Dr. Anahita Dua, vascular surgeon and CMO of Major Medical,Founder of Healthcare For Action, joins The State of MedTech to reveal how a small shift in surgical access moving from the groin to the arm could save countless lives. She and Omar dive deep into innovation, engineering, and how smart design can change the future of vascular care.

Hit play to hear how AX EVAR is rewriting what’s possible in endovascular surgery.

Episode Breakdown

00:00 – Opening: What Makes Aneurysms So Dangerous

01:18 – Intro to the Episode & Today’s Topic

01:50 – Guest Intro: Dr. Anahita Dua (Harvard / Mass General)

03:05 – Dr. Dua’s Background: Childhood, Training & Career Path

05:10 – Why Aneurysms Terrify Surgeons

06:22 – How Aneurysms Form & Why They Burst

08:40 – Risk Factors: Genetics, Smoking, Diabetes, Blood Pressure

09:57 – Real-World Impact: Mortality Stats & Einstein’s Aneurysm

11:40 – What Happens Inside the Body During a Rupture

13:22 – Traditional Repair: Open Aortic Surgery Explained

15:12 – Limitations & Complications of Open Surgery

16:58 – The Shift to Endovascular Repair (EVAR)

18:48 – How Stent Repair Works & Why It Transformed Outcomes

20:37 – Challenges With Current Groin (Femoral) Access

22:15 – Introducing the New Approach: Arm Access (AX-EVAR)

23:30 – Why Femoral Access Fails in Today’s Complex Patients

25:04 – Tortuosity, Plaque & Device Size Limitations

26:30 – How the New 9–11F Arm Access System Works

28:12 – Advantages: Straighter Path, Fewer Risks, Faster Recovery

30:05 – Repositionable Stent Deployment (Why It Matters)

31:20 – Treating Iliac Aneurysms in the Same Procedure

32:45 – Could Cardiologists or IRs Perform This Procedure?

34:10 – Hospital Privileges & Training Requirements

35:33 – Technology Components: Stent + Sheath + Delivery System

37:05 – Imaging & Navigation Setup for AX-EVAR Procedures

38:20 – Future Innovation: Remote Endovascular Robotics

39:40 – Why Access Is the Next Big Frontier in Medtech

41:02 – Company Milestones, Awards & Upcoming Conferences

42:10 – Final Thoughts From Dr. Dua

42:50 – Outro: Subscribe, Rate & Share

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