Learn EVAR sizing from scratch: The results of a one-day intensive course in EVAR sizing and stent graft selection for vascular trainees.

Abstract:

BACKGROUND AND AIM:Recognition of structured training in endovascular aortic repair (EVAR) for vascular trainees is increasing. Nevertheless, how trainees can achieve sufficient skills in EVAR sizing and graft selection is sparsely described. The aim of this study was to investigate the effect of systematic training in basic EVAR sizing and graft selection on vascular surgery trainees using a validated assessment tool. METHODS:Sixteen vascular surgery trainees were included in an intensive 6-h hands-on workshop in aortic sizing and stent graft selection for EVAR with a trainer-to-trainee ratio of 1:2. After 1-h lecture, participants did 5 h of supervised training on increasingly complex cases. Finally, the participants were tested using a validated assessment tool. RESULTS:All participants were able to size the test-case and select a stent graft combination in 24:35 (13:30-48:20) min (median and range). The participants' overall test scores (lower is better) were in median 17.9 (11.9-28.4). This did not differ from the scores of experienced EVAR operators 14.7 (11.7-25.2) (<200 EVAR's) (p = .32) but was inferior to the score of EVAR experts 11.2 (9.8 -18.7) (≥200 EVAR's) (p = .01). The sub-score for anatomical measurements was 10.6 (3.9-18.8) and comparable with the experienced group 9.7 (8.1-12.8) (p = .83) but inferior to the expert operators 6.5 (5.2-10.2) (p = .04). The sub-score for stent graft selection was 7.5 (4.9-14.1) and comparable with experienced operators scoring 4.5 (3.6-12.3) (p = .09) but inferior to the expert operators score of 5.0 (3.6-8.4) (p = .01). CONCLUSION:This study presents the results of a standardised one-day basic EVAR sizing and graft selection workshop. Vascular surgery trainees with no prior EVAR experience learned to size and select stent grafts for a simple infra-renal AAA on par with experienced EVAR operators.

journal_name

Vascular

journal_title

Vascular

authors

Strøm M,Rasmussen JL,Nayahangan LJ,de la Motte L,Vogt K,Konge L,Eiberg J

doi

10.1177/1708538120913719

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

342-347

issue

4

eissn

1708-5381

issn

1708-539X

journal_volume

28

pub_type

杂志文章

相关文献

Vascular文献大全
  • Hallucal thenar index: A new index to detect peripheral arterial disease using laser speckle flowgraphy.

    abstract:OBJECTIVES:Laser speckle flowgraphy is a technology using reflected scattered light for visualization of blood distribution, which can be used to measure relative velocity of blood flow easily without contact with the skin within a short time. It was hypothesized that laser speckle flowgraphy may be able to identify fo...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120938935

    authors: Tsunekawa K,Nagai F,Kato T,Takashimizu I,Yanagisawa D,Yuzuriha S

    更新日期:2020-07-08 00:00:00

  • High low-density lipoprotein cholesterol level is the independent risk factor of primary patency rate of arteriovenous fistula.

    abstract:OBJECTIVES:An arteriovenous fistula is the first choice of vascular access in dialysis patients. However, the correlations between patient factors and the arteriovenous fistula patency rate remain unclear. Therefore, we examined the effect of dialysis patient factors on arteriovenous fistula patency rate. METHODS:This...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120905486

    authors: Yamazaki T,Shirai H,Yashima J,Tojimbara T

    更新日期:2020-08-01 00:00:00

  • The correlation of the platelet-to-lymphocyte ratio with the severity of stenosis and stroke in patients with carotid arterial disease.

    abstract::Objectives Platelet-to-lymphocyte ratio is a novel biomarker, recently shown to be correlated with atherosclerotic inflammation. This study investigated the role of platelet-to-lymphocyte ratio in patients with carotid artery stenosis and stroke. Methods Patients, who underwent carotid angiography with Multiple Detect...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538116673770

    authors: İdil Soylu A,Arıkan Cortcu S,Uzunkaya F,Atalay YO,Bekçi T,Güngör L,Belet Ü

    更新日期:2017-06-01 00:00:00

  • Transradial interventions in contemporary vascular surgery practice.

    abstract:OBJECTIVES:Upper extremity arterial access is often required for endovascular procedures, especially for antegrade access to the visceral aortic branches. Radial arterial access has been shown previously to have low complication rates, and patients tolerate the procedure well and are able to recover quickly. However, t...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118797556

    authors: Stern JR,Elmously A,Smith MC,Connolly PH,Meltzer AJ,Schneider DB,Ellozy SH

    更新日期:2019-02-01 00:00:00

  • Arterio-biliary fistulas: What to choose as endovascular treatment?

