Endovascular treatment of large and wide aortic neck: case report and literature review

被引：14
作者：
Pecoraro, Felice [1 ]
Pakeliani, David [1 ]
Dinoto, Ettore [1 ]
Bajardi, Guido [1 ]
机构：
[1] Univ Palermo, AOUP P Giaccone, Vasc Surg Unit, Via L Giuffre 5, I-90100 Palermo, Italy
来源：
GENERAL THORACIC AND CARDIOVASCULAR SURGERY | 2017年 / 65卷 / 04期
关键词：
Funnel technique; Large neck; Endoleak; Complications; Migration; ANEURYSM REPAIR; PROXIMAL NECKS; RISK-FACTORS; STENT-GRAFT; COMPLICATIONS; FEASIBILITY;
D O I：
10.1007/s11748-016-0627-2
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Large (24-34 mm) and wide (ae<yen>35 mm) aortic necks are a contraindication to endovascular aneurysm repair (EVAR). A 63-year-old man, unfit for conventional surgery, presented a 79 mm abdominal aortic aneurysm with 36.5 mm aortic neck and a 62 mm right common iliac artery aneurysm. He was treated endovascularly with standard commercially available stent-graft using the so-called 'funnel technique'; by placing a thoracic stent-graft inside a bifurcated device to achieve proximal sealing. The completion angiography and the 6 months follow-up with computed tomography showed no stent-graft migration, limb occlusion or endoleak. The literature review reported 179 cases of large aortic neck managed with EVAR, all cases treated with standard devices. Conversely a wide aortic neck was reported in 9; in 2 cases were employed custom-made devices and in 7 standard stent-graft. The use of EVAR with commercially available stent-grafts is feasible and it represents an option especially in non-elective setting.
引用
收藏
页码：219 / 224
页数：6
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