REVIEW  RECENT DEVELOPMENTS IN THE MANAGEMENT OF PARARENAL AND TAAAS 

The Journal of Cardiovascular Surgery 2019 February;60(1):23-34

DOI: 10.23736/S0021-9509.18.10728-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Lessons learned and learning curve of fenestrated and branched endografts

Emanuel R. TENORIO, Aleem K. MIRZA, Jussi M. KÄRKKÄINEN, Gustavo S. ODERICH ✉

Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center, Rochester, MN, USA

Fenestrated and branched endovascular repair (F-BEVAR) has been increasingly used to treat patients with complex aortic aneurysms involving the renal-mesenteric arteries. As with any new procedure, there is a learning curve associated with mastering the technique. However, proficiency with deployment is only one aspect of the learning process, and ultimately, this curve is defined not by one quality parameter, but by patient selection, the performance of the entire team, the surgeon’s ability to adapt to unexpected events, and the durability of the repair. This article reviews the importance of novel training paradigms, learning curve, and factors affecting outcomes of complex endovascular aneurysm repair.

KEY WORDS: Blood vessel prosthesis - Vascular grafting - Learning curve - Materials testing - Prosthesis failure - Thoracic aortic aneurysm