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Vascular training and endovascular practice in Europe
C D Liapis1, E D Avgerinos, H Sillesen
1Department of Vascular Surgery, School of Medicine, University of Athens, Chaidari, Athens, Greece. liapis@med.uoa.gr
Summary
Vascular surgery (VS) training as an independent specialty in Europe leads to shorter training but faster adoption of endovascular technologies. Further research is needed to determine if this impacts patient outcomes.
Area of Science:
- Vascular Surgery Training
- Endovascular Therapy Adoption
- European Healthcare Systems
Background:
- Vascular surgery (VS) training paradigms vary across European countries.
- The integration of endovascular therapy into VS practice is influenced by training structures.
Purpose of the Study:
- To evaluate how vascular surgery training models impact the practice of endovascular therapy in Europe.
- To compare endovascular procedure rates and adoption growth based on VS training structures.
Main Methods:
- An email survey was sent to VS educators in 14 European countries regarding training and endovascular practices.
- European Vascular and Endovascular Monitor (EVEM) data were analyzed to correlate training models with endovascular practice.
Main Results:
- Three VS training models were identified: independent (7 countries), subspecialty (5), and integrated within general surgery (2).
- Independent VS certification resulted in shorter overall training (5.9 vs. 7.9 years) but more dedicated VS training (3.9 vs. 2.7 years).
- Countries with independent VS certification showed higher adoption and growth rates for aortic endovascular procedures.
Conclusions:
- Independent VS specialty training in Europe leads to shorter training durations and quicker adoption of endovascular technologies.
- While vascular surgeons in independent programs may not perform a higher proportion of procedures, their countries adopted technologies faster.
- The impact of these training differences on patient outcomes requires further investigation.
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