Use of an artificial intelligence-driven software device to assist endovascular repair of a ruptured abdominal aortic aneurysm.

Endovascular aneurysm repair for ruptured abdominal aortic aneurysms (RAAAs) is technically demanding due to time pressure and distorted vascular anatomy. Cydar Maps artificial intelligence-driven software integrates preoperative computed tomography angiography with live fluoroscopy to enhance procedural guidance. Its application in RAAAs has been limited because of perceived time delays. Yet, this technology could potentially shorten procedure time and reduce radiation exposure and contrast volume. The latter is particularly relevant, given the high incidence of acute kidney injury following RAAAs. This case demonstrates that Cydar Maps was feasible and safe during endovascular aneurysm repair for RAAAs in a hemodynamically stable patient.