Octopus Endograft Technique to Treat a Ruptured Thoracoabdominal Aortic Aneurysm. (April 2018)
- Record Type:
- Journal Article
- Title:
- Octopus Endograft Technique to Treat a Ruptured Thoracoabdominal Aortic Aneurysm. (April 2018)
- Main Title:
- Octopus Endograft Technique to Treat a Ruptured Thoracoabdominal Aortic Aneurysm
- Authors:
- Li, Zilun
Yin, Henghui
Wang, Mian
Wu, Ridong
Liu, Chenshu
Yao, Chen
Chang, Guangqi - Abstract:
- Purpose: To report the use of the octopus endograft technique to treat a patient with a ruptured thoracoabdominal aortic aneurysm (TAAA).Case Report: A 46-year-old man was diagnosed with a contained rupture of a 9-cm type V TAAA. The presence of an occluded superior mesenteric artery (SMA), a stenotic celiac trunk, an enlarged inferior mesenteric artery (IMA), and rich collaterals with the SMA and celiac trunk made endovascular repair with the octopus endograft technique appear feasible. Two stent-grafts were overlapped in the thoracic aorta with the short limb of the distal bifurcated stent-graft about 3 cm above the celiac trunk and the long limb at the level of the renal arteries. A limb graft was introduced into the long limb of the bifurcated stent-graft and deployed with the lower end just above the orifice of the IMA. The celiac trunk was embolized. Viabahn stent-grafts were deployed through the bifurcated stent-graft limbs to revascularize the renal arteries. Completion angiography suggested free flow in the renal arteries, though the gutters around the Viabahn stent-grafts generated a moderate endoleak that persisted at 4-month follow-up. The gutters were then sealed with coil embolization, which eliminated the endoleak and induced complete thrombosis in the aneurysm sac at the 6-month follow-up. One-year computed tomography revealed significant sac shrinkage.Conclusion: The octopus endograft technique may serve as a feasible, effective, and safe treatmentPurpose: To report the use of the octopus endograft technique to treat a patient with a ruptured thoracoabdominal aortic aneurysm (TAAA).Case Report: A 46-year-old man was diagnosed with a contained rupture of a 9-cm type V TAAA. The presence of an occluded superior mesenteric artery (SMA), a stenotic celiac trunk, an enlarged inferior mesenteric artery (IMA), and rich collaterals with the SMA and celiac trunk made endovascular repair with the octopus endograft technique appear feasible. Two stent-grafts were overlapped in the thoracic aorta with the short limb of the distal bifurcated stent-graft about 3 cm above the celiac trunk and the long limb at the level of the renal arteries. A limb graft was introduced into the long limb of the bifurcated stent-graft and deployed with the lower end just above the orifice of the IMA. The celiac trunk was embolized. Viabahn stent-grafts were deployed through the bifurcated stent-graft limbs to revascularize the renal arteries. Completion angiography suggested free flow in the renal arteries, though the gutters around the Viabahn stent-grafts generated a moderate endoleak that persisted at 4-month follow-up. The gutters were then sealed with coil embolization, which eliminated the endoleak and induced complete thrombosis in the aneurysm sac at the 6-month follow-up. One-year computed tomography revealed significant sac shrinkage.Conclusion: The octopus endograft technique may serve as a feasible, effective, and safe treatment alternative for highly selected patients with ruptured TAAA. … (more)
- Is Part Of:
- Journal of endovascular therapy. Volume 25:Number 2(2018:Apr.)
- Journal:
- Journal of endovascular therapy
- Issue:
- Volume 25:Number 2(2018:Apr.)
- Issue Display:
- Volume 25, Issue 2 (2018)
- Year:
- 2018
- Volume:
- 25
- Issue:
- 2
- Issue Sort Value:
- 2018-0025-0002-0000
- Page Start:
- 237
- Page End:
- 241
- Publication Date:
- 2018-04
- Subjects:
- contained rupture -- endograft -- endoleak -- endovascular repair -- octopus endograft technique -- ruptured aneurysm -- stent-graft -- thoracic stent-graft -- thoracoabdominal aortic aneurysm
Blood-vessels -- Endoscopic surgery -- Periodicals
Angioscopy -- Periodicals
Intravenous catheterization -- Periodicals
Peripheral vascular diseases -- Treatment -- Periodicals
Vascular Surgical Procedures -- Periodicals
Angioscopy -- Periodicals
Catheterization, Peripheral -- Periodicals
Peripheral Vascular Diseases -- therapy -- Periodicals
Angioscopie
Maladies vasculaires périphériques
617.413 - Journal URLs:
- http://jet.sagepub.com/ ↗
http://www.jevt.org ↗
http://www.uk.sagepub.com ↗ - DOI:
- 10.1177/1526602818761663 ↗
- Languages:
- English
- ISSNs:
- 1526-6028
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 8519.xml