Lessons learned and learning curve of fenestrated and branched endografts

Emanuel R. Tenorio, Aleem K. Mirza, Jussi M. Kärkkäinen, Gustavo S. Oderich

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Fenestrated and branched endovascular repair (F-BEVAR ) has been increasingly used to treat patients with complex aortic aneurysms involving the renal-mesenteric arteries. As with any new procedure, there is a learning curve associated with mastering the technique. However, proficiency with deployment is only one aspect of the learning process, and ultimately, this curve is defined not by one quality parameter, but by patient selection, the performance of the entire team, the surgeon's ability to adapt to unexpected events, and the durability of the repair. This article reviews the importance of novel training paradigms, learning curve, and factors affecting outcomes of complex endovascular aneurysm repair.

Original languageEnglish (US)
Pages (from-to)23-34
Number of pages12
JournalJournal of Cardiovascular Surgery
Volume60
Issue number1
DOIs
StatePublished - Feb 2019

Keywords

  • Blood vessel prosthesis
  • Learning curve
  • Materials testing
  • Prosthesis failure
  • Thoracic aortic aneurysm
  • Vascular grafting

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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