Key result
Aortic endografts have evolved into a beneficial, minimally invasive therapy for aortic aneurysmal disease, with long-term results reported to be better than open surgical repair.
Aortic endografts have evolved into a beneficial, minimally invasive therapy for abdominal aortic aneurysms, offering long-term results that surpass open surgical repair.
The past decade has seen the evolution of an exciting technology that has changed forever the treatment of aortic aneurysmal disease. From rather crude homemade stent-grafts constructed in the surgical suite to elegant commercially manufactured devices in a variety of configurations and sizes, the aortic endograft has experienced a meteoric rise in popularity to become a beneficial, minimally invasive therapy that can obviate the risk of rupture and death. There are now 3 approved endovascular devices on the market for infrarenal abdominal aortic aneurysm repair, and it is likely that additional and improved devices will become available in the future. This review revisits the developmental history of the aortic endograft, noting the ongoing refinements that have arisen from our experiences with the growing population of stent-graft patients. Although research continues to search for solutions to the problems of endoleak and migration, long-term results even with the earlier second and third-generation devices are better than has been achieved with open surgical repair.
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Fogarty et al. (2004) conducted a review in Aortic aneurysmal disease. Aortic endograft vs. Open surgical repair was evaluated. Aortic endografts have evolved into a beneficial, minimally invasive therapy for aortic aneurysmal disease, with long-term results reported to be better than open surgical repair.
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