Key result
The chimney graft technique for endovascular repair of complex juxtarenal abdominal aortic aneurysms was successfully used in two high-risk, no-option patients with good immediate results.
Why the study?
Does the chimney graft technique allow successful endovascular repair in high-risk patients with complex juxtarenal abdominal aortic aneurysms?
Case Report (n=2)
Does the chimney graft technique allow successful endovascular repair in high-risk patients with complex juxtarenal abdominal aortic aneurysms?
The chimney graft technique may offer a viable endovascular alternative for high-risk patients with complex juxtarenal abdominal aortic aneurysms who are ineligible for open repair.
May expand endovascular options for high-risk no-option patients; hypothesis-generating and requires prospective validation.
Endovascular aneurysm repair (EVAR) has developed as a less invasive alternative to open surgery for patients with abdominal aortic aneurysms. However, patients with very short infrarenal necks require complex surgical open repair, which is associated with increased mortality and morbidity. The risk of complex open repair may be prohibitive in high-risk patients. Thus, modifying the technique of EVAR may be required in such patients to successfully exclude aneurysms. An alternative that can be used in these patients is the so-called "chimney graft" technique. We report two cases where the chimney graft technique was used with good immediate results.
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Allaqaband et al. (2009) conducted a case report in Complex juxtarenal abdominal aortic aneurysms (n=2). Chimney graft technique for endovascular aneurysm repair (EVAR) was evaluated on Immediate results. The chimney graft technique for endovascular repair of complex juxtarenal abdominal aortic aneurysms was successfully used in two high-risk, no-option patients with good immediate results.
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