Different endovascular solutions for short, wide and conic shaped neck

Hostile neck anatomy is the most important issue in prediction of outcomes of endovascular procedures. Surgeon modified fenestrated stent graft (SMFSG) may be an effective and available solution in proper patients by changing the proximal sealing of EVAR to the abdominal visceral aorta. Here we present two frail, comorbid, symptomatic infrarenal abdominal aortic aneurysm (iAAA) cases with reverse tapered wide necks treated with different endovascular techniques.