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The Impact of Technology on Vascular Surgery

The Impact of Technology on Vascular Surgery. Alma Mater Studiorum – Bologna University S.Orsola-Malpighi, Bologna, Ital y Vascular Surgery. technology. Technology has had a great impact on our profession , which has radically changed

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The Impact of Technology on Vascular Surgery

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  1. The Impact of Technology on Vascular Surgery Alma Mater Studiorum – Bologna University S.Orsola-Malpighi, Bologna, Italy Vascular Surgery

  2. technology • Technologyhashad a great impact on ourprofession, whichhasradicallychanged • The diagnostic and therapeutictoolshavechanged • So wemustchangeourvocational training

  3. technology • The cost and complexity of technology requires High Tech Centers • Itisnecessary in Italy……… • to go beyond the conceptofhubs and spoke, creating super specializedcentersdedicatedtocomplexprocedures and proposinginnovations

  4. The Impact of Technology On Vascular Surgery • Endograft • Graft Evolution • Fenestrated/Branched • Hybrid Room • Learning Curve, Training, Planning, Simulation Alma Mater Studiorum – Università di Bologna

  5. 1990 - 2000 • 1st generation endografts • Home-made/early Industry, large introducers (>22F) • EVAR team • Surgeons had no endovascular skills • Radiologists had a prominent role during the procedures • EVAR setting • Operative Room Not adequate with few dedicated materials Alma Mater Studiorum – Università di Bologna

  6. 2000 - 2015 • New generation endografts • Suprarenal fixation, Repositionable, Low profiles • Challenging anatomy, Advanced technology • Fenestrated, Branched custom madeEndograft • Endovascular Team • Vascular Surgeons achieved endovascular skills Alma Mater Studiorum – Università di Bologna

  7. 100% Endo Alma Mater Studiorum – Università di Bologna

  8. The Impact of Technology On Vascular Surgery • Endograft • Graft Evolution • Fenestrated/Branched • Hybrid Room • Learning Curve, Training, Planning, Simulation Alma Mater Studiorum – Università di Bologna

  9. Significantly X-ray lower dose across • Clinical areas • Patients • Operators • Significantly contrast medium lower dose Alma Mater Studiorum – Università di Bologna

  10. The Impact of Technology On Vascular Surgery • Endograft • Graft Evolution • Fenestrated/Branched • Hybrid Room • Learning Curve, Training, Planning, Simulation Alma Mater Studiorum – Università di Bologna

  11. Simulationbeforethe procedure Alma Mater Studiorum – Università di Bologna

  12. Miracleof The Hudson PlaneCrush

  13. During the US Airways Flight 1954 National TransportationSafetyBoard’s investigation Simulationwasusedto prove the goodchoiseof the pilot, Chesley, “Sully” Sullenberger

  14. technology • natural and artificial, a pathbetween • bionics and roboticsproducedalso a big • impact on ourperceptionofbeingmen • for the patientbutalsoforsurgeons

  15. herefused the intervention becausedidn’t want nothingartificial in his body Albert Einstein 14 March 1879 – 18 April 1955 Chirurgia Vascolare – Università di Bologna

  16. The man oftechnologyand science whorefusedthe new surgicaltechnic, perhapstoday in anera thatistrasformingman wouldaccepttolive Endovascular=mychoiceToo! Chirurgia Vascolare – Università di Bologna

  17. Itischanged a lot in ourprofession Butwe are readyto go Back to the Future

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