Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft.
J Endovasc Surg
; 6(4): 354-8, 1999 Nov.
Article
em En
| MEDLINE
| ID: mdl-10893139
ABSTRACT
PURPOSE:
To report an unusual case of endovascular abdominal aortic aneurysm (AAA) exclusion in which a fenestrated stent-graft was used to seal a proximal Type I endoleak. METHODS ANDRESULTS:
An 84-year-old man with a 6.0-cm AAA underwent an aortomonoiliac aneurysm exclusion procedure that was complicated by a proximal endoleak. Because the patient had no right kidney, an additional stent-graft was designed to cover the right renal artery stump while preserving left renal perfusion through a fenestration in the graft material. This approach was successful in obliterating the endoleak around the proximal attachment site, but flow through the lumbar arteries remained.CONCLUSIONS:
The use of a fenestrated stent-graft is feasible, but the type of fenestration in this case has limited applicability owing to the rarity of patients with suitable anatomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prótese Vascular
/
Stents
/
Aneurisma da Aorta Abdominal
/
Implante de Prótese Vascular
/
Artéria Femoral
/
Artéria Ilíaca
Limite:
Aged
/
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
J Endovasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Estados Unidos