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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 43 - 43 (1page)
- DOI
- 10.5758/vsi.210064
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초록· 키워드
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Aortoiliac occlusive disease may limit the use of branched endovascular aneurysm repair (BEVAR) of thoracoabdominal aneurysms (TAAAs). Thus, infrarenal aortoiliac occlusion may preclude the use of BEVAR. We present a case involving a 67-yearold patient with a fast-progressing TAAA (diameter: 70 mm) and a concomitant total aortoiliac occlusion. A multi-staged treatment concept included the creation of the access and the distal landing zone for the consecutive endovascular procedures through an aorto-right femoral-left popliteal bypass. At six-week intervals, thoracic endovascular aortic repair for the creation of the proximal landing zone and a 4-vessel BEVAR were accomplished. At 36 months, a type III endoleak occurred due to the fracture of the bridging stent-graft to the celiac trunk and the superior mesenteric artery. It was successfully treated with VBX stent-grafts. This case illustrates the importance of a staged hybrid approach in the management of complex aortic pathologies with poor access and insufficient distal landing zone.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Aftab M / 2015 / Contemporary outcomes of open thoracoabdominal aortic aneurysm repair in octogenarians / J Thorac Cardiovasc Surg 149(2 Suppl):S134~S141
Cochennec F / 2014 / Impact of intraoperative adverse events during branched and fenestrated aortic stent grafting on postoperative outcome / J Vasc Surg 60:571~578
Rowse JW / 2019 / Iliac conduits remain safe in complex endovascular aortic repair / J Vasc Surg 70:424~431
Khoynezhad A / 2007 / Risk factors of neurologic deficit after thoracic aortic endografting / Ann Thorac Surg 83:S882~S892
Amabile P / 2008 / Incidence and determinants of spinal cord ischaemia in stent-graf t repair of the thoracic aorta / Eur J Vasc Endovasc Surg 35:455~461
Cochennec F / 2014 / Impact of intraoperative adverse events during branched and fenestrated aortic stent grafting on postoperative outcome / J Vasc Surg 60:571~578
Rowse JW / 2019 / Iliac conduits remain safe in complex endovascular aortic repair / J Vasc Surg 70:424~431
Khoynezhad A / 2007 / Risk factors of neurologic deficit after thoracic aortic endografting / Ann Thorac Surg 83:S882~S892
Amabile P / 2008 / Incidence and determinants of spinal cord ischaemia in stent-graf t repair of the thoracic aorta / Eur J Vasc Endovasc Surg 35:455~461
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