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Incidence and management of complications after branched and fenestrated endografting.

Resch, Tim LU ; Sonesson, Björn LU and Malina, Martin LU (2010) In Journal of Cardiovascular Surgery 51(1). p.105-113
Abstract
Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of... (More)
Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of stent-graft components, target vessel occlusions due to branch compression or dislocation and fenestration malpositioning must be recognized during follow up and treated accordingly. The clinical consequences of complex aneurysm repair include spinal cord ischemia and peripheral embolisation and strategies to handle this must be present. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Cardiovascular Surgery
volume
51
issue
1
pages
105 - 113
publisher
Edizioni Minerva Medica
external identifiers
  • WOS:000276637200010
  • PMID:20081766
  • Scopus:77950675875
ISSN
0021-9509
language
English
LU publication?
yes
id
4e5cbefe-3dd5-4209-b9fe-4cae7c4691c9 (old id 1540862)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20081766?dopt=Abstract
date added to LUP
2010-02-03 11:34:15
date last changed
2017-01-01 07:50:25
@article{4e5cbefe-3dd5-4209-b9fe-4cae7c4691c9,
  abstract     = {Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of stent-graft components, target vessel occlusions due to branch compression or dislocation and fenestration malpositioning must be recognized during follow up and treated accordingly. The clinical consequences of complex aneurysm repair include spinal cord ischemia and peripheral embolisation and strategies to handle this must be present.},
  author       = {Resch, Tim and Sonesson, Björn and Malina, Martin},
  issn         = {0021-9509},
  language     = {eng},
  number       = {1},
  pages        = {105--113},
  publisher    = {Edizioni Minerva Medica},
  series       = {Journal of Cardiovascular Surgery},
  title        = {Incidence and management of complications after branched and fenestrated endografting.},
  volume       = {51},
  year         = {2010},
}