Novel endovascular procedures and new developments in aortic surgery

Area of Science:

• Vascular Surgery
• Endovascular Interventions
• Aortic Pathology Management

Background:

• Endovascular repair has become a primary treatment for aortic diseases in acute and elective cases.
• Technological advancements have enabled the use of new devices and procedures to overcome anatomical limitations.

Purpose of the Study:

• To review the latest trends in endovascular treatment for aortic diseases.
• To examine the current evidence supporting various management modalities.

Main Methods:

• Review of recent advancements in endovascular aneurysm repair for abdominal aorta.
• Analysis of evolving techniques for thoracic aorta, including hybrid procedures and branched endografts.
• Discussion of challenges and solutions in percutaneous access and device profiles.

Main Results:

• Improvements in treating hostile aortic necks and preserving branches in abdominal aorta.
• Shift from hybrid procedures to branched endografts for thoracic aorta.
• Enhanced management protocols for ruptured aneurysms and percutaneous access.

Conclusions:

• Endovascular repair offers multiple options for vascular surgeons treating aortic pathology.
• Ongoing focus on thoracic aortic arch pathology and dissection management.
• Continuous innovation in devices and procedures is expanding endovascular treatment capabilities.