Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5597881 | Annals of Vascular Surgery | 2017 | 14 Pages |
Abstract
Snorkel endovascular aortic repair (SEVAR) is reported to be effective for the treatment of pararenal or juxtarenal aortic aneurysms. SEVAR can be performed with an off-the-self device, which is applied for emergency cases. However, there is a concern that SEVAR lead to gutter leak due to insertion of multiple stents. Previously, we performed 2-staged treatment for gutter leak after SEVAR. However, the gutter leaks can also occur late, and it is often difficult to close. Therefore, if a significant gutter leak is identified intraoperatively, performing concomitant gutter coil embolization at the time of the initial surgery may be reasonable.
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Authors
Koji Maeda, Takao Ohki, Yuji Kanaoka, Takeshi Baba, Masahiro Tezuka, Hikaru Nakagawa,