Endovascular repair of abdominal aortic aneurysms has emerged as a viable alternative to open surgical repair. This procedure will be demanded by physicians and patients because of its lower morbidity and faster recovery. However, its eventual role in the management of patients with abdominal aortic aneurysm is likely to be further defined by cost concerns. Currently, endovascular abdominal aortic aneurysm repair is a moving target and thus requires continued analysis of its fiscal impact. Given that it is likely to be a clinically preferable approach, it is important that we explore ways to make it financially viable. Available information on cost of endovascular aneurysm repair is limited; however, cost saving strategies can be developed that will help establish this alternative in the armamentarium of specialists treating patients with abdominal aortic aneurysms.
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Abdom Radiol (NY)
January 2025
Kerman University of Medical Sciences, Kerman, Islamic Republic of Iran.
Background And Aim: Prior investigations of the natural history of abdominal aortic aneurysms (AAAs) have been constrained by small sample sizes or uneven assessments of aggregated data. Natural language processing (NLP) can significantly enhance the investigation and treatment of patients with AAAs by swiftly and effectively collecting imaging data from health records. This meta-analysis aimed to evaluate the efficacy of NLP techniques in reliably identifying the existence or absence of AAAs and measuring the maximal abdominal aortic diameter in extensive datasets of radiology study reports.
View Article and Find Full Text PDFEur Heart J Cardiovasc Imaging
January 2025
PULS/e group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Aims: Image-based, patient-specific rupture risk analysis of AAAs is promising but it is limited by invasive and costly imaging modalities. Ultrasound (US) offers a safe, more affordable alternative, allowing multiple assessments during follow-up and enabling longitudinal studies on AAA rupture risk.
Methods And Results: This study used time-resolved three-dimensional US to assess AAA rupture risk parameters over time, based on vessel and intraluminal thrombus (ILT) geometry.
J Endovasc Ther
January 2025
Department of Vascular Surgery, Rijnstate, Arnhem, The Netherlands.
Purpose: The goal of the study described in this protocol is to build a multimodal artificial intelligence (AI) model to predict abdominal aortic aneurysm (AAA) shrinkage 1 year after endovascular aneurysm repair (EVAR).
Methods: In this retrospective observational multicenter study, approximately 1000 patients will be enrolled from hospital records of 5 experienced vascular centers. Patients will be included if they underwent elective EVAR for infrarenal AAA with initial assisted technical success and had imaging available of the same modality preoperatively and at 1-year follow-up (CTA-CTA or US-US).
Cureus
December 2024
Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, JPN.
Thoracoabdominal aortic aneurysm (TAAA) repair remains one of the most challenging procedures and is associated with high mortality and complication rates. Careful consideration of the surgical strategy is essential, particularly in cases involving extensive replacement and high-risk patients. A 61-year-old man with a 55-mm TAAA was referred for surgical treatment.
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