Endovascular Treatment of Various Aortic Pathologies: Review of the Latest Data and Technologies
- 7 May 2018
- journal article
- research article
- Published by Georg Thieme Verlag KG in International Journal of Angiology
- Vol. 27 (02), 081-091
- https://doi.org/10.1055/s-0038-1645881
Abstract
The technologies and innovations applicable to endovascular treatment for complex aortic pathologies have progressed rapidly over the last two decades. Although the initial outcomes of an endovascular aortic repair have been excellent, as long-term data became available, complications including endoleaks, endograft migration, and endograft infection have become apparent and are of concern. Previously, the indication for endovascular therapy was restricted to descending thoracic aortic aneurysms and abdominal aortic aneurysms. However, its indication has expanded along with the improvement of techniques and devices, and currently, it has become possible to treat pararenal aortic aneurysms and Crawford type 4 thoracoabdominal aortic aneurysm (TAAA) using the off-the-shelf devices. Additionally, custom-made devices allow for the treatment of arch or more extensive TAAAs. Endovascular treatment is applied not only to aneurysms but also to acute/chronic dissections. However, long-term outcomes are still unclear. This article provides an overview of available devices and the results of endovascular treatment for various aortic pathologies.Keywords
This publication has 113 references indexed in Scilit:
- Is total debranching a safe procedure for extensive aortic-arch disease? A single experience of 27 casesEuropean Journal of Cardio-Thoracic Surgery, 2011
- A Systematic Review of Mid-term Outcomes of Thoracic Endovascular Repair (TEVAR) of Chronic Type B Aortic DissectionEuropean Journal of Vascular and Endovascular Surgery, 2011
- Sandwich Technique for Aortoiliac Aneurysms Extending to the Internal Iliac Artery or Isolated Common/Internal Iliac Artery Aneurysms: A New Endovascular Approach to Preserve Pelvic CirculationJournal of Endovascular Therapy, 2011
- Superior nationwide outcomes of endovascular versus open repair for isolated descending thoracic aortic aneurysm in 11,669 patientsThe Journal of Thoracic and Cardiovascular Surgery, 2010
- Outcomes of planned celiac artery coverage during TEVARJournal of Vascular Surgery, 2010
- Long-term results of hybrid endovascular repair for thoraco-abdominal aortic aneurysms☆European Journal of Cardio-Thoracic Surgery, 2010
- Long-Term Survival After Open Repair of Chronic Distal Aortic DissectionThe Annals of Thoracic Surgery, 2010
- Outcome Following Endovascular vs. Open Repair of Abdominal Aortic Aneurysm: A Randomized TrialJournal of Vascular Surgery, 2010
- Third International Summit on Thoracic Aortic Endografting: Lessons From Long-term Results of Thoracic Stent-Graft RepairsJournal of Endovascular Therapy, 2005
- Nonsurgical Reconstruction of Thoracic Aortic Dissection by Stent–Graft PlacementThe New England Journal of Medicine, 1999