ENDOVASCULAR ANEURYSM REPAIR IN WIDE INFRARENAL NECKS - INCREASED RISK OF COMPLICATIONS?
DOI:
https://doi.org/10.48750/acv.119Keywords:
Aortic aneurysm, Abdominal (MeSH), Blood vessel prosthesis implantation (MeSH), wide aortic neck diameterAbstract
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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References
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predicts implant-related complications, systemic complications, and mortality. J Vasc Surg. 2016;63:577-584
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9. Oberhuber A, Buecken M, Hoffmann M, Orend KH, Muhling BM. Comparison of aortic neck dilatation after open and endovascular
repair of abdominal aortic aneurysm. J Vasc Surg. 2012;55:929-934
10. Sampaio SM, Panneton JM, Mozes G, Andrews JC, Noel AA, Kalra M, et al. Aortic neck dilation after endovascular abdominal aortic
aneurysm repair: Should oversizing be blamed? Ann Vasc Surg. 2006;20:338-345
11. de Donato G, Setacci F, Bresadola L, Castelli P, Chiesa R, Mangialardi N, et al. Aortic neck evolution after endovascular repair with
trivascular ovation stent graft.J Vasc Surg. 2016;63:8-15
12. Cao P, Verzini F, Parlani G, Rango PD, Parente B, Giordano G, et al. Predictive factors and clinical consequences of proximal aortic
neck dilatation in 230 patients undergoing abdominal aorta aneurysm repair with self-expandable stent-grafts. J Vasc Surg 2003;37:1200-1205
13. Aburahma AF, Campbell JE, Mousa AY, Hass SM, Stone PA, Jain A, et al. Clinical outcomes for hostile versus favorable aortic neck
anatomy in endovascular aortic aneurysm repair using modular devices. J Vasc Surg. 2011;54:13-21
14. Schanzer A, Greenberg RK, Hevelone N, Robinson WP, Eslami MH, Goldberg RJ, et al. Predictors of abdominal aortic aneurysm
sac enlargement after endovascular repair. Circulation. 2011;123:2848-2855
15. Stather PW, Sayers RD, Cheah A, Wild JB, Bown MJ, Choke E. Outcomes of endovascular aneurysm repair in patients with hostile
neck anatomy. Eur J Vasc Endovasc Surg. 2012;44:556-561
16. Resch T, Malina M, Lindblad B, Malina J, Brunkwall J, Ivancev K. The impact of stent design on proximal stent-graft fixation in the
abdominal aorta: An experimental study. Eur J Vasc Endovasc Surg. 2000;20:190-195
17. Jim J, Rubin BG, Geraghty PJ, Criado FJ, Fajardo A, Sanchez LA. A 5-year comparison of evar for large and small aortic necks. J Endovasc Ther. 2010;17:575-584
18. Oliveira, NFG. Bastos Gonçalves, FM; Van Rijn MJ, et al. Standard endovascular aneurysm repair in patients with wide infrarenal
aneurysm necks is associated with increased risk of adverse events. J Vasc Surg 2017;65:1608-16
endovascular vs open repair of abdominal aortic aneurysms in the medicare population. J Vasc Surg. 2014;60:830-830
2. Tadros RO, Faries PL, Ellozy SH, Lookstein RA, Vouyouka AG, Schrier R, et al. The impact of stent graft evolution on the results
of endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2014;59:1518-1527
3. Antoniou GA, Georgiadis GS, Antoniou SA, Kuhan G, Murray D. A meta-analysis of outcomes of endovascular abdominal aortic
aneurysm repair in patients with hostile and friendly neck anatomy. J Vasc Surg. 2013;57:527-538
4. Ingle H, Fishwick G, Thompson MM, Bell PR. Endovascular repair of wide neck aaa--preliminary report on feasibility and complications. Eur J Vasc Endovasc Surg. 2002;24:123-127
