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
Rok vydání: 2014
Předmět:
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