Journal of Vascular Surgery
Volume 50, Issue 4 , Pages 738-748 , October 2009

The correlation of aortic neck length to early and late outcomes in endovascular aneurysm repair patients

Presented at the Thirty-seventh Annual Symposium of the Society for Clinical Vascular Surgery, Ft. Lauderdale, Fla, Mar 18-21, 2009.

  • Ali F. AbuRahma, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • Corresponding Author InformationCorrespondence: Ali F. AbuRahma, MD, Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, 3110 MacCorkle Ave, SE, Charleston, WV 25304
    • ,
  • John Campbell, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • ,
  • Patrick A. Stone, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • ,
  • Aravinda Nanjundappa, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • ,
  • Akhilesh Jain, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • ,
  • L. Scott Dean, PhD, MBA

      Affiliations

    • Charleston Area Medical Center, Charleston, WV
    • ,
  • Joseph Habib, MD

      Affiliations

    • Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV
    • ,
  • Tammi Keiffer, RN

      Affiliations

    • Charleston Area Medical Center, Charleston, WV
    • ,
  • Mary Emmett, PhD

      Affiliations

    • Charleston Area Medical Center, Charleston, WV

Received 12 March 2009 ,Accepted 23 April 2009.

References 

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  2. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–499
  3. Medtronic. Important safety information. http://www.medtronic.com/your-health/abdominal-aortic-aneurysm/important-safety-information/index.htmAccessed April 30, 2009
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  5. Armon MP, Yusuf SW, Latief K, Whitaker SC, Gregson RH, Wenham PW, et al. The anatomical suitability of abdominal aortic aneurysms for endovascular repair. Br J Surg. 1997;84:178–180
  6. Zarins CK, Wolf YG, Lee WA, Hill BB, Olcott CIV, Harris EJ, et al. Will endovascular repair replace open surgery for abdominal aortic aneurysm repair?. Ann Surg. 2000;232:501–507
  7. Carpenter JP, Baum RA, Barker CF, Golden MA, Mitchell ME, Velazquez OC, et al. Impact of exclusion criteria on patient selection for endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2001;34:1050–1054
  8. Leurs LJ, Kievit J, Dagnelie PC, Nelemans PJ, Buth J EUROSTAR collaborators. Influence of infrarenal neck length on outcome of endovascular abdominal aortic aneurysm repair. J Endovasc Ther. 2006;13:640–648
  9. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–1060
  10. Stanley BM, Semmens JB, Mai Q, Goodman MA, Hartley DE, Wilkinson C, et al. Evaluation of patient selection guidelines for endoluminal AAA repair with the Zenith stent-graft: the Australasian experience. J Endovasc Ther. 2001;8:457–464
  11. Greenberg R, Fairman R, Srivastava S, Criado F, Green R. Endovascular grafting in patients with short proximal necks: an analysis of short-term results. Cardiovasc Surg. 2000;8:350–354
  12. Dillavou ED, Muluk SC, Rhee RY, Tzeng E, Woody JD, Gupta N, et al. Does hostile neck anatomy preclude successful endovascular aortic aneurysm repair?. J Vasc Surg. 2003;38:657–663
  13. Hobo R, Kievit J, Leurs LJ, Buth J EUROSTAR Collaborators. Influence of severe infrarenal aortic neck angulation on complications at the proximal neck following endovascular AAA repair: an EUROSTAR study. J Endovasc Ther. 2007;14:1–11
  14. Fairman RM, Velazquez OC, Carpenter JP, Woo E, Baum RA, Golden MA, et al. Midterm pivotal trial results of the Talent Low Profile System for repair of abdominal aortic aneurysm: Analysis of complicated versus uncomplicated aortic necks. J Vasc Surg. 2004;40:1074–1082
  15. Hovsepian DM, Hein AN, Pilgram TK, Cohen DT, Kim HS, Sanchez LA, et al. Endovascular abdominal aortic aneurysms repair in 144 patients: correlation of aneurysm size, proximal aortic neck length, and procedure-related complications. J Vasc Interv Radiol. 2001;12:1373–1382
  16. Cox DE, Jacobs DL, Raghunandan L, Motaganahalli L, Wittgen CM, Peterson GJ. Outcomes of endovascular AAA repair in patients with hostile neck anatomy using adjunctive balloon-expandable stents. Vasc Endovascular Surg. 2006;40:35–40
  17. Fransen GA, Vallabhaneni SR, van Marrewijk CJ, Laheij RJ, Harris PL, Buth J, et al. Rupture of infrarenal aortic aneurysm after endovascular repair: a series from EUROSTAR registry. Eur J Vasc Endovasc Surg. 2003;26:487–493
  18. Fulton JJ, Farber MA, Sanchez LA, Godshall CJ, Marston WA, Mendes R, et al. Effect of challenging neck anatomy on mid-term migration rates in AneuRx endografts. J Vasc Surg. 2006;44:932–937
  19. Choke E, Munneke G, Morgan R, Belli AM, Loftus I, McFarland R, et al. Outcomes of endovascular abdominal aortic aneurysm repair in patients with hostile neck anatomy. Cardiovasc Intervent Radiol. 2006;29:975–980
  20. Robbins M, Kritpracha B, Beebe HG, Criado FJ, Daoud Y, Comerota AJ. Suprarenal endograft fixation avoids adverse outcomes associated with aortic neck angulation. Ann Vasc Surg. 2005;19:172–177

 Competition of interest: none.

PII: S0741-5214(09)00998-7

doi: 10.1016/j.jvs.2009.04.061

Journal of Vascular Surgery
Volume 50, Issue 4 , Pages 738-748 , October 2009

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