The proximal aortic neck is one of the limiting factors for endovascular aneurysm repair (EVAR) and represents a crucial factor for success or failure of the procedure. In contrast to open surgery, where a clamp can be placed suprarenally but the repair performed infrarenally, EVAR requires a good infrarenal neck for durable fixation and seal. In a high-risk surgical 79-year-old patient with juxtarenal aortic aneurysm with unsuitable infrarenal neck, a hybrid procedure was chosen: juxtarenal aortic banding and EVAR. The banding allowed a successful EVAR by reshaping the juxtarenal aneurysmal aortic segment, hence converting a previously untreatable anatomy into a treatable one.
|Autori:||Scarcello E; Serra R; Morrone F; Tarsitano S; Triggiani G; de Franciscis S|
|Titolo:||Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck|
|Anno del prodotto:||2012|
|Digital Object Identifier (DOI):||10.1016/j.jvs.2012.01.013|
|Appare nelle tipologie:||1.1 Articolo in rivista|