Endovascular Surgery: State of the Art and Clinical Perspectives
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".
Deadline for manuscript submissions: 9 October 2025 | Viewed by 49
Special Issue Editors
Interests: complex aortic endovascular repair; endoleaks; F/BEVAR
Interests: complex aortic endovascular repair; endoleaks; F/BEVAR
Special Issue Information
Dear Colleagues,
Endovascular surgery has transformed the management of aortic pathologies, offering less invasive alternatives to traditional open surgical methods, particularly for thoracic, thoracoabdominal, and aortic arch pathologies.
However, the increasing complexity of cases is highlighting the need for continued innovation.
Endoleaks continue to represent a significant clinical challenge, requiring advanced imaging and treatment strategies.
In the case of aortic arch endovascular surgery, the development of branched and fenestrated endografts has greatly improved the possibilities for treating these complex lesions without the need for open surgery, although neurological complications still prove to be the Achilles' heel in these procedures.
Similarly, spinal cord ischemia still poses a problem when we are dealing with pathologies involving the thoracic and thoracoabdominal aorta, highlighting the need for new strategies to mitigate these risks.
Despite these advances, new safety concerns have emerged, from the well-known problem of exposure to ionizing radiation in patients and surgeons to the possible release of micro- and nanoplastics from the graft materials, which could pose potential health risks.
In addition, legal and ethical challenges related to physician-modified endografts have raised questions about patient safety and regulatory oversights, underscoring the need for rigorous standards in endovascular surgery.
The future of aortic endovascular surgery lies in refining these techniques while addressing clinical and regulatory challenges.
We look forward to receiving your contributions.
Dr. Andrea Xodo
Dr. Francesco Squizzato
Guest Editors
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Keywords
- complex aortic endovascular repair
- aortic arch endovascular surgery
- endoleaks
- PMEG
- spinal cord ischemia
- endograft-related adverse events
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