Title: Emerging Approaches in Vascular Surgery - A Review
Authors: Dr M. Aditya Ram, Dr Jibesh Kr. Sarkar, Dr Sumit Priyadarshi, Dr Sourav Sarkar, Pronoy Das, Arnab Chakraborty
DOI: https://dx.doi.org/10.18535/jmscr/v13i04.02
Abstract
In the vast advancement of medical sciences, innovation and new technologies in combating different vascular diseases, vascular surgery acts like a beacon. This paper will give the readers a clear picture on the current innovative approaches such as Artificial Inteligence(AI)/ Machine Learning(ML), Robotic-Assisted vascular surgeries, Drug eluting stents, Bioengineered Vascular Grafts, Endovascular Ablation Therapies and Thoracoabdomimal Aortic Aneurysm Endovascular Repair (TAAER). Artificial Inteligence(AI)/ Machine Learning(ML) in vascular surgeries, which provides better disease prognosis and management, Robotic-Assisted vascular surgeries, which provides 3D visualization, better agility, emotional shock prof though it is costly and safety and efficacy evidences still need to be established, Drug eluting stents along with 3 months antiplatelet therapy is very effective in Percutaneous coronary intervention (PCI), Bioengineered Vascular Grafts, which shows promising results in connections with total cavopulmonary with nonhypertrophied right atrium case and also diminishes the risk of arrhythmia in early or later stages and lastly the Endovascular Ablation Therapies like Radiofrequency ablation (RFA) shows better results than endovenous laser ablation (EVLA) in interventions of lower extremities venous insufficiency.
Keywords: Artificial Inteligence(AI)/ Machine Learning(ML), Robotic-assisted vascular surgeries , Drug eluting stents, Bioengineered vascular grafts, Endovascular ablation therapies.
References
- Veith, F. J., & Stanley, J. C. (2020). Vascular surgery's identity. Journal of Vascular Surgery, 72(1), 293-297.
- Veith, F. J. (2016). A look at the future of vascular surgery. Journal of Vascular Surgery, 64(4), 885-890.
- Collaborators, G. B. D., Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., ... & Choudhari, S. G. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795-820.
- Bencheikh, N., Zarrintan, S., Quatramoni, J. G., Al-Nouri, O., Malas, M., & Gaffey, A. C. (2023). Vascular Surgery in Low and Middle Income Countries: A State-of-the-Art Review. Annals of Vascular Surgery.
- Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., & Yip, W. (2015). Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The lancet, 386(9993), 569-624.
- Conte, M. S., Pomposelli, F. B., Clair, D. G., Geraghty, P. J., McKinsey, J. F., Mills, J. L., & Sidawy, A. N. (2015). Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. Journal of vascular surgery, 61(3), 2S-41S.
- Cassimjee, I., le Roux, D., Pillai, J., & Veller, M. (2021). Vascular surgery in South Africa in 2021. European Journal of Vascular and Endovascular Surgery, 61(5), 719-720.
- Collaborators, G. B. D., Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., ... & Choudhari, S. G. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795-820.
- de Lima Naves, B., Reis, P. E., Ribeiro, M. S., de Souza, L. R., & Oderich, G. S. (2021). Vascular Surgery in Brazil. European Journal of Vascular and Endovascular Surgery, 62(4), 511-512.
- Xu, J., & Prince, A. E. (2019). Shared decision-making in vascular surgery. Journal of vascular surgery, 70(5), 1711-1715.
- Lareyre, F., Behrendt, C. A., Chaudhuri, A., Ayache, N., Delingette, H., &Raffort, J. (2022). Big data and artificial intelligence in vascular surgery: time for multidisciplinary cross-border collaboration. Angiology, 73(8), 697-700.
- Lareyre, F., Adam, C., Carrier, M., Chakfé, N., & Raffort, J. (2020). Artificial intelligence for education of vascular surgeons. European Journal of Vascular and Endovascular Surgery, 59(6), 870-871.
