MET - 49 - Hostile Proximal Neck - Angulated, Short, or Conical - Deep Dive Podcast скачать в хорошем качестве

MET - 49 - Hostile Proximal Neck - Angulated, Short, or Conical - Deep Dive Podcast

Mastering Endovascular Techniques Chapter 49 Hostile Proximal Neck - Angulated, Short, or Conical This video examines the challenges and management strategies associated with hostile neck anatomy (HNA) in patients requiring repair for abdominal aortic aneurysms. It defines these complex anatomical features—specifically short, wide, angulated, or conical necks—which frequently fall outside the standard instructions for use (IFU) and significantly increase the risk of procedural failure and long-term complications. Through a detailed case presentation of a 90-year-old patient and a comprehensive literature review, the authors evaluate a diverse technological armamentarium, including advanced stent-grafts, fenestrated devices, and adjunctive anchoring techniques. Ultimately, the source serves as a strategic guide for surgeons to navigate the trade-offs between endovascular innovation and traditional open repair to optimize patient outcomes.