With the #robot, a patient can be treated onsite, potentially hours before the patient could be treated otherwise.
“One robot in a #hospital can save up to $2 million to the health-care system every year if we perform up to 20 of these procedures” https://www.cbc.ca/radio/thecurrent/remote-robotic-procedure-9.6988079
Even from a few kilometres away, Dr. Vitor Mendes Pereira is able to perform a critical diagnostic procedure, thanks to an internet connection and a remote-controlled robot. It’s still early in its development, and the robot necessary is expensive, but Pereira says it could provide greater access to surgeries for patients who live in remote parts of the country.
Assessing the prevalence and #risk factors of #reperfusion injury (RI) following #endovascular revascularization of arterial acute mesenteric #ischemia. (Lorenzo Garzelli et al.)
🔗 https://insightsimaging.springeropen.com/articles/10.1186/s13244-022-01339-9
Background Data about reperfusion injury (RI) following acute arterial mesenteric ischemia (AAMI) in humans are scarce. We aimed to assess the prevalence and risk factors of RI following endovascular revascularization of AMI and evaluate its impact on patient outcomes. Methods Patients with AAMI who underwent endovascular revascularization (2016–2021) were included in this retrospective cohort. CT performed < 7 days after treatment was reviewed to identify features of RI (bowel wall hypoattenuation, mucosal hyperenhancement). Clinical, laboratory, imaging, and treatments were compared between RI and non-RI patients to identify factors associated with RI. Resection rate and survival were also compared. Results Fifty patients (23 men, median 72-yrs [IQR 60–77]) were included, and 22 were diagnosed with RI (44%) after a median 28 h (22–48). Bowel wall hypoattenuation and mucosal hyperenhancement were found in 95% and 91% of patients with post-interventional RI, respectively. Patients with RI had a greater increase of CRP levels after endovascular treatment (p = 0.01). On multivariate analysis, a decreased bowel wall enhancement on baseline CT (HR = 8.2), an embolic cause (HR = 7.4), complete SMA occlusion (HR = 7.0), and higher serum lactate levels (HR = 1.4) were associated with RI. The three-month survival rate was 78%, with no difference between subgroups (p = 0.99). However, the resection rate was higher in patients with RI (32% versus 7%; p = 0.03). Conclusion RI is frequent after endovascular revascularization of AAMI, especially in patients who present with decreased bowel wall enhancement on pre-treatment CT, an embolic cause, and a complete occlusion of the SMA. However, its occurrence does not seem to negatively impact short-term survival.
Explore our recent issues and back issues covering endovascular procedures from head to toe: https://evtoday.com/archive/2023
Images showcase several of our recent 2023 issue topics. #endovascular #vascularsurgery #interventionalradiology #irad #teamwork #stroke #aortic #embolization
Synchron Raises $75M Series C Led by ARCH Venture Partners to Advance Endovascular Brain-Computer Interface
#synchron #brain #ARCHventures #gatesfrontier #bezos #projectX #endovascular #braincomputerinterface #science #scifi #future
Robotics
Matt Willemsen
Matt Willemsen
Insights Into Imaging
Endovascular Today
Mark Dunk
Toño Muñoa