Current status on aortic endografts

Vincenzo Vento, Anne Lejayay, Salomé Kuntz, Stefano Ancetti, Frédéric Heim, Nabil Chakfé, Mauro Gargiulo

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Endovascular treatment has become widespread to treat aneurysmal disease, especially located in the aorta. The modern era of abdominal aortic aneurysm repair started between 1986 and 1991, and in the last 30 years, Endovascular Treatment for abdominal aortic aneurysms evolved both due to the development of new materials and devices and the increasing appeal and effectiveness of the endovascular therapy itself. Vascular surgeons are using nowadays different solutions of Endovascular Treatment to treat all the expressions of aortic pathology (aneurysms, dissections and trauma) both in the acute and elective setting. Despite its use in every location of the aorta (the ascending aorta, the aortic arch, the thoracic aorta, thoraco-abdominal aorta, pararenal, iuxtarenal and infrarenal aortic aneurysms and iliac aneurysms), its safety and efficiency, endovascular treatment for aortic aneurysms presents some drawbacks: despite a lower short-term morbi-mortality, reinterventions and long-term patency are higher compared to open repair. In this review, we detail the most used types of endografts according to location, their performances and durability for each device. We conclude by discussing options to overcome ET limitations. Therefore, an obvious question arises: what we need in the future? What can the technological progress gives to physicians to further improve this new way of treating aorta?.

Original languageEnglish (US)
Pages (from-to)544-554
Number of pages11
JournalJournal of Cardiovascular Surgery
Volume61
Issue number5
DOIs
StatePublished - Oct 2020

Keywords

  • Aorta
  • Endovascular
  • Review

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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