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Pre-constrain technique using the Gore Excluder Conformable endograft for abdominal aortic aneurysm with severely angulated proximal neck

Endovascular aneurysm repair for abdominal aortic aneurysms with a severely angulated proximal neck remains challenging because of the higher rates of type 1a endoleaks and secondary interventions. In this study, we reviewed six consecutive patients with a severely angulated proximal neck (>60°)...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-12, Vol.10 (6), p.101614, Article 101614
Main Authors: Nakayama, Hiroyuki, Toma, Masanao, Kobayashi, Taishi, Hara, Ryosuke, Sato, Yukihito
Format: Article
Language:English
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Summary:Endovascular aneurysm repair for abdominal aortic aneurysms with a severely angulated proximal neck remains challenging because of the higher rates of type 1a endoleaks and secondary interventions. In this study, we reviewed six consecutive patients with a severely angulated proximal neck (>60°) treated with endovascular aneurysm repair at a single center. They were treated with a Gore Excluder Conformable endograft using a pre-constrain technique to prevent type 1a endoleaks. It is the unique deployment technique of the proximal trunk by pre-constrain of the proximal edge. This technique helps obtain optimal deployment of the proximal main body.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101614