Endovascular TAAArepair: Current status and future challenges

Emanuel R. TENORIO, Francesco SQUIZZATO, Parvathi BALACHANDRAN, Gustavo S. ODERICH

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Open surgical repair has been the gold standard for treatment of thoracoabdominal aortic aneurysms (TAAAs). Currently open surgical repair has been reserved mostly for young and fit patients with connective tissue disorders, using separate branch vessel reconstructions instead of 'island' patches, and distal perfusion instead of "clamp-and-go" technique. Endovascular repair has been gaining widespread acceptance because of its potential to significantly decrease morbidity and mortality. Several large aortic centers have developed dedicated clinical programs to advance techniques of fenestrated-branched endovascular repair (FBEVAR) using patient-specific and off-the-shelf devices, offering a minimally invasive alternative to open repair allowing treatment of increasingly older and sicker TAAA patients. In this article, we review the current technical aspects of endovascular TAAArepair and the literature of open versus endovascular outcomes of TAAArepair.

Original languageEnglish (US)
Pages (from-to)52-68
Number of pages17
JournalItalian Journal of Vascular and Endovascular Surgery
Volume27
Issue number1
DOIs
StatePublished - Mar 2020

Keywords

  • Abdominal aortic aneurysm
  • Cone-beam computed tomography
  • Endovascular procedures
  • Thoracic aortic aneurysm

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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