The use of a self-expandable aortic stent to incarcerate microcoils and to create a favourable infrarenal neck in an unusual case of endovascular abdominal aortic aneurysm repair.

نویسندگان

  • C T Mendonça
  • C A de Carvalho
  • J Weingartner
  • D S de Melo Costa
  • A Y Shiomi
چکیده

INTRODUCTION We report a case of an emergency high-risk patient with a pararenal aortic aneurysm. REPORT Our patient had a pararenal aneurysm with two components: a wide-neck saccular aneurysm below the left renal artery and a fusiform aneurysm. A self-expandable aortic stent was deployed covering both renal arteries, the saccular aneurysm was embolised with microcoils and a bifurcated aortic endograft was anchored inside the aortic stent. The aortic stent imprisoned the microcoils and avoided proximal type I endoleak. The tomography done 15 months after the procedure showed no endoleaks. DISCUSSION A self-expandable aortic stent can provide an alternative for emergency high-risk patients with pararenal aortic aneurysms.

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عنوان ژورنال:
  • European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

دوره 45 5  شماره 

صفحات  -

تاریخ انتشار 2013