Abstract
The technologies and innovations applicable to endovascular treatment for complex
aortic pathologies have progressed rapidly over the last two decades. Although the
initial outcomes of an endovascular aortic repair have been excellent, as long-term
data became available, complications including endoleaks, endograft migration, and
endograft infection have become apparent and are of concern. Previously, the indication
for endovascular therapy was restricted to descending thoracic aortic aneurysms and
abdominal aortic aneurysms. However, its indication has expanded along with the improvement
of techniques and devices, and currently, it has become possible to treat pararenal
aortic aneurysms and Crawford type 4 thoracoabdominal aortic aneurysm (TAAA) using
the off-the-shelf devices. Additionally, custom-made devices allow for the treatment
of arch or more extensive TAAAs. Endovascular treatment is applied not only to aneurysms
but also to acute/chronic dissections. However, long-term outcomes are still unclear.
This article provides an overview of available devices and the results of endovascular
treatment for various aortic pathologies.
Keywords
aortic aneurysm - endovascular aortic repair - endograft - abdominal aortic aneurysm
- thoracic aortic aneurysm - thoracoabdominal aortic aneurysm - rupture
