Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck

作者：Scarcello Edoardo; Serra Raffaele^*; Morrone Francesco; Tarsitano Salvatore; Triggiani Giuseppe; de Franciscis Stefano

来源：Journal of Vascular Surgery, 2012, 56(1): 208-211.

DOI：10.1016/j.jvs.2012.01.013

The proximal aortic neck is one of the limiting factors for endovascular aneurysm repair (EVAR) and represents a crucial factor for success or failure of the procedure. In contrast to open surgery, where a clamp can be placed suprarenally but the repair performed infrarenally, EVAR requires a good infrarenal neck for durable fixation and seal. In a high-risk surgical 79-year-old patient with juxtarenal aortic aneurysm with unsuitable infrarenal neck, a hybrid procedure was chosen: juxtarenal aortic banding and EVAR. The banding allowed a successful EVAR by reshaping the juxtarenal aneurysmal aortic segment, hence converting a previously untreatable anatomy into a treatable one. (J Vasc Surg 2012;56:208-11.)

• 出版日期2012-7