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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Italian Journal of Vascular and Endovascular Surgery 2011 December;18(4):249-56

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Off-the-shelf options for juxtarenal and pararenal aortic aneurysm

Resch T. 1, Clair D. 2, Dias N. 1, Kristmundsson T. 1, Malina M. 1, Sonesson B. 1

1 Vascular Center Malmö-Lund, Skåne University Hospital, Malmö, Sweden 2 Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA


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In patients unsuitable for standard, infrarenal endovascular aneurysm repair (EVAR) due to an inadequate or inappropriate infrarenal neck, various options have been proposed to achieve a suitable endovascular repair. The primary objective in this setting is to move the endograft sealing zone to a healthier, more cranial segment of the aorta. The need for a solution for problematic proximal neck anatomy in an urgent fashion, can be heightened in the setting of extremely large or symptomatic aneurysms. Chimney techniques and physician modified stent-grafts are transitional techniques utilizing standard endovascular inventory to treat complex aneurysms. However, development of off-the-shelf stent-grafts to accommodate for the majority off pararenal aneurysms is rapidly increasing and the initial clinical experience is promising.

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