Endovascular repair for thoracoabdominal aortic aneurysms: current status and future challenges

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Tenorio, ER (Author) Other; Dias-Neto M (Author) FMUP; Lima, GBB (Author) Other; Estrera, AL (Author) Other; Oderich, GS (Author) Other

Journal

The Journal is awaiting validation by the Administrative Services.

Title: ANNALS OF CARDIOTHORACIC SURGERY

Vol. 10

Pages: 744-767

ISSN: 2225-319X

Indexing

ISI Web of Knowledge - 30 Citations

Scopus - 37 Citations

Other information

Authenticus ID: P-00W-V0D

DOI: 10.21037/acs-2021-taes-24

Abstract (EN): Open surgical repair has been the gold standard for treatment of thoracoabdominal aortic aneurysms (TAAA). 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 a `clamp and go¿ technique. Endovascular repair has gained 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 aortic repair (FB-EVAR) using patient-specific and off-the-shelf devices, which offers a less-invasive alternative to open repair. Although FB-EVAR was initially considered an option for older and frail patients, many centers have expanded its indications to any patient with suitable anatomy and no evidence of connective tissue disorders, independent of their clinical risk. In this article, we review current techniques and outcomes of endovascular TAAA repair

Language: English

Type (Professor's evaluation): Dissemination

No. of pages: 24