Texas A&M University Department of Biomedical Engineering, College Station, Texas, US.
Houston Methodist DeBakey Cardiovascular Surgery Associates, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):15-23. doi: 10.14797/mdcvj.1200. eCollection 2023.
Endovascular repair of abdominal and descending thoracic aortic aneurysms has become the standard of care due to improvements in morbidity and mortality compared to open surgical repair. Late durability, however, remains an issue because persistent endoleaks can lead to continued aneurysm expansion and eventual rupture, sometimes years following the original repair. Branched, fenestrated, and physician-modified endografts in the thoracic arch and thoracoabdominal aorta have extended the seal zone in order to mitigate the risks of proximal and distal endoleaks. This review summarizes the current state of branched, fenestrated, and physician-modified endografts used in complex aortic pathologies.
血管内修复腹主动脉和降胸主动脉瘤已成为标准的护理，由于发病率和死亡率的改善相比开放手术修复。然而，晚期耐久性仍然是一个问题，因为持续的内漏可能导致持续的动脉瘤扩张，最终破裂，有时在最初的修复后数年。分支型、开窗型和医生改良的胸主动脉弓和胸腹主动脉内移植物扩大了密封区，以降低近端和远端内漏的风险。这篇综述总结了目前用于复杂主动脉病变的分支型、开窗型和医生改良的内移植物的情况。
