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

Tim Resch, D. Clair, Nuno Dias, T. Kristmundsson, Martin Malina, Björn Sonesson

Research output: Contribution to journalReview articlepeer-review


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.
Original languageEnglish
Pages (from-to)249-256
JournalItalian Journal of Vascular and Endovascular Surgery
Issue number4
Publication statusPublished - 2011

Subject classification (UKÄ)

  • Cardiac and Cardiovascular Systems


  • Aneurysm
  • Endovascular procedures
  • Stents


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