Sub-specialty Program of Vascular Surgery

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Vascular Surgery Sub-specialty is a subdivision of the field of general surgery; therefore all participants should be qualified as board certified general surgeons.

Mission:

At the end of the course, all trainees should be oriented to all up-to-date activities of the field of vascular and endovascular surgery, including clinical and research activities.

 

Clinical activities:

Trainees should participate in all activities related to diagnosis and management of patients including the following:

  • Professional medical history taking
  • Interpreting all clinical, paraclinical and imaging data studies (CTA, MRA, etc.)
  • Diagnostic procedures (Doppler ultrasonography, DSA and Venography)
  • Endovascular procedures
  • Open vascular surgery

 

Research activities:

All trainees should participate in all research programs and have at least two qualified papers published at the end of course.

 

Structure of the Educational Semester

 

Educational department

Content proceeding

Duration

Clinic

Visiting patients for admission
and follow up

24 months
(one day per week)

Admission ward

Visit of admitted patients before and after surgery, participate in daily rounds

24 months (every day)

Surgery room

Participate in all
open vascular surgeries

24 months
(3 days per week)

Angiography unit

Participate all of endovascular procedures (arterial and venous)

24 months
(2 days per week)

Research unit

Participate in research programs
and scientific writings

6 months

 

Procedural Skills

1. Endovascular

Diagnostic:

  • All of trainees should do at least 100 diagnostic procedures by themselves during the course.

Interventions:

All of trainees should participate in at least 100 cases of following procedures during the course:

  • Endovascular repair of abdominal aortic aneurysm (EVAR).
  • Endovascular repair of thoracic aortic aneurysm (TVAR).
  • Endovascular repair of thoraco-abdominal aortic aneurysm (Fenestrated or T-branch).
  • Endovascular repair of iliac artery aneurysm.
  • Aorto iliac transluminal angioplasty.
  • Subclavian, axillary, brachial trans-luminal angioplasty.
  • Carotid angioplasty and stenting.
  • Endovascular thrombectomy of major arteries and veins.
  • Femoral artery Trans luminal angioplasty.
  • Popliteal artery Trans luminal angioplasty.
  • BTK angioplasty.
  • Percutaneous balloon angioplasty or stenting of renal and visceral arteries.
  • Angiombolization of tumors and AVM, with coiling, PVA, onyx, glue and alcohol.
  • Aneurysm coiling with detachable balloon.
  • Thrombolytic therapy of arteries.
  • Percutaneous placement of IVC filters.
  • Thrombolytic therapy of DVT.
  • Venous stenting.
  • Radio frequency ablation of varices.
  • Endo venous laser treatment.

 

2. Open Surgeries:

All of trainees should participate in at least 200 cases of following procedures during the course:

  • Descending thoracic aorta graft.
    • Repair of thoraco-abdominal aorta with graft.
    • Repair of abdominal aortic aneurysm.
    • Repair of ruptured abdominal aortic aneurysm.
    • Repair of iliac artery aneurysm.
    • Repair of innominate or subclavian artery aneurysm.
  • Repair of femoral artery pseudoaneurysm
  • Repair of popliteal artery aneurysm.
  • Repair of brachial-radial-unlar aneurysm.
  • Repair of axillary brachial aneurysm.
    • Subclavian Brachial bypass graft.
    • Subclavian subclavian bypass graft.
    • Innominate or subclaian artery thrombo endarterectomy.
    • Carotid endarterectomy.
  • Carotid bypass graft.
    • Abdominal aortic endarterectomy.
    • Iliac, mesenteric or renal artery thrombo endarterectomy.
  • Aorto iliac thrombectomy with abdominal incision.
  • Inferior vena cava thrombectomy with abdominal incision.
  • Subclavian artery thrombectomy with cervical incision.
  • Innominate artery embolectomy with cervical incision.
  • Femoral and iliac embolectomy.
  • Popliteal- Tibio peroneal embolectomy.
  • Aortic subclavian bypass graft.
  • Aorto ilio femoral bypass graft.
  • Ilio iliac bypass graft.
  • Ilio femoral bypass graft.
  • Repair of aorto enteric fistula.
  • Excision of infected abdominal vascular graft.
  • Repair of femoral artery aneurysm.
  • Axillary brachial artery embolectomy.
  • Radial and ulnar artery embolectomy.
  • Aorto iliac and femoral-popliteal embolectomy with groin incision.
  • Iliac, femoral and popliteal vein thrombectomy with groin incision.
  • Common femoral artery thrombo endarterectomy.
  • Deep femoral artery thrombo-endarterectomy.
  • Superficial femoral artery thrombo-endarterectomy.
  • Axillary Brachial bypass graft.
  • Femoro-popliteal bypass graft.
  • Greater or lesser saphenous vein stripping.
  • Stab avulsion phebectomy.
  • Subclavion-axillary vein thrombectomy with arm incision.
  • Venous repair and reconstructions.
  • Endoscopic subfacial ligation of insufficient perforating veins (SEPS).
  • Excision of subfacial varicose veins and sclerotherapy.
  • Open and minimally invasive lumbar sympathectomy.
  • Open and thoracoscopic thoracic sympathectomy.
  • Vascular access procedures:

  • Arterio venous fistula placement.

  • Placement of hemodialysis jump graft.

  • Procedures of AVF complication including, graft thrombectomy, pseudo aneurysm repair, DRIL procedure and other repairs or modifications.

  • Placement of temporary double lumen catheter.

  • Placement of permanent double lumen catheter.

  • Placement of implantable catheter.

  • Placement of central venous line.

  • Placement of intra-arterial catheters for therapeutic interventions.

Last Update At : 28 May 2019