TY - JOUR
T1 - Results of open pararenal abdominal aortic aneurysm repair
T2 - Tabular review of the literature
AU - Tallarita, Tiziano
AU - Sobreira, Marcone L.
AU - Oderich, Gustavo S.
PY - 2011/1
Y1 - 2011/1
N2 - Open surgical repair of complex abdominal aortic aneurysms requires more extensive dissection and aortic clamping above the renal or mesenteric arteries. Although results of open surgical series have shown variation, morbidity and mortality is higher compared with infrarenal aortic aneurysm repair. Potential complications include renal insufficiency, mesenteric ischemia, multisystem organ failure, and death. Although endovascular treatment with fenestrated and branched endografts might potentially decrease the risk of complications and mortality, its role is not yet defined and the technology is not widely available. Issues related to durability of the procedure and secondary interventions might limit its application to patients with higher risk or those with hostile anatomy. This article summarizes the clinical results of open surgical repair of pararenal abdominal aortic aneurysms to provide a benchmark for comparison with results of endovascular treatment, using fenestrated and branched techniques.
AB - Open surgical repair of complex abdominal aortic aneurysms requires more extensive dissection and aortic clamping above the renal or mesenteric arteries. Although results of open surgical series have shown variation, morbidity and mortality is higher compared with infrarenal aortic aneurysm repair. Potential complications include renal insufficiency, mesenteric ischemia, multisystem organ failure, and death. Although endovascular treatment with fenestrated and branched endografts might potentially decrease the risk of complications and mortality, its role is not yet defined and the technology is not widely available. Issues related to durability of the procedure and secondary interventions might limit its application to patients with higher risk or those with hostile anatomy. This article summarizes the clinical results of open surgical repair of pararenal abdominal aortic aneurysms to provide a benchmark for comparison with results of endovascular treatment, using fenestrated and branched techniques.
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U2 - 10.1016/j.avsg.2010.10.005
DO - 10.1016/j.avsg.2010.10.005
M3 - Article
C2 - 21172590
AN - SCOPUS:78650448855
SN - 0890-5096
VL - 25
SP - 143
EP - 149
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 1
ER -