    abstract::Objectives Endovascular procedures are the treatment of choice in cases of intrahepatic fistulas. Arterio-biliary fistulas are the rarest and most difficult to treat, due to high risk of infection. Methods Eight cases of persistent hemobilia that developed as a result of arterio-biliary fistulas are presented. Five ca...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538117743178

    authors: Stefańczyk L,Polguj M,Szubert W,Chrząstek J,Jurałowicz P,Garcarek J

    更新日期:2018-08-01 00:00:00

  • Carotid endarterectomy may be required in addition to best medical treatment for some patient subgroups with asymptomatic carotid stenosis.

    abstract::Several guidelines recommend carotid endarterectomy for patients with severe asymptomatic carotid stenosis to reduce the risk of a future cerebrovascular event, as long as the perioperative stroke/death rate is <3%. Based on improvements in best medical treatment, it was argued that currently best medical treatment al...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114560463

    authors: Paraskevas KI,Nicolaides AN,Veith FJ

    更新日期:2015-02-01 00:00:00

  • Complexity of persistent type II endoleak associated with sac expansion after endovascular abdominal aortic aneurysm repair.

    abstract::Type II endoleak after endovascular aortic aneurysm repair still remains the Achilles' heel of the treatment, the source of which regularly is difficult to identify and treat. We present a patient with a persistent type II endoleak associated with a continuous aneurysm sac expansion after endovascular aortic aneurysm ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114562021

    authors: Spanos K,Rountas C,Giannoukas AD

    更新日期:2015-12-01 00:00:00

  • General outcomes and risk factors for minor and major amputations in Brazil.

    abstract::Objectives Major and minor amputations are associated with significant rates of mortality. However, little is known about the impact of unplanned redo-amputation during the same hospitalization on outcomes. The objectives of this study were to identify the risk factors associated with in-hospital mortality after both ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538117736677

    authors: Leite JO,Costa LO,Fonseca WM,Souza DU,Goncalves BC,Gomes GB,Cruz LA,Nister N Jr,Navarro TP,Bath J,Dardik A

    更新日期:2018-06-01 00:00:00

  • The national incidence of iatrogenic popliteal artery injury during total knee replacement.

    abstract:INTRODUCTION:The aim of this study was to characterize national characteristics of patients who have a total knee replacement complicated by popliteal artery injury by incidence and patient demographics. METHODS:All patients with ICD-9 confirmed total knee replacement who had an iatrogenic popliteal artery injury were...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114552464

    authors: Dua A,Zepeda R,Hernanez FC,Igbadumhe AA,Desai SS

    更新日期:2015-10-01 00:00:00

  • Banding for type IA endoleak after endovascular abdominal aortic repair: An underexposed treatment option.

    abstract::More challenging abdominal aortic aneurysms with unfavorable proximal aortic neck anatomy are treated with endovascular means. As a consequence, proximal inadequate sealing may result in type IA endoleak, which in turn can lead to abdominal aortic aneurysm progression or rupture. The presence of type IA endoleak is an...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1177/1708538115599698

    authors: van Lammeren GW,Ünlü Ç,De Vries JP

    更新日期:2016-04-01 00:00:00

  • Treatment of aortic graft infection by in situ reconstruction with Omniflow II biosynthetic prosthesis.

    abstract::Currently available conduits for in situ reconstruction after excision of infected aortic grafts have significant limitations. The Omniflow II vascular prosthesis is a biosynthetic graft associated with a low incidence of infection that has succesfully been used in the treatment of infected infrainguinal bypass. We re...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115621195

    authors: Krasznai AG,Snoeijs M,Siroen MP,Sigterman T,Korsten A,Moll FL,Bouwman LH

    更新日期:2016-12-01 00:00:00

  • Association of renal artery stenosis with left ventricular remodeling in patients coexisting with renovascular and coronary artery disease.

    abstract:OBJECTIVE:Data about renal artery stenosis association with left ventricular remodeling in patients coexisting with coronary artery disease are scanty. METHODS:Patients with suspected both coronary artery disease and renal artery stenosis undergoing coronary and renal arteriography between October 2013 and December 20...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118819676

    authors: Dong H,Ou Y,Nie Z,Huang W,Liu Y,Zhou Y,Luo J,Li G

    更新日期:2019-04-01 00:00:00

  • The effects of preoperative cardiology consultation prior to elective abdominal aortic aneurysm repair on patient morbidity.

