THORACIC AND ABDOMINAL AORTA  UPDATE ON MANAGEMENT OF CAROTID, AORTIC AND PERIPHERAL ARTERIAL PATHOLOGIES 

The Journal of Cardiovascular Surgery 2015 April;56(2):239-47

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Contemporary management of the demanding infrarenal neck in abdominal aortic aneurysm repair

Mees B. M. ^{1, 2}, Peppelenbosch A. G. ¹, De Haan M. W. ³, Jacobs M. J. ^{1, 2}, Schurink G. W. ^{1, 2} ✉

¹ Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; ² European Vascular Center Aachen‑Maastricht, Germany and The Netherlands; ³ Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands

Proximal infrarenal neck anatomy is a crucial factor in determining outcome of abdominal aortic aneurysm (AAA) repair. Unfavorable or demanding infrarenal neck anatomy significantly increases the complexity of both standard endovascular and open repair resulting in increased rates of morbidity and mortality. While technological improvements and expanding institutional experience have resulted in an increased proportion of patients with an AAA with unfavorable infrarenal neck treated by (fenestrated) endovascular techniques, open repair has also remained a valid technique. The purpose of this manuscript was to describe the wide array of endovascular and open techniques in use to treat patients with an AAA with a demanding infrarenal neck and discuss their results and indications.