Present and Future of Branched Stent Grafts in Thoraco-abdominal Aortic Aneurysm Repair: A Single-centre Experience

Verhoeven, Eric; Tielliu, I.F.; Bos, W. T. G. J.; Zeebregts, Clark J.

doi:10.1016/j.jvs.2009.06.035

Cited by 34 publications

(48 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some centers have used branched devices exclusively while others have used fenestrations routinely. [16][17][18] Others utilize devices with a combination of branches and fenestrations. Published series have shown that fenestrations have an extremely high patency in the renal arteries while longer branches tend to kink over time as the aneurysm sac shrinks.…”

Section: N Discussionmentioning

confidence: 99%

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

Manunga¹,

Sullivan²

2017

Journal of the Minneapolis Heart Institute Foundation

View full text Add to dashboard Cite

Open repair remains the standard of care for the treatment of patients with thoracoabdominal aortic aneurysms. However, due to the magnitude of the operation and a typically older patient population with extensive comorbidities, less invasive methods of repair have received increasing acceptance-despite lack of long-term data on durability when compared with open surgical repair. One of the most dreaded complications of both open and endovascular thoracoabdominal aortic aneurysms repair (for patient and surgeon alike) remains the development of paraplegia, a complication that can be minimized with the techniques described herein.

show abstract

Section: N Discussionmentioning

confidence: 99%

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

Manunga¹,

Sullivan²

2017

Journal of the Minneapolis Heart Institute Foundation

View full text Add to dashboard Cite

show abstract

“…2). Initial experiences with these devices have shown that total endovascular repair is effective and may reduce morbidity rates in patients with arch, thoracoabdominal, pararenal and juxtarenal aneurysms [14][15][16][17][18][19][20][21]. Treatment of chronic type B aortic dissection with the use of fenestrated devices has also been reported with good preliminary results [22,23].…”

Section: Fenestrated and Branched Stent Graftsmentioning

confidence: 99%

Endovascular Repair of Complex Aortic Pathology

et al. 2013

View full text Add to dashboard Cite

Aortic aneurysms are classified as complex based on their extent and involvement of side branches. Complex aortic aneurysms include arch, thoracoabdominal, juxtarenal and suprarenal aortic aneurysms. Open surgical repair carries high morbidity and mortality beyond large tertiary care centers. During the last decade, numerous technological advances have allowed incorporation of side branches using hybrid and total endovascular techniques. Fenestrated and branched endografts have been widely applied to treat patients with complex aneurysm anatomy. Newer stent graft designs are currently under clinical investigation offering an off-the-shelf alternative to custom-made stent grafts for patients with complex aortic aneurysms. Alternatively, a number of endovascular techniques have been described including chimney, snorkel, periscope and sandwich stent grafts. This article summarizes the current status of hybrid and total endovascular techniques to repair of thoracoabdominal, juxtarenal and suprarenal aortic aneurysms.

show abstract

“…Parallel improvements in imaging technologies have allowed very precise preoperative planning of these custom-made endografts and a growing number of centers have reported their experience with endovascular repair of thoracoabdominal aortic aneurysms (TAAA) of all types using branched or fenestrated endografts. [5][6][7][8][9] Recent combined data from two centers in the United States and France described the experience of the endovascular treatment of 231 type IV TAAAs in patients deemed unfit for open surgery. 10 This study demonstrated a 30-day mortality of 2.6% with 2-year survival of 82%.…”

Section: Introductionmentioning

confidence: 99%

Fenestrated Endovascular Repair of Type IV Thoracoabdominal Aneurysms: Device Design and Implantation Technique

O’Brien

Sobocinski²,

D’Élia³

et al. 2011

Perspectives in Vascular Surgery and Endovascular Therapy

View full text Add to dashboard Cite

Treatment of thoracoabdominal aortic aneurysms has traditionally been by means of open surgery, but in recent years endovascular approaches have emerged as a viable and perhaps superior alternative. Some confusion appears to exist in discussions in the literature regarding the exact definition of the various types of thoracoabdominal aneurysm depending on whether open or endovascular repair is undertaken, with some authors comparing the preoperative extent of disease and others comparing the degree of aortic coverage required. Accurate preoperative planning and meticulous implantation technique are critical to successful outcomes with the endovascular approach. This study discusses the anatomical classification of type IV thoracoabdominal aneurysms as applied in open and endovascular surgery and outlines the authors' approach to the critical preoperative planning of endografts used to treat these aneurysms. The authors describe their techniques used to implant these devices, whether they consist of fenestrated or branched components, and some of the mechanisms by which minimization of complications such as spinal cord ischemia is sought.

show abstract

Present and Future of Branched Stent Grafts in Thoraco-abdominal Aortic Aneurysm Repair: A Single-centre Experience

Cited by 34 publications

References 0 publications

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

Endovascular Repair of Complex Aortic Pathology

Fenestrated Endovascular Repair of Type IV Thoracoabdominal Aneurysms: Device Design and Implantation Technique

Contact Info

Product

Resources

About