Sub-specialty Program of Vascular Surgery
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 |
24 months |
Admission ward |
Visit of admitted patients before and after surgery, participate in daily rounds |
24 months (every day) |
Surgery room |
Participate in all |
24 months |
Angiography unit |
Participate all of endovascular procedures (arterial and venous) |
24 months |
Research unit |
Participate in research programs |
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:
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Arterio venous fistula placement.
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Placement of hemodialysis jump graft.
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Procedures of AVF complication including, graft thrombectomy, pseudo aneurysm repair, DRIL procedure and other repairs or modifications.
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Placement of temporary double lumen catheter.
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Placement of permanent double lumen catheter.
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Placement of implantable catheter.
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Placement of central venous line.
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Placement of intra-arterial catheters for therapeutic interventions.