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Technical aspects of abdominal aortic aneurysm repair 

Technical aspects of abdominal aortic aneurysm repair
Chapter:
Technical aspects of abdominal aortic aneurysm repair
Author(s):

Paul Hayes

, Manj Gohel

, and Patrick Coughlin

DOI:
10.1093/med/9780199658220.003.0049
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date: 18 September 2019

This chapter discusses a number of technical aspects that relate to the process of repairing an abdominal aortic aneurysm (AAA), including elective open repair, planning of the repair, CT features of hostile aortic anatomy, open operative technique (incision and approach, the aneurysm neck and clamp sites, heparinization, aortic cross-clamping, technical tips for performing the anastomoses, completion and post-operative care), elective endovascular repair of abdominal aortic aneurysms (introduction to EVAR, planning for EVAR, device selection, procedural details for elective EVAR, component delivery, gate cannulation, adverse neck anatomy, short infrarenal necks, management of the iliac arteries, completion of EVAR and post-operative care), emergency open AAA repair, EVAR for ruptured AAA, and isolated iliac aneurysms.

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