Advanced

Failure modes and secondary endovascular interventions after endovascular aortic repair

Resch, Timothy LU (2017) In Journal of Cardiovascular Surgery 58(2). p.218-227
Abstract

Endovascular repair has a firmly established role in the treatment of aortic disease. The development of endovascular devices to treat even complex aortic disease has broadened the panorama of repair significantly but has also introduced new forms of repair failure. Standard devices for EVAR and TEVAR have also been enhanced, providing better adaptation to the anatomy treated, smaller delivery systems, more intuitive delivery designs as well as improved features to facilitate precise delivery of the device. Improved imaging techniques also contribute to improved outcomes. The main subtypes of complications are still related to either endoleaks or stentgraft stenosis/occlusions. With more complex repairs also follow more complex failure... (More)

Endovascular repair has a firmly established role in the treatment of aortic disease. The development of endovascular devices to treat even complex aortic disease has broadened the panorama of repair significantly but has also introduced new forms of repair failure. Standard devices for EVAR and TEVAR have also been enhanced, providing better adaptation to the anatomy treated, smaller delivery systems, more intuitive delivery designs as well as improved features to facilitate precise delivery of the device. Improved imaging techniques also contribute to improved outcomes. The main subtypes of complications are still related to either endoleaks or stentgraft stenosis/occlusions. With more complex repairs also follow more complex failure modes. Choosing and planning a repair according to the specific patient anatomy without compromising the sealing zones of the repair remains vital to provide long-term durability. Continued surveillance is mandatory to improve not only repair durability but also to increase the knowledge of progressive aortic disease.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Aorta, Endovascular procedures, Postoperative complications
in
Journal of Cardiovascular Surgery
volume
58
issue
2
pages
10 pages
publisher
Edizioni Minerva Medica
external identifiers
  • scopus:85015595988
ISSN
0021-9509
DOI
10.23736/S0021-9509.17.09818-4
language
English
LU publication?
no
id
77ec05a6-e029-4e40-8c65-44cfd7ff578a
date added to LUP
2017-04-03 09:12:52
date last changed
2018-01-07 11:57:46
@article{77ec05a6-e029-4e40-8c65-44cfd7ff578a,
  abstract     = {<p>Endovascular repair has a firmly established role in the treatment of aortic disease. The development of endovascular devices to treat even complex aortic disease has broadened the panorama of repair significantly but has also introduced new forms of repair failure. Standard devices for EVAR and TEVAR have also been enhanced, providing better adaptation to the anatomy treated, smaller delivery systems, more intuitive delivery designs as well as improved features to facilitate precise delivery of the device. Improved imaging techniques also contribute to improved outcomes. The main subtypes of complications are still related to either endoleaks or stentgraft stenosis/occlusions. With more complex repairs also follow more complex failure modes. Choosing and planning a repair according to the specific patient anatomy without compromising the sealing zones of the repair remains vital to provide long-term durability. Continued surveillance is mandatory to improve not only repair durability but also to increase the knowledge of progressive aortic disease.</p>},
  author       = {Resch, Timothy},
  issn         = {0021-9509},
  keyword      = {Aorta,Endovascular procedures,Postoperative complications},
  language     = {eng},
  number       = {2},
  pages        = {218--227},
  publisher    = {Edizioni Minerva Medica},
  series       = {Journal of Cardiovascular Surgery},
  title        = {Failure modes and secondary endovascular interventions after endovascular aortic repair},
  url          = {http://dx.doi.org/10.23736/S0021-9509.17.09818-4},
  volume       = {58},
  year         = {2017},
}