysis for the treatment of iliofemoral venous thrombosis. Phleblology 2007;22 (5):223-242.

3. Martinez Trabal JL; Cervical Hematoma Following Carotid Endarterectomy; Association of Program Directors In Vascular Surgery; March, 2007

4. Comerota AJ, Martinez Trabal JL. Catheter-directed thrombolysis for treatment of acute deep venous thrombosis. In: Gloviczki P, ed. Handbook of Venous Disorders. 3rd ed. London: Hodder Arnold Health Sciences; 2008

5. Comerota AJ, Martinez Trabal, JL, Kazajian S, DiSalle R, Sepanski DM, Assi ZI. Isolated segmental pharmacomechanical thrombolysis for the treatment of iliofemoral venous thrombosis. In: Greenhalgh R, ed. Vascular and Endovascular Consensus 2008; in press

6. Martinez Trabal JL, Comerota AJ, Kazanjian S, DiSalle R, Sepanski D, Assi Z. The quantitative benefit of isolated, segmental, pharmacomechanical thrombolysis for iliofemoral DVT. Journal Of Vascular Surgery. 2008, Sep 18

7. Grewal NK, Martinez Trabal JL, Andrews L, Comerota AJ; Quantity of clot lysed after catheter-directed thrombolysis for iliofemoral DVT correlates with post-thrombotic morbidity. Journal Of Vascular Surgery. 2010, May; Vol 51, 5, 1209-1214

8. Martinez Trabal JL; Aneurisma El Asesino Silencioso; Galenus (Puerto Rico Medical Journal); November 2010

9. Thakur S, Comerota AJ, Martinez Trabal JL, Disalle R, Kazanjian SN, Sepanski DM, Assi Z; Strategy Of Thrombus Removal For Iliofemoral DVT of Pregnancy; Journal of Thrombosis and Hemostasis 2009; Vol 77, Supplement 2 PP-TH 376

10. Grewal NK, Martinez Trabal JL, Andrews L, Comerota AJ; Post-thrombotic syndrome correlates with residual thrombus following catheter-directed thrombolysis for iliofemoral DVT ; Journal Of Vascular Surgery. 03/2012, vol 55, 3, 768-773

11. Martinez Trabal JL; Eventos Tromboembólicos Venoso: Como Salvar Vidas O mejorar la Calidad de Vida de los Afectados; Galenus (Puerto Rico Medical Journal); April 2012

12. Martinez Trabal JL; Venous Thromboembolism, Can We Improve Outcomes; ER Residency Yearly Conference; March 2009
13. Martinez Trabal JL; Pathophysiology of Venous Ulceration; Presented at Ponce Wound Care Symposium; January 2010

14. Martinez Trabal JL; Venous Thromboembolism, Individualized Prevention Startegy; Presented at HESL Department Meetings 2010

15. Martinez Trabal JL; Venous Thromboembolism, Anatomical Classification and Individualize Treatment; HESL Symposium; May/2010

16. Martinez Trabal JL; Venous Thromboembolism Diagnosis, Classification and Treatment; ER Residency Annual Symposium; June 2010

17. Martinez Trabal JL; Treating Iliofemoral DVT to Improve Outcomes; Presented at Sociedad Iberoamericana de Intervencionistas; October/2010

18. Martinez Trabal JL; Percutaneous Treatment of Superficial Veins (Radio Frequency Ablation); Presented at NACET Congress, San Juan PR 2011

19. Martinez Trabal JL; Limb Loss, How Did We Get Here and How to Prevent It; Presented at Amputation Prevention Strategies, San Juan PR, October 2011

20. Martinez Trabal JL; A Story of Critical Limb Ischemia; Presented at PR Podiatry Society Meeting; October 2011

21. Martinez Trabal JL; Atherosclerosis, Limb Loss or Stroke Risk factors Modification and Treatment; Presented at San Lucas Symposium; January 2011

22. Martinez Trabal JL; Prevention, Management and Follow up of Abdominal Aortic Aneurysm, Are we Changing In the Endovascular Era; American College of Surgeons, PR Chapter Meeting; February/2011

23. Martinez Trabal JL; Venous Thromboembolism Diagnosis, Classification and Treatment; Damas Hospital Annual Symposium; May/2011

