Chimney and Periscope Technique for Emergent Treatment of Spontaneous Aortic Rupture
Autor: | George Trellopoulos, Efstratios Georgakarakos, George S. Georgiadis, Christos Argyriou, Dimitrios Pelekas, Athanasia Papachristodoulou |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Aneurysm Ruptured Prosthesis Design law.invention Aortic aneurysm Aneurysm Blood vessel prosthesis law medicine.artery medicine Humans cardiovascular diseases Renal artery Aortic rupture Aged Rupture Spontaneous medicine.diagnostic_test business.industry Endovascular Procedures Angiography Equipment Design General Medicine medicine.disease Blood Vessel Prosthesis Surgery surgical procedures operative cardiovascular system Stents Radiology Periscope Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal Follow-Up Studies Abdominal surgery |
Zdroj: | Annals of Vascular Surgery. 28:1324-1328 |
ISSN: | 0890-5096 |
DOI: | 10.1016/j.avsg.2014.01.013 |
Popis: | Aortic rupture comprises a potentially fatal condition necessitating emergent treatment. Endovascular sealing of the rupture site is often combined with the use of chimney- and periscope stent placement to preserve perfusion of aortic branches. We present a case of successful endovascular management of contained aortic rupture in a 78-year-old patient. The left brachial access facilitated stenting of the celiac and superior mesenteric arteries, whereas the left femoral route served stenting of the renal artery. One-month follow-up confirmed complete sealing, stent patency, and absence of endograft migration. The combined periscope and chimney technique is feasible and effective in the emergency setting. |
Databáze: | OpenAIRE |
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