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Cardiovasc Intervent Radiol. 2014 Feb;37(1):251-6. doi: 10.1007/s00270-013-0622-2. Epub 2013 May 2.

Endovascular treatment of a symptomatic thoracoabdominal aortic aneurysm by chimney and periscope techniques for total visceral and renal artery revascularization.

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Department of Diagnostic Sciences, San Carlo Borromeo Hospital, Via Pio II, 3, 20153, Milan, Italy,


Conventional endovascular therapy of thoracoabdominal aortic aneurysm with involving visceral and renal arteries is limited by the absence of a landing zone for the aortic endograft. Solutions have been proposed to overcome the problem of no landing zone; however, most of them are not feasible in urgent and high-risk patients. We describe a case that was successfully treated by total endovascular technique with a two-by-two chimney-and-periscope approach in a patient with acute symptomatic type IV thoracoabdominal aortic aneurysm with supra-anastomotic aneurysm formation involving the renal and visceral arteries and a pseduaneurismatic sac localized in the left ileopsoas muscle.

[Indexed for MEDLINE]

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