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"Cracking and paving": a novel technique to deliver a thoracic endograft despite ilio-femoral occlusive disease.
Kpodonu, Jacques; Rodriguez-Lopez, Julio A; Ramaiah, Venkatesh G; Diethrich, Edward B.
Afiliação
  • Kpodonu J; Division of Cardiac Surgery, North Western Memorial Hospital, Chicago, Illinois, USA. jkpodonu@yahoo.com
J Card Surg ; 24(2): 188-90, 2009.
Article em En | MEDLINE | ID: mdl-19267829
ABSTRACT

BACKGROUND:

The use of endoluminal grafts to treat thoracic aortic aneurysms has been associated with a decreased morbidity and mortality compared with open thoracic aortic aneurysm repair. High-risk surgical patients with ilio-femoral occlusive disease may not be amenable to general anesthesia and the construction of a retroperitoneal conduit. METHODS AND

RESULTS:

We report the use of a novel technique consisting of cracking and paving of the ilio-femoral vessels with balloon angioplasty, followed by deployment of an endoconduit to deliver an endoluminal graft under local sedation to treat a high-risk 80-year-old patient with a thoracic aneurysm.

CONCLUSION:

High-risk surgical patients with iliofemoral disease can undergo endoluminal graft therapy to threat thoracic aortic aneurysms.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aorta Torácica / Doenças Vasculares Periféricas / Aneurisma da Aorta Torácica / Angioplastia com Balão / Artéria Ilíaca Limite: Aged80 / Humans / Male Idioma: En Ano de publicação: 2009 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aorta Torácica / Doenças Vasculares Periféricas / Aneurisma da Aorta Torácica / Angioplastia com Balão / Artéria Ilíaca Limite: Aged80 / Humans / Male Idioma: En Ano de publicação: 2009 Tipo de documento: Article