INNOVATIVE TECHNOLOGIES IN AORTIC ENDOGRAFTING 

The Journal of Cardiovascular Surgery 2013 April;54(2):173-80

Copyright © 2013 EDIZIONI MINERVA MEDICA

lingua: Inglese

New insights in (acute) endovascular abdominal aneurysm repair: when fenestrated devices fall short

Pol R. A., Tielliu I. F. J., Zeebregts C. J. ✉

Department of Surgery, Division of Vascular Surgery, University of Groningen, University Medical Center Groningen, the Netherlands

The suitability for endovascular aneurysm repair (EVAR) is determined primarily by abdominal aortic aneurysm (AAA) anatomy. For patients unsuitable for standard EVAR, due to proximal neck anatomy, fenestrated aortic stent-grafting (FEVAR) is a viable alternative to open repair surgery. Initially FEVAR stent-grafts were custom-made to fit the unique anatomical characteristics of each treated individual. This customization leads to production delays therefore excluding acute aneurysms from endovascular treatment. For patients in need for more urgent treatment, several alternatives have currently been developed. The aim of this review is to provide an overview on current developments and results in acute endovascular abdominal aortic aneurysm repair.