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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.

Author information

1
Department of Diagnostic Sciences, San Carlo Borromeo Hospital, Via Pio II, 3, 20153, Milan, Italy, cariati.maurizio@sancarlo.mi.it.

Abstract

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.

PMID:
23636248
DOI:
10.1007/s00270-013-0622-2
[Indexed for MEDLINE]

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