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Beyond the Instructions for Use: Pushing the Limits of Infrarenal Device Application for Abdominal Aortic Aneurysms

Rochester, MN

Endograft devices are used to treat 40% to 80% of patients with abdominal aortic aneurysms. A much smaller percentage of patients have ideal anatomy, for which the devices were designed. Vascular surgeons and interventionalists have become increasingly creative in endograft placement to exclude aneurysms, despite the presence of complex aortoiliac anatomy. Arterial diameter and angulation are the most common barriers to successful endograft placement. In response to this need, graft manufacturers are increasing graft size choices, improving device flexibility, and providing improved arterial wall fixation. Despite newer devices, providers still must push the limits of defined anatomy based on the manufacturers recommended instructions to repair most infrarenal aneurysms.

Key Words: aortic aneurysm • endograft • endoleak • iliac aneurysm

References

• 1. Elkouri S, Martelli E, Gloviczki P, et al. Most patients with abdominal aortic aneurysm are not suitable for endovascular repair using currently approved bifurcated stent-grafts. Vasc Endovasc Surg 38:401-412, 2004.[CrossRef]
• 2. Carpenter JP, Baum RA, Barker CF, et al. Impact of exclusion criteria on patient selection for endovascular abdominal aortic aneurysm repair. J Vasc Surg 34:1050-1054, 2001.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 3. Jordan WD Jr, Naslund TC, Adelman MA, et al. Endovascular abdominal aortic aneurysm repair in patients with challenging anatomy: utility of the hybrid endograft. Vascular 12:106-1013, 2004.[Medline] [Order article via Infotrieve]
• 4. Woodburn KR, Chant H, Davies JN, et al. Suitability for endovascular aneurysm repair in an unselected population. Br J Surg 88:77-81, 2001.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 5. Arko FR, Filis KA, Seidel SA, et al. How many patients with infrarenal aneurysms are candidates for endovascular repair? The Northern California experience. J Endovasc Ther 11:33-40, 2004.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 6. Timaran CH, Lipsitz EC, Vieth FJ, et al. Endovascular aortic aneurysm repair with the Zenith endograft in patients with ectatic iliac arteries. Ann Vasc Surg 19:161-166, 2005.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 7. Mohan IV, Laheij RJ, Harris PL, EUROSTAR Collaborators. Risk factors for endoleak and the evidence for stent-graft oversizing in patients undergo Expert Commentary ing endovascular aneurysm repair. Eur J Vasc Endovasc Surgery 21:344-349, 2001.
• 8. Sternbergh WC 3rd, Carter G, York JW, et al. Aortic neck angulation predicts adverse outcome with endovascular abdominal aortic aneurysm repair. J Vasc Surg. 35:482-486, 2002.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 9. Stanley BM, Semmens JB, Mai Q, et al. Evaluation of patient selection guidelines for endoluminal AAA repair with the Zenith Stent-Graft: the Australasian experience. J Endovasc 8:457-464, 2001.
• 10. Dillavou ED, Muluk SC, Rhee RY, et al. Does hostile neck anatomy preclude successful endovascular aortic aneurysm repair?. J Vasc Surg, 38:657-663, 2003.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• 11. Hakaim AG, Lau LL, Neuhauser B, et al. A comparison of AneuRx aortic cuff and zenith distal flare exclusion of common iliac artery ectasia for endovascular aneurysm repair. Vasc Endovasc Surg 38:51-56, 2004.[CrossRef]
• 12. Rhee RY, Muluk SC, Tzeng E, et al. Can the internal iliac artery be safely covered during endovascular repair of abdominal aortic and iliac artery aneurysms? Ann Vasc Surg 16:29-36, 2002.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 18, No. 1, 19-23 (2006)
DOI: 10.1177/153100350601800108


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Noel, A. A. Search for Related Content PubMed PubMed Citation Articles by Noel, A. A. Pubmed/NCBI databases Medline Plus Health Information Aortic Aneurysm Social Bookmarking                         What's this?