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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2008 March;15(1):63-68
Fenestrated and branched endovascular grafts for complex aortic aneurysms. A review
Castelli P., Piffaretti G., Lomazzi C., Rivolta N., Riva F., Maida S., Alunno A., Tozzi M.
Vascular Surgery, Department of Surgery University of Insubria, Varese, Italy
The advent of endovascular devices has revolutionized the treatment of infrarenal aortic aneurysms. However, when the aneurysmal disease is more extensive and involves the visceral vessels, the common or internal iliac arteries, or extends to the supra-aortic vessels in the thoracic aorta, the complexity of the required endovascular or open repair is increased and is associated with an increase in morbidity and mortality, and could not be managed with commercially available endovascular grafts (EGs). Limited case series and reports of endovascular fenestrated and branched EGs have spurred interest in this field, encouraging preliminary studies among very selected patients performed in pioneer centers. Wider use of these technologies will require further evaluation and detailed training. The Author review the available English literature dealing with the results of complex aortic aneurysms treated with fenestrated or branched EGs.