Eliseo Candela Beltran
Hospital de Manises, 46940 Manises, Valencia, SPAIN
Title: Endovascular aneuryms repair.
Biography
Biography: Eliseo Candela Beltran
Abstract
An arterial aneurysm is a permanent and localized dilation of an artery having at least a 50% increase diameter compared to expected normal artery diameter.
The aneurysms are one of the most common vascular diseases causing disability and death. Aneurysms are common in elderly people and can occur in most arteries throughout the body.
The most common aneurysm is the abdominal aortic aneurysm(AAA).
AAA is ranked as the 13th leading cause of the in the United States.
The overall mortality rate of ruptured AAA is as high as 80% to 90%. Due to that mortality of ruptured aneuryms is recommended to perform an elective repair when the aneurym reaches a critical diameter before rupture.
The objective in the treatment is to achieve the complete exclusion of blood flow inside the aneurym, we can get that exclusion using endovascular therapies such as stenting, endografting or complete embolization of the aneurysm.
For more than 50 years open surgical treatment was the gold standar practice, whereas endovascular aneurysm repair (EVAR) was first reported in 1986.
EVAR has increasingly become preferred to open repair (OR) as the primary option for managing aneurysms in morphologically suitable patients due to its lower rate of morbidity and mortality compared with OR.
Over the last decade with the endovascular revolution, there have been significant developments in the endovascular therapies and more recently the branched devices are emerging will increase the perspectives of endovascular treatment for aneurismal pathology in multiple arterial sectors.