5. Bastos Goncalves F, Hoeks SE, Teijink JA, Moll FL, Castro JA, Stolker RJ, et al. Risk factors for proximal neck complications after endovascular aneurysm repair using the endurant stentgraft. Eur J Vasc Endovasc Surg 2015;49:156-162
6. Chaikof EL, Fillinger MF, Matsumura JS, Rutherford RB, White GH, Blankensteijn JD, et al. Identifying and grading factors that modify
the outcome of endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1061-1066
7. Best WB, Ahanchi SS, Larion S, Ammar CP, Lavingia KS, Panneton JM. Abdominal aortic aneurysm anatomic severity grading score
predicts implant-related complications, systemic complications, and mortality. J Vasc Surg. 2016;63:577-584
8. Diehm N, Di Santo S, Schaffner T, Schmidli J, Volzmann J, Juni P, et al. Severe structural damage of the seemingly non-diseased infrarenal aortic aneurysm neck. J Vasc Surg. 2008;48:425-434
9. Oberhuber A, Buecken M, Hoffmann M, Orend KH, Muhling BM. Comparison of aortic neck dilatation after open and endovascular
repair of abdominal aortic aneurysm. J Vasc Surg. 2012;55:929-934
10. Sampaio SM, Panneton JM, Mozes G, Andrews JC, Noel AA, Kalra M, et al. Aortic neck dilation after endovascular abdominal aortic
aneurysm repair: Should oversizing be blamed? Ann Vasc Surg. 2006;20:338-345
11. de Donato G, Setacci F, Bresadola L, Castelli P, Chiesa R, Mangialardi N, et al. Aortic neck evolution after endovascular repair with
trivascular ovation stent graft.J Vasc Surg. 2016;63:8-15
12. Cao P, Verzini F, Parlani G, Rango PD, Parente B, Giordano G, et al. Predictive factors and clinical consequences of proximal aortic
neck dilatation in 230 patients undergoing abdominal aorta aneurysm repair with self-expandable stent-grafts. J Vasc Surg 2003;37:1200-1205
13. Aburahma AF, Campbell JE, Mousa AY, Hass SM, Stone PA, Jain A, et al. Clinical outcomes for hostile versus favorable aortic neck
anatomy in endovascular aortic aneurysm repair using modular devices. J Vasc Surg. 2011;54:13-21
14. Schanzer A, Greenberg RK, Hevelone N, Robinson WP, Eslami MH, Goldberg RJ, et al. Predictors of abdominal aortic aneurysm
sac enlargement after endovascular repair. Circulation. 2011;123:2848-2855
15. Stather PW, Sayers RD, Cheah A, Wild JB, Bown MJ, Choke E. Outcomes of endovascular aneurysm repair in patients with hostile
neck anatomy. Eur J Vasc Endovasc Surg. 2012;44:556-561
16. Resch T, Malina M, Lindblad B, Malina J, Brunkwall J, Ivancev K. The impact of stent design on proximal stent-graft fixation in the
abdominal aorta: An experimental study. Eur J Vasc Endovasc Surg. 2000;20:190-195
17. Jim J, Rubin BG, Geraghty PJ, Criado FJ, Fajardo A, Sanchez LA. A 5-year comparison of evar for large and small aortic necks. J Endovasc Ther. 2010;17:575-584
18. Oliveira, NFG. Bastos Gonçalves, FM; Van Rijn MJ, et al. Standard endovascular aneurysm repair in patients with wide infrarenal
aneurysm necks is associated with increased risk of adverse events. J Vasc Surg 2017;65:1608-16
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Published
2017-11-18
How to Cite
1.
Oliveira NFG, de Vries J-PPM, Van Rijn MJ, Hoeks S, Werson D, de Ruiter Q, van Herwaarden JA, Verhagen HJM, M. Bastos Gonçalves F. ENDOVASCULAR ANEURYSM REPAIR IN WIDE INFRARENAL NECKS - INCREASED RISK OF COMPLICATIONS?. Angiol Cir Vasc [Internet]. 2017 Nov. 18 [cited 2024 Apr. 23];13(2):58-61. Available from: https://acvjournal.com/index.php/acv/article/view/119
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Review Article
