Optimizing Femoral Access in Emergency EVAR with a Decision-Making Algorithm

被引:0
|
作者
Mirabella, Domenico [1 ]
Bruno, Salvatore [1 ]
La Marca, Manfredi Agostino [1 ]
Dinoto, Ettore [1 ]
Rodriquenz, Edoardo [1 ]
Micciche, Andrea [1 ]
Pecoraro, Felice [1 ,2 ]
机构
[1] AOUP Policlin P Giaccone, Vasc Surg Unit, I-90127 Palermo, Italy
[2] Univ Palermo, Dept Surg Oncol & Oral Sci, I-90133 Palermo, Italy
来源
LIFE-BASEL | 2024年 / 14卷 / 09期
关键词
femoral access; percutaneous access; rAAA; EVAR; surgical conversion; ENDOVASCULAR ANEURYSM REPAIR; PERCUTANEOUS ACCESS; DIFFICULT ACCESS; CLOSURE DEVICES; CUTDOWN ACCESS; PUNCTURE; OUTCOMES; ARTERY;
D O I
10.3390/life14091113
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Endovascular aneurysm repair (EVAR) has become the preferred approach over open repair for abdominal aortic aneurysms (AAAs) due to its minimally invasive nature. The common femoral artery (CFA) is the main access vessel for EVAR, with both surgical exposure and percutaneous access being utilized. However, in emergent cases, percutaneous access can be challenging and may result in complications such as bleeding or dissection thrombosis, leading to the need for surgical conversion. This study aimed to share experiences in implementing a decision-making algorithm to reduce surgical conversions due to percutaneous access failures. A total of 74 aortic patients treated with EVAR in emergency settings were included in this retrospective study. This study focused on various outcomes such as perioperative mortality, morbidity, procedure time, surgical exposure time, and surgical conversion rate. After the implementation of the decision-making algorithm, decreases in surgical conversions and operating time were observed. Percutaneous access was found to be more challenging in cases with specific anatomical characteristics of the CFA, such as severe atherosclerosis or smaller vessel diameter. This study highlighted the importance of carefully assessing patient anatomical features and utilizing a decision-making algorithm to optimize outcomes in EVAR procedures. Further research is needed to continue improving practices for managing aortic aneurysms and reducing complications in femoral artery access approaches.
引用
收藏
页数:12
相关论文
共 50 条
  • [41] Systematic assessment and optimizing algorithm of tumor mutational burden calculation and their implications in clinical decision-making
    Sun, Daqiang
    Xu, Meilin
    Pan, Chaohu
    Tang, Hongzhen
    Wang, Peng
    Wu, Dongfang
    Luo, Haitao
    FRONTIERS IN ONCOLOGY, 2022, 12
  • [42] Economic Analysis and Generic Algorithm for Optimizing the Investments Decision-Making Process in Oil Field Development
    Popescu, Catalin
    Gheorghiu, Sorin Alexandru
    ENERGIES, 2021, 14 (19)
  • [43] A Dynamic Emergency Decision-Making Method Based on Group Decision Making with Uncertainty Information
    Zheng, Jing
    Wang, Yingming
    Zhang, Kai
    Liang, Juan
    INTERNATIONAL JOURNAL OF DISASTER RISK SCIENCE, 2020, 11 (05) : 667 - 679
  • [44] A Dynamic Emergency Decision-Making Method Based on Group Decision Making with Uncertainty Information
    Jing Zheng
    Yingming Wang
    Kai Zhang
    Juan Liang
    International Journal of Disaster Risk Science, 2020, 11 (05) : 667 - 679
  • [45] A Dynamic Emergency Decision-Making Method Based on Group Decision Making with Uncertainty Information
    Jing Zheng
    Yingming Wang
    Kai Zhang
    Juan Liang
    International Journal of Disaster Risk Science, 2020, 11 : 667 - 679
  • [46] The design of an optimal decision-making algorithm for fertilization
    Wang, Jianlun
    Dong, Jinyong
    Wang, Yongbin
    He, Jianlei
    Changqi, Ouyang
    MATHEMATICAL AND COMPUTER MODELLING, 2011, 54 (3-4) : 1100 - 1106
  • [47] An optimized decision-making algorithm for talent supply
    Liu, Ruijian
    Ye, Long
    Guo, Ming
    JOURNAL OF INTERDISCIPLINARY MATHEMATICS, 2018, 21 (04) : 999 - 1008
  • [48] A clinical decision-making algorithm for penicillin allergy
    Soria, Angele
    Autegarden, Elodie
    Amsler, Emmanuelle
    Gaouar, Hafida
    Vial, Amandine
    Frances, Camille
    Autegarden, Jean-Eric
    ANNALS OF MEDICINE, 2017, 49 (08) : 710 - 717
  • [49] A NEW DECISION-MAKING ALGORITHM FOR AIRBAG CONTROL
    MAHMUD, SM
    ALRABADY, AI
    IEEE TRANSACTIONS ON VEHICULAR TECHNOLOGY, 1995, 44 (03) : 690 - 697
  • [50] A Negotiation Algorithm for Decision-Making in the Construction Domain
    Idrus, Arazi
    Mahmoud, Moamin A.
    Ahmad, Mohd Sharifuddin
    Yahya, Azani
    Husen, Hapsa
    DISTRIBUTED COMPUTING AND ARTIFICIAL INTELLIGENCE, 2018, 620 : 115 - 123