    abstract::Objectives The relationship between preoperative medical consultations and postoperative complications has not been extensively studied. Thus, we investigated the impact of preoperative consultation on postoperative morbidity following elective abdominal aortic aneurysm repair. Methods A retrospective review was condu...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538116685946

    authors: Boniakowski AE,Davis FM,Phillips AR,Robinson AB,Coleman DM,Henke PK

    更新日期:2017-08-01 00:00:00

  • Totally subcutaneous hemodialysis access: experience with the LifeSite Hemodialysis System.

    abstract::The LifeSite Hemodialysis System (Vasca, Inc., Tewksbury, MA) is totally subcutaneous, incorporating two silicone catheters positioned in the central venous system and connected to a stainless steel-titanium valve implanted in a subcutaneous pocket. A randomized trial and nonrandomized clinical experience have demonst...

    journal_title:Vascular

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1258/rsmvasc.12.4.256

    authors: Comerota AJ

    更新日期:2004-07-01 00:00:00

  • Knowledge of peripheral arterial disease: Results of an intervention to measure and improve PAD knowledge in Toronto.

    abstract::Background Prevalence of peripheral arterial disease (PAD) has dramatically increased in both developing, as well as developed countries. However, significant knowledge and practice gaps persist. In Canada, efforts to improve this knowledge level are lacking. In this study, we examine PAD knowledge in Toronto, and eva...

    journal_title:Vascular

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1708538116689355

    authors: El Morr C,AlHamzah M,Ng P,Purewal A,Al-Omran M

    更新日期:2017-10-01 00:00:00

  • Proteomics and pitfalls in the search for potential biomarkers of abdominal aortic aneurysms.

    abstract::Proteomics is evolving as an important research technique in cardiovascular disease. We present exploratory research for a systemic biomarker of abdominal aortic aneurysm (AAA) in serum. Forty patients, 20 with large AAAs and 20 matched controls, were prospectively recruited. Serum was harvested, enriched, and mined f...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2010.00046

    authors: Nordon IM,Brar R,Hinchliffe RJ,Cockerill G,Thompson MM

    更新日期:2010-09-01 00:00:00

  • Epithelioid hemangioma of the ulnar artery.

    abstract::This case report describes a rare vascular tumor (epithelioid hemangioma) in the ulnar artery of a young male patient, treated by excision and bypass grafting. ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2010.00043

    authors: Walker SR

    更新日期:2010-09-01 00:00:00

  • Endotension-related aortic sac rupture treated by endograft relining.

    abstract::Endovascular aortic aneurysm repair is an effective alternative to open surgical repair in high risk patient. Endotension is an unpredictable late and rare complication of EVAR. Clinical significance and choice of technique for treatment are controversial. At present, there are no cases of endotension-related aneurysm...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538113478725

    authors: Filippi F,Tirotti C,Stella N,Rizzo L,Taurino M

    更新日期:2013-04-01 00:00:00

  • Popliteal artery pseudoaneurysm associated with solitary osteochondromatosis.

    abstract::Osteochondroma is the most common benign tumor of the bone, seen mostly during adolescence. In the current study, we report a 19-year-old male patient with a two-week history of pain and swelling of the medial side of his right thigh just above the knee without any trauma. CT angiography revealed a popliteal artery ps...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538113486784

    authors: Boyacioğlu K,Kayalar N,Sarioğlu S,Yildizhan I,Mert B,Erentuğ V

    更新日期:2014-08-01 00:00:00

  • Outcomes of open and endovascular repair of inflammatory abdominal aortic aneurysms.

    abstract::Objective Reports on inflammatory aortic abdominal aneurysm treatment are scarce. Traditionally, open surgery has been validated as the gold standard of treatment; however, high technical skills are required. Endovascular aortic repair has been suggested as a less invasive treatment by some authors offering good resul...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538117728865

    authors: Duque Santos Á,Reyes Valdivia A,Romero Lozano MA,Aracil Sanus E,Ocaña Guaita J,Gandarias C

    更新日期:2018-04-01 00:00:00

  • Hypothenar hammer syndrome: apropos of six cases and review of the literature.

    abstract::Hypothenar hammer syndrome (HHS) is a rather rare condition and is a term used to describe an aneurysm or thrombosis of the ulnar artery. It is considered an occupational or recreational injury and is usually a result of a repetitive trauma to the hypothenar region where the unique anatomy of the Guyon canal allows ar...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2008.00002

    authors: Nitecki S,Anekstein Y,Karram T,Peer A,Bass A

    更新日期:2008-09-01 00:00:00

  • Review: Quality of life in lower limb peripheral vascular surgery.

    abstract:PURPOSE:Vascular intervention studies generally consider patency and limb salvage as primary outcomes. However, quality of life is increasingly considered an important patient-oriented outcome measurement of vascular interventions. Existing literature was analyzed to determine the effect of different treatments on qual...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1177/1708538115578961

    authors: Donker J,de Vries J,Ho GH,Gonçalves FB,Hoeks SE,Verhagen HJ,van der Laan L

