Endovascular treatment of thoracoabdominal aortic aneurysms

Abstract

Although we have treated a cohort at high operative risk, our midterm results compare favorably with the published series of conventional surgery. Accurate hemodynamic control represented by high-normal perioperative blood pressure seems to protect against severe postoperative complications.

Editor's Choice – Ten-year Experience with Endovascular Repair of Thoracoabdominal Aortic Aneurysms: Results from 166 Consecutive Patients

“…This rate is in line with other contemporary endovascular series. 7,18,20 To reduce the incidence and impact of SCI, aggressive pre-operative, intra-operative, and post-operative management has been adopted. Stent graft planning aims to routinely maintain LSA and bilateral hypogastric artery perfusion whenever possible.…”

“…9,20 In this series, 19 ASA IV patients were treated. Both operative and late mortality in this small group were higher compared with patients scoring ASA III or less.…”

Two-stage hybrid open-endovascular repair of a Crawford type IV aortic aneurysm: therapeutic challenge

“…13,14 When hybrid repair techniques, branched and fenestrated prostheses are used, mortality rates of 5.5 to 8.9% are reported, [15][16][17][18] although the fact that long-term follow-up is lacking should be borne in mind.…”

Current and emerging treatment options for spinal cord ischemia

“…A prospective study showed the successful implementation of such a protocol with effective reduction in the number of SCI cases [32]. The rate of SCI has been reported to be 3-11% for endovascular repair and is comparable to the rate of open surgery [33,34]. With these adjuncts, the incidence of SCI could be lowered [35][36][37].…”