Aortic Stent Grafting

Discussion on aortic stent grafting or endovascular aortic repair. Aortic stent grafting is becoming increasingly common for treatment of thoracic and abdominal aortic disease. Aortic aneurysms can be excluded by stent grafts, avoiding a major cardiothoracic surgery, with obvious advantages in those with multiple comorbidities, often having prohibitive surgical risk. Aortic stent graft delivery system is quite long and thick requiring a femoral artery cut down for introduction. If the diameter of the femoral arteries are small, it may need an external iliac artery exposure.