Long-term results of iliac aneurysm repair with iliac branched endograft. A 5-year experience on 100 consecutive cases

Background: Iliac branch device (IBD) technique has been introduced as an appealing and effective solution to avoid complications occurring during repair of aorto-iliac aneurysm with extensive iliac involvement. Nevertheless, no large series with long-term follow-up of IBD are available. The aim of this study was to analyse safety and long-term efficacy of IBD in a consecutive series of patients.Methods: Between 2006 and 2011, 100 consecutive patients were enrolled in a prospective database on IBD. Indications included unilateral or bilateral common iliac artery aneurysms combined or not with abdominal aneurysms. Patients were routinely followed up with computed tomography. Data were reported according to the Kaplan-Meier method.Results: There were 96 males, mean age 74.1 years. Preoperative median common iliac aneurysm diameter was 40 mm (interquartile range (IQR): 35-44 mm). Sixty-seven patients had abdominal aortic aneurysm >35 mm (IQR: 40-57 mm) associated with iliac aneurysm. Eleven patients presented hypogastric aneurysm. Twelve patients underwent isolated iliac repair with IBD and 88 patients received associated endovascular aortic repair. Periprocedural technical success rate was 95%, with no mortality. Two patients experienced external iliac occlusion in the first month. At a median follow-up of 21 months (range 1-60) aneurysm growth >3 mm was detected in four iliac (4%) arteries. Iliac endoleak (one type III and two distal type I) developed in three patients and buttock claudication in four patients. Estimated patency rate of internal iliac branch was 91.4% at 1 and 5 years. Freedom from any reintervention rate was 90% at 1 year and 81.4% at 5 years. No late ruptures occurred.Conclusions: Long-term results show that IBD use can ensure persistent iliac aneurysm exclusion at 5 years, with low risk of reintervention. This technique can be considered as a first endovascular option in patients with extensive iliac aneurysm disease and favourable anatomy. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved

A simulator for drones and Fanet management supporting multimedia traffic under human mobility

In this paper a simulator for the management of a team of Unmanned Aerial Vehicles (UAVs) and drones has been proposed. This new network is known as Fly Ad-Hoc Network (FANET), and it is a particular type of Mobile Ad-Hoc Network (MANET) but with some specific aspects that allow to provide new services in future generation networks. One of the possible applications is emergency situations or scenario where drones can provide an additional or complementary access networks supporting web services and multimedia traffic. In this paper a simulator for FANET deploying has been proposed providing the possibility to simulate different scenarios with different coverage areas. New coverage model has been included in the features and also interesting human mobility model to support more realistic users mobility. Moreover, additional modules for traffic pattern generation have been implemented to create scenario where mobile users can activate multimedia calls and traffic on FANET. Some simulations have been led out to show how the simulator works

MDMC: A WSN cooperative protocol for Minimizing the Data Distortion

In this work a new protocol able to obtain network cooperation in a wireless sensor network reducing the control overhead and reducing the data distortion is developed. Its aim is to select the minimum number of sensors able to cover the phenomena and to report not correlated data to the sink in order to reduce distortion. The proposed protocol is called Minimal Distortion with Maximal Cover (MDMC) protocol and it tries, on the one hand, to gradually expand the covered phenomenon area and, on the other hand to reduce the distortion that arises from the interaction of the sensors. To reach this goal, the protocol uses two heuristics along with an activation technique, the first ones select the sensors on the basis of their features, whereas the second one decreases the number of sensors which take part in the coalition formation process. The proposed has been compared with a cluster based protocol such as Local Negotiated Clustering Algorithm (LNCA)