NEW RESULTS IN THE ENDOVASCULAR MANAGEMENT OF ABDOMINAL AORTIC ANEURYSMS (AAAs) (PART I) 

The Journal of Cardiovascular Surgery 2012 August;53(4):433-45

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Evidence for endovascular aneurysm repair in patients with highly angulated neck anatomy

Weale A. R. ¹, Beckitt T. ^{1, 2}, Collin N. ², Hardman J. ³ ✉

¹ Department of Vascular Surgery, North Bristol NHS Trust, Bristol, UK; ² Radiology, North Bristol NHS Trust, Bristol, UK; ³ Department Radiology, Royal United Hospital, Coombe Park, Bath, UK

Patients with highly angulated neck anatomy may account for up to a fifth of all patients treated by endovascular repair. However there is evidence that these patients have worse early and long-term outcomes, including sac expansion. This review explores the evidence supporting the use of endovascular repair in the setting of severe neck angulation, with particular emphasis on new technology with devices that have expanded the anatomical criteria for endovascular aneurysm repair such as the Lombard Aorfix and Medtronic Endurant endografts.