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Int J Angiol 2018; 27(02): 081-091
DOI: 10.1055/s-0038-1645881
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Treatment of Various Aortic Pathologies: Review of the Latest Data and Technologies

Koji Maeda
1   Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan
,
Takao Ohki
1   Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan
,
Yuji Kanaoka
1   Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan
› Author Affiliations
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Publication History

Publication Date:
07 May 2018 (online)

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Abstract

The technologies and innovations applicable to endovascular treatment for complex aortic pathologies have progressed rapidly over the last two decades. Although the initial outcomes of an endovascular aortic repair have been excellent, as long-term data became available, complications including endoleaks, endograft migration, and endograft infection have become apparent and are of concern. Previously, the indication for endovascular therapy was restricted to descending thoracic aortic aneurysms and abdominal aortic aneurysms. However, its indication has expanded along with the improvement of techniques and devices, and currently, it has become possible to treat pararenal aortic aneurysms and Crawford type 4 thoracoabdominal aortic aneurysm (TAAA) using the off-the-shelf devices. Additionally, custom-made devices allow for the treatment of arch or more extensive TAAAs. Endovascular treatment is applied not only to aneurysms but also to acute/chronic dissections. However, long-term outcomes are still unclear. This article provides an overview of available devices and the results of endovascular treatment for various aortic pathologies.

Keywords

aortic aneurysm - endovascular aortic repair - endograft - abdominal aortic aneurysm - thoracic aortic aneurysm - thoracoabdominal aortic aneurysm - rupture
 

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