Endovascular Repair of Thoracoabdominal Aortic Aneurysm in High-Surgical Risk Patients: Fenestrated and Branched Endografts

Impact of iliac artery anatomy on the outcome of fenestrated and branched endovascular aortic repair

“…FB-EVAR procedures are technically demanding, requiring extreme accuracy in endograft deployment. [1][2][3][4][5][6][7] All the necessary maneuvers are complex, yet precise movements are needed for TVV cannulation. [1][2][3][4][5][6][7] Furthermore, large sheaths must be introduced in both iliac vessels (two for fenestrated endograft, one for branched endograft) to accomplish the whole procedure.…”

“…Follow-up. As previously reported, 7,9 all patients entered into a dedicated FB-EVAR follow-up protocol after the procedure. Laboratory evaluation of renal, hepatic, and pancreatic function and thoracoabdominal CTA and contrast-enhanced ultrasound (CEUS) were performed before discharge.…”

Renal Artery Orientation Influences the Renal Outcome in Endovascular Thoraco-abdominal Aortic Aneurysm Repair

“…Procedure, peri-and post-operative care has been accurately described in previous reports. 8,13,17,18 Concerning the type of stent graft used for target visceral vessel bridging, different approaches were used according to the design of the main endograft and the anatomy of the target vessels. For fenestrations, balloon expandable stent grafts are usually preferred in the authors' experience.…”

“…All patients were entered into a dedicated FB-EVAR follow up protocol after the procedure, as previously reported. 8,13,17,18 Laboratory evaluation of renal, hepatic, and pancreatic function, thoraco-abdominal CTA and a contrast enhancement ultrasound (CEUS) were performed before discharge. The home surveillance program was performed using plain X-ray, Doppler ultrasound/CEUS, and CTA.…”

“…The home surveillance program was performed using plain X-ray, Doppler ultrasound/CEUS, and CTA. 8,13,17,18 A radiologist with experience in vascular pathology carried out the post-operative CTA. Three vascular surgeons (EG, GF, MG) with high FB-EVAR experience (> 10 years) assessed the post-operative CTA.…”