EVAR with Aortic Placement of a Single JOTEC E-iliac Stent-graft System in a Patient with Poliomyelitis Aortoiliac Deformities
| Autor: | Antonio Lorido, Alessio Vona, Maria Lucia Mangialardi, Mario Marino, Matteo Orrico, Nicola Mangialardi, Fabrizio Nesi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Aorta
medicine.medical_specialty business.industry medicine.medical_treatment Stent General Medicine 030204 cardiovascular system & hematology medicine.disease Abdominal aortic aneurysm 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Aortic aneurysm 0302 clinical medicine Aneurysm Blood vessel prosthesis medicine.artery cardiovascular system Medicine cardiovascular diseases Cardiology and Cardiovascular Medicine business Contraindication Abdominal surgery |
| Zdroj: | Annals of Vascular Surgery. 69:454.e7-454.e11 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2020.07.019 |
| Popis: | Small-sized vessels can represent a contraindication to standard endovascular aortic repair (EVAR), and more specifically, aortoiliac deformities resulting from poliomyelitis may add an adjunctive challenge for total endovascular repair. Herein we report a case of a 62-year-old man with a 55 mm abdominal aortic aneurysm (AAA) and a history of poliomyelitis. More specifically, a computed tomography angiogram (CTA) showed a very narrow infrarenal aortic neck, measuring 13 mm in maximum diameter, and severely atrophic external iliac and common femoral arteries. A total endovascular repair was planned and realized with a single aortic JOTEC iliac branch and contralateral VBX placement. All prosthetic materials were delivered from the nonatrophic side. At the 1-year CTA, the aneurysm was successfully excluded and both iliofemoral axes were patent. |
| Databáze: | OpenAIRE |
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