Who should do endovascular repair of complex aortic aneurysms and how should they do them?

被引:10
作者
Banno, Hiroshi [1 ]
Marzelle, Jean [2 ]
Becquemin, Jean-Pierre [2 ]
机构
[1] Nagoya Univ Hosp, Dept Vasc Surg, Nagoya, Aichi 4668550, Japan
[2] Henri Mondor Hosp, Dept Vasc Surg, Creteil, France
来源
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND | 2015年 / 13卷 / 05期
关键词
Complex aortic aneurysm; Endovascular aortic repair; Fenestrated; Branched; Fenestrated endovascular aortic repair (FEVAR); Branched endovascular aortic repair (BEVAR); BRANCHED STENT GRAFTS; HOSPITAL VOLUME; SURGEON VOLUME; MORTALITY; OUTCOMES;
D O I
10.1016/j.surge.2015.03.004
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Cure of aneurysms which involve the aorta at the level of the visceral arteries and the thoracoabdominal segment remains a considerable surgical enterprise with a relatively high mortality and morbidity despite improvements of the surgical procedure and anesthetic technique. Fenestrated and branched endovascular stent grafts are currently available offering an attractive less invasive option especially for most frail patients. These grafts are relatively recent, technically more demanding to insert than the current stent graft for infrarenal aneurysm and besides, given the relative low frequency of the disease, they are much less used by practitioners. Thus, unconditional widespread of this sophisticated technique may not necessarily benefit patients. Methods: We reviewed our experiences and articles regarding this concern, 1) who should perform this new technique and 2) in what kind of setting. Conclusion: Based on the combined complexities of 1) patients selection, 2) proper planning and manufacturing of the graft, 3) the need for outstanding imaging and operating facilities, 4) and the required endovascular skill of physicians involved in the procedure, we feel that only highly specialized centers should be allowed to perform this complex procedure. (C) 2015 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:286 / 291
页数:6
相关论文
共 30 条
[21]   A prospective analysis of fenestrated endovascular grafting: Intermediate-term outcomes [J].
O'Neill, S. ;
Greenberg, R. K. ;
Haddad, F. ;
Resch, T. ;
Sereika, J. ;
Katz, E. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2006, 32 (02) :115-123
[22]   Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft [J].
Oderich, Gustavo S. ;
Correa, Mateus P. ;
Mendes, Bernardo C. .
JOURNAL OF VASCULAR SURGERY, 2014, 59 (05) :1456-1461
[23]   Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: Preliminary experience [J].
Park, JH ;
Chung, JW ;
Choo, IW ;
Kim, SJ ;
Lee, JY ;
Han, MC .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1996, 7 (06) :819-823
[24]   Thoracoabdominal aneurysm repair: Hybrid versus open repair [J].
Patel, Rajendra ;
Conrad, Mark F. ;
Paruchuri, Vikram ;
Kwolek, Christopher J. ;
Chung, Thomas K. ;
Cambria, Richard P. .
JOURNAL OF VASCULAR SURGERY, 2009, 50 (01) :15-22
[25]   Thirty-day mortality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms: A statewide experience [J].
Rigberg, DA ;
McGory, ML ;
Zingmond, DS ;
Maggard, MA ;
Agustin, M ;
Lawrence, PF ;
Ko, CY .
JOURNAL OF VASCULAR SURGERY, 2006, 43 (02) :217-222
[26]   Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997-2004) [J].
Semmens, JB ;
Lawrence-Brown, MMD ;
Hartley, DE ;
Allen, YB ;
Green, R ;
Nadkarni, S .
JOURNAL OF ENDOVASCULAR THERAPY, 2006, 13 (03) :320-329
[27]   The Benefits of EVAR Planning Using a 3D Workstation [J].
Sobocinski, J. ;
Chenorhokian, H. ;
Maurel, B. ;
Midulla, M. ;
Hertault, A. ;
Le Roux, M. ;
Azzaoui, R. ;
Haulon, S. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2013, 46 (04) :418-423
[28]   Image Guidance for Endovascular Repair of Complex Aortic Aneurysms: Comparison of Two-dimensional and Three-dimensional Angiography and Image Fusion [J].
Tacher, Vania ;
De Lin, Ming ;
Desgranges, Pascal ;
Deux, Jean-Francois ;
Grunhagen, Thijs ;
Becquemin, Jean-Pierre ;
Luciani, Alain ;
Rahmouni, Alain ;
Kobeiter, Hicham .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2013, 24 (11) :1698-1706
[29]   Present and Future of Branched Stent Grafts in Thoraco-abdominal Aortic Aneurysm Repair: A Single-centre Experience [J].
Verhoeven, E. L. ;
Tielliu, I. F. ;
Bos, W. T. ;
Zeebregts, C. J. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2009, 38 (02) :155-161
[30]   Fenestrated Stent Grafting for Short-necked and Juxtarenal Abdominal Aortic Aneurysm: An 8-Year Single-centre Experience [J].
Verhoeven, E. L. G. ;
Vourliotakis, G. ;
Bos, W. T. G. J. ;
Tielliu, I. F. J. ;
Zeebregts, C. J. ;
Prins, T. R. ;
Bracale, U. M. ;
van den Dungen, J. J. A. M. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2010, 39 (05) :529-536