Why the study?
Does a wide proximal neck increase the risk of complications in patients undergoing EVAR for abdominal aortic aneurysm?
Does a wide proximal neck increase the risk of complications in patients undergoing EVAR for abdominal aortic aneurysm?
EVAR in patients with wide infrarenal necks may be associated with an increased risk of long-term complications related to proximal seal loss, warranting careful patient selection and close imaging follow-up.
Unknown long-term durability of EVAR in wide necks warrants caution; leaves open need for prospective data.
EVAR has become the predominant repair technique for abdominal aortic aneurysm. Long-term clinical success relies greatly upon a long-lasting proximal seal. EVAR has achieved good outcomes on the short-term in patients with hostile neck features such as large proximal necks. However, the long-term outcomes in these patients is greatly unknown. In this article, the authors perform a literature review in order to assess the clinical impact of wide proximal neck on mid to long-term outcomes following EVAR.
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Oliveira et al. (2017) studied this question.
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