Aortic neck dilatation after endovascular abdominal aortic aneurysm repair: a word of caution.
Continuing aortic neck dilatation, most probably an expression of ongoing aneurysmal wall degeneration of the infrarenal aortic segment, has been shown to seriously impair clinical results after endovascular abdominal aortic aneurysm repair. However, conflicting data on the extent and clinical relevance on this observation have recently been published. This article reviews the recent literature, summarizing our current understanding of the role of aortic neck dilatation after open surgical and endovascular abdominal aortic aneurysm repair. In addition, differences in methodology of studies on aortic neck dilatation are highlighted.
Diehm
Nicolas
N
Swiss Cardiovascular Centre, University Hospital, Bern, Switzerland. diehm@gmx.ch
Dick
Florian
F
Katzen
Barry T
BT
Schmidli
Juerg
J
Kalka
Christoph
C
Baumgartner
Iris
I
D001012:Aorta, Abdominal / Q000473:pathology*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery / Q000628:therapy*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D004108:Dilatation, Pathologic; D006801:Humans; D011183:Postoperative Complications; D015607:Stents