Chimney Endovascular Aneurysm Repair is now Officially Recommended as an Alternative Treatment Option Based on the New European Society for Vascular Surgery Abdominal Aortic Aneurysm Guidelines of 2019: Do We Want to Keep Looking at the Tree and Not the Forest?

We read the commentary from Alric and Canaud1 regarding our case of a symptomatic patient unfit for open repair symptomatic with persistent gutter related type Ia endoleak after chimney endovascular aneurysm repair (ch-EVAR).2 The goal of our case presentation was to provide information about possible solutions for suboptimal performance, as a lesson learned after 10 years of clinical experience and treatment of more than 250 cases by ch-EVAR.3,4 As the authors published when they reported on the role of physician modified endografts “to break the rules you must first master them.”5 And, in this context, we believe that presentation of successful management of challenging cases with persistent post-operative flow to the aneurysm sack is of particular importance, having as a sustained goal of optimising the outcome in favour of the patient.
Source: EJVES Extra - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research