Sunday Scrubs: February 9, 2025

THERAPY SPOTLIGHT        

Understanding FEVAR: Treating Complex Aortic Aneurysms

Aortic aneurysms, which occur when the walls of the aorta weaken and bulge, can be life-threatening if left untreated. Some of the most challenging aneurysms to treat are those located near major arteries that supply blood to vital organs such as the kidneys, intestines, and liver. Traditional open surgery to repair these aneurysms carries significant risks, especially for older patients or those with underlying health conditions. Fenestrated Endovascular Aortic Repair (FEVAR) provides a minimally invasive option for addressing these complex cases.

This 3D animation shows how a stent graft is used in FEVAR to restore blood flow while isolating the aneurysm. The graft features small openings, called fenestrations, which align precisely with the patient’s unique anatomy to maintain blood supply to critical branch arteries. Delivered through small incisions using catheters and guidewires, the stent graft is carefully positioned under X-ray guidance, offering a less invasive alternative to open surgery with shorter recovery times.

FEVAR is especially suited for patients whose aneurysms are too close to major arteries for standard endovascular repair. While the procedure carries risks, such as potential graft complications or kidney-related issues, it represents a highly effective option for those at risk of aneurysm rupture. This animation provides a nice visualization of a FEVAR procedure.

HEALTHCARE FLASHBACK        

December 23, 1954: The First Successful Organ Transplant

The first successful organ transplant marked a transformative moment in medical history, offering hope for patients with organ failure. On December 23, 1954, Dr. Joseph Murray and his team at Peter Bent Brigham Hospital in Boston performed a kidney transplant between identical twins, Ronald and Richard Herrick. By using a genetically identical donor, the procedure overcame the challenge of organ rejection, a significant barrier to transplantation at the time.

This groundbreaking surgery demonstrated that organ transplants could be both safe and effective, paving the way for further innovation. In the years following, advances in immunosuppressive therapy allowed transplants between unrelated individuals, dramatically expanding the potential of this life-saving treatment.

Today, organ transplantation is a standard medical practice, saving thousands of lives each year. However, the field continues to grapple with challenges, including organ shortages and the need for improved rejection prevention. The success of that first transplant in 1954 remains a testament to the power of medical ingenuity and collaboration in overcoming seemingly insurmountable obstacles.

SCRUBBED FOR LAUGHS