Outcomes of endovascular aneurysm repair performed in abdominal aortic aneurysms with large infrarenal necks

Gargiulo, Mauro; Gallitto, Enrico; Wattez, Hélène; Verzini, Fabio; Massoni, Claudio Bianchini; Loschi, Diletta; Freyrie, Antonio; Haulon, Stéphan

doi:10.1016/j.jvs.2017.01.066

Cited by 37 publications

(32 citation statements)

References 22 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Failing EVAR with proximal type I endoleaks is not infrequent when the neck diameter is ≥28 mm, as shown in this case report 13 . The endoleaks are most likely to be resealed by proximal fenestrated or branched cuffs 7 .…”

Section: Discussionsupporting

confidence: 51%

Consecutive failing proximal landing zones

Bosse

Houérou

Soler

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

We report the case of a 77-year-old man who presented with successive aortic aneurysms during a 12-year period. He was first treated in 2006 for an abdominal aortic aneurysm with a bifurcated endograft, then in 2016 for a tender type IV thoracoabdominal aortic aneurysm with a proximal aortic cuff with in situ laser fenestrations. He presented in 2018 with a 9-cm distal thoracic aorta aneurysm managed by an off-the-shelf t-Branch endograft (Cook Medical, Bloomington, Ind). The perioperative course was uneventful, and 6-month follow-up computed tomography scan has shown freedom from endoleaks and branch patency. This case illustrates that apparently "healthy" aortic necks can degenerate after endovascular aneurysm repair.

show abstract

Section: Discussionsupporting

confidence: 51%

Consecutive failing proximal landing zones

Bosse

Houérou

Soler

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

show abstract

“…All previous studies investigating aortic neck diameter have used larger cut offs, such as using 36 mm diameter stent grafts. 23,24 These cases represent a very small minority of patients undergoing EVAR in the real world (only 177/3166 [5.6%] of patients in GREAT had aortic neck diameters 30 mm) which leads to limited study numbers, reduced power for useful analysis, and limited overall clinical relevance. Several key findings should be mentioned.…”

Section: Discussionmentioning

confidence: 99%

Editor's Choice – Influence of Proximal Aortic Neck Diameter on Durability of Aneurysm Sealing and Overall Survival in Patients Undergoing Endovascular Aneurysm Repair. Real World Data from the Gore Global Registry for Endovascular Aortic Treatment (GREAT)

Howard

Marron

Sideso

et al. 2018

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

show abstract

“…(2) Large stent grafts are more at the risk of proximal endoleak and reintervention in the long run. (6,7) The authors emphasized the importance of at least 40 mm overlapping to the thoracic stent-graft, leaving more than 40 mm extending beyond the main body of the bifurcated device to ensure expansion to its nominal diameter and adequate sealing. (2,4) In our case, we also obeyed this protocol.…”

Section: Discussionmentioning

confidence: 99%

Combined system usage for large neck anatomy in a high risk abdominal aortic aneurysm patient

Yıldırım¹,

Şenarslan²,

Kurdal³

2017

ejcm

View full text Add to dashboard Cite

Endovascular aneurysm repair (EVAR) is the first line approach in abdominal aortic aneurysm (AAA) repair. Open surgical repair of AAA is associated with high perioperative mortality and morbidity. A sufficient infrarenal aortic neck is one of the key points for successful outcome after EVAR. We presented in this case report a 75 year-old, male patient with AAA which maximal diameter is 60 mm. The aneurysm had a large neck that presents a hostile neck anatomy. He was unfit for conventional surgery because of comorbidities as chronic obstructive pulmonary disease, newly diagnosed lung cancer and coronary artery disease. He applied to the emergency service with severe and acutely onset back pain and he was admitted to our cardiovascular surgery clinic. Because of acute onset of the back pain, his serious comorbidities and we planned to use of thoracic and abdominal aortic endovascular stent-graft systems indwelling each other which is known as Funnel technique. Despite progress in endovascular therapy, large infrarenal necks remain a challenge for endovascular interventionists. It seems feasible to use combined thoracic and abdominal stent graft as an alternative treatment modality when the patient is not suitable for standard EVAR and open surgery.

show abstract

Outcomes of endovascular aneurysm repair performed in abdominal aortic aneurysms with large infrarenal necks

Cited by 37 publications

References 22 publications

Consecutive failing proximal landing zones

Consecutive failing proximal landing zones

Editor's Choice – Influence of Proximal Aortic Neck Diameter on Durability of Aneurysm Sealing and Overall Survival in Patients Undergoing Endovascular Aneurysm Repair. Real World Data from the Gore Global Registry for Endovascular Aortic Treatment (GREAT)

Combined system usage for large neck anatomy in a high risk abdominal aortic aneurysm patient

Contact Info

Product

Resources

About