The Use of a Self-expandable Aortic Stent to Incarcerate Microcoils and to Create a Favourable Infrarenal Neck in an Unusual Case of Endovascular Abdominal Aortic Aneurysm Repair

Autor: C.A. de Carvalho, Célio Teixeira Mendonça, D.S. de Melo Costa, Janaina Weingartner, Alexandre Y. Shiomi
Rok vydání: 2013
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. 45:465-467
ISSN: 1078-5884
DOI: 10.1016/j.ejvs.2013.01.040
Popis: Introduction We report a case of an emergency high-risk patient with a pararenal aortic aneurysm. Report Our patient had a pararenal aneurysm with two components: a wide-neck saccular aneurysm below the left renal artery and a fusiform aneurysm. A self-expandable aortic stent was deployed covering both renal arteries, the saccular aneurysm was embolised with microcoils and a bifurcated aortic endograft was anchored inside the aortic stent. The aortic stent imprisoned the microcoils and avoided proximal type I endoleak. The tomography done 15 months after the procedure showed no endoleaks. Discussion A self-expandable aortic stent can provide an alternative for emergency high-risk patients with pararenal aortic aneurysms.
Databáze: OpenAIRE