Endovascular Repair for Thoracoabdominal Aortic Aneurysms: Current Status and Future Challenges

Overview

Journal Ann Cardiothorac Surg

Publisher AME Publishing Company

Date 2021 Dec 20

PMID 34926178

Citations 15

Authors

Emanuel R Tenorio

Marina F Dias-Neto

Guilherme Baumgardt Barbosa Lima

Anthony L Estrera

Gustavo S Oderich

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Endovascular Repair of Spontaneous Rupture of Stent Graft Branch in Thoracoabdominal Aortic Aneurysm-Management, Case Study, and Review.

Plonski A, Plonski A, Chlabicz M, Glowinski J J Clin Med. 2025; 13(24.

PMID: 39768610 PMC: 11676123. DOI: 10.3390/jcm13247687.

A Revolutionary Device for Endovascular Aortic Repair of Abdominal Aortic Aneurysm: A Pilot Study.

Taofan T, Dakota I, Kang S, Adiarto S, Indriani S, Aurora R F1000Res. 2024; 13:892.

PMID: 39583214 PMC: 11584456. DOI: 10.12688/f1000research.152060.2.

Impact of preoperative risk factors on 5-year survival after fenestrated/branched endovascular aortic repair.

Gomes V, Parodi F, Browder S, Motta F, Vasan P, Sun D J Vasc Surg. 2024; 81(3):539-547.

PMID: 39536843 PMC: 11866699. DOI: 10.1016/j.jvs.2024.11.002.

One-Step Cannulation and Distance Measurement during Aortic Branched Endograft Repair: The Neuron Catheter Trick.

Simonte G, Fino G, Parlani G, Simonte R, Isernia G Med Sci (Basel). 2024; 12(4).

PMID: 39449410 PMC: 11503350. DOI: 10.3390/medsci12040054.

Effects of Chronic Obstructive Pulmonary Disease on the Outcomes of Fenestrated-Branched Endovascular Aortic Aneurysm Repair.

Pavarino F, Tanenbaum M, Figueroa A, Scott C, Pizano A, Porras-Colon J Cardiovasc Intervent Radiol. 2024; 47(11):1452-1460.

PMID: 39406869 DOI: 10.1007/s00270-024-03884-w.

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