ArticleCureus2025
Overcoming Anatomical Constraints: A Case of Successful Endovascular Repair in a High-Risk Patient With a Short, Angulated Abdominal Aortic Aneurysm.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs) is often limited by anatomical factors such as short necks (less than 15 mm) and significant angulation (over 60 degrees), making EVAR unsuitable. We present a case of a 60-year-old man with multiple comorbidities and a short, markedly angulated AAA neck. Despite being deemed unsuitable for EVAR, the patient underwent successful EVAR with the chimney technique. At the one-month follow-up, the patient had no complications, stable renal function, and no detected endoleak or other complications on routine CT scans. Cardiac tests were normal. This case challenges traditional contraindications and highlights the potential for EVAR in challenging anatomical situations. Incorporating the chimney technique and reinforcing the proximal neck can prevent complications, while future research should focus on tailored EVAR strategies addressing individual needs and anatomical challenges.
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