Placement of aortic endoprostheses

Endovascular stent-grafting has found its place in the elective treatment of 60% of abdominal or thoracic aortic lesions. The morbidity and mortality rates are clearly lower than those of classical repair but the results are suboptimal with 9% residual endoleaks at 6 months. Anesthetic management with extensive monitoring even under local anesthesia remains mandatory and tends to reduce the postoperative care requirements. Future development will allow emergent endovascular treatment of ruptured aorta and further improvement will decrease the rate of late endoleaks.