In the past, patients who suffered from aortic aneurysm had a few medical or surgical options. Nowadays each physician is provided with innovative options that make possible the correct treatment of patients presenting with more and more complex aortic disease. To gain proficiency in treatment of aortic disease, a deep knowledge of the natural history of disease and the anatomic challenges is mandatory, but is not enough. Each specialist involved in endovascular treatment of thoracic and/or abdominal aortic disease (T/EVAR) needs also a great familiarity with a range of different endografts and endovascular devices.
The perfect endograft should guarantee complete aneurysm sac shrinkage, with no occurrence of any reintervention in the long-term period. Actually, the “ideal” and “definitive” stent-graft goes beyond the currently available devices, but a particular one may match the patient’s needs better that another, and a good physician should be able to correctly select the most appropriate device for every single patient.
In this book an honored panel of expert physicians sum up the principal peculiarities for each single device, based on the availability of clinical data, engineering aspects and technical remarks, as well their own preferences based on everyday clinical practice.
Contents
Planning for EVAR: the role of modern software
Current results of total endovascular repair of thoracoabdominal aortic aneurysms
Early mid-term results of the first 103 cases of multilayer flow modulator stent done under indication for use in the management of thoracoabdominal aortic pathology from the independent global MFM registry
Ultra-low profile Ovation device: is it the definitive solution for EVAR?
The Gore Excluder AAA endoprosthesis with C3 delivery system: results in high-volume centers
INCRAFT® Stent-Graft System: one-year outcome of the INNOVATION Trial
Aorfix™ device for abdominal aortic aneurysm with challenging anatomy
New possibility of AAA treatment with E-vita abdominal device
The Bolton Treovance endograft: single center experience
Two-year-results of Endurant stent-graft in challenging aortic neck morphologies versus standard anatomies
Novel sealing concept in the Endologix AFX unibody stent-graft
Rationale of EndoAnchors in abdominal aortic aneurysms with short or angulated necks
Type II endoleak: a problem to be solved