24. Martinez Trabal JL; Venous Ulceration, Diagnosis, Treatment and Preventing Recurrences; Regional Hospital Trinidad and Tobago; November/2011

25. Martinez Trabal JL; Non Invasive Evaluation, Duplex, Doppler or Physiologic Testing; Presented at PR Podiatry Society Annual Meeting, February 2012

26. Martinez Trabal JL; Limb Loss, How Did We Get Here and How to Prevent It; Presented at PR Podiatry Society Annual Meeting, February 2012

27. Martinez Trabal JL; Evidence Based Approach to Peripheral Artery Disease; Presented to Students 3rd Year level Surgery Rotation 2009- present

28. Martinez Trabal JL; Hybrid Operative Venous Thrombectomy; International Society of Endovascular Specialist; 12/2011

29. Martinez Trabal JL; Venous Thromboembolism, Individualized Prevention Strategies in OB-GYN Patients; 03/2012

30. Nicolaides Et al, Martinez Trabal JL (Corresponding Author); Prevention and Treatment of Venous Thromboembolism; International Consensus Statement (Guidelines according to scientific evidence) Submitted for publication

31. Rodriguez, L. E., F. Aponte-Rivera, R. Figueroa Vicente, and J. L. Martinez Trabal. “Hybrid Operative Thrombectomy for the Treatment of Symptomatic Iliofemoral Deep Venous Thrombosis: Initial Experience and Midterm Results.” Journal of Vascular Surgery: Venous and Lymphatic Disorders 3, no. 1 (2015): 131.

 

RESEARCH EXPERIENCE

1. Primary Investigator: Ernest Perry, MD
 A Multicenter, Double Blind, Randomized, Phase 3 Study to Compare the Safety and Efficacy of Intravenous Dripenem with that of Meropenen in Complicated Intra-abdominal Infections. Forum Health.

2. Primary Investigator: Jorge L. Martinez-Trabal, MD
Safety and Efficacy of Infra Renal Abdominal Aortic Aneurysm Stent Repair in the Community Setting. Forum Health, 2004.

3. Primary Investigators: Jorge L. Martinez-Trabal, MD
Lymph Node Biopsy or Systematic Lymph Node Dissection in Resectable Non Small Cell Lung Cancer: What Shall We Do? Forum Health, 2003.

4. Primary Investigator: Fernando Bird, PhD
Field research, animal studies. Universidad de Puerto Rico-RUM, 1995.

Primary Investigators: Fernando Bird, PhD.
Field research, animal studies. Universidad de Puerto Rico-RUM, 1994.

6. Primary Investigators: Osvaldo Agrait
Field research, biology. United States Department of Agriculture, 1986.

7. Primary Investigator: Anthony J. Comerota, MDA Sequential Phase I/II Dose Escalation and Dose Selection Safety Study of Regional Intra-thrombus Plasmin (Human) Infusion In Acute Lower Extremity Native Artery or Bypass Graft Occlusion. Talecris Biotherapeutics, Inc. 2007

8. Primary Investigator: Anthony J. Comerota, MD
A Phase 2, randomized, double-blind, placebo-controlled, parallel-group, multicenter, dose-selection study of Ad2/Hypoxia inducible factor (HIF)-1alpha/VP16 in patients with intermittent claudication. Protocol number: PADHIF00704. Genzyme Corporation 2005-08

9. Anthony J. Comerota, MD – Principal Investigator
Evaluation of FM220 in Patients with Peripheral Arterial Disease. FlowMedic (USA), Inc 2007 – 2009

10. Anthony J. Comerota, MD – Principal Investigator
Exercise Vs. Endoluminal Revascularization (CLEVER). National Institutes of Health, National Heart Lung and Blood Institute, University of Minnesota and Rhode Island Hospital (additional support: Otsuka Pharmaceuticals, Boston Scientific, Cordis/Johnson&Johnson, Guidant Corporation, Krames, Omron) 2006-2009

11. Anthony J. Comerota, MD – Principal Investigator
A Randomized, Single Blind Trial to Assess the Effectiveness of Maintaining Patency and Safety of the Vascular Wrap Paclitaxel-Eluting Mesh after Surgical Implantation with the Lifespan ePTFE Vascular Graft in the Upper Extremity for Hemodialysis Vascular Access. Angiotech 2007 – 2008

