کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2886440 1574206 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Aortic Arch and Descending Thoracic Aortic Saccular Aneurysms Treatment with Fenestrated Endograft and Chimney Technique for Aortic Branch Rescue
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Aortic Arch and Descending Thoracic Aortic Saccular Aneurysms Treatment with Fenestrated Endograft and Chimney Technique for Aortic Branch Rescue
چکیده انگلیسی
We report the case of a 76-year-old man presented with three saccular aneurysms at the aortic arch and descending thoracic aorta. A two-staged hybrid approach was performed. A left common carotid-to-left subclavian artery bypass and a custom-made fenestrated endograft were used for the two proximal aneurysms. The endograft deployment was complicated by the unadverted coverage of the left common carotid artery ostium, promptly corrected with the chimney technique. The endovascular treatment was completed with the third endovascular aneurysm exclusion 5 months after the first procedure to reduce the risk of spinal cord ischemia. Yearly follow-up computed tomography scan confirmed aortic arch and descending thoracic aorta aneurysms exclusion with supra-aortic vessels, bypass, and stent patency. Endovascular repair of the aortic arch aneurysm with a fenestrated endograft is safe and feasible in selected patients. Complications may be solved with total endovascular approach. Long term follow-up remains mandatory.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 29, Issue 1, January 2015, Pages 126.e15-126.e19
نویسندگان
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