1140_Beckerman.pdf

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1、How to Build an AorticHow to Build an AorticPractice and ProgramPractice and ProgramWILLIAM BECKERMAN,MDWILLIAM BECKERMAN,MDASSOCIATE PROFESSOR OF SURGERYASSOCIATE PROFESSOR OF SURGERYPROGRAM DIRECTORPROGRAM DIRECTORRUTGERS ROBERT WOOD JOHNSON DIVISION OF VASCULAR SURGERYRUTGERS ROBERT WOOD JOHNSON

2、DIVISION OF VASCULAR SURGERYDisclosuresTerumo Medical,Bolton Medical,Shockwave Medical(consulting)W.L.Gore&Assoc.,Cook Medical(speaking/education)DisclaimersIm not Gustavo OderichThis is my personal experience(your mileage may vary)Majority of my practice is still peripheral vascular diseaseRequirem

3、ents for an Aortic Program1.Surgeon+Skills2.Setting+Supplies3.Squad4.SubjectsSurgeon+SkillsKnow YourselfDo you want the Stress Liability Radiation Time CommitmentDont confuse training at a great aortic program with receiving great aortic trainingWhole different ballgame when every step of patient tr

4、eatment is up to youSurgeon+SkillsSurgeon+SkillsSee how aortic programs are run outside of your training area Societies and industry can often help facilitate with grants Ten surgeons will approach the same TAAA ten different waysKeep current(or get left behind)Make contacts in the aortic space Vita

5、l for planning(at the start),advice,troubleshooting,commiserating Keep in touch with your mentors(they want you to succeed!)Setting+SuppliesWill your hospital support an aortic program?Be prepared to write a business plan/vision if starting from scratch(0 RVU cases are tough)Is your hospital equippe

6、d to run an aortic program?Do you have:A hybrid suite,ideally w fusion to reduce radiation?Access to centerline aortic planning software?An ICU and intensivists that can deal with aortic patients?Anes/IR/neurosurg who can place spinal drains 24/7?Cardiac surgery,perfusionists,etcSetting+Supplies Sup