Update on the use of abdominal and thoracic endografts for treating aortic aneurysms. (3rd March 2016)

• Record Type: Journal Article
• Authors: Chung, Christine; Fremed, Daniel; Han, Daniel; Faries, Peter; Marin, Michael
• Is Part Of: Expert review of medical devices. Volume 13:Number 3(2016)
• Page Start: 287
• Page End: 295
• Publication Date: 2016-03-03
• Subjects: Aneurysm -- EVAR -- TEVAR -- AAA -- thoracic -- endovascular -- stent -- endograft -- fenestrated -- branched; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1586/17434440.2016.1143357
• Languages: English
• ISSNs: 1743-4440

Abstract

ABSTRACT: Endovascular abdominal and thoracic aneurysm repair has heralded a paradigm shift in the management of abdominal and thoracic aortic aneurysms. Randomized controlled trials have suggested superior short-term and equivalent long-term outcomes of endovascular repair compared with open surgery. Existing endografts have undergone several modifications to meet anatomic challenges and improve patient results. In the past, endovascular repair has been limited to infrarenal abdominal aortic aneurysms and isolated thoracic aortic aneurysms. The advent of fenestrated and branched endografts have made endovascular repair of thoracoabdominal and juxtarenal aneurysms possible. Continued evolution of endograft technology will maximize the benefit and minimize complications in patients with a range of aneurysmal disease.