Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck
| Autor: | Stefano de Franciscis, Raffaele Serra, Edoardo Scarcello, G. Triggiani, Francesco Morrone, Salvatore Tarsitano |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Juxtarenal aortic aneurysm Comorbidity Endovascular aneurysm repair Renal Artery medicine Humans Aged Ultrasonography Aortic Segment business.industry Aortic constriction Open surgery Endovascular Procedures Angiography Limiting Surgery Clamp cardiovascular system Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine Aortic neck business Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Vascular Surgery. 56:208-211 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2012.01.013 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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