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Medical Innovation at Hôpital de La Tour: A First in Geneva in Aortic Treatment

Published on 25.03.24
Innovation traitement de l’aorte
At Hôpital de La Tour, Dr. Gino Gemayel, a vascular surgeon, recently achieved a major breakthrough by introducing an innovative technique for treating a very specific aortic condition: aortic arch aneurysms. This state-of-the-art, minimally invasive method allows for the repair of the aneurysm without the need for open surgery, underscoring Hôpital de La Tour’s commitment to innovation.

An aortic arch aneurysm is characterized by an abnormal enlargement of the part of the aorta that forms the curve above the heart. Such an enlargement poses a significant risk of rupture, leading to potentially life-threatening consequences. The endovascular treatment (i.e., a minimally invasive procedure performed from inside the blood vessel via an incision in the groin) offered by Dr. Gemayel provides a less invasive alternative for patients than traditional surgery, marking a significant advance in the care of patients with this serious condition.

The procedure begins by accessing the body’s blood vessels through an incision in the groin, followed by the insertion of guidewires and catheters (thin, flexible tubes) into the vessels under X-ray guidance. The stent graft (the technical term for a fabric cylinder supported by a metal mesh) is then positioned inside the dilated portion of the aortic arch. This endoprosthesis conforms perfectly to the shape of the aorta, seals it off, establishes a new pathway for blood flow, and thus isolates the aneurysm from the circulation: the risk of rupture is eliminated.

Dr. Gemayel’s approach reflects the excellence and dedication of Hôpital de La Tour in providing cutting-edge care. It is the result of a team effort involving vascular surgeons, anesthesiologists, cardiologists, cardiac surgeons, and intensivists. The team also includes surgical technicians, angiography room technicians, and nurses experienced in the management of cardiovascular diseases.

Regular postoperative monitoring ensures the stent graft remains in the optimal position and that the results are long-lasting. This procedure, which minimizes the impact on the patient while maximizing the effectiveness of treatment, exemplifies Hôpital de La Tour’s commitment to innovation, patient safety, and the continuous improvement of medical care.