Large, single-center databases and the evolution of endovascular therapy for complex aortic aneurysms.

摘要: Background Fenestrated and branched endograft repair of complex aortic disease has revolutionized the approach to treatment this life-threatening problem. Several sites have developed long-standing programs evaluating application outcomes technology. These reports are based on development large, single-center databases. centers helped pioneer evolution approach, their assessments led significant improvements identified areas that require improvement in ensuing years. Methods Four main known databases were identified. A literature review was performed collect contributions made topic fenestrated/branched aneurysms selected reviewed. Results Nearly a decade half progress been developing endovascular disease. The technology limited United States due its investigational nature, but achieved commercialization Europe. accrued large numbers patients defined initial expected perioperative outcomes. In addition, they high risk for these including renal failure spinal cord ischemia. Long-term being with special interest branch patency, function, device durability. Conclusion Endovascular approaches treat disease, while more than old, still early phases wide-spread application. Improvements design will occur throughout next several years, which ease placement devices improve long-term