Fenestrated grafts or debranching procedures for complex abdominal aortic aneurysms

Perspectives in Vascular Surgery and Endovascular Therapy
Michael Wilderman, Luis A Sanchez

Abstract

Over the past 15 years, endovascular aneurysm repair of abdominal aortic aneurysms has become widely accepted as a means of treating aneurysms located in the infrarenal portion of the aorta. It has been estimated that 30% to 40% of patients with abdominal aortic aneurysms are not candidates for endovascular repair using the current commercially available devices. The primary limitation has been unfavorable anatomy most often associated with the proximal aortic neck. Although the morbidity and mortality of open pararenal or suprarenal aneurysms has improved, many patients will not tolerate open surgery. Therefore, other techniques need to be employed. This article looks at 2 other techniques to treat complex pararenal, juxtarenal, or thoracoabdominal aneurysms, one being the use of fenestrated devices and the other being visceral artery debranching followed by endovascular grafting. Multiple series are reviewed, and the outcomes are analyzed.

Citations

May 3, 2014·Journal of Vascular Surgery·Jason T LeeRonald L Dalman
Jan 8, 2011·Journal of Vascular Surgery·Kevin J BruenW Anthony Lee
Jan 3, 2012·Journal of Vascular Surgery·Prateek K GuptaIraklis I Pipinos
Jan 30, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M XiaoHuiJ Xin
May 21, 2003·Journal of Vascular Surgery·Justin B DimickGilbert R Upchurch
Jan 10, 2018·Abdominal Radiology·Brant W UlleryDominik Fleischmann
Nov 26, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T Schmitz-Rixen, W Lang

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