Conceptualizing treatment of uncomplicated type B dissection using the IDEAL framework

J Vasc Surg. 2018 Feb;67(2):662-668. doi: 10.1016/j.jvs.2017.10.054.

Abstract

Objective: The objective of this study was to introduce a new framework, called IDEAL (idea, development, exploration, assessment, and long-term study), to guide physicians, investigators, and regulatory agencies through the life cycle of device development and procedural refinement.

Methods: This review describes the IDEAL framework and illustrates its application for treatment of uncomplicated type B dissection (uTBD) as an example of this process.

Results: Components of IDEAL are summarized and applied to devices used to treat uTBD. Treatment of uTBD is currently in the exploration phase, with concurrent assessment and long-term study being facilitated by detailed registries.

Conclusions: The application of IDEAL to the development and monitoring of technologies standardizes the nomenclature, facilitates evidence-based practice, and enhances the innovation process.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm / diagnostic imaging
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Clinical Protocols
  • Device Approval*
  • Diffusion of Innovation
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Evidence-Based Medicine
  • Humans
  • Prosthesis Design
  • Stents*
  • Treatment Outcome
  • Workflow