Section of Vascular Surgery, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2024 Sep;34(9):1122-1126. doi: 10.29271/jcpsp.2024.09.1122.
Fenestrated and branched endovascular aortic aneurysm repair (f-EVAR, b-EVAR, respectively) are technically challenging procedures that have evolved over the last decade for complex aortic aneurysms. They are alternatives to surgical repair for suprarenal and juxtarenal aortic aneurysms. A Pubmed database was reviewed by searching keywords related to f-EVAR, b-EVAR, and juxta renal abdominal aortic aneurysm (AAA) from the last five years to see current indications, contemporary techniques, and results of these techniques for juxtarenal aneurysms. Over the years, f-EVAR and b-EVAR have improved, with high technical success (>95%) and mortality rates of 1-5% for pararenal and 5-10% for thoracoabdominal aortic aneurysms. Key Words: Fenestrated-branched endovascular repair, Fenestrated EVAR, Branched EVAR, Juxtarenal aortic aneurysm.
开窗型和分支型血管内主动脉瘤修复术（fenestrated and branched endovascular aortic aneurysm repair，分别简称为 f-EVAR 和 b-EVAR）是近十年来针对复杂主动脉瘤发展起来的技术挑战性手术。它们是治疗肾上和肾周主动脉瘤的手术修复的替代方法。通过检索过去五年中与 f-EVAR、b-EVAR 和肾周腹主动脉瘤（juxtarenal abdominal aortic aneurysm，AAA）相关的关键词，在 Pubmed 数据库中进行了综述，以了解这些技术在肾周动脉瘤中的当前适应证、当代技术和结果。多年来，f-EVAR 和 b-EVAR 技术不断改进，其肾上和胸腹主动脉瘤的技术成功率均超过 95%，死亡率分别为 1-5%和 5-10%。关键词：开窗型-分支型血管内修复、开窗型血管内修复、分支型血管内修复、肾周主动脉瘤。
