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

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Off-the-shelf options for juxtarenal and pararenal aortic aneurysm. / Resch, Tim; Clair, D.; Dias, Nuno; Kristmundsson, T.; Malina, Martin; Sonesson, Björn.

I: Italian Journal of Vascular and Endovascular Surgery, Vol. 18, Nr. 4, 2011, s. 249-256.

Forskningsoutput: TidskriftsbidragÖversiktsartikel

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TY - JOUR

T1 - Off-the-shelf options for juxtarenal and pararenal aortic aneurysm

AU - Resch, Tim

AU - Clair, D.

AU - Dias, Nuno

AU - Kristmundsson, T.

AU - Malina, Martin

AU - Sonesson, Björn

PY - 2011

Y1 - 2011

N2 - 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.

AB - 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.

KW - Aneurysm

KW - Endovascular procedures

KW - Stents

M3 - Review article

VL - 18

SP - 249

EP - 256

JO - Italian Journal of Vascular and Endovascular Surgery

JF - Italian Journal of Vascular and Endovascular Surgery

SN - 1824-4777

IS - 4

ER -