HK vascular

83 Pages·2015·5.81 MB·English

New Challenges in
‎
Endovascular Aortic Surgery
陳燿志
Yiu-Che CHAN

Associate Professor
MB BS (London) BSc MD (London) FRCS (England)
FRCS (General Surgery) FCSHK
香港大學外科學系血管外科
Division of Vascular & Endovascular Surgery, Department of Surgery,
University of Hong Kong Medical Centre,
Queen Mary Hospital, Hong Kong.
Disclosure

Speaker name:
....................Yiu Che CHAN.............................................................
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)

I do not have any potential conflict of interest
Ether Dome, Bulfinch Building, Massachusetts General Hospital 1921.
http://www.massgeneral.org/history/exhibits/etherdome/imgs/ether
HKU, 10 vascular units in UK, 4 vascular centres in USA
Life-saving & Life-Prolonging, and
Prophylactic Procedures
• Increasing
prevalence of
atherosclerotic
diseases in Asia

• Rapid economic growth
• Aging population
• Risk factors
– Smoking
– Hypertension
– hypercholesterolaemia
– Diabetes mellitus

Fye WB. Circulation 2004; 109: 813.
Bonow RO. Circulation 2004; 109: 817.
Proportion of Aging Chinese Population
Age 65+
World Population Prospects: The 2004 Revision (2005).
‘Supply‎and‎Demand’‎
Fundamental Concepts in Economics
•Supply addresses the availability or quantity of goods and services
•Demand addresses the services to satisfy patients’‎expectation
Jain, T.R. (2006–07).. New Delhi: VK Publications. pp. 28.
Reality of Endovascular Aortic Intervention
• Availability of endovascular facilities
– Mobile C arm
– Hybrid endovascular Suite
• Availability & affordability of stentgrafts
– Commercialized stentgrafts
– Domestically manufactured stentgrafts
– Reimbursement policies
– Local regional regulations/ registrations
• Availability & feasibility of follow-up
– Travel distance
– Cost
– Durability
• Availability of specialised vascular team
Operating theatre with C arm
Hybrid endovascular suite