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The Impact of Technology on Vascular Surgery

Explore the transformative impact of technology on vascular surgery training and practice at Alma Mater Studiorum, Bologna University. Witness the evolution from early endografts to advanced hybrid rooms and simulation training, shaping the future of the profession.

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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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