Impact of center experience on unibody anatomically fixed systems utilization: insight from a multicentric, international, non-randomized, prospective registry - the AFX2-LIVE Study
Institutional experience significantly influences procedural efficiency in EVAR with the AFX2 device, with a learning curve effect evident beyond 30 cases. However, technical success and safety remain high across all centers, reinforcing the device's feasibility even in lower-volume institutions. These findings support current European guidelines recommending a minimum annual EVAR caseload of 30 procedures per center.
Authors
- Maurizio Taurino (ORCID: https://orcid.org/0000-0001-5853-9410)
- Nicola Leone (ORCID: https://orcid.org/0000-0001-6424-212X)
- Nicola Tusini
- Filippo Benedetto (ORCID: https://orcid.org/0000-0001-7559-944X)
- Francesco Speziale (ORCID: https://orcid.org/0000-0001-8106-2083)
- Pasqualino Sirignano (ORCID: https://orcid.org/0000-0002-1312-1915)
- F Andréoli (ORCID: https://orcid.org/0000-0002-8645-9036)
- Andrea Gaggiano (ORCID: https://orcid.org/0000-0002-4898-4454)
- Roberto Silingardi (ORCID: https://orcid.org/0000-0002-5082-6957)
- Pierfrancesco Veroux (ORCID: https://orcid.org/0000-0003-4965-7137)
- Giancarlo Acciarino
Institutions
- University of Messina (IT)
- University of Modena and Reggio Emilia (IT)
- Policlinico Umberto I (IT)
- University of Catania (IT)
- Azienda Unita' Sanitaria Locale Di Modena (IT)
- Ospedale Papa Giovanni XXIII (IT)
- Azienda Ospedaliero-Universitaria di Modena (IT)
- Ospedale Santa Maria (IT)
- Azienda Ospedaliera S.Maria (IT)
- Azienda Ospedaliera Sant'Andrea (IT)
- A. O. Ordine Mauriziano di Torino (IT)
- Policlinico Universitario di Catania (IT)
- Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona (IT)
Publication Details
- Journal
- The Journal of Cardiovascular Surgery
- Published
- 2025-09-01
- DOI
- https://doi.org/10.23736/s0021-9509.25.13337-5
- Primary Topic
- Aortic aneurysm repair treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00