Complete renovisceral debranching and EVAR for thoracoabdominal aneurysm

Open graft repair of thoracoabdominal aortic aneurysms (TAAA) is an incredibly complex and challenging procedure with acceptable results achieved only by a few centers worldwide. Contemporary outcome analysis of TAAA repair performed in the United States showed greater operative mortality and morbidity rates than commonly reported. Moreover, a recent European long-term follow-up study showed that survival remains suboptimal, especially in the early years after TAAA repair. Complete renovisceral debranching combined with EVAR offers many advantages in regard to open surgical repair with comparable or better results, especially in the high-risk patient. Although this hybrid procedure will not…

Endovaskularni tretman aortoilijač-Nih aneurizmi (EVAR) i erektilna disfunkcija: metode za očuvanje protoka Kroz unutrašnju ilijačnu arteriju. [Endovascular treatment of aortoiliac aneurysms (EVAR) and erectile dysfunction: methods to preserve circulation to internal iliac artery]

Overcoming Anatomic Limitations to EVAR With Chimney and Periscope Grafts

Tips and tricks to make the ascending aorta accessible to EVAR

The ascending aorta is gaining increasing interest for endovascular specialists, as it opens the door to a potentially better way to treat aortic arch pathologies. Landing safely a stentgraft into the ascending aorta allows downgrading significantly the invasiveness of conventional open repair of the ascending aorta and/or aortic arch. Unfortunately, accessibility to the ascending aorta, in order to perform EVAR, can be challenging as the transfemoral approach might be cumbersome, or because the ascending aorta might not be appropriate for stentgraft landing. This paper will present some technical tips and tricks to achieve successful stentgraft landing in zone 0.