We Empower the Medical Community with Curated Longitudinal Data and Images to Develop Breakthrough Research Projects

Publications
Year: 2018
Affiliation: University of Pennsylvania/ University of Pittsburgh
Citation: The Annals of Thoracic Surgery
Abstract: Chronic DeBakey III aortic dissection is typically managed with open aortic reconstruction. Thoracic endovascular aortic grafting (TEVAR) has been attempted in patients with chronic DeBakey III with improved outcomes over medical management, however with frequent failures. This study investigates factors associated with positive aortic remodeling from a large aortic center.
Abstract: Many studies have found that preoperative aneurysm anatomy can determine the postoperative complication rates for endovascular aneurysm repair (EVAR). With continual improvement in endograft technology, patients with challenging anatomy are increasingly able to undergo successful treatment with EVAR. This study aimed to quantify the influence of proximal neck anatomy on contemporary outcomes in a cohort of abdominal aortic aneurysm patients with highly angulated aneurysm necks.
Year: 2013
Affiliation: Eastern Virginia Medical School
Citation: Journal of Vascular Surgery
Abstract: In 2002, the Society for Vascular Surgery created the anatomic severity grading (ASG) score to classify abdominal aortic aneurysms (AAAs). Our objective was to identify the predictive capability and cutoff value of preoperative ASG score for reintervention after endovascular aneurysm repair (EVAR).
Year: 2011
Affiliation: Society for Vascular Surgery
Citation: New England Journal of Medicine
Abstract: In 2002, a system for the grading of abdominal aortic aneurysms (AAAs) was developed by the Society for Vascular Surgery (SVS). Because the correlation of the anatomic severity grading (ASG) score to patient outcomes has yet to be validated, we provide our experience with calculating the ASG score using three-dimensional (3-D) image-rendering software and provide the practical translation of this score into early outcomes and hospital charges
Year: 2011
Affiliation: New York University Langone Medical Center
Citation: Peripheral Vascular Society
Abstract: Endoleak and sac growth remain unpredictable occurrences after EVAR, necessitating regular surveillance imaging, including CT angiography. This study was designed to identify preoperative CT variables that predict AAA remodeling and sac behavior post-EVAR.
Year: 2009
Affiliation: U of Rochester Medical Center
Citation: European Journal of Vascular and Endovascular Surgery
Abstract: A case series of 5 patients is presented assessing the utility of simulation case rehearsals of individual patients for carotid artery stenting on an endovascular simulator. Simulated and operative device dimensions were similar. Results of subjective surveys indicated that face and content validity were excellent. The simulations predicted difficulty with vessel cannulation, however had difficulty predicting post-stent changes in bifurcation angulation. Our experience suggests that it may be feasible to use patient-specific CTA-derived data in the creation of a realistic case rehearsal simulation. The overall utility of this concept, including cost-benefit analysis, has yet to be determined.
Year: 2013
Affiliation: WTSA
Abstract: The "Health Information Technology for Economic and Clinical Health" (HITECH) Act portion of the AVA is currently being enacted. Among the many goals, this ACA bill targets increased use of the health information thecnology by requiring the government to take a leadership role in developing stnadards that allow for the nationwide use of EMR to improve quality and coordination of care. The bill stiupulates an investment of $20 billion in electronic infrastructure and Medicare and Medicaid incentives to encourage doctors and hospitals to digitally exchange patients' and medical records.
Year: 2013
Affiliation: Peripheral Vascular Surgery Society
Abstract: Three-dimensional (3D) centerline reconstruction of computed tomography angiography (CTA) images permits detailed anatomic characterization of abdominal aortic aneurysms and facilitates planning of endovascular repair.
Year: 2012
Affiliation: Vascular Annual Meeting R2
Citation: Journal of Vascular Surgery
Abstract: Long-term durability of EVAR is impaired by aortic neck dilatation (AND) that is associated with late Type 1 endoleak, migration and aneurysm rupture. Current endografts employ radial force, barbs and columnar rigidity for fixation. Metal helical endostaples provide longitudinal fixation and radial fixation to resist vascular dilatation. AND greater >15 % is reported in a range of 21%-28% at 2 years in the three largest studies. We analyzed the core lab imaging data from the Phase II IDE STAPLE-2 trial to evaluate the effect of helical endostaple fixation on AND
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