Contemporary management of the demanding infra-renal neck in abdominal aortic aneurysm repair.

Autor: Mees BM; Department of Vascular Surgery, Maastricht University Medical Center,Maastricht, The Netherlands - barend.mees@mumc.nl., Peppelenbosch AG, De Haan MW, Jacobs MJ, Schurink GW
Jazyk: angličtina
Zdroj: The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 2015 Apr; Vol. 56 (2), pp. 239-47. Date of Electronic Publication: 2015 Jan 16.
Abstrakt: Proximal infrarenal neck anatomy is a crucial factor in determining outcome of abdominal aortic aneurysm (AAA) repair. Unfavorable or demanding infrarenal neck anatomy significantly increases the complexity of both standard endovascular and open repair resulting in increased rates of morbidity and mortality. While technological improvements and expanding institutional experience have resulted in an increased proportion of patients with an AAA with unfavorable infrarenal neck treated by (fenestrated) endovascular techniques, open repair has also remained a valid technique. The purpose of this manuscript was to describe the wide array of endovascular and open techniques in use to treat patients with an AAA with a demanding infrarenal neck and discuss their results and indications.
Databáze: MEDLINE