The Current State of Fenestrated and Branched Devices for Abdominal Aortic Aneurysm Repair

Seminars in Interventional Radiology
Holly L Graves, Benjamin M Jackson

Abstract

Endovascular abdominal aortic aneurysm repair (EVAR) provides an attractive alternative to traditional open techniques. Endovascular repair is frequently limited by aortic aneurysm neck angulation, the absence of an adequate infrarenal neck, and the need for internal iliac preservation. Several devices have been created to incorporate visceral artery segments as well as preserve the internal iliac artery, thus broadening the patient population suited for endovascular repair. This article will provide a review of the current literature regarding fenestrated devices, branch devices, off-the-shelf devices, and physician-modified devices. It will also highlight the iliac branch stent grafts currently on trial for internal iliac artery preservation. Data thus far have suggested that these devices will be both a safe and effective option for anatomically challenging abdominal aortic aneurysms.

Citations

Aug 20, 2017·Cardiovascular and Interventional Radiology·Tobias PenzkoferPhilipp Bruners
Jan 10, 2019·Angiology·Fabien LareyreJuliette Raffort
Mar 8, 2018·Cardiovascular and Interventional Radiology·Ivan Kuang Hsin HuangRobert A Morgan
Aug 29, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sean A CrawfordThomas L Forbes
May 19, 2019·Journal of Biophotonics·Roberta PiazzaFrancesca Rossi
Nov 23, 2019·The Journal of Cardiovascular Surgery·Vincent RiambauXavier Yugueros
Feb 6, 2019·Annals of Surgery·Thomas F X O'DonnellVirendra I Patel
Aug 11, 2020·Asian Cardiovascular & Thoracic Annals·Davut ÇekmeceliogluJoseph S Coselli
Jun 2, 2020·Annals of Vascular Surgery·Jane L LiaoAndres C Fajardo
Jul 10, 2021·Current Vascular Pharmacology·Juliette RaffortDimitri P Mikhailidis
Apr 1, 2019·Journal of Vascular Surgery·Sean A CrawfordThomas L Forbes

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Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

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Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

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