Digital Document for Endovascular Surgical Planning for Aortic Aneurysms

• DOI: https://doi.org/10.22533/at.ed.5157425121215

• Palavras-chave: Aortic aneurysm, endovascular procedures, electronic medical records.

• Keywords: Aortic aneurysm, endovascular procedures, electronic medical records.

• Abstract:

  
  Introduction: Researchers have encountered difficulties in obtaining data related to surgical planning for aortic aneurysms. Currently, the measures used in endovascular treatment planning are not available in full in the patient's medical records, and the description of the parameters used in surgical planning is not included in computed tomography angiography (CTA) reports. Objective: The overall objective of this study is to develop a standardized and structured digital document for recording the anatomical parameters necessary for the evaluation and treatment of aortic aneurysms (AA), obtained from the study of preoperative imaging, CT angiography, to be included in the electronic medical record. In addition, to qualify the recording of information on AA parameters necessary for evaluation, follow-up, and therapeutic planning to be attached to the medical record. Methodology: The development took place in two stages: initially, a bibliographic survey was conducted to substantiate and characterize the need for the proposal. Then, in collaboration with a vascular surgeon from the institution and a specialized illustrator, digital models representing the anatomy of the four main types of aortic aneurysms were created. The illustrations, drawn by hand, were processed using artificial intelligence for visual enhancement. In addition, the vascular parameters essential for surgical planning, obtained through CT angiography and
   
  specific software, for subsequent recording in the document. Result: Four digital documents were generated with illustrations of the main AAs: descending thoracic, abdominal,    aorto-iliac    and    thoracoabdominal,    with    editable fields    editable    for    filling in the dimensions and vascular characteristics according to the patient's preoperative CT angiography, type of endoprosthesis required, as well as a red symbol to mark the exact location of the dilation. Conclusion: Based on the structured and organized record in the medical record, it is expected that access to data    will become more accessible and transparent, whether for surgical planning, auditing, or as a source for teaching, research, and development.