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AAA Stent–Grafts: Past Problems and Future Prospects

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Abstract

Endovascular aneurysm repair (EVAR) has quickly gained popularity for infrarenal abdominal aortic aneurysm repair during the last two decades. The improvement of available EVAR devices is critical for the advancement of patient care in vascular surgery. Problems are still associated with the grafts, many of which can necessitate the conversion of the patient to open repair, or even result in rupture of the aneurysm. This review attempts to address these problems, by highlighting why they occur and what the failings of the currently available stent grafts are, respectively. In addition, the review gives critical appraisal as to the novel methods required for dealing with these problems and identifies the new generation of stent grafts that are being or need to be designed and constructed in order to overcome the issues that are associated with the existing first- and second-generation devices.

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Author notes

  1. Claire Hillery

    Present address: Medtronic, Galway, Ireland, UK

Authors and Affiliations

  1. Division of Surgery & Interventional Science, Centre for Nanotechnology & Regenerative Medicine, University College London, London, UK

    Mital Desai, Raheleh Bakhshi, George Hamilton & Alexander M. Seifalian

  2. Department of Engineering Science, University of Oxford, Oxford, UK

    James Eaton-Evans, Claire Hillery & Zhong You

  3. Biological Physics Group, The University of Manchester, Manchester, UK

    Jian Lu

  4. Vascular Unit, Department of Surgery, Royal Free Hampstead NHS Trust Hospital, London, UK

    George Hamilton

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  1. Mital Desai
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Associate Editor Jane Grande-Allen oversaw the review of this article.

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Desai, M., Eaton-Evans, J., Hillery, C. et al. AAA Stent–Grafts: Past Problems and Future Prospects. Ann Biomed Eng 38, 1259–1275 (2010). https://doi.org/10.1007/s10439-010-9953-1

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