Deficiencies with current aortic endografts

J Cardiovasc Surg (Torino). 2015 Jun;56(3):369-73.

Abstract

Endovascular aortic aneurysm repair (EVAR) has currently replaced open surgical repair as the primary method for treating aneurysm disease of the abdominal aorta and common iliac artery. Current EVAR devices, despite undergoing multiple improvement iterations, continue to have relatively high secondary intervention rates. Device migration, endoleak and limb occlusion continue to be challenges not completely met by any of the current devices. Investigational devices presently in clinical trials may provide significant resolution for many of the identified endograft deficiencies.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / mortality
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis Implantation / mortality
  • Blood Vessel Prosthesis*
  • Endoleak / etiology
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Endovascular Procedures / mortality
  • Foreign-Body Migration / etiology
  • Graft Occlusion, Vascular / etiology
  • Humans
  • Iliac Aneurysm / diagnosis
  • Iliac Aneurysm / mortality
  • Iliac Aneurysm / surgery*
  • Prosthesis Design
  • Risk Factors
  • Stents*
  • Treatment Outcome