INTERVENTIONAL RADIOLOGY IN LEBANON

Aghiad Al-Kutoubi MD, FRCR, DMRDProfessor & Head IR Division, AUBMCMiddle East Editor, CVIRFounding President PAIRSPresident, 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

Hotel Dieu

St George

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