- Ishida, M., Shimada, R., Takahashi, F., Niiyama, M., Ishisone, T., Matsumoto, Y., ... & REIWA Investigators. (2024). One-Month Dual Antiplatelet Therapy Followed by P2Y12 Inhibitor Monotherapy After Biodegradable Polymer Drug-Eluting Stent Implantation―The REIWA Region-Wide Registry―. Circulation Journal, CJ-24.
- B.Pawar, P., & Sahu, T. (2023). Artificial Intelligence and Vascular Surgery: A Glance into the Crystal Ball. Indian Journal of Vascular and Endovascular Surgery, 10(4), 243-244.
- Shah, P., Kendall, F., Khozin, S., Goosen, R., Hu, J., Laramie, J., ... & Schork, N. (2019). Artificial intelligence and machine learning in clinical development: a translational perspective. NPJ digital medicine, 2(1), 69
- B. Zemaitis, M. R., Boll, J. M. & Dreyer, M. A. Peripheral arterial disease. In StatPearls
(StatPearls Publishing, 2021). - Sajda, P. (2006). Machine learning for detection and diagnosis of disease. Annu. Rev. Biomed. Eng., 8, 537-565.
- Li, B., Feridooni, T., Cuen-Ojeda, C., Kishibe, T., de Mestral, C., Mamdani, M., & Al-Omran, M. (2022). Machine learning in vascular surgery: a systematic review and critical appraisal. NPJ Digital Medicine, 5(1), 7.
- Ward, A., Sarraju, A., Chung, S., Li, J., Harrington, R., Heidenreich, P., ... & Rodriguez, F. (2020). Machine learning and atherosclerotic cardiovascular disease risk prediction in a multi-ethnic population. NPJ digital medicine, 3(1), 125.
- Pawar, P. and Sahu, T., 2023. Artificial Intelligence and Vascular Surgery: A Glance into the Crystal Ball. Indian Journal of Vascular and Endovascular Surgery, 10(4), pp.243-244.
- Raffort, J., Adam, C., Carrier, M., & Lareyre, F. (2020). Fundamentals in Artificial Intelligence for Vascular Surgeons. Annals of vascular surgery, 65, 254–260. https://doi.org/10.1016/j.avsg.2019.11.037
- Winkler-Schwartz, A., Bissonnette, V., Mirchi, N., Ponnudurai, N., Yilmaz, R., Ledwos, N., Siyar, S., Azarnoush, H., Karlik, B., & Del Maestro, R. F. (2019). Artificial Intelligence in Medical Education: Best Practices Using Machine Learning to Assess Surgical Expertise in Virtual Reality Simulation. Journal of surgical education, 76(6), 1681–1690. https://doi.org/10.1016/j.jsurg.2019.05.015
- Bahl, M., Barzilay, R., Yedidia, A. B., Locascio, N. J., Yu, L., & Lehman, C. D. (2018). High-Risk Breast Lesions: A Machine Learning Model to Predict Pathologic Upgrade and Reduce Unnecessary Surgical Excision. Radiology, 286(3), 810–818. https://doi.org/10.1148/radiol.2017170549
- Hashimoto, D. A., Rosman, G., Rus, D., & Meireles, O. R. (2018). Artificial Intelligence in Surgery: Promises and Perils. Annals of surgery, 268(1), 70–76. https://doi.org/10.1097/SLA.0000000000002693
- Raffort, J., Adam, C., Carrier, M., Ballaith, A., Coscas, R., Jean-Baptiste, E., Hassen-Khodja, R., Chakfé, N., & Lareyre, F. (2020). Artificial intelligence in abdominal aortic aneurysm. Journal of vascular surgery, 72(1), 321–333.e1. https://doi.org/10.1016/j.jvs.2019.12.026
- Gumbs, A.A., Frigerio, I., Spolverato, G., Croner, R., Illanes, A., Chouillard, E. and Elyan, E., 2021. Artificial intelligence surgery: How do we get to autonomous actions in surgery?. Sensors, 21(16), p.5526.
