We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil.
- Authors
Jaldin, Rodrigo Gibin; Sobreira, Marcone Lima; Moura, Regina; Bertanha, Matheus; de Oliveira Mariaúba, Jamil Víctor; Pimenta, Rafael Elias Farres; de Alvarenga Yoshida, Ricardo; Yoshida, Winston Bonetti
- Abstract
Endovascular treatment of abdominal aortic aneurysms (AAA), involving the exits of the renal and visceral arteries still constitutes a considerable challenge. Many different techniques have been developed over the years in attempts to surmount the difficulties presented by these cases. Techniques that have gained prominence include fenestrated or branched stents, methods involving parallel prostheses, such as the chimney, periscope and sandwich techniques, and, more recently, flow modulation with Multilayer stents. We describe a case of a complex juxtarenal saccular AAA with a high surgical risk, both according to cardiological assessment and because the patient had a difficult airway caused by a total laryngectomy for early stage laryngeal neoplasm. In view of the technical simplicity of using Multilayer stents, the presence of chronic obstructive aortoiliac disease, ostial stenosis of the renal artery and a small diameter suprarenal aorta, options involving fenestrated/branched stents and techniques involving parallel prostheses were ruled out, because of the need for multiple accesses. In view of the dilemma it presented, we describe this case as a therapeutic challenge and present the treatment option employed, which has been successful over the short term.
- Subjects
TREATMENT of abdominal aneurysms; LARYNGECTOMY; PROSTHETICS; PERISCOPES; SURGICAL stents
- Publication
Jornal Vascular Brasileiro, 2014, Vol 13, Issue 3, p235
- ISSN
1677-5449
- Publication type
Article
- DOI
10.1590/jvb.2014.036