Show simple item record

dc.contributor.authorSchanzer, Andres
dc.contributor.authorBaril, Donald
dc.contributor.authorRobinson, William P. III
dc.contributor.authorSimons, Jessica P.
dc.contributor.authorAiello, Francesco A.
dc.contributor.authorMessina, Louis M.
dc.date2022-08-11T08:08:32.000
dc.date.accessioned2022-08-23T15:58:06Z
dc.date.available2022-08-23T15:58:06Z
dc.date.issued2015-03-01
dc.date.submitted2015-05-18
dc.identifier.citationJ Vasc Surg. 2015 Mar;61(3):826-31. doi: 10.1016/j.jvs.2014.08.121. Epub 2015 Jan 13. <a href="http://dx.doi.org/10.1016/j.jvs.2014.08.121">Link to article on publisher's site</a>
dc.identifier.issn0741-5214 (Linking)
dc.identifier.doi10.1016/j.jvs.2014.08.121
dc.identifier.pmid25595400
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30357
dc.description.abstractIn 2008, the top priority in our division's 5-year strategic plan was "to become an internationally recognized center of excellence for the endovascular treatment of complex aortic pathology extending from the aortic valve to the external iliac artery." Five components were identified as "most critical" to achieve this strategic priority: (1) training at centers of excellence in complex endovascular repair; (2) industry partnership to improve access to developing technologies; (3) a fully integrated team approach with one leader involved in all steps of all cases; (4) prospective data collection; and (5) development and implementation of a physician-sponsored investigational device exemption for juxtarenal, pararenal, and thoracoabdominal aneurysms. We have now performed 49 repairs (16 commercially manufactured devices, 33 physician-modified devices) for 3 common iliac, 20 juxtarenal, 9 pararenal, and 17 thoracoabdominal aneurysms, using 142 fenestrations, branches, and scallops. All patients had complete 30-day follow-up for calculation of 30-day events. Kaplan-Meier analysis was used to calculate 1-year events. In 5 years, we developed a successful complex endovascular aortic program that uses fenestrated/branched repair techniques. A focused team strategic planning approach to program development is an effective way for vascular surgery divisions to gain experience and expertise with new complex technologies while ensuring acceptable patient outcomes.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25595400&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.jvs.2014.08.121
dc.subjectAged
dc.subjectAortic Diseases
dc.subjectBlood Vessel Prosthesis
dc.subjectBlood Vessel Prosthesis Implantation
dc.subjecteffects
dc.subjectClinical Competence
dc.subjectCooperative Behavior
dc.subjectEducation, Medical, Graduate
dc.subjectEndovascular Procedures
dc.subjecteffects
dc.subjectFemale
dc.subjectHealth Care Sector
dc.subjectHumans
dc.subjectInterdisciplinary Communication
dc.subjectInterinstitutional Relations
dc.subjectKaplan-Meier Estimate
dc.subjectMale
dc.subjectModels, Organizational
dc.subjectOrganizational Objectives
dc.subjectPatient Care Team
dc.subjectPractice Management, Medical
dc.subjectProgram Development
dc.subjectProgram Evaluation
dc.subjectProsthesis Design
dc.subjectQuality Improvement
dc.subjectQuality Indicators, Health Care
dc.subjectRetrospective Studies
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.subjectHealth and Medical Administration
dc.subjectSurgery
dc.titleDeveloping a complex endovascular fenestrated and branched aortic program
dc.typeJournal Article
dc.source.journaltitleJournal of vascular surgery
dc.source.volume61
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/628
dc.identifier.contextkey7111919
html.description.abstract<p>In 2008, the top priority in our division's 5-year strategic plan was "to become an internationally recognized center of excellence for the endovascular treatment of complex aortic pathology extending from the aortic valve to the external iliac artery." Five components were identified as "most critical" to achieve this strategic priority: (1) training at centers of excellence in complex endovascular repair; (2) industry partnership to improve access to developing technologies; (3) a fully integrated team approach with one leader involved in all steps of all cases; (4) prospective data collection; and (5) development and implementation of a physician-sponsored investigational device exemption for juxtarenal, pararenal, and thoracoabdominal aneurysms. We have now performed 49 repairs (16 commercially manufactured devices, 33 physician-modified devices) for 3 common iliac, 20 juxtarenal, 9 pararenal, and 17 thoracoabdominal aneurysms, using 142 fenestrations, branches, and scallops. All patients had complete 30-day follow-up for calculation of 30-day events. Kaplan-Meier analysis was used to calculate 1-year events. In 5 years, we developed a successful complex endovascular aortic program that uses fenestrated/branched repair techniques. A focused team strategic planning approach to program development is an effective way for vascular surgery divisions to gain experience and expertise with new complex technologies while ensuring acceptable patient outcomes.</p>
dc.identifier.submissionpathfaculty_pubs/628
dc.contributor.departmentDepartment of Surgery, Division of Vascular Surgery
dc.source.pages826-31


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record