Cochennec Frédéric, Couture Thibault, Chiche Laurent
Department of Vascular and Endovascular Surgery, Pitié-Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, Sorbonne Université, 75013 Paris, France.
J Clin Med. 2023 Nov 21;12(23):7207. doi: 10.3390/jcm12237207.
The optimal surgical treatment for extended thoracoabdominal aortic aneurysms (TAAAs) is still a matter of debate. The historical treatment is open repair (OR), but over the past fifteen years, endovascular strategies have gained widespread acceptance. Although several endovascular techniques have been described for the treatment of TAAAs, fenestrated and branched stent grafts (F/BEVARs) are the most frequently used and best documented. They have become the first-line treatment for both high- and moderate-risk surgical patients in most vascular centers. However, no randomized study comparing OR and F/BEVAR has been published, and decision-making is mainly based on the physician's preference and/or hospital expertise. The objective of this manuscript is to provide an overview of current comparative data for OR and F/BEVAR.
对于累及胸腹段的主动脉瘤（TAAAs），最佳的外科治疗方法仍存在争议。传统的治疗方法是开放修复术（OR），但在过去的十五年中，血管内治疗策略已得到广泛认可。尽管已经描述了几种用于治疗TAAAs的血管内技术，但开窗和分支型支架移植物（F/BEVARs）是最常用且记录最完善的。在大多数血管中心，它们已成为高风险和中度风险手术患者的一线治疗方法。然而，尚未发表比较OR和F/BEVAR的随机研究，决策主要基于医生的偏好和/或医院的专业知识。本文的目的是概述OR和F/BEVAR目前的比较数据。
