TY - JOUR
T1 - Fenestrated grafts or debranching procedures for complex abdominal aortic aneurysms
AU - Wilderman, Michael
AU - Sanchez, Luis A.
PY - 2009
Y1 - 2009
N2 - Over the past 15 years, endovascular aneurysm repair of abdominal aortic aneurysms has become widely accepted as a means of treating aneurysms located in the infrarenal portion of the aorta. It has been estimated that 30% to 40% of patients with abdominal aortic aneurysms are not candidates for endovascular repair using the current commercially available devices. The primary limitation has been unfavorable anatomy most often associated with the proximal aortic neck. Although the morbidity and mortality of open pararenal or suprarenal aneurysms has improved, many patients will not tolerate open surgery. Therefore, other techniques need to be employed. This article looks at 2 other techniques to treat complex pararenal, juxtarenal, or thoracoabdominal aneurysms, one being the use of fenestrated devices and the other being visceral artery debranching followed by endovascular grafting. Multiple series are reviewed, and the outcomes are analyzed.
AB - Over the past 15 years, endovascular aneurysm repair of abdominal aortic aneurysms has become widely accepted as a means of treating aneurysms located in the infrarenal portion of the aorta. It has been estimated that 30% to 40% of patients with abdominal aortic aneurysms are not candidates for endovascular repair using the current commercially available devices. The primary limitation has been unfavorable anatomy most often associated with the proximal aortic neck. Although the morbidity and mortality of open pararenal or suprarenal aneurysms has improved, many patients will not tolerate open surgery. Therefore, other techniques need to be employed. This article looks at 2 other techniques to treat complex pararenal, juxtarenal, or thoracoabdominal aneurysms, one being the use of fenestrated devices and the other being visceral artery debranching followed by endovascular grafting. Multiple series are reviewed, and the outcomes are analyzed.
KW - Aneurysm
KW - Aortic debranching
KW - Fenestrated grafts
UR - http://www.scopus.com/inward/record.url?scp=65449173867&partnerID=8YFLogxK
U2 - 10.1177/1531003508330477
DO - 10.1177/1531003508330477
M3 - Article
C2 - 19129204
AN - SCOPUS:65449173867
SN - 1531-0035
VL - 21
SP - 13
EP - 18
JO - Perspectives in vascular surgery and endovascular therapy
JF - Perspectives in vascular surgery and endovascular therapy
IS - 1
ER -