Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Endovascular treatment of subrenal and interrenal abdominal aortic aneurysms with the “chimney” technique

Authors: Bockeria L.A., Abdulgasanov R.A., Ivanov P.A., Abdulgasanova M.R.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2024-21-3-167-181

UDC: 616.136-007.64-089.819.5

Link: Clinical Physiology of Blood Circulaiton. 2024; 21 (3): 167-181

Quote as: Bockeria L.A., Abdulgasanov R.A., Ivanov P.A., Abdulgasanova M.R. Endovascular treatment of subrenal and interrenal abdominal aortic aneurysms with the “chimney” technique. Clinical Physiology of Circulation. 2024; 21 (3): 167–181 (in Russ.). DOI: 10.24022/1814-6910-2024-21-3-167-181

Received / Accepted:  02.08.2024 / 23.08.2024

Download
Full text:  

Abstract

Abdominal aortic aneurysm (AAA) occurs among the male population 45–54 years old in 1.3–1.5%, over 75–80 years old the frequency increases 10–12 times, and is 12.5–14%. In women, the prevalence of AAA ranges from 0 to 5.26.0%. The use of the chimney technique in endovascular repair (ChEVAR) of AAA was first used for emergency and urgent situations, treating ruptured AAAs, and is now successfully applied in elective procedures.

This review article examines the current literature from various clinics around the world on ChEVAR. The main focus is on clinical outcomes, technical considerations, and comparisons with other methods. New data on ChEVAR demonstrate favorable treatment results for juxtarenal and pararenal AAAs. Adequate endograft size, related to the length of the aneurysm neck, is crucial to prevent type 1a endoleaks. The chimney technique can be successfully used for treating juxtarenal and pararenal aortic aneurysms under certain anatomical conditions. However, the development of type 1a endoleaks after the procedure poses significant challenges, and further research is necessary to determine the safety and effectiveness of the method.

About Authors

  • Leo A. Bockeria, Dr. Med. Sci., Professor, Academician of Russian Academy of Sciences, President; ORCID
  • Ramiz A. Abdulgasanov, Dr. Med. Sci., Chief Researcher for the Department of Surgery of Arterial Pathology; ORCID
  • Prokopiy A. Ivanov, Resident Physician; ORCID
  • Mekhriban R. Abdulgasanova, Applicant; ORCID

 If you found mistakes, select text and press Alt+A