Physician-modified aortic cuff to "stabilize" paravisceral aortic thrombus and minimize risk of distal embolization during pararenal aneurysm repair with fenestrated stent graft.
Complex aneurysm
Paravisceral aortic thrombus
Physician modified graft
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
06
01
2022
accepted:
09
05
2022
entrez:
8
8
2022
pubmed:
9
8
2022
medline:
9
8
2022
Statut:
epublish
Résumé
As technology and surgeon experience evolve, endovascular repair of complex abdominal aortic aneurysms is often preferred in appropriately selected patients. However, the presence of pedunculated aortic thrombus represents a relative contraindication for endoluminal therapy due embolization risks. Here, we present a 68-year-old woman with a 5.8-cm pararenal aortic aneurysm associated with pedunculated aortic thrombus. She was treated with a modified Cook-Zenith aortic cuff to first entrap the aortic thrombus, followed by treatment of the aneurysm with a modified Z-FEN graft. This cuff modification provides a novel approach to deal with such luminal thrombus.
Identifiants
pubmed: 35936019
doi: 10.1016/j.jvscit.2022.05.002
pii: S2468-4287(22)00073-9
pmc: PMC9352514
doi:
Types de publication
Journal Article
Langues
eng
Pagination
378-385Informations de copyright
© 2022 The Authors.
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