ENDOVASCULAR ANEURYSM REPAIR IN WIDE INFRARENAL NECKS - INCREASED RISK OF COMPLICATIONS?

  • Nelson F. G. Oliveira Serviço de Angiologia e Cirurgia Vascular – Hospital do Divino Espírito Santo, Ponta Delgada; Serviço de Cirurgia Vascular - Erasmus University Medical Center, Roterdão, Países Baixos
  • Jean-Paul P. M. de Vries Serviço de Cirurgia Vascular – Hospital St. Antonius – Nieuwegein
  • Marie Josee Van Rijn Serviço de Cirurgia Vascular - Erasmus University Medical Center, Roterdão
  • Sanne Hoeks Serviço de Anestesiologia – Erasmus University Medical Center, Roterdão
  • Debbie Werson Serviço de Cirurgia Vascular – Hospital St. Antonius – Nieuwegein
  • Quirina de Ruiter Serviço de Cirurgia Vascular – Utrecht Medical Center – Utrecht
  • Joost A. van Herwaarden Serviço de Cirurgia Vascular – Utrecht Medical Center – Utrecht
  • Hence J. M. Verhagen Serviço de Cirurgia Vascular - Erasmus University Medical Center, Roterdão
  • Frederico M. Bastos Gonçalves Serviço de Cirurgia Vascular - Erasmus University Medical Center, Roterdão; Países Baixos; Serviço de Angiologia e Cirurgia Vascular - Hospital de Santa Marta – Centro Hospitalar de Lisboa Centro, Lisboa
Keywords: Aortic aneurysm, Abdominal (MeSH), Blood vessel prosthesis implantation (MeSH), wide aortic neck diameter

Abstract

EVAR has become the predominant repair technique for abdominal aortic aneurysm. Long-term clinical success relies greatly upon a long-lasting proximal seal. EVAR has achieved good outcomes on the short-term in patients with hostile neck features such as large proximal necks. However, the long-term outcomes in these patients is greatly unknown. In this article, the authors perform a literature review in order to assess the clinical impact of wide proximal neck on mid to long-term outcomes following EVAR.

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Published
2017-11-18
Section
Review Article