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Rofo 2014; 186(4): 337-347
DOI: 10.1055/s-0034-1366185
Review
© Georg Thieme Verlag KG Stuttgart · New York

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

Endovaskuläre Therapie abdomineller Aortenaneurysmen: Standards, technische Optionen und erweiterte Indikationen
D. Ketelsen
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
C. Thomas
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
J. Schmehl
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
C. W. König
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
R. Syha
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
K. Rittig
2   Internal Medicine IV – Angiology, University Hospital Tuebingen
,
B. Balletshofer
2   Internal Medicine IV – Angiology, University Hospital Tuebingen
,
C. D. Claussen
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
,
K. Brechtel
1   Diagnostic and Interventional Radiology, University Hospital Tuebingen
› Author Affiliations
Further Information

Publication History

20 November 2013

10 February 2014

Publication Date:
28 March 2014 (online)

Also available at
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Abstract

Since the introduction of endovascular aneurysm repair (EVAR) in 1991, the endovascular therapy with newest stent grafts has assumed a prominent role in the clinical management of abdominal aortic aneurysms (AAA) with a superior perioperative mortality of EVAR and an equivalent mid-term outcome, compared to open surgery. Newest techniques using chimney or periscope grafts and customized fenestrated and branched stent grafts allow the endovascular treatment of complex pararenal AAA. This article reviews EVAR in the treatment of AAA, evidence based results and advanced indication by newest interventional techniques and technical developments.

Key Points:

• EVAR has become standard treatment of abdominal aortic aneurysm with equivalent results to open surgery.

• Technical advancements and the introduction of newest stent grafts continually expand the indication of EVAR.

• Chimney- and periscope grafts as well as custom-made prothesis systems allow endovascular treatment of complex para- and suprarenal aneurysms.

Citation Format:

• Ketelsen D, Thomas C, Schmehl J et al. Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications. Fortschr Röntgenstr 2014; 186: 337 – 347

Zusammenfassung

Seit der Einführung der endovaskulären Aneurysmatherapie (EVAR) im Jahre 1991 hat diese Therapieoption mit neuesten Stentgrafts eine zunehmend wichtige Rolle in der Behandlung abdomineller Aortenaneurysmen (AAA) eingenommen. Die EVAR ist der offen chirurgischen Therapie bezüglich der perioperativen Mortalität überlegen und zeigt ein vergleichbares Outcome im mittleren Follow-up. Neueste Techniken mit dem Einsatz von Chimney- und Periscope-Grafts sowie fenestrierten und gebranchten Prothesen erlauben mittlerweile die EVAR bei komplexen pararenalen AAA. Dieser Artikel bietet eine Übersicht zur EVAR bei AAA, diskutiert evidenzbasierte Daten und zeigt erweiterte Indikationen durch neueste interventionelle Techniken und technologische Entwicklungen.

Key words

endovascular aneurysm repair - EVAR - AAA - abdominal aortic aneurysm - chimney graft - periscope graft - fenestrated graft - branched graft - endostapling

Deutscher Artikel/German Article

 

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