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Funnel technique for wide infrarenal aneurysm neck with Lifetech Ankura™ Stent Graft System
Hakkı Zafer İşcan1, Ertekin Utku Ünal1, Naim Boran Tümer1
1Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
Background:
In this study, we present our mid-term results in patients undergoing treatment with the funnel technique and describe technical issues for this bailout technique in extra-wide infrarenal necks.
Methods:
Between January 2018 and June 2020, a total of seven male, symptomatic patients (median: 74.5 years; range, 64 to 84 years) who had comorbidities and were in the American Society for Anesthesiologists Class IV and treated by the funnel technique in an endovascular fashion were included. Pre- and post-procedural data of the patients, early mortality and technical success rates were evaluated.
Results:
There was no early mortality. Technical success rate was 100%. There was no type I or III endoleaks at the completion angiography. All patients were discharged without any problem on the second or third day of the procedure. The median follow-up was 13 (range, 6 to 28) months. The aneurysm sac shrinkage was achieved in all patients over six months of follow up. During the follow-up period, no proximal endoleak or infrarenal aortic neck diameter enlargement was found.
Conclusion:
Based on our limited experience, the funnel technique may be considered more than a bailout procedure under special circumstances.
