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Endovascular aneurysm sealing addresses several limitations of conventional endovascular aneurysm repair. [Review]

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Citation: Seminars in Vascular Surgery. 29(1-2):50-54, 2016 MarPMID: 27823590Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2016 ISSN:

0895-7967

Name of journal: Seminars in vascular surgeryAbstract: Copyright © 2016 Elsevier Inc. All rights reserved.Endovascular aneurysm repair has enabled a broad population of patients with infrarenal abdominal aortic aneurysm to be treated by a less-invasive technique. However, endovascular aneurysm repair has therapeutic limitations, including the need for lifelong surveillance and a higher rate of secondary interventions than open repair. These outcomes can promote patient dissatisfaction and result in increased health care costs and associated morbidity and mortality. The primary reason for secondary interventions is continued abdominal aortic aneurysm sac enlargement due to endoleaks. Conventional endovascular aneurysm repair procedures do not address aortic branch vessels that are ligated during open repairs. Secondary measures to occlude these branch vessels have shown efficacy in limiting sac growth, but do not predictably eliminate the need for further interventions. Endovascular aneurysm sealing is a new technique that addresses some of the limitations of conventional endovascular repair. Endovascular aneurysm sealing secures the stent graft flow lumens within a biostable polymer. This stability prevents stent migration while also sealing branch vessels that are otherwise not addressed by other endovascular devices. This new approach to endovascular repair has shown early promise in reducing the rates of endoleak and need for secondary interventions, while opening up the possibility of durable endovascular repair to a more challenging type of anatomy.All authors: Kostun ZW, Woo EYFiscal year: FY2016Digital Object Identifier:

https://dx.doi.org/10.1053/j.semvascsurg.2016.06.004

Date added to catalog: 2017-05-24

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Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	27823590	Available		27823590

Endovascular aneurysm repair has enabled a broad population of patients with infrarenal abdominal aortic aneurysm to be treated by a less-invasive technique. However, endovascular aneurysm repair has therapeutic limitations, including the need for lifelong surveillance and a higher rate of secondary interventions than open repair. These outcomes can promote patient dissatisfaction and result in increased health care costs and associated morbidity and mortality. The primary reason for secondary interventions is continued abdominal aortic aneurysm sac enlargement due to endoleaks. Conventional endovascular aneurysm repair procedures do not address aortic branch vessels that are ligated during open repairs. Secondary measures to occlude these branch vessels have shown efficacy in limiting sac growth, but do not predictably eliminate the need for further interventions. Endovascular aneurysm sealing is a new technique that addresses some of the limitations of conventional endovascular repair. Endovascular aneurysm sealing secures the stent graft flow lumens within a biostable polymer. This stability prevents stent migration while also sealing branch vessels that are otherwise not addressed by other endovascular devices. This new approach to endovascular repair has shown early promise in reducing the rates of endoleak and need for secondary interventions, while opening up the possibility of durable endovascular repair to a more challenging type of anatomy.

English