Semin intervent Radiol 2015; 32(03): 304-310
DOI: 10.1055/s-0035-1558707
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Current State of Fenestrated and Branched Devices for Abdominal Aortic Aneurysm Repair

Holly L. Graves
1  Division of Vascular Surgery and Endovascular Therapy, Department of General Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
,
Benjamin M. Jackson
1  Division of Vascular Surgery and Endovascular Therapy, Department of General Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
18 August 2015 (online)

Abstract

Endovascular abdominal aortic aneurysm repair (EVAR) provides an attractive alternative to traditional open techniques. Endovascular repair is frequently limited by aortic aneurysm neck angulation, the absence of an adequate infrarenal neck, and the need for internal iliac preservation. Several devices have been created to incorporate visceral artery segments as well as preserve the internal iliac artery, thus broadening the patient population suited for endovascular repair. This article will provide a review of the current literature regarding fenestrated devices, branch devices, off-the-shelf devices, and physician-modified devices. It will also highlight the iliac branch stent grafts currently on trial for internal iliac artery preservation. Data thus far have suggested that these devices will be both a safe and effective option for anatomically challenging abdominal aortic aneurysms.