Aortenaneurysma: Fenestrierte/gebranchte abdominale EVAR (fbEVAR) und fenestrierte/gebranchte thorakale EVAR (fbTEVAR). Ist die komplette endovaskuläre Therapie schon da?

TY - JOUR

T1 - Aortenaneurysma: Fenestrierte/gebranchte abdominale EVAR (fbEVAR) und fenestrierte/gebranchte thorakale EVAR (fbTEVAR). Ist die komplette endovaskuläre Therapie schon da?

AU - Mehmedovic, Aldin

AU - Konstantinou, Nikolaos

AU - Jerkku, Thomas

AU - Pichlmaier, Maximilian

AU - Kölbel, Tilo

AU - Rantner, Barbara

AU - Banafsche, Ramin

AU - Tsilimparis, Nikolaos

N1 - Publisher Copyright: © 2020. Thieme. All rights reserved.

PY - 2020/10/1

Y1 - 2020/10/1

N2 - Five years after the first endovascular aortic repair (EVAR), Park et al. reported the first implantation of a fenestrated endoprosthesis. In the meantime, advanced generations of new fenestrated and branched endografts evolved. Endografts for complex pathologies are either so-called off-the-shelf grafts with predetermined length, width, diameter and clock position of the branches and fenestrations, predetermined by the manufacturer, custom-made grafts which need to be sized and planned individually for patients with specific thoracoabdominal anatomy. Open aortic repair in the treatment of thoracoabdominal aortic aneurysm (TAAA) still remains challenging and is associated with high morbidity and mortality, even in the elective setting. The ongoing development of endovascular treatment modalities, such as fenestrated and branched endovascular aneurysm repair (F-EVAR, B-EVAR), enables less invasive procedures for more challenging aortic pathologies. In recent years, extensive endovascular treatment of the aortic arch to the thoracoabdominal segment has become more and more important, but its outcomes have not been completely evaluated. The aim of this is article is to provide an overview of the currently available endovascular treatment options for complex aortic aneurysms requiring extensive coverage from the aortic arch to the infrarenal aorta.

AB - Five years after the first endovascular aortic repair (EVAR), Park et al. reported the first implantation of a fenestrated endoprosthesis. In the meantime, advanced generations of new fenestrated and branched endografts evolved. Endografts for complex pathologies are either so-called off-the-shelf grafts with predetermined length, width, diameter and clock position of the branches and fenestrations, predetermined by the manufacturer, custom-made grafts which need to be sized and planned individually for patients with specific thoracoabdominal anatomy. Open aortic repair in the treatment of thoracoabdominal aortic aneurysm (TAAA) still remains challenging and is associated with high morbidity and mortality, even in the elective setting. The ongoing development of endovascular treatment modalities, such as fenestrated and branched endovascular aneurysm repair (F-EVAR, B-EVAR), enables less invasive procedures for more challenging aortic pathologies. In recent years, extensive endovascular treatment of the aortic arch to the thoracoabdominal segment has become more and more important, but its outcomes have not been completely evaluated. The aim of this is article is to provide an overview of the currently available endovascular treatment options for complex aortic aneurysms requiring extensive coverage from the aortic arch to the infrarenal aorta.

KW - Aortic aneurysm

KW - Aortic dissection

KW - Aortic stent prosthesis

KW - Aortic surgery

KW - Endovascular surgery

KW - Vascular surgery

UR - http://www.scopus.com/inward/record.url?scp=85089690963&partnerID=8YFLogxK

U2 - 10.1055/a-1186-2554

DO - 10.1055/a-1186-2554

M3 - SCORING: Review

C2 - 32659798

AN - SCOPUS:85089690963

VL - 145

SP - 432

EP - 437

JO - ZBL CHIR

JF - ZBL CHIR

SN - 0044-409X

IS - 5

ER -