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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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
Subjects:
Abdominal aortic aneurysm
Case report
Deployment technique
Endovascular aneurysm repair
Gore Excluder Conformable
Severe neck angulation
Type 1a endoleak
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Toma, Masanao
Kobayashi, Taishi
Hara, Ryosuke
Sato, Yukihito
description 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.
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subjects Abdominal aortic aneurysm
Case report
Deployment technique
Endovascular aneurysm repair
Gore Excluder Conformable
Severe neck angulation
Type 1a endoleak
title Pre-constrain technique using the Gore Excluder Conformable endograft for abdominal aortic aneurysm with severely angulated proximal neck
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