November 2022 | Issue 96
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Gustavo Oderich Endovascular thoracoabdominal aortic repair
ESVS publishes “pioneering” clinical practice guidelines on radiation safety The European Society for Vascular Surgery (ESVS) has released clinical practice guidelines on radiation safety, which the writing committee notes are the first guidelines on the topic to be published under the auspices of a vascular surgical society. The guidelines were published online ahead of print in the European Journal of Vascular and Endovascular Surgery (EJVES) and presented for the first time at the 2022 ESVS annual meeting (20–23 September, Rome, Italy).
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ijan Modarai (Guy’s and St Thomas’ NHS Foundation Trust and King’s College, London, UK) and Stéphan Haulon (Hôpital Marie Lannelongue, GHPSJ, Paris, France) co-chaired the guideline writing committee that included 13 members in total which, as well as vascular surgeons and interventional radiologists, included a radiation protection scientist and a medical physicist. In EJVES, the authors outline the aim of the guidelines as being “to inform the reader about radiation physics and radiation dosimetry, raising awareness of the risks of ionising radiation, and describing the methods available to protect against radiation exposure”. The need for guidelines on radiation safety has grown in line with the rise of endovascular procedures over the last two decades, Modarai, Haulon et al state in the introductory chapter. They note that the risks of radiation exposure, however, are “not universally recognised” due to a “poor
Profile: Markus Steinbauer
SPACE-2:
New data on carotid interventions
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understanding of key concepts and paucity of educational material directly relevant to vascular surgery”. The authors cover measuring radiation exposure and the associated risks of exposure, legislation regarding exposure limits for radiation-exposed workers, and radiation safety practices and protection equipment in the operating room, among other topics. At ESVS 2022, Modarai stated that the “pioneering” new document, as described by writing committee member Anders Wanhainen (Uppsala University, Uppsala, Sweden), is long-awaited—the culmination of two years of work. He expressed that while the guidelines will help to raise awareness amongst stakeholders and set the standard for individuals and institutions, these also underline the fact that this is an evolving area of practice and highlight areas where more research is needed.
The future is radiation free
In a chapter on future technologies and gaps in evidence, Modarai et al underline the fact that several recommendations are supported by level C evidence and are relying on expert opinion of the committee,
There is a need for the vascular community and allied disciplines to instigate studies that will strengthen the evidence base for radiation protection matters.”
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Cardiac and vascular surgeons collaborate at the vanguard of aortic care CX AORTIC VIENNA RETURNS THIS year for its third edition (24–26 October, Digital), bringing together world-leading specialists from the cardiac and vascular fields to discuss all facets of aortic care from selection to investigation, diagnosis, techniques and technologies. The meeting will showcase the latest approaches—open and endovascular—for the treatment of complex aortic problems spanning the aortic valve to the iliac arteries. Having attracted a global, online audience during its first two editions, CX Aortic Vienna will continue to reach out to the worldwide aortic surgery community. The 2022 edition features three days of high-quality digital programming, to be broadcast live from 24–26 October for the wider global audience, delivering a total of 15 hours of aortic education, which will also be available on-demand to registered attendees after the event. CX Aortic Vienna Digital Edition registrants can claim up to 14 EU/US reciprocal CME credits for both livestreamed and on-demand content. The format for the digital edition will follow the CX style of short talks, debates, and audience interaction, presented live via broadcast. The programme includes open and endovascular aortic techniques and technologies, including edited aortic cases. For the first time, the meeting will also Continued on page 6
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See clearly. Treat optimally. Fiber Optic RealShape (FORS) technology paves the way to radiation free 3D device guidance Learn more about our clinical journey www.philips.com/FORS-technology
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