Funnel technique for wide infrarenal aneurysm neck with Lifetech Ankura™ Stent Graft System.

Autor:	İşcan HZ; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Ünal EU; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Tümer NB; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Akkaya BB; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Aşkın G; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Sağlam S; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Hasanzade S; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey., Mavioğlu HL; Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
Jazyk:	angličtina
Zdroj:	Turk gogus kalp damar cerrahisi dergisi [Turk Gogus Kalp Damar Cerrahisi Derg] 2021 Jul 26; Vol. 29 (3), pp. 304-310. Date of Electronic Publication: 2021 Jul 26 (Print Publication: 2021).
DOI:	10.5606/tgkdc.dergisi.2021.21183
Abstrakt:	Background: In this study, we present our mid-term results in patients undergoing treatment with the funnel technique and describe technical issues for this bailout technique in extra-wide infrarenal necks. Methods: Between January 2018 and June 2020, a total of seven male, symptomatic patients (median: 74.5 years; range, 64 to 84 years) who had comorbidities and were in the American Society for Anesthesiologists Class IV and treated by the funnel technique in an endovascular fashion were included. Pre- and post-procedural data of the patients, early mortality and technical success rates were evaluated. Results: There was no early mortality. Technical success rate was 100%. There was no type I or III endoleaks at the completion angiography. All patients were discharged without any problem on the second or third day of the procedure. The median follow-up was 13 (range, 6 to 28) months. The aneurysm sac shrinkage was achieved in all patients over six months of follow up. During the follow-up period, no proximal endoleak or infrarenal aortic neck diameter enlargement was found. Conclusion: Based on our limited experience, the funnel technique may be considered more than a bailout procedure under special circumstances. Competing Interests: Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article. (Copyright © 2021, Turkish Society of Cardiovascular Surgery.)
Databáze:	MEDLINE
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