Endovascular Management of Thoraco-Abdominal Aortic Aneurysms

Abstract

Aortic aneurysm affects a significant part of the world’s population. Traditional open surgery is considered safe, effective, and durable. However, some patients are considered not fit for such repair, especially when considering aneurysms that involve the thoracoabdominal aortic segment. The advent of the endovascular technique has gained great acceptance and, as evidence accumulated, it has shifted the paradigm for the treatment of TAAA. This chapter will address several aspects of the endovascular treatment of TAAA using devices with fenestration and directional branches, including aspects of the decision-making process, pre-operative planning, device implantation, intra-operative imaging, and the current evidence regarding outcomes.