Endograft limb trimming and resheathing can be an alternative for emergent aortic repair without adequate stent graft availability.

Autor: Álvarez Marcos F; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain., Couto Mallón D; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain., Vilariño López-Barranco P; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain., Vilariño Rico J; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain., Franco Meijide FJ; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain., Caeiro Quinteiro S; Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain.
Jazyk: angličtina
Zdroj: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2016 Aug 20; Vol. 2 (3), pp. 88-91. Date of Electronic Publication: 2016 Aug 20 (Print Publication: 2016).
DOI: 10.1016/j.jvscit.2016.04.003
Abstrakt: Endograft limb trimming can be an easy customization to perform in some emergent setups and when alternative adequate covered stents are lacking. A man aged 74 years presented with aortoenteric fistula and hemodynamic instability years after an aortobifemoral bypass, and a 56-year-old woman was admitted with acute ischemia due to an aortic ulcer-like lesion. In both cases, tabletop deployment and removal of two stents from an Endurant iliac limb (Medtronic, Fridley, Minn), followed by resheathing and deployment, allowed successful repair as a bridging therapy for open surgery. Both patients are alive and without walking impairment 8 and 6 months later, respectively.
(© 2016 The Author(s).)
Databáze: MEDLINE