Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2020 February;61(1) > The Journal of Cardiovascular Surgery 2020 February;61(1):10-7

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

 

REVIEW  FEVAR FOR JUXTARENAL RECONSTRUCTION 

The Journal of Cardiovascular Surgery 2020 February;61(1):10-7

DOI: 10.23736/S0021-9509.19.11181-0

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

FEVAR/BEVAR have limitations and do not always represent the preferred option for juxtarenal reconstruction

Vincent RIAMBAU 1 , Carla BLANCO AMIL 1, Laura CAPOCCIA 2, Gaspar MESTRES 1, Xavier YUGUEROS 1

1 Division of Vascular Surgery, Cardiovascular Institute, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; 2 Division Vascular and Endovascular Surgery, “Paride Stefanini” Department of Surgery, Umberto I Plyclinic, Sapienza University, Rome, Italy



Following the definition given by the recent ESVS guidelines, juxtarenal abdominal aortic aneurysm (JAAA) is defined as an aneurysm extending up to but not involving the renal arteries, necessitating suprarenal aortic clamping for open surgery, i.e. a short neck (<10 mm). JAAA repair always represents a challenge intervention, either by open or endovascular means, mostly related to the renal arteries involvement. Concerning endovascular repair, different options can be considered. Among them, fenestrated endografts (FEVAR) should be considered as a first option1, due to their reported safety and efficacy. However, when the anatomy is not favorable or when FEVAR devices are not available in an emergency setting for instance, other alternatives can be considered like parallel graft or chimney technique (ChEVAR). Do nothing is the last alternative when medical and anatomical circumstances are absolutely poor. In the following pages, we will review the limitations of FEVAR and branched endografts, the better indications and anatomical conditions for a successful repair with ChEVAR technique and its current clinical results reported in the literature.


KEY WORDS: Aortic aneurysm, abdominal; Renal artery; Endovascular procedures

inizio pagina