Physician-modified aortic cuff to "stabilize" paravisceral aortic thrombus and minimize risk of distal embolization during pararenal aneurysm repair with fenestrated stent graft

被引:0
|
作者
Douglass, Brandon [1 ]
Tallarita, Tiziano [2 ]
Beckermann, Jason [3 ]
Nijhawan, Vinay [4 ]
Wildenberg, Joseph [4 ]
McBride, Jeremy [4 ]
Carmody, Thomas [2 ]
机构
[1] Mayo Clin, Surg Dept, Rochester, MN USA
[2] Mayo Hlth Syst, Cardiovasc Surg Dept, Eau Claire, WI USA
[3] Mayo Hlth Syst, Surg Dept, Eau Claire, WI USA
[4] Mayo Hlth Syst, Radiol Dept, Eau Claire, WI USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2022年 / 8卷 / 03期
关键词
Physician modified graft; Complex aneurysm; Paravisceral aortic thrombus; ENDOVASCULAR REPAIR;
D O I
10.1016/j.jvscit.2022.05.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:378 / 385
页数:8
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