Branched and fenestrated endovascular aortic repair in complex aortic diseases: innovative progress and clinical application
10.3760/cma.j.cn112139-20240922-00436
- VernacularTitle:复杂主动脉疾病中分支与开窗型腔内支架的创新进展与应用
- Author:
Long CAO
1
;
Yangyang GE
;
Wei GUO
Author Information
1. 解放军总医院第一医学中心血管外科，北京 100853
- Keywords:
Aortic diseases;
Aortic aneurysm;
Aortic arch;
Branched and fenestrated endografts
- From:
Chinese Journal of Surgery
2025;63(1):45-50
- CountryChina
- Language:Chinese
-
Abstract:
Recently, significant progress has been made in the field of endovascular repair of complex aortic disease involving the major branches (aortic arch disease and complex abdominal aortic aneurysms). Open surgery was considered the “gold standard” for the treatment of these complicated aortic diseases, but was challenged by the huge surgical trauma and high risk of post-operative complications. However, the rapid development of branched and fenestrated endografts has provided an alternative safe and effective minimally invasive treatment for patients who cannot tolerate open surgery. Preliminary evidence has also shown that branched and fenestrated endografts have achieved significant technical success rates and clinical outcomes and have gradually become an important direction of innovation and development for endovascular repair of complex aortic disease. Nevertheless, both branched and fenestrated endografts are currently in the early stages of experience and a series of high-quality research studies are needed in the future to further compare them with open surgery and within different endovascular techniques.
