Yesterday’s CX Highlight Session on the durability of endovascular aneurysm repair (EVAR) and the National Institute for Health and Care Excellence (NICE) aortic guidelines began with a live endovascular aneurysm repair performed by Stéphan Haulon (Le Plessis-Robinson, France). The procedure was brought to CX delegates from Paris, France, with the use of virtual reality 360° video, showcasing cutting-edge technology in vascular education at CX. Tilo Kölbel (Hamburg, Germany) and Maarit Venermo (Helsinki, Finland) moderated the session, while Roger Greenhalgh chaired.
In a demonstration of the ease and durability of EVAR using best practice with available technology, Haulon successfully completed the EVAR with a branched endograft over the course of 30 minutes. CX delegates were able to watch the procedure with the use of virtual reality technology. Haulon ended the case by performing a cone beam CT scan to detect any potential endoleak with a great degree of accuracy.
Commenting on whether the choice for EVAR in this case was due to comorbidities or whether endovascular repair is standard of care, Haulon explained: “For this patient, there was no discussion—because of his significant body mass index and chronic obstructive pulmonary disease. But for a 65-year-old patient with no such issue in terms of comorbidity, there would be a discussion of EVAR versus open repair.”
Lars Lönn (Copenhagen, Denmark) noted in an overview of indications for reinterventions after EVAR that the case performed by Haulon provides an “excellent” example of modern technological standards for EVAR, using latest-generation stent grafts and cone beam CT to ensure procedural success. “Complications and techniques develop over time,” Lönn said, “producing better outcomes with new generations of stent grafts and maintained surveillance strategies.”
Other virtual reality live cases included Thomas Zeller (Bad Krozingen, Germany) performing a directional atherectomy with a drug-coated balloon in the common femoral artery, and Arne Schwindt (Münster, Germany) demonstrating a new balloonexpandable endoprosthesis in iliac lesions.