Inferior Mesenteric Artery Side Branch for Selected Patients with Endovascular Aortic Aneurysm Repair
| Autor: | H. Apfelbeck, M. Janotta, W. Schierling, P.M. Kasprzak, K. Pfister, Reinhard Kopp |
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| Rok vydání: | 2016 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Case Report 030204 cardiovascular system & hematology Inferior mesenteric artery Endovascular aneurysm repair 03 medical and health sciences Aortic aneurysm 0302 clinical medicine Aneurysm Side branch medicine.artery medicine cardiovascular diseases 030212 general & internal medicine Colon ischemia Branched stent-graft business.industry Ultrasound lcsh:RD1-811 Custom-made device medicine.disease Surgery Stenosis surgical procedures operative lcsh:RC666-701 Radiology Cardiology and Cardiovascular Medicine business Perfusion |
| Zdroj: | EJVES Short Reports, Vol 31, Iss, Pp 1-5 (2016) EJVES Short Reports |
| ISSN: | 2405-6553 |
| DOI: | 10.1016/j.ejvssr.2016.02.004 |
| Popis: | Objective/Background To report on our experience of the treatment of aortic aneurysms by custom-made, branched stent-grafts with an additional inferior mesenteric artery (IMA) side branch to preserve IMA perfusion in patients at risk for colon ischemia. Methods Three male patients (mean age 60 years) with a thoracoabdominal, pararenal, and infrarenal aortic aneurysm (AA), respectively, were treated by endovascular aneurysm exclusion using custom-made, branched stent-grafts with a side branch to the IMA for prevention of colon ischemia. Indications for selective IMA side branch perfusion were occlusions or high-grade stenosis of the visceral or hypogastric arteries. Results No colon ischemia and no neurological deficit were observed. All three IMA side branches were perfused and patent, as documented by computed tomography scan and duplex ultrasound postoperatively and after 12 months. Patency after 24 months was documented as 2/3. Conclusion Custom-made, branched stent-grafts are an endovascular option to preserve the IMA perfusion in selected, electively treated patients with an increased risk for insufficient colon perfusion due to stenosis or occlusions of visceral or hypogastric arteries. Highlights • Patients with impaired intestinal perfusion are at risk for colon ischemia by endovascular aneurysm repair. • Custom-made, branched stent-grafts are an option to preserve inferior mesenteric artery (IMA) perfusion. • The IMA side branch technique is an alternative for electively treated patients. |
| Databáze: | OpenAIRE |
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