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Predeployed aortic extension cuff (kilt) in EVAR with hostile neck anatomy using Endurant II system: preliminary resul.
- Source :
-
Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska . 2016, Vol. 13 Issue 4, p334-339. 6p. - Publication Year :
- 2016
-
Abstract
- Introduction: Various modifications of standard endovascular aortic aneurysm repair (EVAR) have been developed to solve the problem of difficult neck anatomy. Aim: The authors propose the implantation of a predeployed extension cuff (kilt) using on-shelf Endurant II elements. In a vast majority of cases, the proposed method provides a solution for the hostile neck problem using standard Endurant II elements available in all centers performing subrenal EVAR procedures. Material and methods: The early outcomes of kilt implantation were evaluated in 11 patients (three with ruptured abdominal aortic aneurysms, one symptomatic) in 2 vascular centers in Silesia (Poland). All patients presented with hostile neck anatomy defined as neck length < 10 mm, diameter > 28 mm, angulation > 60°, mural thrombus or calcium > 2 mm in thickness or > 180° circumference. Results: No intraoperative type I endoleak or device migration was observed. Two perioperative deaths occurred in patients in a severe condition with ruptured aneurysms. One case of type III endoleak was managed by the implantation of an additional iliac extension with complete endoleak sealing. Conclusions: The proposed method seems to be effective in early endoleak prevention in patients with hostile neck anatomy undergoing EVAR procedures; however, studies with longterm follow-up are needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *AORTIC aneurysm diagnosis
*AORTIC aneurysm treatment
Subjects
Details
- Language :
- English
- ISSN :
- 17315530
- Volume :
- 13
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska
- Publication Type :
- Academic Journal
- Accession number :
- 120634319
- Full Text :
- https://doi.org/10.5114/kitp.2016.64876