Endovascular Treatment of a Symptomatic Thoracoabdominal Aortic Aneurysm by Chimney and Periscope Techniques for Total Visceral and Renal Artery Revascularization

Journal Article · Thu May 02 04:00:00 EDT 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0622-2· OSTI ID:22318128

Cariati, Maurizio ^[1]; Mingazzini, Pietro; Dallatana, Raffaello ^[2]; Rossi, Umberto G. ^[1]; Settembrini, Alberto ^[3]; Santuari, Davide ^[2]

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1. San Carlo Borromeo Hospital, Department of Diagnostic Sciences (Italy)
2. San Carlo Borromeo Hospital, Department of Vascular Surgery (Italy)
3. San Carlo Borromeo Hospital, Università degli Studi di Milano (Italy)

Conventional endovascular therapy of thoracoabdominal aortic aneurysm with involving visceral and renal arteries is limited by the absence of a landing zone for the aortic endograft. Solutions have been proposed to overcome the problem of no landing zone; however, most of them are not feasible in urgent and high-risk patients. We describe a case that was successfully treated by total endovascular technique with a two-by-two chimney-and-periscope approach in a patient with acute symptomatic type IV thoracoabdominal aortic aneurysm with supra-anastomotic aneurysm formation involving the renal and visceral arteries and a pseduaneurismatic sac localized in the left ileopsoas muscle.

• OSTI ID: 22318128
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 37; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
CHIMNEYS
GRAFTS
KIDNEYS
MUSCLES
PATIENTS
PERISCOPES
REPAIR
SOLUTIONS
THERAPY
ZONES