INTRODUCTION: Currently, type IV thoracoabdominal aortic aneurysms (TAAA-IV) are treated primarily by endovascular repair. Despite the increased morbidity, there is still a role for open surgery in selected patients. This paper aims to present a descriptive analysis and outcome evaluation of open repair for TAAA-IV in our institution, where endovascular repair is generally the first-line treatment option. METHO...
Aortic aneurysms affect 3.3% of adults and there is a growing burden of small aneurysms detected, which may grow to need surgical repair. Still, we rely only on surgical therapy for this disease, left to monitor patients until they are candidates for treatment. Pharmacologic therapies have long been proposed and studied and still we have no evidence supporting drug therapy in small aneurysms. In this report we ...
Introduction: Endovascular repair of aortic aneurysms is widely established. However, aorto-iliac aneurysms pose a challenge, specifically regarding distal sealing. A frequent approach is extending the iliac limb to the external iliac artery (EIA) with occlusion of the internal iliac artery (IIA), often with varying degree of pelvic ischemia causing significant morbidity. Iliac branched devices (IBD) allow for ...