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Nowadays, endovascular aneurysm repair (EVAR) is the first line approach in abdominal aortic aneurysm (AAA) repair. A sufficient infrarenal aortic neck is one of the key points for successful outcome after EVAR. Proximal neck characteristics remain a challenge in endovascular treatments. In these case report, we present you a 75-year-old, male patient with a large neck AAA. He was unsuitable to standard EVAR therapy and open surgery because of his comorbidities. Funnel technique in which a thoracic stent-graft is placed through the main body of a bifurcated or uni-iliac endograft could be a feasible and succesfull treatment in such cases.

Combined system usage for large neck anatomy in a high risk abdominal aortic aneurysm patient