Perspectives in Vascular Surgery 2001; 14(2): 0041-0056
DOI: 10.1055/s-2001-18220
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel. +1(212)584-4662.

Challenges in Stent Grafting: Dealing with Difficult Neck and Iliac Artery Anatomy

Frank J. Criado, Omran Abul-Khoudoud, Paul R. Lucas, Marcos F. Barnatan
  • Division of Vascular Surgery, Center for Vascular Intervention, Union Memorial Hospital/MedStar Health, Baltimore, MD and Health Science Center, VA Medical Center, Memphis, TN (OA-K)
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Publication History

Publication Date:
14 August 2002 (online)


-Development of stent-graft endovascular exclusion has forever changed the management of aortic aneurysms. This new modality is most advantageous for AAA patients who are at high risk for standard open repair. They, in turn, are more likely to present with challenging neck and iliac artery anatomy that may increase the likelihood of failure, and even preclude endoluminal therapy altogether. A complete understanding of critical anatomical issues and available troubleshooting adjunctive techniques is paramount if we are to expand applicability of stent-graft technology to increasing numbers of "difficult" patients with large aneurysms.