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Laparoscopic transperitoneal clipping of the inferior mesenteric artery for the management of type II endoleak after endovascular repair of an aneurysm.
Ho, P; Law, W L; Tung, P H M; Poon, J T C; Ting, A C W; Cheng, S W K.
Afiliação
  • Ho P; Division of Vascular Surgery, Department of Surgery, University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong SAR, China.
Surg Endosc ; 18(5): 870, 2004 May.
Article em En | MEDLINE | ID: mdl-15216873
ABSTRACT
We report the case of a high risk patient with an abdominal infrarenal aortic aneurysm (AAA) who was treated by endovascular technique and the subsequent management of a type II endoleak by the laparoscopic approach. In this case, a 74-year-old woman with a 6-cm infrarenal AAA underwent endovascular repair using a bifurcated stent-graft device. Surveillance CT scan showed a persistent type II endoleak at 1 week and 3 months after the operation. Angiography confirmed retrograde flow from the inferior mesenteric artery (IMA). Attempted transarterial embolization of the IMA via the superior mesenteric artery was not successful. Laparoscopic transperitoneal IMA clipping was performed. Subsequent aortic duplex scan and CT scan confirmed complete elimination of the type II endoleak. We conclude that a combination of endovascular and laparoscopic procedures can be used to manage AAA successfully.
Assuntos
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Base de dados: MEDLINE Assunto principal: Artéria Mesentérica Inferior / Aneurisma da Aorta Abdominal / Laparoscopia / Artérias Mesentéricas Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: China
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Base de dados: MEDLINE Assunto principal: Artéria Mesentérica Inferior / Aneurisma da Aorta Abdominal / Laparoscopia / Artérias Mesentéricas Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2004 Tipo de documento: Article País de afiliação: China