Ullery Brant W, Nathan Derek P, Jackson Benjamin M, Wang Grace J, Fairman Ronald M, Woo Edward Y
Division of Vascular Surgery and Endovascular Therapy, University of Pennsylvania, Philadelphia, PA, USA.
Vasc Endovascular Surg. 2012 Feb;46(2):150-6. doi: 10.1177/1538574411432147. Epub 2012 Feb 5.
To evaluate the qualitative impact of training in the endovascular era (post-2000) on vascular surgeons' comfort level and enjoyment with abdominal aortic aneurysm (AAA) repairs.
A sample of vascular surgeons (n = 1754) were sent a survey pertaining to their fellowship training and practice of AAA repair. The influence of training- and practice-related variables on qualitative outcomes was assessed.
A total of 382 (22%) surgeons completed the survey. Surgeons who performed more endovascular aneurysm repairs (EVARs) than open AAA repairs were more likely to enjoy EVAR (P < .001). Those completing fellowship after 2000 reported a higher level of procedure-related comfort with EVAR (P = .001) compared to those completing fellowship before 2000. Conversely, surgeons completing fellowship before 2000 reported a higher level of procedure-related comfort with open AAA repair (P = .001).
The advent of EVAR has changed fellowship training of AAA repair and has translated into changes in both practice patterns and comfort level.
评估血管腔内治疗时代（2000年后）的培训对血管外科医生进行腹主动脉瘤（AAA）修复的舒适度和满意度的定性影响。
向一组血管外科医生（n = 1754）发送了一份关于他们腹主动脉瘤修复的专科培训和实践的调查问卷。评估了与培训和实践相关的变量对定性结果的影响。
共有382名（22%）外科医生完成了调查。与开放性腹主动脉瘤修复相比，进行更多血管腔内动脉瘤修复（EVAR）的外科医生更有可能喜欢EVAR（P < .001）。与2000年前完成专科培训的医生相比，2000年后完成专科培训的医生报告称对EVAR的操作相关舒适度更高（P = .001）。相反，2000年前完成专科培训的外科医生报告称对开放性腹主动脉瘤修复的操作相关舒适度更高（P = .001）。
血管腔内修复术的出现改变了腹主动脉瘤修复的专科培训，并转化为实践模式和舒适度的变化。
