Clinical Advances in Aortic Disease and Revascularization
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".
Deadline for manuscript submissions: 31 May 2024 | Viewed by 920
Special Issue Editor
Interests: probabilistic programming; neural networks; intravascular ultrasound; quality of life
Special Issue Information
Dear Colleagues,
Although the management of aortic diseases (AD) has undergone evolutionary and fundamental changes in recent decades due to the establishment of more or less complex endovascular procedures and has become much safer and less invasive, many issues remain and new problems have emerged. There is still limited evidence regarding the differential indications for the (non-operative, endovascular or open-surgical) treatment of aneurysms, penetrating ulcers, dissections, etc. Demographic changes have led to much older patients with a range of comorbidities, often with limited operability, and new questions, such as those of the patient’s quality of life vs. overall survival, have arisen. Major randomized controlled trials investigating the outcomes of endovascular vs. non-operative vs. open-surgical treatment no longer fully reflect the realities of today, and new, more real-world-focusing approaches are needed, including registry data, artificial intelligence, Bayes statistics or other prediction models enabling clinicians to judge with empathy and intuition, supported by patient-individual prognosis. Moreover, new contrast media and radiation-sparing technology, such as intravascular ultrasound, image fusion and virtual reality, will rapidly bring about new perspectives for the treatment of difficult anatomies. Last but not least, the molecular base of ADs will fundamentally change our point of view, since the course of AD has to be associated with a specific etiology rather than with the morphology (i.e., diameter) alone.
Dr. Andrej Udelnow
Guest Editor
Manuscript Submission Information
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Keywords
- aortic disease
- aortic aneurysm
- endovascular aortic repair
- atherosclerosis
- aortic dissections
- overall survival
- quality of life
- intravascular ultrasound
