REVIEW  LATEST UPDATE AND EVIDENCE OF OFF-THE-SHELF TREATMENT OPTIONS FOR COMPLEX AAAS Free access

The Journal of Cardiovascular Surgery 2024 April;65(2):119-23

DOI: 10.23736/S0021-9509.24.12936-9

Copyright © 2024 EDIZIONI MINERVA MEDICA

language: English

Latest evidence on chimney endovascular repair of abdominal aortic aneurysms and the renal artery angulation pitfall

Gergana T. TANEVA ✉, Apostolos G. PITOULIAS, Konstantinos AVRANAS, Konstantinos P. DONAS

Department of Vascular and Endovascular Surgery, Rhein Main Vascular Center, Asklepios Clinics Langen, Langen, Germany

This article summarizes the key findings in literature up to date on the endovascular treatment of complex abdominal aortic aneurysms (AAAs) employing the chimney technique. Additionally, an unexplored pitfall is described regarding the target vessel angulation. Although balloon-expandable covered stents present more favorable configuration in downward-oriented target vessels, transverse and upward-oriented target vessels may benefit from other endovascular techniques imploring careful case planning and further investigation on the topic.

KEY WORDS: Endovascular aneurysm repair; Aortic aneurysm; Review