Italian cardiovascular centers primarily utilize Endovascular Aneurysm Repair (EVAR) and Thoracic Endovascular Aneurysm Repair (TEVAR), which now account for over 72% of procedures. Surgeons also employ complex fenestrated or branched grafts (F-EVAR/B-EVAR), hybrid techniques, and traditional open repair for anatomically complex or ruptured cases.
- EVAR dominance: Minimally invasive stent-graft placement through groin incisions is the primary abdominal repair method.
- TEVAR application: Surgeons use thoracic endovascular repair as the mainstream option for chest cavity aneurysms.
- Open surgery: Reserved for patients under 70 or those with complex, unsuitable vascular anatomy.
- Hybrid procedures: Combined open and endovascular methods, like the `Frozen Elephant Trunk,` treat aortic arches.
- Lifelong surveillance: Mandatory periodic CT angiogram scans ensure long-term stent stability and prevent late leaks.
Bookimed Expert Insight: Italian cardiac volume is concentrated in Milan, where San Donato Hospital alone performs over 9,400 operations annually. Data shows that Maria Cecilia Hospital manages 15% of national cardiac surgeries. Patients should prioritize high-volume centers in Milan or Rome, as these hubs frequently utilize branched F-EVAR grafts. These specialized devices significantly reduce reintervention rates for complex juxtarenal aneurysms compared to standard stents.
Patient Consensus: Patients value the rapid 48-hour discharge common after endovascular procedures compared to the 10-day recovery required for open surgery. Many suggest bringing translated medical summaries to navigate public hospital admissions more efficiently.
