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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| Veröffentlicht in: | Canadian Journal of Surgery 2004-06, Vol.47 (3), p.182-188 |
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| container_title | Canadian Journal of Surgery |
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| creator | Willoughby, Rod P N Fenton, John A Pudupakkam, Santosh R Greco, Robert A Roberts, Evan W D DeRose, Guy Kribs, Stewart |
| description | 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. |
| format | Article |
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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. 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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. 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| ispartof | Canadian Journal of Surgery, 2004-06, Vol.47 (3), p.182-188 |
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| 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 |
| title | Implementation of a successful endovascular surgical program in a non-teaching tertiary-care centre in Ontario |
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