[The complex aortic abdominal aneurysm: is open surgery old fashion?].
Open surgery is still the main treatment of complex abdominal aortic aneurysm. Nevertheless, this approach is associated with major complications and high mortality rate. Therefore the fenestrated endograft has been used to treat the juxtarenal aneurysms. Unfortunately, no randomised controlled study is available to assess the efficacy of such devices. Moreover, the costs are still prohibitive to generalise this approach. Alternative treatments such as chimney or sandwich technique are being evaluated in order to avoid theses disadvantages. The aim of this paper is to present the endovascular approach to treat juxtarenal aneurysm and to emphasize that this option should be used only by highly specialized vascular centres.
Service de chirurgies thoracique et vasculaire, CHUV, 1011 Lausanne. francois.saucy@chuv.ch
F
F
Saucy
S
S
Déglise
F
F
Doenz
C
C
Dubuis
J-M
JM
Corpataux
D000005:Abdomen / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000706:statistics & numerical data; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D002755:Choice Behavior / Q000502:physiology; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008954:Models, Biological; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors