Total Endovascular Therapy of Abdominal Aortic Aneurysm, Peripheral Artery Disease, and Chronic Mesenteric Ischemia: A Challenging Case.
Chimney technique
Endovascular aneurysm repair
Inferior mesenteric artery
Journal
Vascular specialist international
ISSN: 2288-7970
Titre abrégé: Vasc Specialist Int
Pays: Korea (South)
ID NLM: 101633116
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
22
09
2019
revised:
09
11
2019
accepted:
21
11
2019
entrez:
10
1
2020
pubmed:
10
1
2020
medline:
10
1
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31915669
doi: 10.5758/vsi.2019.35.4.237
pii: vsi-35-237
pmc: PMC6941768
doi:
Types de publication
Case Reports
Langues
eng
Pagination
237-240Informations de copyright
Copyright © 2019, The Korean Society for Vascular Surgery.
Déclaration de conflit d'intérêts
CONFLICTS OF INTEREST The authors have nothing to disclose.
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