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Current role of the chimney technique in the treatment of complex abdominal aortic pathologies: A position paper from the PERICLES Registry investigators

  • Autori: Donas K.P.; Criado F.; Torsello G.; Riambau V.; Scali S.; Minion D.; Lee J.T.; Lachat M.; Woo E.Y.; Veith F.J.; Fazzini S.; Taneva G.T.; Dalman R.L.; Tran K.; Pecoraro F.; Bisdas T.; Seifert S.; Esche M.; Gasparini D.; Frigatti P.; Adovasio R.; Mucelli F.P.; Damrauer S.M.; Salenius J.; Suominen V.; Mangialardi N.; Ronchey S.; Mestres G.; Mosquera N.J.
  • Anno di pubblicazione: 2020
  • Tipologia: Articolo in rivista
  • OA Link: http://hdl.handle.net/10447/457492

Abstract

Historically, chimney/snorkel endovascular aortic repair (Ch-EVAR) emerged as a rescue technique to revascularize and/or preserve inadvertently covered critical branch vessels during infrarenal aortic endografting. Next, in its evolutionary path, Ch-EVAR offered a viable treatment option for complex aortic repair, and particularly in situations where fenestrated/ branched EVAR was not a therapeutic option due to the lack of availability and/or anatomical constraints. In this context, this technique offered distinct advantages such as off-the-shelf availability, straightforward implantation techniques, and lower resource use-intensity enabling performance by a large number of operators managing patients in many centers around the world.