Increasing Role of Fenestrated and Branched Endoluminal Techniques in the Thoracoabdominal Segment Including Supra- and Pararenal AAA

Abstract

Fenestrated and branched stent-grafts are being increasingly used to address complex pararenal and thoracoabdominal aortic aneurysms by endovascular means. The present paper describes the current indications, anatomical suitability and techniques of fenestrated and branched stent-grafts in the treatment for pararenal and thoracoabdominal aortic pathologies. Published outcomes with regard to perioperative mortality and morbidity, survival, reinterventions and target vessel patency during follow-up are also presented. Finally, advantages and disadvantages of endovascular repair as compared to open repair are discussed.

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Correspondence to Athanasios Katsargyris.

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Eric LG Verhoeven has received research grants from Cook Inc. and honoraries as speaker and consultant from Cook Inc, Maquet-Getinge and Bentley InnoMed. Pablo Marques de Marino declares that has no conflict of interest. Athanasios Katsargyris has received speaker fees from Cook Inc. and is a consultant for Bentely InnoMed.

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Verhoeven, E.L.G., Marques de Marino, P. & Katsargyris, A. Increasing Role of Fenestrated and Branched Endoluminal Techniques in the Thoracoabdominal Segment Including Supra- and Pararenal AAA. Cardiovasc Intervent Radiol (2020). https://doi.org/10.1007/s00270-020-02525-2

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Keywords

  • Fenestrated
  • Branched
  • Pararenal aortic aneurysm
  • Thoracoabdominal aortic aneurysm
  • Endovascular procedures
  • Open repair