Advances in endovascular aortic repair

The treatment of degenerative aortic disease has largely shifted to endovascular repair due to lower short-term morbidity and mortality with similar costs and operative times when compared to the traditional open approach. Ongoing endograft development in combination with improved endovascular techniques have allowed vascular surgeons to extend endovascular treatment offerings to previously hostile and unfavorable patient anatomy. Modern endografts are now placed using smaller delivery systems designed to better accommodate a diverse patient population. New endograft designs allow for improved, patient-specific surgical plan. In patients where endovascular repair is desired but commercially available grafts are not available, endograft modification and adjunctive stenting remains an alternative.