Update on covered endovascular reconstruction of the aortic bifurcation

Michel M.P.J. Reijnen*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

Objective: The covered endovascular reconstruction of the aortic bifurcation (CERAB) technique was introduced in 2009 in order to provide an anatomically and physiologically optimal endovascular reconstruction of the aortic bifurcation. Method: In the current review, all available evidence on this technique was summarized. Results: In vitro studies have shown a more favorable geometry of CERAB compared to kissing stents, leading to better local flow conditions. The results of CERAB are at least as good as those achieved with kissing stents in a more complex group of treated patients. The mid-term patency rates approach those of surgical reconstruction. Initial data show that the technique can also be used in combination with chimney grafts in order to preserve side branches. Conclusion: CERAB has proven to be the most optimal endovascular treatment option for aorto-iliac occlusive disease with regard to geometry and flow and is related to promising clinical outcomes. Prospective and comparative trials are necessary to elucidate the most optimal treatment algorithm for patients with aorto-iliac occlusive disease.

Original languageEnglish
Pages (from-to)225-232
Number of pages8
JournalVascular
Volume28
Issue number3
Early online date2 Jan 2020
DOIs
Publication statusPublished - 1 Jun 2020

Keywords

  • aortic bifurcation, CERAB
  • Aortoiliac
  • covered balloon-expandable stent
  • covered endovascular reconstruction of the aortic bifurcation
  • endovascular
  • iliac artery
  • Leriche syndrome
  • occlusive disease
  • CERAB
  • aortic bifurcation

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