Treatment of Complex Thoracoabdominal Aortic Disease

Eric C Kuo; Sukgu M Han

doi:10.1016/j.ccl.2017.03.008

Treatment of Complex Thoracoabdominal Aortic Disease

Cardiol Clin. 2017 Aug;35(3):411-429. doi: 10.1016/j.ccl.2017.03.008. Epub 2017 May 26.

Authors

Eric C Kuo¹, Sukgu M Han²

Affiliations

¹ Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033, USA.
² Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033, USA. Electronic address: Sukgu.han@med.usc.edu.

PMID: 28683910
DOI: 10.1016/j.ccl.2017.03.008

Abstract

Thoracoabdominal aortic aneurysms are increasing in incidence. Rupture is associated with a high rate of morbidity and mortality. The historic gold standard of open repair can be performed with low rates of complications at centers of excellence. However, these results are not universally achievable, with significantly higher rates of mortality reported from statewide studies. With the advent of endovascular therapy, techniques to mitigate the physiologic stress of open surgery have been developed. Hybrid open/endovascular operations are being undertaken with total visceral debranching followed by endografting. Totally endovascular procedures are now being performed using fenestrated, branched, and parallel endografts.

Keywords: Branched endograft; EVAR; Fenestrated endograft; Sandwich endograft; TEVAR; Thoracoabdominal aortic aneurysm; Thoracoabdominal aortic dissections; Total visceral debranching.

Publication types

Review

MeSH terms

Aortic Aneurysm, Abdominal / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation*
Endovascular Procedures / methods*
Humans
Stents
Treatment Outcome