title: Combined open and endovascular techniques for the treatment of complex vascular disease.
abstract: In an attempt to improve the outcome following aortic aneurysm repair, there has been an increased focus on endovascular technology as a minimally invasive means of treating various vascular pathologies. Stent-grafting of aortic aneurysms is an area where a less invasive approach may decrease the morbidity seen with conventional aneurysm repair. As with other technologies, increased experience and improvements in instrument design allow for applicability to a broader population of patients. However, despite such improvements, some patients' anatomic characteristics may make endovascular repair unsuitable or too risky. When complex anatomy prohibits repair by endovascular means alone, a combination of conventional surgery and endovascular therapy may be utilized in an effort to minimalize the invasiveness. Using adjunctive surgical procedures, complex anatomy may be modified to allow for a safe and successful endovascular aneurysm repair. In this paper, we describe the modification of access vessels as well as fixation sites to facilitate the endovascular treatment of aortic aneurysms.
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA.
authors.forename: Alfio
authors.initials: A
authors.lastname: Carroccio
authors.forename: David
authors.initials: D
authors.lastname: Spielvogel
mesh_terms: D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D011859:Radiography; D015607:Stents; D014656:Vascular Surgical Procedures