Hybrid rescue technique after failure of a standard multibranched stent graft

Gian Franco Veraldi; Luca Mezzetto; Lorenzo Scorsone; Stefano Gennai; Marco Macrì; Roberto Silingardi

doi:10.1016/j.jvscit.2019.03.021

Hybrid rescue technique after failure of a standard multibranched stent graft

J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):338-342. doi: 10.1016/j.jvscit.2019.03.021. eCollection 2019 Sep.

Authors

Gian Franco Veraldi¹, Luca Mezzetto¹, Lorenzo Scorsone¹, Stefano Gennai², Marco Macrì¹, Roberto Silingardi²

Affiliations

¹ Department of Vascular Surgery, University Hospital of Verona, Verona, Italy.
² Department of Vascular Surgery, Nuovo Ospedale S. Agostino Estense, University of Modena and Reggio Emilia, Modena, Italy.

Abstract

A 78-year-old woman presented with type IIIC and IIID endoleaks after endovascular treatment for a thoracoabdominal aortic aneurysm. Mating between the ruptured segments of superior mesenteric artery stent graft was performed. After failed attempts at relining the right renal artery stent graft, a hybrid approach was used to connect the side branch to the target vessel: a stent graft was deployed into the side branch of the main graft and it was temporarily occluded with a balloon. After opening the sac, a stent graft was deployed into the right renal artery and the two stent grafts were connected with a running suture. Follow-up examination performed 1 month postoperatively by computed tomography imaging confirmed the effectiveness of this treatment.

Keywords: BEVAR; Hybrid technique; Multibranched graft; