Language
English
Publication Date
2012
Journal
The Texas Heart Institute Journal
PMID
23304016
PMCID
PMC3528212
PubMedCentral® Posted Date
2012
PubMedCentral® Full Text Version
Post-Print
Abstract
For many patients with abdominal aortic aneurysm, unsuitable anatomy of the infrarenal aortic neck precludes endovascular aortic aneurysm repair or causes type I endoleak after the procedure. In an attempt to overcome these challenges, we retrospectively examined the usefulness of aortic banding as an adjunctive procedure to endovascular repair in 8 patients who had an abdominal aortic aneurysm with a complex infrarenal aortic neck. The procedures were performed with the patients under general anesthesia and involved making an 8-cm upper-midline laparotomy incision to expose the aneurysmal aorta. Three patients underwent aortic banding before endovascular repair; the other 5 underwent banding after the repair because of persistent type I endoleak. After banding, the abdominal aortic aneurysm was successfully excluded in all 8 patients. Long-term follow-up (mean, 38±20 mo) revealed no type I endoleak and no procedure-related complications. In patients who have an abdominal aortic aneurysm with complex infrarenal neck anatomy or a refractory type I endoleak, performing aortic banding as an adjunctive procedure to endovascular aortic repair appears to be a safe strategy with good long-term results.
Keywords
Aortic aneurysm, abdominal/complications/surgery; blood vessel prosthesis implantation/adverse effects/methods; patient selection; postoperative complications; risk factors; stents; treatment outcome; vascular surgical procedures/instrumentation
Published Open-Access
yes
Recommended Citation
Zvonimir Krajcer, Kathryn G Dougherty, and Igor D Gregoric, "Long-Term Results of Aortic Banding for Complex Infrarenal Neck Anatomy and Type I Endoleak After Endovascular Abdominal Aortic Aneurysm Repair" (2012). The Texas Heart Institute Journal. 350.
https://digitalcommons.library.tmc.edu/texasheartinstituejournal/350