[Aortic aneurysm 2012: open, hybrid or total endovascular repair?]. / Aortenaneurysma 2012 - offen, hybrid oder total endovaskulär?
Zentralbl Chir
; 137(5): 418-24, 2012 Oct.
Article
em De
| MEDLINE
| ID: mdl-23136101
ABSTRACT
During the past two decades, minimally invasive endovascular procedures have changed therapeutic strategies. Such techniques have now become the method of choice for practically all vascular and aortic pathologies. This development is especially apparent in the treatment of aortic aneurysms. The purpose of this report is to provide a critical review about the current standard of care of abdominal and thoracic aorta based on an electronic Medline literature search. For elective infrarenal aneurysms, endovascular aneurysm repair (EVAR) has become a widely accepted alternative to open repair in cases with appropriate morphology. Currently, fenestrated (FEVAR) or branched endografts offer promising short- and mid-term results in juxtarenal aneurysms, however, these techniques are complex, technically challenging, and expensive. The alternative chimney or sandwich graft technique are becoming more common because they are feasible using standard endografts. Thoracic endovascular aortic repair (TEVAR) is already the gold standard for some descending pathologies. Complex thoracoabdominal aneurysms still require open surgery in centres of excellence, whereby, total endovascular repair or hybrid procedures have proved to be feasible in such specialist centres for selected patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta
/
Aneurisma Aórtico
/
Stents
/
Angioplastia
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Implante de Prótese Vascular
Limite:
Humans
Idioma:
De
Ano de publicação:
2012
Tipo de documento:
Article