Endovascular stent-graft repair for thoracoabdominal aneurysm after reconstruction of the superior mesenteric and celiac arteries

Abstract

horacoabdominal aortic aneurysm (TAAA) is not considered on indication for endovascular stent-graft repair because of the need to revascularize the visceral vessels. This article details for the first time a case of TAAA repair in which an endovascular stent graft was placed after reconstruction of the visceral vessels.

Successful treatment of pseudoaneurysms of celiac and superior mesenteric arteries by combined endovascular and surgical approach

“…The combined endovascular and surgical approach is a surgical intervention that aims to achieve retrograde perfusion of visceral and renal vessels, in combination with obliteration of the orifices of visceral and renal arteries, using endovascular grafting. This method has been developed for the treatment of patients with aneurysms of the thoracoabdominal aorta who would be at high risk if the conventional surgical technique of graft replacement were to be used . We applied this method for the treatment of a proximal SMA pseudoaneurysm because there was no space to place a microcoil in the proximal part of the SMA and it was difficult to access the root of the SMA after surgery.…”

“…We applied this method for the treatment of a proximal SMA pseudoaneurysm because there was no space to place a microcoil in the proximal part of the SMA and it was difficult to access the root of the SMA after surgery. Although endograft repair is a minimally invasive treatment, the most common disadvantages are the risk of paraplegia and the need to reconstruct the obstructed vessels by aortic stent . The risk of paraplegia, which has been reported to range from 0 to 3% with endografting, may be lower than that with conventional replacement, because clamping of the aorta is not done, and collateral arterial perfusion of the anterior spinal artery is maintained ,.…”

“…This method has been developed for the treatment of patients with aneurysms of the thoracoabdominal aorta who would be at high risk if the conventional surgical technique of graft replacement were to be used. [12][13][14][15] We applied this method for the treatment of a proximal SMA pseudoaneurysm because there was no space to place a microcoil in the proximal part of the SMA and it was diffi cult to access the root of the SMA after surgery. Although endograft repair is a minimally invasive treatment, the most common disadvantages are the risk of paraplegia and the need to reconstruct the obstructed vessels by aortic stent.…”

Cardiovascular surgeon’s role in hybrid aortic surgery (part 2)

“…Описан редкий случай коррекции слож-ной аневризмы культи почечной артерии после нефрэкто-мии [13]. Также методика с успехом применяется при по-вторных вмешательствах [29,42,44,71,80], в том числе при прогрессировании аневризматической болезни [46,55], псевдоаневризмах анастомозов [49,55,62], аневриз-мах сосудистой площадки после операции по методике E. Crawford [21,55,66,77], включая аневризмы сосуди-стой площадки с межреберными артериями [34].…”

“…Описана также методика скелетизации и реверсии общей и наружной ПВА с последующим переключением в них ВВ, дополнен-ным аортобедренным протезированием синтетическим протезом [46].…”