[Reconstruction of the aortic bifurcation : Endovascular aortic repair (EVAR) and alternatives.]

[Reconstruction of the aortic bifurcation : Endovascular aortic repair (EVAR) and alternatives.] Radiologe. 2013 May 23; Authors: Schürmann K Abstract CLINICAL ISSUE: Diseases of the aortic bifurcation, whether stenotic or dilating, are mostly a manifestation of arteriosclerosis. If only stenosis is present aortic bifurcation disease is equivalent to a certain form of peripheral arterial occlusive disease (PAOD) characterized by the specific anatomical location. Aneurysmal disease and PAOD of the aortic bifurcation may occur together and men older than 60 years are particularly affected. The main symptom of aortic bifurcation PAOD is bilateral claudication whereas aneurysmal disease of the aortic bifurcation is frequently asymptomatic. STANDARD TREATMENT: Therapy of stenotic and aneurysmal disease of the aortic bifurcation depends on the degree of the disease. Simple lesions, such as isolated stenoses of the aortic bifurcation or unilateral occlusions of the common iliac artery extending to the aortic bifurcation have been treated endoluminally for many years. Current standard treatment of complex aortic bifurcation disease is open surgery with implantation of an aortobifemoral bypass graft. However, recent developments in less invasive endoluminal methods have shifted the indications more towards endoluminal therapy. This development is mirrored by the international TransAtlantic Inter-Society Consensus (TASC) II recommendations from 2007 a...
Source: Der Radiologe - Category: Radiology Authors: Tags: Radiologe Source Type: research