Simultaneous reconstruction of multiple stiff wires from a single X-ray projection for endovascular aortic repair

2019 ◽  
Vol 14 (11) ◽  
pp. 1891-1899 ◽  
Author(s):  
Katharina Breininger ◽  
Moritz Hanika ◽  
Mareike Weule ◽  
Markus Kowarschik ◽  
Marcus Pfister ◽  
...  
Keyword(s):  
Endovascular Aortic Repair ◽  
X Ray ◽  
Aortic Repair ◽  
Simultaneous Reconstruction ◽  
Ray Projection

scholarly journals Can a trainee perform endovascular aortic repair as effectively and safely as an experienced specialist?

2020 ◽  
Vol 31 (6) ◽  
pp. 841-846
Author(s):  
Kinga Kosiorowska ◽  
Mikołaj Berezowski ◽  
Friedhelm Beyersdorf ◽  
Marek Jasinski ◽  
Maximilian Kreibich ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Clinical Success ◽  
Cumulative Risk ◽  
Skills Training ◽  
Endovascular Aortic Repair ◽  
X Ray ◽  
Aortic Repair ◽  
Type Ia ◽  
Hospital Stays ◽  
Baseline Characteristics

Abstract OBJECTIVES Endovascular aortic repair (EVAR) is a technically demanding procedure usually carried out by highly experienced surgeons. However, in this era of modern endovascular surgery with growing numbers of patients qualifying for the procedure, the need to enhance surgical training has emerged. Our aim was to compare the technical results of EVAR in patients operated on by trainees to that of those operated on by an endovascular expert. METHODS Between 2016 and 2018, a total of 119 patients diagnosed with an abdominal aorta disease requiring EVAR were admitted to our clinic. Overall, we included 96 patients who underwent preoperative and postoperative computed tomography angiography and EVAR performed either by an endovascular expert (N = 51) or a trainee (N = 45). RESULTS We detected no difference in the baseline characteristics, indication for EVAR and preoperative anatomy between patients operated on by trainees and our endovascular expert. We noted the same incidence of endoleak type Ia occurrence (n = 2 vs n = 2, P = 1.00), reintervention rate (n = 0 vs n = 0, P = 1.00) and in-hospital mortality (n = 0 vs n = 1, P = 1.00) for operations done by trainees and the expert, respectively. There was no difference in X-ray doses or time between the 2 groups. Despite longer median operation times [112 (first quartile: 84; third quartile: 129) vs 89 (75–104) min; P = 0.03] and in-hospital stays [10 (8–13) vs 8 (7–10) days, P = 0.007] of the patients operated on by trainees, the overall clinical success of EVAR was satisfactory in both groups. CONCLUSIONS An EVAR planned and performed by a trainee need not raise the cumulative risk of the procedure. Trainees who have undergone both mind and hand skills training can therefore carry out EVAR under the supervision of an experienced specialist as effectively and safely as experts do.

Intraoperative stent segmentation in X-ray fluoroscopy for endovascular aortic repair

2018 ◽  
Vol 13 (8) ◽  
pp. 1221-1231 ◽  
Author(s):  
Katharina Breininger ◽  
Shadi Albarqouni ◽  
Tanja Kurzendorfer ◽  
Marcus Pfister ◽  
Markus Kowarschik ◽  
...  
Keyword(s):  
Endovascular Aortic Repair ◽  
X Ray ◽  
Aortic Repair

The Use of Cangrelor Infusions After Endovascular Aortic Repair With Prophylactic Lumbar Drain Placement

2020 ◽  
Author(s):  
Andrew M. Hayden ◽  
Lovkesh Arora ◽  
Ryan A. Hobbs ◽  
Mel J. Sharafuddin
Keyword(s):  
Endovascular Aortic Repair ◽  
Lumbar Drain ◽  
Aortic Repair ◽  
Drain Placement

Distal Malperfusion in Acute Type I Aortic Dissection: The Value of Endovascular Aortic Repair

2015 ◽  
Vol 63 (S 01) ◽  
Author(s):  
K. Tsagakis ◽  
R. Jánosi ◽  
D. Dohle ◽  
J. Benedik ◽  
P. Kahlert ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Aortic Repair ◽  
Type I ◽  
Acute Type ◽  
Aortic Repair

Endovascular aortic repair in DeBakey type III aortic dissection: 13-year results of single center experience

2020 ◽  
Vol 8 (2) ◽  
pp. 7-16
Author(s):  
A.V. Kudrinskiy ◽  
◽  
S.A. Abugov ◽  
M.V. Puretskiy ◽  
R.S. Polyakov ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Aortic Repair ◽  
Single Center ◽  
Type Iii ◽  
Single Center Experience ◽  
Aortic Repair
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