Abstract
Endovascular therapy including stent-graft repair has been established as one of choices for the treatment of various aortic pathologies. It has been also recognized as powerful first-line treatment for aortic emergency because of its relatively low invasiveness. Acute type B aortic dissection complicated with malperfusion is benefitted most from endovascular therapy. On the other hand, type B aortic dissection complicated with aortic rupture seems still challenging due to it complex hemodynamics. Ruptured aortic aneurysms, especially ruptured thoracic aortic aneurysms, are also benefitted from endovascular therapy. Although there remains some limitations and controversies, aorto-bronchial or aorto-enteric fistulae and infectious aortic aneurysms can be treated with endovascular therapy. To improve the results and it should be mandatory to organize medical staffs, outside hospitals, and facilities including backups of devices.
