Patient-Specific Numerical Simulations of Endovascular Procedures in Complex Aortic Pathologies: Review and Clinical Perspectives

The endovascular technique is used in the first line treatment in many complex aortic pathologies. Its clinical outcome is mostly determined by the appropriate selection of a stent-graft for a specific patient and the operator's experience. New tools are still needed to assist practitioners with decision making before and during procedures. For this purpose, numerical simulation enables the digital reproduction of an endovascular intervention with various degrees of accuracy. In this review, we introduce the basic principles and discuss the current literature regarding the use of numerical simulation for endovascular management of complex aortic diseases. Further, we give the future direction of everyday clinical applications, showing that numerical simulation is about to revolutionize how we plan and carry out endovascular interventions.

Automated summary

The endovascular technique is widely used in the first line treatment of complex aortic pathologies. The selection of a suitable stent-graft and the operator's experience play a crucial role in its clinical outcome. Numerical simulation provides a digital reproduction of endovascular interventions and can assist practitioners with decision making. This review discusses the basic principles and current literature of using numerical simulation for endovascular management of complex aortic diseases, and highlights its potential to revolutionize everyday clinical applications.