- Aljondi, R., Alghamdi, S.S., Tajaldeen, A., Alassiri, S., Alkinani, M.H. and Bertinotti, T., 2023. Application of Artificial Intelligence in the Mammographic Detection of Breast Cancer in Saudi Arabian Women. Applied Sciences, 13(21), p.12087.
- Riaz, I.B., Harmon, S., Chen, Z., Naqvi, S.A.A. and Cheng, L., 2024. Applications of artificial intelligence in prostate cancer care: a path to enhanced efficiency and outcomes. American Society of Clinical Oncology Educational Book, 44(3), p.e438516.
- Fischer, U.M., Shireman, P.K. and Lin, J.C., 2021, December. Current applications of artificial intelligence in vascular surgery. In Seminars in vascular surgery (Vol. 34, No. 4, pp. 268-271). WB Saunders.
- Nimmagadda, N., Aboian, E., Kiang, S. and Fischer, U., 2024. The Role of Artificial Intelligence in Vascular Care. JVS-Vascular Insights, p.100179.
- Duran, C., Kashef, E., El-Sayed, H. F., & Bismuth, J. (2011). Robotic aortic surgery. Methodist DeBakey cardiovascular journal, 7(3).
- Lane, T. (2018). A short history of robotic surgery. The Annals of The Royal College of Surgeons of England, 100(6_sup), 5-7.
- Rusch, R., Hoffmann, G., Rusch, M., Cremer, J., & Berndt, R. (2022). Robotic-assisted abdominal aortic surgery: evidence and techniques. Journal of Robotic Surgery, 16(6), 1265-1271
- Gonen, L., Chakravarthi, S. S., Monroy-Sosa, A., Celix, J. M., Kojis, N., Singh, M., ... & Kassam, A. B. (2017). Initial experience with a robotically operated video optical telescopic-microscope in cranial neurosurgery: feasibility, safety, and clinical applications. Neurosurgical Focus, 42(5), E9.
- Kane, W. J., Charles, E. J., Mehaffey, J. H., Hawkins, R. B., Meneses, K. B., Tache-Leon, C. A., & Yang, Z. (2020). Robotic compared with laparoscopic cholecystectomy: a propensity matched analysis. Surgery, 167(2), 432-435.
- Altieri, M. S., Yang, J., Telem, D. A., Zhu, J., Halbert, C., Talamini, M., & Pryor, A. D. (2016). Robotic approaches may offer benefit in colorectal procedures, more controversial in other areas: a review of 168,248 cases. Surgical endoscopy, 30, 925-933.
- Thuemmler, C., & Bai, C. (Eds.). (2017). Health 4.0: How virtualization and big data are revolutionizing healthcare (pp. 2168-2194). Cham: Springer International Publishing.
- Peters, B. S., Armijo, P. R., Krause, C., Choudhury, S. A., & Oleynikov, D. (2018). Review of emerging surgical robotic technology. Surgical endoscopy, 32, 1636-1655.
- Fluder-Wlodarczyk, J., Pawłowski, S., Chuchra, P. J., Pawłowski, T., Wojakowski, W., & Gasior, P. (2024). Importance of Short-Term Neointimal Coverage of Drug-Eluting Stents in the Duration of Dual Antiplatelet Therapy. Journal of Clinical Medicine, 13(6), 1730.
- Hassan, S., Ali, M. N., & Ghafoor, B. (2022). Evolutionary perspective of drug eluting stents: from thick polymer to polymer free approach. Journal of Cardiothoracic Surgery, 17(1), 65.
- Islam, P., Schaly, S., Abosalha, A. K., Boyajian, J., Thareja, R., Ahmad, W., ... & Prakash, S. (2024). Nanotechnology in development of next generation of stent and related medical devices: Current and future aspects. Wiley Interdisciplinary Reviews: Nanomedicine and Nanobiotechnology, 16(2), e1941.
- Koźlik, M., Harpula, J., Chuchra, P. J., Nowak, M., Wojakowski, W., & Gąsior, P. (2023). Drug-Eluting Stents: Technical and Clinical Progress. Biomimetics, 8(1), 72.
