Complex abdominal aortic aneurysms: a review of radiological and clinical assessment, endovascular interventions, and current evidence of management outcomes.
branched stent
chimney
complex abdominal aortic aneurysm
endovascular aneurysm repair
fenestrated stent
physician modified stent
Journal
BJR open
ISSN: 2513-9878
Titre abrégé: BJR Open
Pays: England
ID NLM: 101749810
Informations de publication
Date de publication:
Jan 2024
Jan 2024
Historique:
received:
04
04
2024
revised:
09
08
2024
accepted:
18
08
2024
medline:
13
9
2024
pubmed:
13
9
2024
entrez:
13
9
2024
Statut:
epublish
Résumé
Endovascular aortic aneurysm repair (EVAR) is an established approach to treating abdominal aortic aneurysms, however, challenges arise when the aneurysm involves visceral branches with insufficient normal segment of the aorta to provide aneurysm seal without excluding those vessels. To overcome this, a range of technological developments and solutions have been proposed including fenestrated, branched, physician-modified stents, and chimney techniques. Understanding the currently available evidence for each option is essential to select the most suitable procedure for each patient. Overall, the evidence for fenestrated endovascular repair is the most comprehensive of these techniques and shows an early post-operative advantage over open surgical repair (OSR) but with a catch-up mortality in the mid-term period. In this review, we will describe these endovascular options, pre- and post-procedure radiological assessment and current evidence of outcomes.
Identifiants
pubmed: 39267950
doi: 10.1093/bjro/tzae024
pii: tzae024
pmc: PMC11392563
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
tzae024Informations de copyright
© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology.
Déclaration de conflit d'intérêts
M.H. has the following conflicts of interest: Education grants from Terumoaorta, Artivion and Gore &Associates.
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