Qualitative impact of the endovascular era on vascular surgeons' comfort level and enjoyment with open and endovascular AAA repairs.

Publication/Presentation Date

2-1-2012

Abstract

OBJECTIVE: To evaluate the qualitative impact of training in the endovascular era (post-2000) on vascular surgeons' comfort level and enjoyment with abdominal aortic aneurysm (AAA) repairs.

METHODS: A sample of vascular surgeons (n = 1754) were sent a survey pertaining to their fellowship training and practice of AAA repair. The influence of training- and practice-related variables on qualitative outcomes was assessed.

RESULTS: A total of 382 (22%) surgeons completed the survey. Surgeons who performed more endovascular aneurysm repairs (EVARs) than open AAA repairs were more likely to enjoy EVAR (P < .001). Those completing fellowship after 2000 reported a higher level of procedure-related comfort with EVAR (P = .001) compared to those completing fellowship before 2000. Conversely, surgeons completing fellowship before 2000 reported a higher level of procedure-related comfort with open AAA repair (P = .001).

CONCLUSION: The advent of EVAR has changed fellowship training of AAA repair and has translated into changes in both practice patterns and comfort level.

Volume

46

Issue

2

First Page

150

Last Page

156

ISSN

1938-9116

Disciplines

Medicine and Health Sciences

PubMedID

22308208

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article

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