    更新日期:2016-02-01 00:00:00

  • A systematic review of isolated radial artery harvesting as a conduit for lower limb bypass grafting.

    abstract:BACKGROUND:Whilst autologous vein conduits have been heralded as the first-line approach for patients undergoing lower limb bypass grafting procedures, patients with peripheral arterial occlusive disease may have exhausted venous options given prior use for cardiac surgery, varicose vein surgery, or lower limb revascul...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118802055

    authors: Wee I,Choong AM

    更新日期:2019-04-01 00:00:00

  • Initial results of a 12-week, institution-based, supervised exercise rehabilitation program for the management of peripheral arterial disease.

    abstract::This study assessed the effectiveness of a 12-week, institution-based, supervised exercise rehabilitation program with atherogenic risk factor modification in improving cardiovascular profile, ambulatory function, and quality of life of patients with peripheral arterial disease (PAD) by comparing pre- and postprogram ...

    journal_title:Vascular

    pub_type: 临床试验,杂志文章

    doi:10.2310/6670.2010.00053

    authors: Franz RW,Garwick T,Haldeman K

    更新日期:2010-11-01 00:00:00

  • Treatment of iliac atherosclerotic lesions using the balloon-expandable dynamic bare metal stent: One-year outcomes of the BIODYNAMIC single-center retrospective analysis.

    abstract:OBJECTIVES:Endovascular therapy using balloon expandable stents has become the treatment standard for most iliac atherosclerotic lesions. We aimed to assess the safety and performance of the Dynamic stainless-steel balloon-expanding stent system in this location. METHODS:BIODYNAMIC is a retrospective single center stu...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120945422

    authors: Torsello GF,Doerr B,Donas K,Berekoven B,Torsello GB,Beropoulis E

    更新日期:2020-08-02 00:00:00

  • Secondary Relining With Focal Flaring of Novel-Generation Balloon-Expandable Covered Stents for Endovascular Treatment of Significant Diameter Mismatch in the Aorto-Iliac Territory.

    abstract:OBJECTIVES:The aim of this study was to report on the safety and feasibility of secondary relining with focal flaring of novel-generation balloon-expandable covered stents for endovascular treatment of significant diameter mismatch in the aorto-iliac territory. Significant diameter mismatch was defined as >20% differen...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120945056

    authors: D'Oria M,Griselli F,Mastrorilli D,Gorgatti F,Bassini S,Riccitelli F,Calvagna C,Zamolo F,Lepidi S

    更新日期:2020-07-29 00:00:00

  • Complications of reperfusion in acute aortic artery occlusion following saddle embolization originating from an atrial myxoma.

    abstract::A 58-year-old man presented to the hospital with an 8-hour history of acute-onset bilateral lower limb ischemia. A large saddle embolus had occluded the aorta and could not be removed by balloon endarterectomy through the femoral arteries. Successful open aortic and femoral thromboembolectomy followed by extensive fas...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/rsmvasc.12.3.202

    authors: Ali T,Castro J,Young CR,Burnand KG

    更新日期:2004-05-01 00:00:00

  • Management of extremity arterial pseudoaneurysms associated with osteochondromas.

    abstract::Arterial pseudoaneurysms associated with osteochondromas are rare and most publications on this topic are case reports. The management of this double entity is not standardized. We wanted to update it. Literature searches on MEDLINE and EMBASE were performed using the keywords "artery pseudoaneurysm" and "osteochondro...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1177/1708538116634532

    authors: Raherinantenaina F,Rakoto-Ratsimba HN,Rajaonanahary TM

    更新日期:2016-12-01 00:00:00

  • Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: A 24-year experience.

    abstract:BACKGROUND:Abdominal aortic aneurysms can be either treated by an open abdominal aortic aneurysm repair or an endovascular repair. Comparing clinical predictors of outcomes and those which influence survival rates in the long term is important in determining the choice of treatment offered and the decision-making proce...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115586682

    authors: Khashram M,Jenkins JS,Jenkins J,Kruger AJ,Boyne NS,Foster WJ,Walker PJ

    更新日期:2016-04-01 00:00:00

  • Early in vivo analysis of an endovascular stapler during endovascular aneurysm repair.

    abstract::The objective of this article is to describe the use and technique of a novel endostapling device used in an in vivo animal model. Six ovine underwent implantation of a Dacron endograft into the thoracic aorta followed by placement of endoclips proximally and distally. The animals were survived 35 days to evaluate the...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2009.00059

    authors: Murphy EH,Arko FR

    更新日期:2009-11-01 00:00:00