Abstract
To review the anatomic factors crucial to successful endoluminal abdominal aortic aneurysm (AAA) repair and propose an ideal endograft design for AAA exclusion. The anatomic features of critical importance to endovascular AAA exclusion comprise remote arterial access, proximal and distal fixation sites, AAA morphology, and arterial wall pathology. When designing an aortic endograft, the major components to consider are stent selection, graft material, and the delivery system. The ideal endograft design must be sufficiently versatile to treat a broad range of patients. To meet this requirement, the endograft should display a high degree of dimensional adaptability. A modular bifurcated endograft design permits intraoperative customization to tailor the device to each patient's anatomy and pathology. The modular stent-graft concept addresses many of the important factors in the evolution toward an ideal aortic endograft. Extensive testing will be needed to determine if the bifurcated stent-graft described here is the optimal design for effective AAA exclusion.
Citations
Oct 20, 1999·American Journal of Surgery·J P HenrettaD S Sumner
Jan 19, 1999·The Surgical Clinics of North America·M D'AyalaM L Marin
Sep 28, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R P NoltheniusF L Moll
Jan 22, 2002·Journal of the American College of Surgeons·Frank J CriadoWilliam R Morgan
Mar 12, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas J FogartyChristopher K Zarins
Jan 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·W StelterP Ziegler
Oct 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G CoppiE Piccinini
Apr 25, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·A KerrR Lyon
Feb 28, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·J L AndersonD E Hartley
Jan 19, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·F R ArkoC K Zarins
Nov 17, 2006·Journal of Interventional Cardiology·Majed Chane, Richard R Heuser
Jan 10, 2006·Lippincott's Case Management : Managing the Process of Patient Care·H Kalinowski
Nov 24, 1999·Journal of Biomedical Materials Research·I NohE R Edelman
Jan 5, 2000·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·D F du Toit, A Saaiman
Jul 1, 2006·Artificial Cells, Blood Substitutes, and Immobilization Biotechnology·R GuidoinR Guzman
Mar 19, 2004·Artificial Cells, Blood Substitutes, and Immobilization Biotechnology·R GuidoinC Baquey