Abstract
Fenestrated and branched aortic endografts represent a valid option for the treatment of infra-renal and thoraco-abdominal aneurysms in patients who are usually turned down for open repair because of their life-threatening comorbidities, and for patients who need aortic reinterventions or have difficult access to the visceral aorta. Following the initial descriptions of fenestrated and branched cases, larger studies in recently published series have demonstrated the safety and efficacy of the technique. Careful patient selection, accurate graft design, and precise deployment are crucial in obtaining technical and clinical success.
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References
Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991;5:491–499
EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004;364:843–848
Timothy AM, Chuter DM. Fenestrated and branched stent-grafts for thoracoabdominal, pararenal and juxtarenal aortic aneurysm repair. Semin Vasc Surg 2007;20:90–96
Faruqi RM, Chuter TAM, Reilly LM et al. Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft. J Endovasc Surg 1999;6:354–358
Greenberg RK. Aortic aneurysm, thoracoabdominal aneurysm, juxtarenal aneurysm, fenestrated endografts, branched endografts, and endovascular aneurysm repair. Ann N Y Acad Sci 2006;1085:187–196
Verhoven ELG, Prins TR, Tielliu IFJ et al. Treatment of short-necked infrarenal aortic aneurysms with fenestrated stent-grafts: short-term results. Eur J Vasc Endovasc Surg 2004;27:477–483
Greenberg RK, Haulon S, O’Neill S et al. Primary endovascular repair of juxtarenal aneurysms with fenestrated endovascular grafting. Eur J Vasc Endovasc Surg 2004;27:484–491
Bicknell CV, Riga P, Bourke JHN et al. Treatment of complex aneurysmal disease with fenestrated and branched stent grafts. Eur J Vasc Endovasc Surg 2009;37:175–181
Greenberg K, Qingsheng Lu, Roselli EE. Contemporary analysis of descending thoracic and thoracoabdominal aneurysm repair a comparison of endovascular and open techniques. Circulation 2008; 118:808–817
Roselli EE, Greenberg RK, Pfaff K et al. Endovascular treatment of thoracoabdominal aortic aneurysms. J Thorac Cardiovasc Surg 2007;133:1474–1482
Chuter TA, Rapp JH, Hiramoto JS et al. Endovascular treatment of thoracoabdominal aortic aneurysms. J Vasc Surg 2008;47:6–16
Diehm N, Baum S, Benenati JF. Fenestrated and branched endografts: why we need them now. J Vasc Interv Radiol 2008;19(Suppl 6):S63–S67
Adam DJ, Berce M, Hartley DE et al. Repair of juxtarenal ara-anastomotic aortic aneurysm after previous open repair with fenestrated and branched endovascular stent grafts. J Vasc Surg 2005;42:997–1001
O’Neill S, Greenberg RK, Haddad F et al. A prospective analysis of fenestrated endovascular grafting: intermediate — term outcomes. Eur J Vasc Endovasc Surg 2006;32:115–123
EVAR trial participants. Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortica aneurysm (EVAR trial 2): randomised controlled trial. Lancet 2005;365:2187–2192
Muhs BE, Verhoven ELG, Zeebregts CJ et al. Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts. J Vasc Surg 2006;44:9–15
Semmens JB, Lawrence-Brown MMD, Hartley DE et al. Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997–2004). J Endovasc Ther 2006; 13:320–329
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Parlani, G., Verzini, F., Brambilla, D., Cao, P. (2011). Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysm with Branched Endografts. In: Chiesa, R., Melissano, G., Zangrillo, A. (eds) Thoraco-Abdominal Aorta. Springer, Milano. https://doi.org/10.1007/978-88-470-1857-0_35
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DOI: https://doi.org/10.1007/978-88-470-1857-0_35
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1856-3
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