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Perspectives in Vascular Surgery and Endovascular Therapy
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Challenges in Stent Grafting: Dealing with Difficult Neck and Iliac Artery Anatomy

Frank J. Criado, M.D.

Division of Vascular Surgery, Center for Vascular Intervention, Union Memorial Hospital/MedStar Health, Baltimore, MD

Omran Abul-Khoudoud, M.D.

Division of Vascular Surgery, Center for Vascular Intervention, Union Memorial Hospital/MedStar Health, Baltimore, MD, Health Science Center, VA Medical Center, Memphis, TN

Paul R. Lucas, M.D.

Division of Vascular Surgery, Center for Vascular Intervention, Union Memorial Hospital/MedStar Health, Baltimore, MD

Marcos F. Barnatan, M.D.

Division of Vascular Surgery, Center for Vascular Intervention, Union Memorial Hospital/MedStar Health, Baltimore, MD

Development of stent-graft endovascular exclusion has forever changed the management of aortic aneurysms. This new modality is most advantageous for AAA patients who are at high risk for standard open repair. They, in turn, are more likely to present with challenging neck and iliac artery anatomy that may increase the likelihood of failure, and even preclude endoluminal therapy altogether. A complete understanding of critical anatomical issues and available troubleshooting adjunctive techniques is paramount if we are to expand applicability of stent-graft technology to increasing numbers of "difficult" patients with large aneurysms.

Key Words: Stent grafting • neck artery anatomy • iliac artery anatomy

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 14, No. 2, 41-55 (2001)
DOI: 10.1177/153100350101400209
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