Should we shift to Another Technical Paradigm in the Endovascular Exclusion of Complex Thoracic Aortic Aneurysms? |Biomedgrid

Open surgical and endovascular repair are the current treatments of the atherosclerotic aneurysms and dissections of the aorta. The traditional open surgical repair is burdened with significant postoperative morbidity and mortality rates, while endovascular repair allows comparable results, despite advanced age and increased comorbidity [1]. For this reason, in recent years, the endovascular repair with aortic Stent Graft (SG) progressed significantly, both in hybrid procedures with surgical supraortic debranching [2], and in totally endovascular procedures with fenestrated [3] and branched devices [4]. As a disadvantage, these are complex endovascular techniques that require a high level of expertise and, compared to surgical treatment, are burdened with a higher complication rate during follow-up.