Why the study?
While fenestrated and branched endografts (FBEVAR) have expanded eligibility for complex aortic repair with high procedural success, challenges regarding long-term durability, bridging stent performance, and spinal cord protection remain critical.
FBEVAR provides a minimally invasive and effective mid-term solution for complex aortic aneurysms, but requires further research to address long-term durability and spinal cord ischemia.
Supports FBEVAR for complex aneurysms; leaves open long-term durability and spinal cord protection.
Endovascular repair has transformed the management of complex aortic aneurysms and chronic aortic dissections, providing a minimally invasive alternative to open surgery. The introduction of fenestrated and branched endografts (FBEVAR) has significantly expanded the anatomical eligibility for endovascular repair, allowing for the treatment of thoracoabdominal and complex abdominal aneurysms with improved patient outcomes. This review provides a comprehensive analysis of recent advancements in FBEVAR, focusing on technical success, durability, reintervention rates, and the evolving strategies to mitigate complications such as spinal cord ischemia. While FBEVAR has demonstrated high procedural success and mid-term efficacy, challenges related to long-term durability, bridging stent performance, and spinal cord protection remain critical areas of ongoing research.
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Ferreira et al. (2025) studied this question.
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