Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck

Scarcello, Edoardo; Serra, Raffaele; Morrone, Francesco; Tarsitano, Salvatore; Triggiani, G.; Franciscis, Stefano de

doi:10.1016/j.jvs.2012.01.013

Cited by 6 publications

(5 citation statements)

References 11 publications

(9 reference statements)

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“…It was a much simpler method of obtaining cessation of flow in the newly pressurized post-EVAR aneurysm sac with digital confirmation intraoperatively compared with attempted EVAR explantation in previous reports. 6 , 7 , 8 , 9 , 10…”

Section: Discussionmentioning

confidence: 99%

Hybrid repair strategies for acute type B aortic dissection complicating prior standard and complex endovascular aortic repair

Chait

Mendes

Johnston

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Section: Discussionmentioning

confidence: 99%

Hybrid repair strategies for acute type B aortic dissection complicating prior standard and complex endovascular aortic repair

Chait

Mendes

Johnston

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…[8][9][10][11] Besides, the treatment of JAAs remains more challenging due to inevitable renal ischemia. [10,12] The patients included in our study consisted of elderly patients with comorbidities potentially complicating surgery such as coronary artery disease (33.3%), chronic obstructive pulmonary disease (57.1%), and failed EVAR procedures (28.6%). The hospital mortality was as high as 14.3%; however, it included one early death after ruptured aneurysm repair.…”

Section: Discussionmentioning

confidence: 99%

Open repair of juxtarenal aortic aneurysms: 10-years of experience in a single center

Kahraman¹

2020

Turk J Vasc Surg

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Objectives: This study aims to evaluate the long-term surgical outcomes of juxtarenal aortic aneurysms (JAAs). Patients and methods: We retrospectively analyzed a total of 21 consecutive patients (20 males, 1 female; mean age 64.8±11.8 years; range, 31 to 80 years) who underwent open repair of JAAs using a suprarenal clamp between May 2009 and May 2019. Data including baseline demographic and clinical characteristics of the patients, preoperative risk factors, radiographic images, and postoperative data were recorded. Results: Of all patients, six had a failed endograft. The median time to the completion of surgery was 286 (range, 192 to 628) min and the median renal ischemia time was 42 (range, 20 to 82) min. Renal artery endarterectomy (n=5), reimplantation (n=2), and an extension graft interposition (n=2) were the additional procedures to ensure kidney perfusion. During a follow-up of 48 months, six patients required dialysis and three were permanent, and the overall mortality rate was 33.3%. Conclusion: The results of JAA repair become steadily worsened due to the changes in the rate and severity of constitutional risk factors during the last decade. The increasing number of failed endovascular procedures increases the need for a suprarenal clamp. Therefore, failed endograft should be considered an etiological factor and a risk factor for the open repair of JAAs currently.

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“… 8 ) Similar to other methods such as fenestrated, debranching, and chimney EVAR, primary banding is used in patients with difficult neck characteristics (e.g., short neck, severe angulation, and inverted infundibular, hourglass, or bulge-shaped formations) for EVAR. 9 ) The first step is to ensure that aortic banding is performed according to a neck shape that is suitable for EVAR.…”

Section: Discussionmentioning

confidence: 99%

Successful Aortic Banding for Type IA Endoleak Due to Neck Dilatation after Endovascular Abdominal Aortic Aneurysm Repair: Case Report

Tashima

Tamai²,

Shirasugi³

et al. 2017

Annals of Vascular Diseases

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A 69-year-old man with a type IA endoleak that developed approximately 21 months after endovascular abdominal aortic aneurysm repair (EVAR) of a 46 mm diameter aneurysm was referred to our department. He had impaired renal function, Parkinson’s disease, and previous cerebral infarction. Computed tomography angiography showed a type IA endoleak with neck dilatation and that the aneurysm had grown to 60 mm in diameter. We decided to perform aortic banding. The type IA endoleak disappeared after banding and the patient was discharged on postoperative day 10. Aortic banding may be effective for type IA endoleak after EVAR and less invasive for high-risk patients in particular.

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Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck

Cited by 6 publications

References 11 publications

Hybrid repair strategies for acute type B aortic dissection complicating prior standard and complex endovascular aortic repair

Hybrid repair strategies for acute type B aortic dissection complicating prior standard and complex endovascular aortic repair

Open repair of juxtarenal aortic aneurysms: 10-years of experience in a single center

Successful Aortic Banding for Type IA Endoleak Due to Neck Dilatation after Endovascular Abdominal Aortic Aneurysm Repair: Case Report

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