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The Vascular Center and its Territory

The Vascular Center and its Territory. Reflexions Patrick Carpentier Professor of Vascular Medicine Vascular Center Grenoble University Hospital . The Vascular Center and its Territory. Vascular Center

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The Vascular Center and its Territory

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  1. The Vascular Centerand its Territory Reflexions Patrick Carpentier Professor of Vascular Medicine Vascular Center Grenoble University Hospital

  2. The Vascular Center and itsTerritory • Vascular Center • Definition: “Dedicated centre where patients with vascular disease can receive high quality medical, endovascular and open surgical treatment by appropriate experts working as a coordinated team” • Function: “A range of qualified angiological, radio-logical and surgical services, vascular consulting service including vascular laboratory, 24h 365d service for emergencies and cooperation with primary care physicians” • Territory: • Size of the geographical territory • Medical territory: what kind of patients/diseases • Relationship between the center and its geographical territory: communication and networks

  3. The Vascular Center and itsTerritory • The size of the geographical territory should be customized according to: • The kind of disease treated: • Arterial disease • Arterial and venous thromboembolic disease • Larger field • Function: • Patient care • Patient care + specialist training • Idem + public health actions • National public health organization: • Size of the cities differ according the country • Medium size centers (1/200 000 inhabitants) • Centralization in large centers (1/106 inhabitants) • Large centers + satellite centers

  4. “Disease-focused team approach”

  5. “Disease-focused team approach” Committee/Network Main actors Other partners Vascular Center

  6. Networking Inside and Outside the Hospital • Existing: • 1990: TED multidisciplinary committee (1/day) • 1990: PAOD multidisciplinary committee (1/week) • 2000: Thrombophilia multidisciplinary committee (1/week) • 2004: Scleroderma multidisciplinary committee (1/month) • 2004: Vascular malformations multidisciplinary committee (1/trim) • 2006: GRANTED (GRenobleAngiological Network for TED) • 2008: PAD patients Education Network (branched to GRANTED) • 2009: Scleroderma Expert Center (diagnosis, education & follow-up) • In preparation: • Wound-Healing Network (ready but not founded) • Lymphedema Community Network • Evaluation Center for Endovenous Treatments

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