Current Trends of Treatment Options for Complex Aortic Pathology with Visceral Artery Involvement in a Large Single-Center Experience

  • Nicola MangialardiEmail author
  • Matteo Orrico
  • Sonia Ronchey
  • Andrea Esposito


Currently, there are no prospective randomized trials that compare open versus endovascular repair for thoracoabdominal aortic diseases. Open surgical repair represents the “gold standard” for the treatment of thoracoabdominal aortic aneurysm (TAAA) or dissection.


  1. 1.
    Coselli JS, Amarasekara HS, Green SY, et al. Open repair of thoracoabdominal aortic aneurysm in patients 50 years old and younger. Ann Thorac Surg. 2017;103(6):1849–57.CrossRefGoogle Scholar
  2. 2.
    LeMaire SA, Price MD, Green SY, et al. Results of open thoracoabdominal aortic aneurysm repair. Ann Cardiothorac Surg. 2012;1(3):286–92.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Ferrer C, Cao P, De Rango P, et al. A propensity-matched comparison for endovascular and open repair of thoracoabdominal aortic aneurysms. J Vasc Surg. 2016;63(5):1201–7.CrossRefGoogle Scholar
  4. 4.
    Adovasio R, Chiarandini S, Calvagna C, et al. Treatment of complex abdominal aortic aneurysms with parallel graft-endovascular aneurysm repair. Retrospective analysis of a single center experience and midterm results. Ann Vasc Surg. 2018;47:260.CrossRefGoogle Scholar
  5. 5.
    Fazzini S, Ronchey S, Orrico M. “Over-SIRIX”: a new method for sizing aortic endografts in combination with the chimney grafts: early experience with aortic arch disease. Ann Vasc Surg. 2018;46:285.CrossRefGoogle Scholar
  6. 6.
    Montelione N, Pecoraro F, Puippe G. A 12-year experience with chimney and periscope grafts for treatment of type I endoleaks. J Endovasc Ther. 2015;22(4):568–74.CrossRefGoogle Scholar
  7. 7.
    Donas KP, Lee JT, Lachat M. Collected world experience about the performance of the snorkel/chimney endovascular technique in the treatment of complex aortic pathologies: the PERICLES registry. Ann Surg. 2015;262(3):546–53.CrossRefGoogle Scholar
  8. 8.
    Donas KP, Torsello GB, Piccoli G. The PROTAGORAS study to evaluate the performance of the Endurant stent graft for patients with pararenal pathologic processes treated by the chimney/snorkel endovascular technique. J Vasc Surg. 2016;63(1):1–7.CrossRefGoogle Scholar
  9. 9.
    Bosiers MJ, Tran K, Lee JT, et al. Incidence and prognostic factors related to major adverse cerebrovascular events in patients with complex aortic diseases treated by the chimney technique. J Vasc Surg. 2018;67:1372.CrossRefGoogle Scholar
  10. 10.
    Pecoraro F, Pfammatter T, Mayer D, et al. Multiple periscope and chimney grafts to treat ruptured thoracoabdominal and pararenal aortic aneurysms. J Endovasc Ther. 2011;18(5):642–9.CrossRefGoogle Scholar
  11. 11.
    Silingardi R, Gennai S, Leone N. Standard “off-the-shelf” multibranched thoracoabdominal endograft in urgent and elective patients with single and staged procedures in a multicenter experience. J Vasc Surg. 2018;67:1005.CrossRefGoogle Scholar
  12. 12.
    Kasprzak PM, Gallis K, Cucuruz B. Temporary aneurysm sac perfusion as an adjunct for prevention of spinal cord ischemia after branched endovascular repair of thoracoabdominal aneurysms. Eur J Vasc Endovasc Surg. 2014;48(3):258–65.CrossRefGoogle Scholar
  13. 13.
    Mangialardi N, Lachat M, Esposito A. The “open branch” technique: a new way to prevent paraplegia after total endovascular repair of thoracoabdominal aneurysm. Catheter Cardiovasc Interv. 2016;87(4):773–80.CrossRefGoogle Scholar
  14. 14.
    Setacci F, Pecoraro F, Chaykovska L. The gore hybrid vascular graft in renovisceral debranching for complex aortic aneurysm repair. J Vasc Surg. 2016;64(1):33–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nicola Mangialardi
    • 1
    Email author
  • Matteo Orrico
    • 1
  • Sonia Ronchey
    • 2
  • Andrea Esposito
    • 2
  1. 1.Ospedale San CamilloRomeItaly
  2. 2.Ospedale San Filippo NeriRomeItaly

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