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Page 48
May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
BACKGROUND:
Aortic Abdominal Aneurysm (AAA) management
requires to deal with different tasks: clinical evaluation, analysis
and forecast risk of rupture, analysis of radiological imaging,
evaluation of the feasibility for endovascular repair (EVAR), sizing
and planning.
OBJECTIVE:
aXurge© is the ultimate web platform for the
treatment of AAA. Combining advanced mathematical techniques
in the fields of imaging, numerical and statistical analysis,
aXurge© provides an advanced valuable tool for:
• Vascular specialists, as it assists them during every step
of the decision procedure: from the analysis of the DICOM
images to an insightful and aware assessment of the patient
condition, and the planning for EVAR configuration of the
surgical operation.
• EVAR manufacturers, as it offers a dedicated space to
interact with vascular specialists and to access a rich
statistical database that will be continuously updated with
new clinical cases.
MATERIAL AND METHODS:
aXurge© web-platform provides the
following features:
• Private case history database.
• Image processing and sizing. Our application guides
clinicians to obtain from medical imaging AAA sizing and
morphological characterization.
• Statistical classification and enhanced morphological and
biomechanical assessment in order to produce a statistical
classification of AAA.
• Patient-specific numerical simulations with haemodynamics
and biomechanical models of the risk of rupture tailored on
each case
• EVAR devices configuration planner through the catalogues
of all the principal brands of EVAR manufacturers.
RESULTS:
Over a training set of 283 geometries, after the manual
selection of solely 5 seed points, our algorithms are actually able
to automatically perform AAA’s sizing in the 79% of the cases.
CONCLUSIONS:
The great value of aXurge© relies in the synergy
of several individual high-level skills, needed to achieve an
effective product. aXurge© aims not only at bringing innovation
to vascular experts but also at interacting and collaborating with
them to ensure continuous improvement in patients’ healthcare.
The aXurge© project. Feasibility of a mathematical platform
for Abdominal Aortic Aneurism (AAA) sizing, risk assessment and
surgical planning
Maurizio Domanin
1
, Colciago C
2
, Riccobene C
3
, Deparis S
2
, Quarteroni A
4
, Schenone E
3
,
Crivaro
3
and
Prati L
5
1
University of Milan, Italy
2
Ecole Polytechnique de Lausanne, Italy
3
Moxoff, Italy
4
Mox - Politecnico di Milano, Italy
5
Yottacle, Italy
Domanin M et al., J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002