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The performance of increasingly complex endovascular procedures has prompted a need for more eloquent angiographic imaging at the time of the initial procedure The amount of ionizing radiation and contrast media is directly proportional to the complexity of the procedure.…
Treatment of abdominal aortic aneurysms (AAAs) has evolved significantly during the last two decades, especially with the broader introduction of endovascular aneurysm repair (EVAR) by Parodi et al. in 1991. However, the Achilles’ heel of EVAR remains the endoleak. Many early…
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Numerous bridging devices have been used in patients undergoing complex endovascular aneurysm repair (EVAR) with involvement of one or more target vessels. In this chapter we highlight the most common bridging devices and outline their strengths and limitations, as used…
Lesions in the aortic arch or descending aorta can be treated using open or endovascular methods. When the lesion is located close to or involves the supra-aortic branches, treatment becomes more difficult, and hybrid approaches may be necessary. In such…
The aortic arch is one of the most anatomically complex segments of the thoracoabdominal aorta because of the plurality of supra-aortic branch configurations and highly variable curvature. Endovascular treatment of aortic arch aneurysms using branched stent-grafts was reported initially by…
The treatment of thoracic aortic aneurysms depends on the location of the involved segment. Aneurysms of the ascending aorta and the arch are usually still treated by open repair, although endovascular solutions for these pathologies have been introduced in recent…
The sandwich endovascular technique is an option for the total endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs). The technique consists of three major steps: (1) deployment of a thoracic stent-graft in a healthy, nonaneurysmal aortic segment of the thoracic aorta;…
To overcome the delay of custom manufacturing and to offer an off-the-shelf solution for use in urgent conditions, a new device was designed, the t-branch thoracic endograft. This off-the-shelf device has an introduction delivery system that consists of a 22-French…