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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2017 April;58(2):204-17

DOI: 10.23736/S0021-9509.16.09852-9

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Planning endovascular aortic repair with standard and fenestrated-branched endografts

Giuliano, de ALMEIDA SANDRI 1, Mauricio S. RIBEIRO 1, Thanila A. MACEDO 2, Terri VRTISKA 2, Gustavo S. ODERICH 1

1 Advanced Endovascular Aortic Research Program, Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA; 2 Department of Radiology, Mayo Clinic, Rochester, MN, USA


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Endovascular aortic repair (EVAR) has been accepted as the first treatment option in most patients with infrarenal and thoracic aortic aneurysms. Advantages include its minimal invasive approach and lower risk of mortality and morbidity compared to open surgical repair. In patients with complex aneurysms involving side branches, novel techniques of parallel, fenestrated and branched endografts have expanded the indications of EVAR. Preoperative planning is of paramount importance to achieve technical success and to minimize risks of these procedures. In most centers, anatomical measurements are based on helical computed tomography angiography and/or magnetic resonance angiography. This article summarizes the most important aspects on planning standard and complex EVAR to treat aortic aneurysms and dissections.


KEY WORDS: Angioplastic - Aortic aneurysm - Patient care planning - Preoperative period - Vascular grafting

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Issue published online: February 27, 2017

Cite this article as

de Almeida Sandri G, Ribeiro MS, Macedo TA, Vrtiska T, Oderich GS. Planning endovascular aortic repair with standard and fenestrated-branched endografts. J Cardiovasc Surg 2017;58:204-17. DOI: 10.23736/S0021-9509.16.09852-9

Corresponding author e-mail

oderich.gustavo@mayo.edu