Total Endovascular Therapy of Abdominal Aortic Aneurysm, Peripheral Artery Disease, and Chronic Mesenteric Ischemia: A Challenging Case

Angelos Megalopoulos; Christiana Anastasiadou; Konstantinos Galanos-Demiris; George Trellopoulos; Stavros Galanis

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저자정보: Angelos Megalopoulos (Vascular Surgery Department “Georgios Papanikolaou” General Hospital of Thessaloniki) Christiana Anastasiadou (Vascular Surgery Department “Georgios Papanikolaou” General Hospital of Thessaloniki) Konstantinos Galanos-Demiris (Fourth Surgical Department Medical School Aristotle University of Thessaloniki Thessaloniki) George Trellopoulos (Vascular Surgery Department “Georgios Papanikolaou” General Hospital of Thessaloniki) Stavros Galanis (Interventional Radiology Department “Georgios Papanikolaou” General Hospital of Thessaloniki Thessa)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.35 No.4

발행연도: 2019.1

수록면: 237 - 240 (4page)

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We presented a challenging case of a patient diagnosed with abdominal aortic aneurysm (AAA), peripheral artery disease, and chronic mesenteric ischemia (CMI). Herein, we describe the treatment in this high-risk patient diagnosed with CMI who also had critical limb ischemia and his AAA had rapidly expanded. First we performed angioplasty and celiac arterial stenting. Afterwards, we proceeded to perform balloon angioplasty of the iliac arteries and chimney endovascular aneurysm repair (Ch-EVAR) preserving the inferior mesenteric artery (IMA). The patient was discharged three days later and his IMA remained patent eighteen months post-operation. A thorough pre-operative assessment is essential in such challenging cases. Minimally invasive procedures like endovascular therapy and the chimney technique extend the prognoses in high-risk patients.

#Chimney technique #Inferior mesenteric artery #Endovascular aneurysm repair

참고문헌 (8)

참고문헌 신청

Ultee KH / 2016 / Incidence of and risk factors for bowel ischemia after abdominal aortic aneurysm repair / J Vasc Surg 64:1384~1391

Chaikof EL / 2018 / The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm / J Vasc Surg 67:2~77

Donas KP / 2014 / Novel indication for chimney graft placement in the inferior mesenteric artery in AAA patients with coexistent bilateral internal iliac artery occlusion / J Endovasc Ther 21:548~552

Choo ZW / 2017 / Chimney stent-graft repair for concurrent inferior mesenteric artery aneurysm and infrarenal abdominal aortic aneurysm : case report / Ann Vasc Surg 45:264.e1~264.e4

Ohrlander T / 2008 / The chimney graft : a technique for preserving or rescuing aortic branch vessels in stent-graft sealing zones / J Endovasc Ther 15:427~432

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