| Autor: |
J, Heckenkamp, J, Brunkwall, T, Luebke, M, Aleksic, F, Schöndube, T, Stojanovic |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
The Journal of cardiovascular surgery. |
| ISSN: |
1827-191X |
| Popis: |
We describe the feasibility and result of a novel approach to preserve pelvic perfusion during endovascular aortoiliac aneurysm repair (EVAR) in patients with aortoiliac aneurysms extending to the iliac bifurcation. The iliac chimney-graft technique consists of the deployment of a ViaBahn™ graft into the hypogastric artery in combination with standard abdominal aortic stent-grafts. The chimney graft was deployed using a transsubclavian access and placed parallel with the iliac limb into the standard aortic stent graft, which was deployed directly before. The technical procedure was successful. Postoperative control showed a sufficiently excluded aneurysm without evidence of endoleak and good distal perfusion of both iliac arteries. The CT-scan after 6 months confirmed the result. The chimney-graft stent grafts to maintain perfusion to hypogastric arteries are feasible and provide an alternative to hypogastric artery exclusion or branched grafts. Long-term follow-up is needed to evaluate stent-graft patency and failure rates. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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