Implementation of a successful endovascular surgical program in a non-teaching tertiary-care centre in Ontario

Endovascular surgical techniques have become an accepted standard of care for high-risk patients with abdominal aortic aneurysms and for certain patients with thoracic aortic pathology and peripheral arterial aneurysms. In Canada, endovascular surgery has been concentrated in tertiary-care academic...

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Bibliographic Details
Published inCanadian Journal of Surgery Vol. 47; no. 3; pp. 182 - 188
Main Authors Willoughby, Rod P N, Fenton, John A, Pudupakkam, Santosh R, Greco, Robert A, Roberts, Evan W D, DeRose, Guy, Kribs, Stewart
Format Journal Article
LanguageEnglish
Published Canada CMA Impact, Inc 01.06.2004
Canadian Medical Association
Subjects
Aged
Aged, 80 and over
Aneurysm - surgery
Female
Financial Support
Health care
Hospitals
Humans
Industry
Male
Middle Aged
Models, Organizational
Ontario
Original
Outcome Assessment (Health Care)
Patient Care Team
Patient Selection
Preceptorship
Program Development
Program Evaluation
Stents
Surgery Department, Hospital - organization & administration
Vascular surgery
Vascular Surgical Procedures - education
Vascular Surgical Procedures - organization & administration
Ontario
Ontario Canada
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Summary:Endovascular surgical techniques have become an accepted standard of care for high-risk patients with abdominal aortic aneurysms and for certain patients with thoracic aortic pathology and peripheral arterial aneurysms. In Canada, endovascular surgery has been concentrated in tertiary-care academic teaching institutions. As the technology evolves and as expertise advances, the applicability of endovascular techniques will expand. With time, and as the demand for endovascular techniques rises, this expertise will increasingly need to be delivered by dedicated vascular surgical services in nonteaching institutions. The dissemination of endovascular surgical capabilities represent a unique challenge. We report the successful implementation of an endovascular surgical program in a tertiary-care nonteaching institution using a carefully planned preceptorship model. We review our initial 49 cases and discuss 6 factors important to the successful establishment of an endovascular surgical service: education, teamwork, strict selection of patients, use of a single stent-graft manufacturer, industry support and endovascular preceptorship. Our experience may be used as a model by other institutions in Canada.
Bibliography:ObjectType-Article-1
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ISSN:0008-428X
1488-2310