Emergent Treatment of a Ruptured Thoracoabdominal Aortic Aneurysm by Off-Label Rescue Implantation of the Ovation Stent Graft in Nonagenarian Patients

被引：0
作者：
Pranteda, Chiara [1 ]
Sirignano, Pasqualino [1 ]
Fornelli, Federica [1 ]
Mansour, Wassim [1 ]
Montelione, Nunzio [1 ]
Capoccia, Laura [1 ]
Speziale, Francesco [1 ]
机构：
[1] Sapienza Univ Rome, Policlin Umberto 1, Dept Surg Paride Stefanini, Vasc & Endovasc Surg Div, Viale Policlin 155, I-00161 Rome, Italy
来源：
ANNALS OF VASCULAR SURGERY | 2017年 / 40卷
关键词：
RANDOMIZED-CONTROLLED-TRIAL; ENDOVASCULAR REPAIR; AORTOILIAC ANEURYSMS; EXPERIENCE; EVAR;
D O I：
10.1016/j.avsg.2016.07.102
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We report a case of a compassionate treatment of a ruptured thoracoabdominal aortic aneurysm in a 92-year-old patient. The patient was admitted to our emergency department for acute onset of pain irradiating to the back. Computed tomography angiography showed the presence of a thoracoabdominal aortic aneurysm with a contained rupture at infrarenal level. Given the presence of a relative healthy visceral aorta, we decided to treat the patient by Ovation (Endologix, Irvine, CA) implantation in an off-label fashion. Procedure was performed by bilateral percutaneous access. Completion angiography showed the good stent-graft apposition with complete aneurysm exclusion. The patient was discharged on the third postoperative day. The 1-month follow-up confirmed the good procedural result; aneurysm was completely excluded without further thoracic dilatation.
引用
收藏
页码：296.e15 / 296.e19
页数：5
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