Key result
Surgical proximal aortic banding achieved technical success in all 6 patients with problematic aortic necks during EVAR, with no perigraft endoleaks observed over a mean follow-up of 3 years.
Why the study?
Does surgical proximal aortic banding improve stent-graft fixation in patients with problematic aortic necks undergoing EVAR?
Case Report (n=6)
No
Does surgical proximal aortic banding improve stent-graft fixation in patients with problematic aortic necks undergoing EVAR?
Surgical proximal aortic banding is a feasible and safe adjunctive technique to secure stent-graft fixation in EVAR for patients with challenging proximal aortic neck anatomy.
May support feasibility of proximal banding for hostile-neck EVAR; leaves open efficacy, safety, and durability in larger prospective studies.
The authors describe the method of surgical aortic banding for better stent-graft fixation in cases of problematic aortic neck in the endovascular infrarenal aneurysms repair.
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Utíkal et al. (2004) conducted a case report in Abdominal aortic aneurysm with problematic proximal neck (n=6). Surgical proximal aortic banding was evaluated on Technical success and absence of perigraft endoleak or stent-graft related complications. Surgical proximal aortic banding achieved technical success in all 6 patients with problematic aortic necks during EVAR, with no perigraft endoleaks observed over a mean follow-up of 3 years.
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