Lessons learned over 2 decades of fenestrated-branched endovascular aortic repair

Autores da FMUP

• Marina Felicidade Dias Neto

  Autor

Participantes de fora da FMUP

• Tenorio E.R.
• Lima G.B.B.
• Baghbani-Oskouei A.
• Oderich G.S.

Unidades de investigação

• Cirurgia e Fisiologia

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

Fenestrated-branched endovascular repair has been disseminated worldwide from a technique used to treat high-risk patients to a valid alternative in almost any patient who is anatomically suitable and has complex abdominal and thoracoabdominal aortic aneurysms. As with any new procedure, there is a steep learning curve that goes beyond proficiency with deployment. Ultimately, patient selection, team performance, surgeons ability to adapt to unexpected events, and the constant evolution of improvements in technical aspects all affect the early outcomes and durability of the repair. This article reviews the importance of the learning curve, evolution of complex endovascular techniques, and factors affecting outcomes of complex endovascular aneurysm repair.

Keywords

• SPINAL-CORD ISCHEMIA; ANEURYSM REPAIR; HOSPITAL VOLUME; MORTALITY; OUTCOMES; SURGEON; IMPACT