Because of the risk and complications related to surgery of the aorta,
the development of new, less invasive endovascular techniques has res
ulted in a certain enthusiasm for these new treatments on the part of
physicians and industry. The insertion of aortic stents allows the tre
atment of almost one half of aneurysm of the infrarenal abdominal aort
a and descending aorta. The results appear to demonstrate the medium-t
erm reliability and efficacy of these new techniques with a lower morb
idity-mortality rate than that of conventional surgery. However, preop
erative and intraoperative imaging plays an essential role in the succ
ess of these new methods. Finally, although the medium-term results ar
e encouraging, the long-term outcome of these new materials is unknown
, which justifies close surveillance of these patients and prospective
comparative studies.