Hybrid Room: Does it Offer Better Accuracy ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Hybrid Room: Does it Offer Better Accuracy in the Proximal Deployment of Infrarenal Aortic Endograft?
Auteur(s) :
Pruvot, Louis [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lopez, Benjamin [Auteur]
Patterson, Benjamin Oliver [Auteur]
University Hospital Southampton NHS Foundation Trust
De Préville, Agathe [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Azzaoui, Richard [Auteur]
Institut Coeur Poumon [CHU Lille]
Mesnard, Thomas [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Sobocinski, Jonathan [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lopez, Benjamin [Auteur]
Patterson, Benjamin Oliver [Auteur]
University Hospital Southampton NHS Foundation Trust
De Préville, Agathe [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Azzaoui, Richard [Auteur]
Institut Coeur Poumon [CHU Lille]
Mesnard, Thomas [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Sobocinski, Jonathan [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Titre de la revue :
Annals of Vascular Surgery
Nom court de la revue :
Ann Vasc Surg
Numéro :
82
Pagination :
228-239
Date de publication :
2022-01-17
ISSN :
1615-5947
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Background
This work aims to evaluate the impact of hybrid rooms and their advanced tools on the accuracy of proximal deployment of infrarenal bifurcated endograft (EVAR).
Methods
A retrospective single center analysis ...
Lire la suite >Background This work aims to evaluate the impact of hybrid rooms and their advanced tools on the accuracy of proximal deployment of infrarenal bifurcated endograft (EVAR). Methods A retrospective single center analysis was conducted between January 2015 and March 2019 including consecutive patients that underwent EVAR. Groups were defined whether the procedure was performed in a hybrid operating room (HOR group) or using a mobile 2D fluoroscopic imaging system (non-HOR group). The accuracy of the proximal deployment was estimated by the distance (mm) between the bottom of the lowest renal artery (LwRA) origin and the endograft radiopaque markers parallax (LwRA/EDG distance) after curvilinear reconstruction. The impact of HOR on the LwRA/EDG distance was investigated using a multiple linear regression model. A composite “proximal neck”-related complications event was studied (Cox models). Results Overall, 93 patients (87 %male, median age 73 years) were included with 49 in the HOR group and 44 in the non-HOR group. Preoperative CTA analysis of the proximal neck exhibited similar median length, but different median aortic diameter (P = 0.012) and median beta angulation (P = 0.027) between groups. The median LwRA/EDG distance was shorter in the HOR group (multivariate model, P = 0.022). No difference in “proximal neck”-related complications was evidenced between the HOR and non-HOR groups (univariate analysis, P = 0.620). Median follow-up time was respectively 25 [14–28] and 36 months [23–44] in the HOR group and in the non-HOR group (P < 0.001). Conclusion HOR offer more accurate proximal deployment of infrarenal endografts, with however no difference in “proximal neck”-related complications between groups.Lire moins >
Lire la suite >Background This work aims to evaluate the impact of hybrid rooms and their advanced tools on the accuracy of proximal deployment of infrarenal bifurcated endograft (EVAR). Methods A retrospective single center analysis was conducted between January 2015 and March 2019 including consecutive patients that underwent EVAR. Groups were defined whether the procedure was performed in a hybrid operating room (HOR group) or using a mobile 2D fluoroscopic imaging system (non-HOR group). The accuracy of the proximal deployment was estimated by the distance (mm) between the bottom of the lowest renal artery (LwRA) origin and the endograft radiopaque markers parallax (LwRA/EDG distance) after curvilinear reconstruction. The impact of HOR on the LwRA/EDG distance was investigated using a multiple linear regression model. A composite “proximal neck”-related complications event was studied (Cox models). Results Overall, 93 patients (87 %male, median age 73 years) were included with 49 in the HOR group and 44 in the non-HOR group. Preoperative CTA analysis of the proximal neck exhibited similar median length, but different median aortic diameter (P = 0.012) and median beta angulation (P = 0.027) between groups. The median LwRA/EDG distance was shorter in the HOR group (multivariate model, P = 0.022). No difference in “proximal neck”-related complications was evidenced between the HOR and non-HOR groups (univariate analysis, P = 0.620). Median follow-up time was respectively 25 [14–28] and 36 months [23–44] in the HOR group and in the non-HOR group (P < 0.001). Conclusion HOR offer more accurate proximal deployment of infrarenal endografts, with however no difference in “proximal neck”-related complications between groups.Lire moins >
Langue :
Anglais
Audience :
Internationale
Établissement(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Collections :
Date de dépôt :
2022-12-08T01:19:30Z
2023-03-01T09:31:29Z
2023-03-01T09:31:29Z