Salvage of an Incomplete Sandwich With a Covered Celiac Trunk and a "Floating" Superior Mesenteric Artery Stent in a Thoracoabdominal Aortic Aneurysm.
J Endovasc Ther
; 30(6): 951-956, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-35416065
ABSTRACT
PURPOSE:
To report a case of a patient with a large thoracoabdominal aortic aneurysm (TAAA) extent V treated with a custom-made fenestrated and branched endovascular repair (F/B-EVAR) after a failed and incomplete attempt of a Sandwich repair technique. REPORT An 83-year-old patient was referred to our department after a failed attempt at endovascular repair of type V TAAA with a sandwich technique. The celiac trunk was inadvertently covered with the first endograft and a covered long superior mesenteric artery stent was placed and left facing upward inside the aorta. We performed a staged repair, by first catheterizing and stenting the celiac trunk and bringing it under and inside the main aortic endograft. In interval, a F/B-EVAR was performed using a bimodular custom-made device (CMD) with a proximal 2 branch module for the celiac trunk and superior mesenteric artery and distal module with fenestrations for both renal arteries. The intervention was successful, and the follow-up was uneventful at 6 months.CONCLUSIONS:
Re-intervention after failed endovascular attempts of TAAA repair are technically challenging and require advanced endovascular techniques. The ability to construct CMDs allowed to extend repair to our patient which had severe anatomical constraints for other techniques.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Aneurisma da Aorta Torácica
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Aneurisma da Aorta Abdominal
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Implante de Prótese Vascular
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Procedimentos Endovasculares
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Aneurisma da Aorta Toracoabdominal
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article