Question:

Which of the following statements about aortic cuffs is false?
1. The use of aortic cuffs is limited to the use of a single cuff.
2. Aortic cuffs represent a useful approach for endovascular repair of AAA`s with complex, large-diameter, short-length, or excessively angulated aneurysm necks.
3. More data on long-term outcomes are needed before aortic cuffs can be used as a standard procedure in patients initially ineligible for EVAR
4. The availability of an increased variety of aortic cuffs may allow more patients to benefit from the endovascular method of aneurysm repair.
5. A Zenith aortic cuff that is reinforced with a P 5010 Palmaz stent can allow for a more optimal aneurysm neck seal.





Answer:

The correct answer for the question "Which of the following statements about aortic cuffs is false?" is:

1. The use of aortic cuffs is limited to the use of a single cuff.



Explanation
1.    Cuff use is not limited to a single aortic cuff. (In our case series, we also demonstrated that cuff use is not limited to a single aortic cuff, because other devices and various combinations may be necessary and can serve the equivalent purpose to a standard aortic cuff, depending on the scenario.)

2.    Aortic cuffs are a useful approach for endovascular repair of abdominal aortic aneurysms with complex, large-diameter, short-length, or excessively angulated aneurysm necks. (In conclusion, the use of aortic cuffs represents a useful approach for endovascular repair of abdominal aortic aneurysms with complex, large-diameter, short-length, or excessively angulated aneurysm necks.)

3.    Although preliminary data on aortic cuffs have been positive, more data on long term outcomes are needed before aortic cuffs can be used as a standard procedure in patients initially ineligible for EVAR. (However, much more data on long-term outcomes are needed before aortic cuffs can be used as a standard procedure in patients initially ineligible for EVAR.)

4.    An increased variety of aortic cuffs is available, which in turn allows more patients to benefit from the endovascular method of aneurysm repair. (The availability of an increased variety of aortic cuffs, which in our cases included an Endologix aortic cuff, Zenith aortic cuff, and Palmaz P 5010 stent, may allow more patients to benefit from the endovascular method of aneurysm repair, particularly those who are otherwise not candidates for open surgical repair.)

5.    A Zenith aortic cuff that is reinforced with a P 5010 Palmaz stent can allow for a more optimal aneurysm neck seal, as shown in case 2. (In case 2, a Zenith aortic cuff was initially placed, but because of a type I endoleak it was followed by reinforcement at the same level with a P 5010 Palmaz stent in order to achieve an optimal aneurysm neck seal.)



From the manuscript:
Utility of aortic cuffs in converting initially ineligible patients due to unfavorable neck anatomy into successful candidates for endovascular aortic aneurysm repair: A Case Series
Radiology Case. 2010 Mar; 4(3):1-10


This article belongs to the Interventional section.




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From the manuscript

Utility of aortic cuffs in converting initially ineligible patients due to unfavorable neck anatomy into successful candidates for endovascular aortic aneurysm repair: A Case Series

Free full text article: Utility of aortic cuffs in converting initially ineligible patients due to unfavorable neck anatomy into successful candidates for endovascular aortic aneurysm repair: A Case Series

Abstract
Endovascular repair of the abdominal aortic aneurysm has been established as a successful alternative to open surgical repair, provided that the criteria necessary for such an approach are fulfilled. Anatomic criteria include suitable diameter, length, and angle of the aneurysm proximal neck. We present three cases in which patients were initially ineligible for endovascular repair because of unfavorable neck anatomy but in whom the use of aortic cuffs allowed for successful endograft placement and aneurysm exclusion.






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