- Gasior, P., Lu, S., Ng, C. K. J., Toong, W. Y. D., Wong, E. H. P., Foin, N., ... & Ang, H. Y. (2020). Comparison of overexpansion capabilities and thrombogenicity at the side branch ostia after implantation of four different drug eluting stents. Scientific Reports, 10(1), 20791.
- Itoh, T., Otake, H., Kimura, T., Tsukiyama, Y., Kikuchi, T., Okubo, M., ... & Morino, Y. (2021). A serial optical frequency-domain imaging study of early and late vascular responses to bioresorbable-polymer sirolimus-eluting stents for the treatment of acute myocardial infarction and stable coronary artery disease patients: results of the MECHANISM-ULTIMASTER study. Cardiovascular Intervention and Therapeutics, 1-12.
- Morino, Y., Terashita, D., Otake, H., Kikuchi, T., Fusazaki, T., Kuriyama, N., ... & Shinke, T. (2019). Early vascular responses to everolimus-eluting cobalt–chromium stent in the culprit lesions of st-elevation myocardial infarction: results from a multicenter prospective optical coherence tomography study (MECHANISM-AMI 2-week follow-up study). Cardiovascular intervention and therapeutics, 34, 14-24.
- Ishida, M., Shimada, R., Takahashi, F., Niiyama, M., Ishisone, T., Matsumoto, Y., ... & REIWA Investigators. (2024). One-Month Dual Antiplatelet Therapy Followed by P2Y12 Inhibitor Monotherapy After Biodegradable Polymer Drug-Eluting Stent Implantation―The REIWA Region-Wide Registry―. Circulation Journal, CJ-24.
- Hibino, N., McGillicuddy, E., Matsumura, G., Ichihara, Y., Naito, Y., Breuer, C., &Shinoka, T. (2010). Late-term results of tissue-engineered vascular grafts in humans. The Journal of thoracic and cardiovascular surgery, 139(2), 431-436.
- de Leval, M. R., Kilner, P., Gewillig, M., Bull, C., & McGoon, D. C. (1988). Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations: experimental studies and early clinical experience. The Journal of thoracic and cardiovascular surgery, 96(5), 682-695.
- Lejay, A., Bratu, B., Kuntz, S., Neumann, N., Heim, F., &Chakfé, N. (2023, May). Calcification of synthetic vascular grafts: a systematic review. In EJVES Vascular Forum. Elsevier.
- Isomatsu, Y., Shin'oka, T., Matsumura, G., Hibino, N., Konuma, T., Nagatsu, M., & Kurosawa, H. (2003). Extracardiac total cavopulmonary connection using a tissue-engineered graft. The Journal of thoracic and cardiovascular surgery, 126(6), 1958-1962.
- Drews, J. D., Pepper, V. K., Best, C. A., Szafron, J. M., Cheatham, J. P., Yates, A. R., ... & Breuer, C. K. (2020). Spontaneous reversal of stenosis in tissue-engineered vascular grafts. Science translational medicine, 12(537), eaax6919.
- Sevil, F., Colak Jr, A., Ceviz, M., Kaya, U., &Becit, N. (2020). The effectiveness of endovenous radiofrequency ablation application in varicose vein diseases of the lower extremity. Cureus, 12(4).
- Lam, H. B., & Chao, L. F. (2014). Endovascular ablation therapies for varicose veins in elderly patients. International Journal of Gerontology, 8(4), 219-222.
- Jiang, W., Liang, Y., Long, Z., Hu, M., Yang, H., & Qin, X. (2024). Endovenous Radiofrequency Ablation Versus Laser Ablation in Patients with Lower Extremity Varicose Veins: A Meta-analysis. Journal of Vascular surgery. Venous and Lymphatic Disorders, 101842-101842.
- Hao, S., Cox, S., Monahan, T. S., & Sarkar, R. (2017). Double prepuncture as a valuable adjunctive technique for complex endovenous ablation. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 5(4), 507-513.