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Peri-Operative Management of Patients Undergoing Fenestrated-Branched Endovascular Repair for Juxtarenal, Pararenal and Thoracoabdominal Aortic Aneurysms : Preventing, Recognizing and Treating Complications to Improve Clinical Outcomes

Xodo, Andrea (författare)
San Bortolo Hosp, Vasc & Endovasc Surg Unit, AULSS8 Ber, I-36100 Vicenza, Italy.
D'Oria, Mario (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
Mendes, Bernardo (författare)
Mayo Clin, Div Vasc & Endovasc Surg, Gonda Vasc Ctr, Rochester, NY 55902 USA.
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Bertoglio, Luca (författare)
Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Div Vasc Surg, I-5820132 Milan, Italy.
Mani, Kevin, 1975- (författare)
Uppsala universitet,Kärlkirurgi
Gargiulo, Mauro (författare)
Univ Bologna, IRCCS Univ Hosp Policlin S Orsola, Vasc Surg, DIMES, I-40138 Bologna, Italy.
Budtz-Lilly, Jacob (författare)
Aarhus Univ Hosp, Dept Cardiovasc Surg, Div Vasc Surg, DK-1618200 Aarhus, Denmark.
Antonello, Michele (författare)
Univ Padua, Univ Hosp Padova, Vasc & Endovasc Surg, DSCTV, I-35128 Padua, Italy.
Veraldi, Gian Franco (författare)
Integrated Univ Hosp Verona, Unit Vasc Surg, I-37126 Verona, Italy.
Pilon, Fabio (författare)
San Bortolo Hosp, Vasc & Endovasc Surg Unit, AULSS8 Ber, I-36100 Vicenza, Italy.
Milite, Domenico (författare)
San Bortolo Hosp, Vasc & Endovasc Surg Unit, AULSS8 Ber, I-36100 Vicenza, Italy.
Calvagna, Cristiano (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
Griselli, Filippo (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
Taglialavoro, Jacopo (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
Bassini, Silvia (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
Wanhainen, Anders (författare)
Uppsala universitet,Kärlkirurgi
Lindström, David (författare)
Uppsala universitet,Kärlkirurgi
Gallitto, Enrico (författare)
Univ Bologna, IRCCS Univ Hosp Policlin S Orsola, Vasc Surg, DIMES, I-40138 Bologna, Italy.
Mezzetto, Luca (författare)
Integrated Univ Hosp Verona, Unit Vasc Surg, I-37126 Verona, Italy.
Mastrorilli, Davide (författare)
Integrated Univ Hosp Verona, Unit Vasc Surg, I-37126 Verona, Italy.
Lepidi, Sandro (författare)
Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy.
DeMartino, Randall (författare)
Mayo Clin, Div Vasc & Endovasc Surg, Gonda Vasc Ctr, Rochester, NY 55902 USA.
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San Bortolo Hosp, Vasc & Endovasc Surg Unit, AULSS8 Ber, I-36100 Vicenza, Italy Trieste Univ Hosp ASUGI, Cardiovasc Dept, Div Vasc & Endovasc Surg, I-34149 Trieste, Italy. (creator_code:org_t)
2022-06-21
2022
Engelska.
Ingår i: Journal of Personalized Medicine. - : MDPI AG. - 2075-4426. ; 12:7
Relaterad länk:
https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.3...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • The advent and refinement of complex endovascular techniques in the last two decades has revolutionized the field of vascular surgery. This has allowed an effective minimally invasive treatment of extensive disease involving the pararenal and the thoracoabdominal aorta. Fenestrated-branched EVAR (F/BEVAR) now represents a feasible technical solution to address these complex diseases, moving the proximal sealing zone above the renal-visceral vessels take-off and preserving their patency. The aim of this paper was to provide a narrative review on the peri-operative management of patients undergoing F/BEVAR procedures for juxtarenal abdominal aortic aneurysm (JAAA), pararenal abdominal aortic aneurysm (PRAA) or thoracoabdominal aortic aneurism (TAAA). It will focus on how to prevent, diagnose, and manage the complications ensuing from these complex interventions, in order to improve clinical outcomes. Indeed, F/BEVAR remains a technically, physiologically, and mentally demanding procedure. Intraoperative adverse events often require prolonged or additional procedures and complications may significantly impact a patient's quality of life, health status, and overall cost of care. The presence of standardized preoperative, perioperative, and postoperative pathways of care, together with surgeons and teams with significant experience in aortic surgery, should be considered as crucial points to improve clinical outcomes. Aggressive prevention, prompt diagnosis and timely rescue of any major adverse events following the procedure remain paramount clinical needs.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

aortic disease
aortic aneurysm
fenestrated-branched endovascular repair
outcomes
complications
review

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