An Artificial Neural Network Stratifies the Risks of Reintervention and Mortality after Endovascular Aneurysm Repair; a Retrospective Observational study.

Journal: PloS one
PMID:

Abstract

BACKGROUND: Lifelong surveillance after endovascular repair (EVAR) of abdominal aortic aneurysms (AAA) is considered mandatory to detect potentially life-threatening endograft complications. A minority of patients require reintervention but cannot be predictively identified by existing methods. This study aimed to improve the prediction of endograft complications and mortality, through the application of machine-learning techniques.

Authors

  • Alan Karthikesalingam
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom.
  • Omneya Attallah
    Electronics and Communications Engineering Department, Arab Academy for Science, Technology, and Maritime Transport (AASTMT), Alexandria, Egypt.
  • Xianghong Ma
    College of Engineering and Applied Science, Aston University, Birmingham, B4 7ET, United Kingdom.
  • Sandeep Singh Bahia
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom.
  • Luke Thompson
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom.
  • Alberto Vidal-Diez
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom; Department of Community Health Sciences, St George's University of London, London, SW17 0QT, United Kingdom.
  • Edward C Choke
    Vascular Surgery Group, University of Leicester, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, United Kingdom.
  • Matt J Bown
    Vascular Surgery Group, University of Leicester, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, United Kingdom.
  • Robert D Sayers
    Vascular Surgery Group, University of Leicester, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, United Kingdom.
  • Matt M Thompson
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom.
  • Peter J Holt
    Department of Outcomes Research, St George's Vascular Institute, London, SW17 0QT, United Kingdom.