EVAR: Better off Awake?

We are better off without perfect perception

Stoffregen & Bardy’s target article is based on the assumption that our senses’ ultimate purpose is to provide us with perfect information about the outside world. We argue that it is often more important that information be available quickly than that it be perfect. Consequently our nervous system processes different aspects of information about our surrounding as separately as possible. The s...

Better Off, But Still on the Farm

This book, valuable but intermittently irritating, appears to have been written by two distinct Bernard E. Rollin personalities. One of them is Bernard E. Rollin the meliorist philosopher. BER-MP (as I shall henceforth refer to him) became well known with Animal Rights and Human Morality (fIrSt edition 1981, second edition 1992). He is a meliorist rather than an abolitionist inasmuch as he beli...

Simplifying post-EVAR surveillance.

Surveillance after endovascular aneurysm repair (EVAR) is costly and a burden for the patient. Imaging is performed to detect stent-graft failure from endoleak or haemodynamic obstruction. Presently, computed tomographic angiography (CTA) is considered the gold standard for post-EVAR surveillance, as it has the potential to visualise most threats to stent-graft durability, such as migration, ki...

Patient-specific Rehearsal Before EVAR

Objective: To assess the effect of patient-specific virtual reality rehearsal (PsR) before endovascular infrarenal aneurysm repair (EVAR) on technical performance and procedural errors. Background: Endovascular procedures, including EVAR, are executed in a complex multidisciplinary environment, often treating high-risk patients. Consequently, this may lead to patient harm and procedural ineffic...

Delayed Aneurysm Rupture After EVAR