Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Anévrismes complexes de l'aorte abdominale: la chirurgie ouverte est-elle obsolète [The complex aortic abdominal aneurysm: is open surgery old fashion?].
Revue Médicale Suisse
Publication types: English Abstract ; Evaluation Studies ; Journal Article ; ReviewPublication Status: ppublish
Open surgery is still the main treatment of complex abdominal aortic aneurysm. Nevertheless, this approach is associated with major complications and high mortality rate. Therefore the fenestrated endograft has been used to treat the juxtarenal aneurysms. Unfortunately, no randomised controlled study is available to assess the efficacy of such devices. Moreover, the costs are still prohibitive to generalise this approach. Alternative treatments such as chimney or sandwich technique are being evaluated in order to avoid theses disadvantages. The aim of this paper is to present the endovascular approach to treat juxtarenal aneurysm and to emphasize that this option should be used only by highly specialized vascular centres.
Abdomen/surgery, Aortic Aneurysm, Abdominal/complications, Aortic Aneurysm, Abdominal/diagnosis, Blood Vessel Prosthesis/utilization, Blood Vessel Prosthesis Implantation/adverse effects, Blood Vessel Prosthesis Implantation/methods, Choice Behavior/physiology, Endovascular Procedures/adverse effects, Endovascular Procedures/methods, Humans, Models, Biological, Postoperative Complications/etiology, Risk Factors
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