Endovascular Retrograde Reconstruction of the Left Renal Artery through the False Lumen of a Postdissection Thoracoabdominal Aortic Aneurysm-A Case Report

2019 ◽  
Vol 55 ◽  
pp. 307.e5-307.e11 ◽  
Author(s):  
Senhao Jia ◽  
Hongpeng Zhang ◽  
Guoyi Sun ◽  
Yangyang Ge ◽  
Lijun Wang ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Renal Artery ◽  
False Lumen ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Left Renal Artery

Results of a three-year follow-up after endovascular therapy with multilayer flow modulator in complex thoracoabdominal aortic aneurysm: A case report

Vascular ◽  
2020 ◽  
pp. 170853812093351
Author(s):  
Nazım Kankılıç ◽  
Mehmet S Aydın
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Renal Artery ◽  
Medical Center ◽  
Left Kidney ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aortic Aneurysms ◽  
Left Renal Artery

Objectives Studies on the short-, medium and long-term effects of flow guiding stents are still limited. In this case report, we present three-year follow-up of the multilayer flow modulator stent in a 55-year-old patient with Crawford Type 2 thoracoabdominal aortic aneurysm. Methods A 55-year-old male patient with Crawford Type 2 thoracoabdominal aortic aneurysm had applied to our medical center. The aneurysm involved coeliac truncus and superior mesenteric artery and extended to the renal artery ostia. Multilayer flow modulator stent was successfully placed, and follow-up CT (Computed tomography) angiographic examination images recorded intermittently (36 months). Results After three years, it was observed that the left renal artery was thrombosed and the left kidney went to atrophy. Other major vascular branches were observed to be open. During this time, the aneurysm was completely closed with thrombus, but the diameter of the aneurysm continued to increase. Conclusions Multilayer flow modulator stents are safe in complex aortic aneurysms. The device increases the thrombus load in the aortic aneurysm and maintains the flow of the main vascular branches. But re-interventions, dilatation of the aneurysm sac and visceral branch obstructions are still challenging for multilayer flow modulator stents.

Floating Stent-Graft as a Support to Bridge an Unfavorable Renal Artery During Postdissection TAAA Repair Using a Multibranched Thoracoabdominal Endograft

2020 ◽  
Vol 27 (6) ◽  
pp. 922-928
Author(s):  
Giulia Rossi ◽  
Paolo Perini ◽  
Tiziano Tecchio ◽  
Claudio Bianchini Massoni ◽  
Rita D’ospina ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Renal Artery ◽  
Stent Graft ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Technical Difficulty ◽  
Abdominal Aortic Aneurysm Repair ◽  
Neurological Complications ◽  
Left Renal Artery ◽  
Type B Dissection ◽  
Additional Support

Purpose: To report an unusual endovascular technique to manage unfavorable renal artery anatomy encountered in an urgent case of symptomatic postdissection thoracoabdominal aortic aneurysm (TAAA) treated with an off-the-shelf multibranched device. Technique: The technique is demonstrated in a 77-year-old woman who had a history of previous open abdominal aortic aneurysm repair and an emergent procedure to implant a thoracic endograft and an aortic bare Z-stent (PETTICOAT) for acute Stanford type B dissection 7 years prior. The patient presented with a symptomatic, rapidly growing, postdissection TAAA. Endovascular treatment with a Zenith t-Branch was planned. After standard catheterization techniques failed in the left renal artery, a bailout maneuver was utilized to place a “floating” Viabahn stent-graft in the aneurysm sac to create sufficient support to deliver the bridging stent-grafts through the bare stent to the target left renal artery. The procedure was successful in excluding the TAAA and preserving perfusion to all target vessels. No neurological complications occurred. Six-month imaging follow-up confirmed the patency of the bridging stents. Conclusion: Remodeling changes after complex endovascular TAAA procedures often require the use of innovative techniques and materials during secondary procedures. In this case, the presence of a post-PETTICOAT bare aortic stent and hostile target artery anatomy increased the technical difficulty of t-Branch implantation. A “floating” stent-graft could be useful to reach challenging target vessels by providing additional support to bridging stent advancement and deployment.

scholarly journals An infected thoracoabdominal aortic aneurysm mimicking the symptoms of urinary tract infection: A case report

2018 ◽  
Vol 16 ◽  
pp. 77-78
Author(s):  
Takahisa Yamashita ◽  
Makoto Morozumi ◽  
Morihiro Higashi ◽  
Shuji Momose ◽  
Jun-ichi Tamaru
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Urinary Tract ◽  
Aortic Aneurysm ◽  
Tract Infection ◽  
Thoracoabdominal Aortic Aneurysm

scholarly journals Kissing stent management of stenosis of two branches of left renal artery bifurcation: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Abdala M. Mkangala ◽  
Henry A. Mayala ◽  
Khamis H. Bakari ◽  
Xiang J. Dong
Keyword(s):  
Case Report ◽  
Renal Artery ◽  
Left Renal Artery ◽  
Kissing Stent

Thoracoabdominal aortic aneurysm associated with umbilical artery catheterization: Case report and review of the literature

1992 ◽  
Vol 16 (1) ◽  
pp. 0075-0086 ◽  
Author(s):  
Richard F. Kempczinski ◽  
Chris F. Cribari ◽  
Frederick A. Meadors ◽  
E. Stanley Crawford ◽  
Joseph S. Coselli ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Umbilical Artery ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Review Of The Literature ◽  
Umbilical Artery Catheterization

scholarly journals Hybrid endovascular repair of a dissecting thoracoabdominal aortic aneurysm with stent graft implantation through the false lumen

2014 ◽  
Vol 59 (1) ◽  
pp. 264-267 ◽  
Author(s):  
Yoshiki Watanabe ◽  
Toru Kuratani ◽  
Yukitoshi Shirakawa ◽  
Kei Torikai ◽  
Kazuo Shimamura ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
False Lumen ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Stent Graft Implantation ◽  
Graft Implantation
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