Repair Strategies and ConsiderationsAnatomical Expertiseendovascular repairceliac arterygutinfrarenal aortaintestinerenal arteriessuperior mesenteric artery
Can I have EVAR with angulated neck?
Professor Mussa explains what it means by aneurysm neck. This is the area where the stent attaches and seals the aneurysm. There are certain anatomical features that makes EVAR harder to complete with ready-made devices. Those limitations include angulated neck or “hostile” neck.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
The anatomy of the infrarenal aorta or the aorta below the kidney vessels is such that you You need at least two centimeters or a centimeter in certain endograft devices or types of adequate healthy aorta. If you have this to be kinked or tortuous or disease, this may not be suitable for this particular endograft. However, you may still get an endovascular repair if you do go higher than the renal arteries and you go up to the vessels above the kidney, which is the superior mesenteric artery or the ciliac artery, the two branches go up to the gut or the intestine. So the traditional endovascular repair for below the kidney may not be suitable or not be possible if such an angulated neck or tortuous neck or diseased neck, or that is the segment below the renal arteries that will not give you a durable repair for the aneurysm.
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