Short-term outcome and mid-term access site complications of the percutaneous approach to endovascular abdominal aortic aneurysm repair (PEVAR) after introduction in a vascular teaching hospital

Moonen, Hanneke Pierre Franciscus Xaverius; Koning, Olivier H.J.; Haak, R.F. van den; Verhoeven, Bart A.N.; Hinnen, Jan Willem

doi:10.1007/s12928-018-0547-4

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Femoral access was performed mostly under spinal anesthesia (87.5%) with a surgical cut-down of the common femoral artery (84.4%) but in two cases the access was achieved one side surgically and one side percutaneously. In four selected patients (12.5%) the procedure was performed under local anesthesia with a bilateral percutaneous access with previous insertion of two Proglide for each side according to the Perclose technique [13]. Three E-ventus bridging stents (9.4%) were introduced via an axillary access performed under local anesthesia due to the presence of a bifurcated aortic graft already implanted or the impossibility to release from the contralateral due to short target common iliac artery.…”

Section: Baseline Characteristicsmentioning

confidence: 99%

Efficacy and Safety of Jotec E-Ventus BX Stent Graft for Iliac Branch Device Procedure: A Retrospective Clinical Study

Bracale

Turchino

Accarino

et al. 2021

Annals of Vascular Surgery

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Section: Baseline Characteristicsmentioning

confidence: 99%

Efficacy and Safety of Jotec E-Ventus BX Stent Graft for Iliac Branch Device Procedure: A Retrospective Clinical Study

Bracale

Turchino

Accarino

et al. 2021

Annals of Vascular Surgery

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“…The femoral artery has been widely utilized and remained as the primary percutaneous arterial access site for non-cardiac percutaneous based procedures. The reported incidence of femoral artery pseudoaneurysms varies significantly in the literature [2][3][4][5][6][7][8][9][10][11][12]. Some guidelines by certain society such as Society of Cardiovascular and Interventional Radiology suggest an acceptable rate of less than 0.2% [5].…”

Section: Introductionmentioning

confidence: 99%

Accuracy and feasibility in building a personalized 3D printed femoral pseudoaneurysm model for endovascular training

Lee,

Chew,

Lee

et al. 2024

PLoS ONE

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Background The use of three-dimensional(3D) printing is broadly across many medical specialties. It is an innovative, and rapidly growing technology to produce custom anatomical models and medical conditions models for medical teaching, surgical planning, and patient education. This study aimed to evaluate the accuracy and feasibility of 3D printing in creating a superficial femoral artery pseudoaneurysm model based on CT scans for endovascular training. Methods A case of a left superficial femoral artery pseudoaneurysm was selected, and the 3D model was created using DICOM files imported into Materialise Mimics 22.0 and Materialise 3-Matic software, then printed using vat polymerization technology. Two 3D-printed models were created, and a series of comparisons were conducted between the 3D segmented images from CT scans and these two 3D-printed models. Ten comparisons involving internal diameters and angles of the specific anatomical location were measured. Results The study found that the absolute mean difference in diameter between the 3D segmented images and the 3D printed models was 0.179±0.145 mm and 0.216±0.143mm, respectively, with no significant difference between the two sets of models. Additionally, the absolute mean difference in angle was 0.99±0.65° and 1.00±0.91°, respectively, and the absolute mean difference in angle between the two sets of data was not significant. Bland-Altman analysis confirmed a high correlation in dimension measurements between the 3D-printed models and segmented images. Furthermore, the accuracy of a 3D-printed femoral pseudoaneurysm model was further tested through the simulation of a superficial femoral artery pseudoaneurysm coiling procedure using the Philips Azurion7 in the angiography room. Conclusions 3D printing is a reliable technique for producing a high accuracy 3D anatomical model that closely resemble a patient’s anatomy based on CT images. Additionally, 3D printing is a feasible and viable option for use in endovascular training and medical education. In general, 3D printing is an encouraging technology with diverse possibilities in medicine, including surgical planning, medical education, and medical device advancement.

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“…The reported incidence of femoral artery pseudoaneurysms varies signi cantly in the literature. [2][3][4][5][6][7][8][9][10][11][12] Some , guidelines by certain society such as Society of Cardiovascular and Interventional Radiology suggest an acceptable rate of less than 0.2%. [5] In a study of using color ow duplex sonography to examine the puncture site in 565 consecutive patients who had undergone transfemoral arterial catheterization with angiography, percutaneous transluminal angioplasty, or local lysis, the overall incidence of pseudoaneurysm was found to be 7.7%.…”

Section: Introductionmentioning

confidence: 99%

Accuracy and Feasibility in Building A Personalized 3D Printed Femoral Pseudoaneurysm Model For Endovascular Training: A Promising Educational Tool

Chew

Lee

et al. 2023

Preprint

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Objectives: This study aimed to evaluate the accuracy and feasibility of 3D printing in creating a femoral pseudoaneurysm model based on CT scans for endovascular training. Methods: A case of a left femoral pseudoaneurysm was selected, and the 3D model was created using DICOM files imported into Materialise Mimics 22.0 and Materialise 3-Matic software, then printed using vat polymerization technology. Two 3D-printed models were created, and a series of comparisons were conducted between the 3D segmented images from CT scans and these two 3D-printed models. Ten comparisons involving internal diameters and angles of the specific anatomical location were measured. Results: The study found that the absolute mean difference in diameter between the 3D segmented images and the 3D printed models was 0.179±0.145 mm and 0.216±0.143mm, respectively, with no significant difference between the two sets of models. Additionally, the absolute mean difference in angle was 0.986±0.649° and 1.003±0.914°, respectively, and the absolute mean difference in angle between the two sets of data was not significant. Bland-Altman analysis confirmed a high correlation in dimension measurements between the 3D-printed models and segmented images. Furthermore, the accuracy of a 3D-printed femoral pseudoaneurysm model was further tested through the simulation of a femoral pseudoaneurysm coiling procedure using the Philips Azurion7 in the angiography room. Conclusions: 3D printing is a reliable technique for producing a high accuracy 3D anatomical models that closely resemble a patient's anatomy based on CT images. Additionally, 3D printing is a feasible and viable option for use in endovascular training and medical education. In general, 3D printing is an encouraging technology with diverse possibilities in medicine, including surgical planning, medical education, and medical device advancement.

show abstract

Short-term outcome and mid-term access site complications of the percutaneous approach to endovascular abdominal aortic aneurysm repair (PEVAR) after introduction in a vascular teaching hospital

Cited by 6 publications

References 6 publications

Efficacy and Safety of Jotec E-Ventus BX Stent Graft for Iliac Branch Device Procedure: A Retrospective Clinical Study

Efficacy and Safety of Jotec E-Ventus BX Stent Graft for Iliac Branch Device Procedure: A Retrospective Clinical Study

Accuracy and feasibility in building a personalized 3D printed femoral pseudoaneurysm model for endovascular training

Accuracy and Feasibility in Building A Personalized 3D Printed Femoral Pseudoaneurysm Model For Endovascular Training: A Promising Educational Tool

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