title: Aortic banding and endovascular aneurysm repair in a case of juxtarenal aortic aneurysm with unsuitable infrarenal neck.
abstract: The proximal aortic neck is one of the limiting factors for endovascular aneurysm repair (EVAR) and represents a crucial factor for success or failure of the procedure. In contrast to open surgery, where a clamp can be placed suprarenally but the repair performed infrarenally, EVAR requires a good infrarenal neck for durable fixation and seal. In a high-risk surgical 79-year-old patient with juxtarenal aortic aneurysm with unsuitable infrarenal neck, a hybrid procedure was chosen: juxtarenal aortic banding and EVAR. The banding allowed a successful EVAR by reshaping the juxtarenal aneurysmal aortic segment, hence converting a previously untreatable anatomy into a treatable one.
authors.affiliation: Unit of Vascular and Endovascular Surgery, Annunziata Hospital, Cosenza, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Scarcello
authors.forename: Raffaele
authors.initials: R
authors.lastname: Serra
authors.forename: Francesco
authors.initials: F
authors.lastname: Morrone
authors.forename: Salvatore
authors.initials: S
authors.lastname: Tarsitano
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Triggiani
authors.forename: Stefano
authors.initials: S
authors.lastname: de Franciscis
mesh_terms: D000368:Aged; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D015897:Comorbidity; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D012077:Renal Artery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography