Impact of Endovascular Technique in Vascular Surgery Training at a Large University Hospital in Brazil

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author PUECH-LEAO, Pedro FMUSP-HC
WOLOSKER, Nelson FMUSP-HC
ZERATI, Antonio E. FMUSP-HC
NASCIRNENTO, Luciano D. FMUSP-HC
dc.date.issued 2011
dc.identifier.citation JOURNAL OF SURGICAL EDUCATION, v.68, n.1, p.19-23, 2011
dc.identifier.issn 1931-7204
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/22540
dc.description.abstract OBJECTIVES: The aim of this study was to determine the impact of endovascular surgery versus open vascular technique training in a Brazilian teaching service. DESIGN: Cross-sectional study. SETTING: Hospital das Clinicas-Faculty of Medicine University of Sao Paulo, a tertiary institutional hospital Brazil. PARTICIPANTS: We reviewed 1,040 arterial operations performed during 2 distinct time periods: January 1995 to December 1996, and January 2006 to December 2007. Based on the disease treated, the procedures were classified into the following 5 groups: abdominal aortic aneurysms (AAA), aorto-iliac obstructive disease (Al), obstructive disease of the femoropoplitealtibial segment (FP), carotid disease (C), and others (0). The operations were also divided into an endovascular surgery (ES) group and an open surgery (OS) group. We compared the number of open and endovascular procedures for each arterial disease group during both periods. RESULTS: During the 2006-2007 period, 654 patients were treated surgically, whereas over the 1995-1996 period, 386 arterial operations were performed. A. significant increase in endovascular procedures (p < 0.001) was found from the 1995-1996 period to the 2006-201)7 period (35 vs 351, respectively) in all groups, whereas open surgery showed a slight increase in the number of procedures in the AAA and 0 groups only. In the 1995-1996 period, OS was the primary surgical method for all groups, but in the 2006-2007 time frame, OS was performed more frequently than ES only in the AAA and 0 groups. Considering all vascular disease groups, OS was the technique used in 90.9% (351 of 386) of the operations during 1995-1996, whereas in 2006-2007, OS was performed in only 46.3% (303 of 654) of the procedures. CONCLUSIONS: The increase in the number of ES observed over the past decade has had little impact on OS procedures performed at our medical center, not bringing harm to open surgical training. (J Surg 68:19-23.
dc.language.iso eng
dc.publisher ELSEVIER SCIENCE INC
dc.relation.ispartof Journal of Surgical Education
dc.rights restrictedAccess
dc.subject vascular surgical procedures; vascular diseases; minimal surgical procedures; medical education
dc.subject.other carotid-endarterectomy; cerebral protection; angioplasty; repair
dc.title Impact of Endovascular Technique in Vascular Surgery Training at a Large University Hospital in Brazil
dc.type article
dc.rights.holder Copyright ELSEVIER SCIENCE INC
dc.description.group LIM/28
dc.identifier.doi 10.1016/j.jsurg.2010.08.002
dc.identifier.pmid 21292210
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author PUECH-LEAO, Pedro:FM:MCG
hcfmusp.author WOLOSKER, Nelson:FM:MCG
hcfmusp.author ZERATI, Antonio E.:HC:ICESP
hcfmusp.author NASCIRNENTO, Luciano D.:HC:ICHC
hcfmusp.origem.id 2-s2.0-79551549342
hcfmusp.origem.id WOS:000287424900005
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 9
hcfmusp.citation.wos 8


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