scholarly journals TCTAP C-190 Endovascular Repair of Abdominal Aortic Aneurysm Combined with Huge Bilateral Iliac Arterial Aneurysms with Custom-Made Branched Stent Graft

2015 ◽  
Vol 65 (17) ◽  
pp. S403-S404
Author(s):  
Pyung Chun Oh ◽  
Woong Chol Kang ◽  
Myeong Gun Kim ◽  
Eak-Kyun Shin
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Abdominal Aortic ◽  
Custom Made ◽  
Arterial Aneurysms

Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm

2017 ◽  
Vol 25 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Konstantinos Spanos ◽  
Nikolaos Tsilimparis ◽  
Franziska Heidemann ◽  
Fiona Rohlffs ◽  
Christian-Alexander Behrendt ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Endovascular Aneurysm Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Efficient Treatment ◽  
Type Iv ◽  
Abdominal Aortic ◽  
Custom Made

Purpose: To describe planning and a technique for fenestrated endovascular repair of a large Crawford type IV thoracoabdominal aortic aneurysm after previous 2-fenestration endovascular aneurysm repair (FEVAR). Technique: The first FEVAR procedure performed at another center implanted a standard Zenith device with 2 fenestrations and 1 scallop for a juxtarenal abdominal aortic aneurysm. The diameter of the Crawford type IV thoracoabdominal aortic aneurysm had progressed from 68 to 75 mm within a year after the FEVAR. Since the celiac trunk was already occluded, a 3-fenestration 22-×172-mm stent-graft was chosen to extend the existing stent-graft further proximally. A tapered 38/22-×179-mm Zenith custom-made device was designed for the thoracic component. The technique addresses several issues that arise during a FEVAR-in-FEVAR case, such as the orientation of the new stent-graft and its fenestrations, the absence of space between the 2 devices for maneuvers, and the difficulty in catheterizing target vessels with existing bridging stents, for which a bailout “snare-ride” maneuver is described. Conclusion: FEVAR after previous FEVAR is a feasible and efficient treatment option. The modified “snare-ride” technique can be used to catheterize target vessels in the absence of an Indy snare.

scholarly journals A Case of Stent-Graft Occlusion 5 Years after Endovascular Repair for Abdominal Aortic Aneurysm

2007 ◽  
Vol 36 (4) ◽  
pp. 198-201
Author(s):  
Keiji Ataka ◽  
Masahiro Sakata ◽  
Takashi Munezane ◽  
Kazuhiko Iwahashi
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Graft Occlusion ◽  
Abdominal Aortic

Endovascular Repair of Abdominal Aortic Aneurysm Using a Pararenal Fenestrated Stent-Graft

1999 ◽  
Vol 6 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Rishad M. Faruqi ◽  
Timothy A. M. Chuter ◽  
Linda M. Reilly ◽  
Rajiv Sawhney ◽  
Susan Wall ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Abdominal Aortic ◽  
Fenestrated Stent Graft

scholarly journals Intrathrombus embolization of giant mesenteric inferior artery to prevent type II endoleak

2012 ◽  
Vol 65 (5-6) ◽  
pp. 255-258
Author(s):  
Momir Sarac ◽  
Ivan Marjanovic ◽  
Uros Zoranovic ◽  
Miodrag Jevtic ◽  
Sidor Misovic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
Abdominal Aortic ◽  
The Right

Introduction. One of the most common complications of endovascular repair of abdominal aortic aneurysm is type II endoleak - retrograde branch flow. Case report. A 76-year-old man with abdominal aortic aneurysm, 7. 1cm in diameter and aneurysm of the right common iliac artery, 3. 2cm in diameter was admitted to our Department with abdominal pain. The patient had no chance of having open repair of abdominal aortic aneurysm because of high perioperative risk (cardiac ejection fraction of 23%, chronic pulmonary obstructive disease). Multislice computed angiography also revealed a large inferior mesenteric artery, 6mm in diameter with the origin in thrombus of aneurysm. We decided to repair abdominal aortic aneurysm with GORE? EXCLUDER ? stent-graft with crossed right hypogastric, but first we decided to embolize the inferior mesenteric artery. Angiography was performed through the right femoral approach and the good Riolan arcade was found. After that the inferior mesenteric artery was embolized with two coils, 5 mm in diameter, at the origin of artery in aneurysm thrombus. At the end of procedure, abdominal aortic aneurysm was repaired with GORE? stent-graft, and the control angiography was performed. There was no endoleak, and the Riolan arcade was very good. The patient was discharged after 5 days. There were no signs of ischemia of the left colon, and peristaltic was excellent. Control multislice computed angiography was done after 1 and 3 months. There were no signs of endoleak. On the control colonoscopy there were no signs of ischemia of the colon. Conclusion. Endovascular repair of symptomatic abdominal aortic aneurysm in high risk patients with preoperative embolization of large branch is the best choice to prevent rupture of abdominal aortic aneurysm and to prevent type II endoleak.

Endovascular Repair of Abdominal Aortic Aneurysm Using a Pararenal Fenestrated Stent-Graft

1999 ◽  
Vol 6 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Rishad M. Faruqi ◽  
Timothy A. M. Chuter ◽  
Linda M. Reilly ◽  
Rajiv Sawhney ◽  
Susan Wall ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Abdominal Aortic ◽  
Fenestrated Stent Graft

scholarly journals Ruptured abdominal aortic aneurysm after endovascular repair

2018 ◽  
Vol 71 (5-6) ◽  
pp. 195-200
Author(s):  
Janko Pasternak ◽  
Vladan Popovic ◽  
Slavko Budinski
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Case Series ◽  
Proximal Part ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Endovascular Stent ◽  
Endovascular Stent Graft ◽  
Abdominal Aortic

Introduction. An aneurysm is a localized, permanent dilation of an arterial blood vessel with a diameter greater than 50% of the usual diameter for that aortic segment. It is treated with endovascular stent graft placement or open surgery. Endovascular stent grafting of the abdominal aorta has become popular as an elective treatment. but one of the complications is increased aneurysm diameter that may lead to rupture. Case Series. This case series reviews open reconstructive surgery of ruptured abdominal aortic aneurysms in three patients treated with endovascular repair. The diameter of the aneurysm increased due to endoleak or stent graft migration, leading to rupture. Due to the inability to extract the stent graft in two patients, the graft was transversely cut at the proximal part, where upper anastomosis was created using a Dacron graft prosthesis. Conclusion. Regular annual controls for the rest of patients lives are of great importance in order to avoid fatal complications after endovascular aneurysm repair. One of the methods after the abdominal aortic rupture after endovascular stent graft treatment that significantly shortens the duration of the surgery and gives a more stable upper anastomosis, is transverse stent graft cut in the proximal part. Complete prevention remains a challenge because a rupture may occur even if the abnormalities are not evident. The ultimate goal is to increase the survival rate after the ruptured abdominal aortic aneurysm.

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