APRIL 2010 I ENDOVASCULAR TODAY I 29 T he indications for endovascular aneurysm repair have been extended since first described by Parodi and colleagues.1 Although initially designed for simple infrarenal aortic aneurysm repair, the development of bifurcated, modular, and custom-made grafts has extended the use of this technology to allow inclusion of different and challenging aortic anatomies ...

21 Katsargyris A, Oikonomou K, Klonaris C, Töpel I, Verhoeven ELG. Comparison of outcomes with open, fenestrated, and chimney graft repair of juxtarenal aneurysms: are we ready for a paradigm shift? J Endovasc Ther 2013;20(2):159e69. 22 Banno H, Cochennec F, Marzelle J, Becquemin J-P. Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneury...

Introduction: Aneurysms of the descending thoracic aorta are potemtially life threatening situations. Treatment entails either conventional surgical treatment by means of a left lateral thoracotomy or the minimally invasive endovascular treatment. Surgery is indicated when the size of the descending aorta is over 5.5 cm, or there is rapid expansion of the aneurysm. Maximum size of the aorta in ...

endovascular devices and techniques will evolve to expand applicability and provide therapy for most aortic diseases, including a growing number of diseases of the arch and the ascending aorta [4]. Complex aortic aneurysms that involve major aortic branch origins include those juxtaposed or involving the renal arteries (juxtarenal, perirenal), the visceral arteries (thoraco-abdominal) and the g...

Background  The authors present two cases with type B aortic dissection initially treated by endovascular stent graft who developed aortic complications posttreatment and required surgical treatment. Case Description  A 50-year-old woman and a 65-year-old man underwent endovascular treatment for thoracic aortic aneurysm associated with type B dissection and -both of them evolved with endoleak t...

Late complications following endovascular aneurysm repair indicate the need for long-term surveillance. Clinical trials involving endoluminal stent grafts have typically used computed tomography angiography as the main imaging modality for surveillance. However, computed tomography angiography exposes the patient to higher levels of ionizing radiation, nephrotoxic agents, and increased cost com...

A 67-year-old man was referred to our hospital for an ascending aortic aneurysm, thoracoabdominal aortic aneurysm and aortic regurgitation. Graft repair of the thoracic aortic arch and aortic valve replacement was given priority and completed, however he developed descending aortic rupture before the second scheduled surgery, and endovascular stent grafting was performed. He subsequently develo...

BACKGROUND Recent recommendations to screen for abdominal aortic aneurysm (AAA) in high-risk populations and the rapidly increasing use of endovascular repair have led to increased interest in evaluating the effectiveness of treatment options for patients with AAA. PURPOSE To compare the effectiveness of treatment options, including active surveillance, open repair, and endovascular repair, f...

We report a case of acute type B aortic dissection with the complication of bowel ischemia and abdominal stent graft compression treated by emergency thoracic aortic stent grafting after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA). A 69-year-old male was admitted to our hospital for sudden thoraco-abdominal pain. He had past treatment history of EVAR for AAA half a y...

BACKGROUND Thoracic endovascular aortic repair is now widely applied to the treatment of blunt aortic injury. However, its long-term outcomes remain unclear. Endoleakage and migration might occur in the long term, especially when younger patients undergo endovascular aortic repair. In open stent grafting, the proximal end of the open stent graft is directly sutured to the native aorta, which ma...