Comprehensive Learning Curve Analysis of a Long-Term Experience With Thoracic Endovascular Aneurysm Repair.
Stefano GennaiNicola LeoneLuigi Am BartolottiFrancesco AndreoliMattia MigliariRoberto SilingardiPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2023)
For the first time in literature, the standard TEVAR's learning curve has been evaluated at a single vascular surgery center over a period of 25 years. The learning curve for the center and the first physician historically undertaking TEVAR was achieved at the 75th treated patient. The learning curve of the surgeons coming thereafter was significantly shorter (10 cases). This quarter-century demonstrated that intraoperative learning-related variables were associated with long-term clinical outcomes and all have improved over time. Centers approaching TEVAR for the first time and training program providers could use these data to aim to offer better clinical outcomes.
Keyphrases
- aortic dissection
- minimally invasive
- emergency department
- systematic review
- primary care
- coronary artery bypass
- spinal cord
- case report
- electronic health record
- quality improvement
- big data
- patients undergoing
- coronary artery disease
- acute coronary syndrome
- atrial fibrillation
- percutaneous coronary intervention
- artificial intelligence
- deep learning