INTERVENTIONAL RADIOLOGY IN LEBANON Aghiad AlKutoubi MD FRCR

INTERVENTIONAL RADIOLOGY IN LEBANON Aghiad Al-Kutoubi MD, FRCR, DMRD Professor & Head IR Division, AUBMC Middle East Editor, CVIR Founding President PAIRS President, Arab Board of Radiology & Medical Imaging

Antalya

Lebanon Population : just under 4 million Strongest educational system Recognized for pioneering medical facilities in the Region Strong medical links with neighbouring countries Medical tourism destination

AUBMC St George Hotel Dieu

The American University of Beirut Established in 1860 Protestants & Quackers Radiology service became available in 1895 less than six months after the discovery of X-rays Medical Center is a tertiary & quaternary referral center

Hotel Dieu Du France Established in 1875 Jesuits St Joseph University Tertiary referral center

St George’s Hospital • • Established in 1887 Orthodox Community University of Balamand Secondary & some Tertiary referral center • The only hospital with a helipad

Radiology in Arab World 1999

Health Care in Lebanon Estimated expenditure 12. 3% of GDP ( compared to average “third world” 5. 7% ) Radiology & Lab billing 17 -18% of total 1 MRI / 60, 000 population 1 CT/ 40, 000 population

Radiology Residency Education 1934 Hotel Dieu Du France 1950 AUB

Many “Firsts” in the Arab World First open heart First renal transplantation First IR programme First endovascular aortic repair First intracranial aneurysm treatment

Interventional Radiology “Invasive Radiology” : Angiography, AEG etc. mid 50’s Procedures in the early 70’s : Simple biopsies , AVM management, Active bleeding treatment Early 80’s: Angioplasty; nephrostomies & biliary drainage, stenting & other complex procedures Mid 90’s : Neurointervention Late 90’s : Endovascular aortic programme

Interventional Radiology 25 registered interventionalists ; 1: 160, 000 Multi system intervention Full Gamut of intervention Endovascular & neurointerventional surgeons Cardiologists

1992

2000

Parliament square, Beirut 4. 25 am 11. 55 pm