12. Anthony J. Comerota, MD – Principal Investigator
Use of TRC Autologous Bone Marrow Cells in Patients with Peripheral Arterial Disease to Treat Critical Limb Ischemia. Aastrom Biosciences, Inc. 2007 – 2009

13. Anthony J. Comerota, MD – Principal Investigator
A Randomized Double-Blind Placebo-Controlled Parallel Group Study of the Efficacy and Safety of 4 Administrations of XRP0038/NV1FGF 4mg at 2–Week Intervals on Amputation or any Death in Critical Limb Ischemia Patients with Skin Lesions. Sanofi Aventis 2007 –2010

14. Anthony J. Comerota, MD – Principal Investigator
A Phase III, Randomized, Double-Blind, Parallel-Group study To Evaluate the Efficacy and Safety of Oral Dabigatran Etexilate Compared To Warfarin for 6-month Treatment of Acute Symptomatic Venous Thromboembolism Following Initial Treatment with a Parenteral Anticoagulant Approved For This Indication. Boehringer Ingelheim Pharmaceuticals, Inc. 2006 – 2008

15. Anthony J. Comerota, MD – Principal Investigator
A phase III, randomized, multi-center, double-blind, parallel-group, active controlled study to evaluate the efficacy and safety of oral dabigatran etexilate (150 mg bid) compared to warfarin (INR 2.0-3.0) for the secondary prevention of venous thromboembolism. RE-MEDY. Boehringer Ingelheim Pharmaceuticals, Inc. 2006 – 2009

16. Anthony J. Comerota, MD – Principal Investigator
Clinical study Assessing SSR126517E Injections Once-weekly in Pulmonary Embolism therapeutic Approach (An International, multicenter, randomized, double-blind, double-dummy, parallel group, study of 3-month or 6-month treatment with SSR126517E (3.0 mg s.c. once weekly) versus oral INR-adjusted warfarin in the treatment of patients with symptomatic pulmonary embolism, with or without symptomatic deep venous thrombosis.) sanofi-aventis U.S. Inc., a member of the sanofi-aventis group 2006 – 2009

17. Anthony J. Comerota, MD – Principal Investigator
A Phase 3b, Open-Label, Single-Group Immunogenicity and Safety Study of Topical Recombinant Thrombin (rThrombin) in Surgical Hemostasis. ZymoGenetics, Inc 2007-2009

18. Jorge L. Martinez Trabal, MD – Principal Investigator
Clinical Research with IRB approval from Ponce School of Medicine, ongoing on the techniques for catheter directed thrombolysis through Jugular vein approach for Iliofemoral DVT. Presented at American Venous Forum

19. Jorge L. Martinez Trabal, MD – Principal Investigator Clinical Research with IRB approval from Ponce School of Medicine, ongoing on novel ultrasound guided ablation of perforating veins. Presented at American College of Surgeons, PR Chapter-Poster Session

20. Jorge L. Martinez Trabal, MD – Principal InvestigatorClinical Research with IRB approval from Ponce School of Medicine, ongoing on the effects of a hospital wide initiative for thrombo prophylaxis; combining efforts between physicians and nursing personal. 2008

21. Jorge L. Martinez Trabal, MD – Principal Investigator Systemic Effects of Catheter Directed Thrombolysis for Iliofemoral DVT, SIRS Model; Clinical Research with IRB approval from Ponce School of Medicine

22. Jorge L. Martinez Trabal, MD – Principal Investigator Radio Frequency Ablation Effectively Avoids Recurrence of venous ulceration

23. Jorge L. Martinez Trabal, MD – Principal Investigator Hybrid Operative Venous Thrombectomy Safety and Feasibility Study

24. Limael Rodriguez, MD; Francisco Aponte-Rivera, MD; Ricardo Figueroa-Vicente, MD; Jorge L. Martinez Trabal, MD, FACS
Hybrid Operative Thrombectomy (HOT) for the Treatment of Symptomatic Iliofemoral Deep Venous Thrombosis: Initial Experience and Intermediate Results. June 2015. PRHSJ. Vol.34. No. 2.

 

 VOLUNTEER EXPERIENCE

10/05-10/05 Member, surgical team for “Hospital de la Familia” Foundation. Nuevo Progreso, Guatemala.

05/98-06/98 Member, medical/surgical volunteer. American Red Cross, Tijuana,
Mexico.