The First Endovascular Abdominal Aortic Aneurysm Repair (EVAR)

November 4 begins the 14th Annual VIVA meeting in Las Vegas. Yes, that’s “Viva, Las Vegas!

The whole field of endovascular repair and intervention has grown exponentially since the first VIVA meetings. For example, the first endovascular repair of an abdominal aortic aneurysm was performed by Dr. Juan Parodi in 1990, but it took quite some time to be accepted as a standard of care. Today the endovascular approach is the preferred procedure to repair an AAA and this is because of the advances in medical devices and dedication of physicians to this less invasive non-surgical approach, physicians who will be attending this year’s VIVA meeting.

John Hunter

John Hunter 1728 – 1793

When discussing the endovascular approach I always like to quote the 18th century physician John Hunter, considered the father of scientific surgery and the first physician to treat an aneurysm successfully, who wrote the following in his 1777 treatise, “The True Principles of Surgery”:

“This last part…namely operations…is a tacit acknowledgement of the insufficiency of surgery. It is like an armed savage who attempts to get that by force which a civilized man would get by stratagem.”

The stratagem, of course, is the endovascular approach. Keeping in line with “history,” I give you the following video clip from my documentary, “Vascular Pioneers: Evolution of a Specialty.” It details the first EVAR procedure, performed by Juan Parodi in Buenos Aires, Argentina, and then the first U.S. case performed by Drs. Parodi, Frank Veith and Michael Marin in New York. The story is told first person by these doctors, as well as Michael DeBakey, Hugh Beebe, and Ramon Berguer.

By the way, if you would like to see the entire 52-minute documentary, you can purchase the DVD, “VascularPioneers: Evolution of a Specialty” on our website.

Vascular Pioneers: Evolution of a SpecialtyThe video includes interviews with 20 prominent physicians. Part I tells the history of vascular medicine. Part II is a lively and controversial discussion among key players in the field regarding the challenges and opportunities presented by evolving approaches to the treatment of vascular disease.

You can also follow the VIVA 2014 meeting on Twitter by following the hashtag #vivapvd.

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Filed under History, Meetings & Conferences, Peripheral Artery Disease (PAD), Video

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