title: Contemporary management of the demanding infra-renal neck in abdominal aortic aneurysm repair.
abstract: Proximal infrarenal neck anatomy is a crucial factor in determining outcome of abdominal aortic aneurysm (AAA) repair. Unfavorable or demanding infrarenal neck anatomy significantly increases the complexity of both standard endovascular and open repair resulting in increased rates of morbidity and mortality. While technological improvements and expanding institutional experience have resulted in an increased proportion of patients with an AAA with unfavorable infrarenal neck treated by (fenestrated) endovascular techniques, open repair has also remained a valid technique. The purpose of this manuscript was to describe the wide array of endovascular and open techniques in use to treat patients with an AAA with a demanding infrarenal neck and discuss their results and indications.
authors.affiliation: Department of Vascular Surgery, Maastricht University Medical Center,Maastricht, The Netherlands - barend.mees@mumc.nl.
authors.forename: B M
authors.initials: BM
authors.lastname: Mees
authors.forename: A G
authors.initials: AG
authors.lastname: Peppelenbosch
authors.forename: M W
authors.initials: MW
authors.lastname: De Haan
authors.forename: M J
authors.initials: MJ
authors.lastname: Jacobs
authors.forename: G W
authors.initials: GW
authors.lastname: Schurink
mesh_terms: D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome