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Related Experiment Video

Updated: Jul 12, 2025

A Training and Testing System for Performing Vascular Reconstruction In Vitro
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Patterns in Complex Aortic Vascular Surgery Training and Early Career Practice.

Nallely Saldana-Ruiz1, Osarumen Okunbor1, Maianna N Dematteis1

  • 1Division of Vascular Surgery, University of Washington, Seattle, WA.

Annals of Vascular Surgery
|October 22, 2023
PubMed
Summary

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Recent vascular surgery graduates report limited experience with open thoracoabdominal aortic surgery and complex endovascular repairs. Most desire additional training to manage these complex aortic conditions effectively.

Area of Science:

  • Vascular Surgery
  • Surgical Education
  • Aortic Disease Management

Background:

  • Literature suggests declining open aortic surgery experience among recent graduates.
  • Trainees have extensive endovascular aortic repair exposure, but complex thoracoabdominal aneurysm management experience is unknown.
  • Early career surgeon comfort with complex aortic procedures requires evaluation.

Purpose of the Study:

  • Evaluate early practice patterns in complex aortic surgery among recent US vascular surgery graduates.
  • Assess surgeon experience and comfort with open and endovascular aortic repairs.
  • Identify training needs for complex aortic pathology management.

Main Methods:

  • Anonymous survey distributed to 2020 vascular surgery residency/fellowship graduates.

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  • Assessed self-reported case numbers during training and early practice.
  • Evaluated surgeon confidence and desire for further training.

    • Main Results:

    • 62 surgeons responded (35% response rate); 79% completed fellowship.
    • 66% performed <5 open thoracoabdominal aortic surgeries; 58% performed <5 branched/fenestrated endovascular aortic repairs (F/BEVARs).
    • Only 11% felt prepared for open thoracoabdominal operations; >80% plan to partner for complex cases, desiring more training.

    Conclusions:

    • Limited training in open thoracoabdominal and multivessel F/BEVAR procedures is reported.
    • A need exists for advanced aortic training paradigms for specialized vascular surgeons.
    • Further research is needed to optimize training models for complex aortic pathology.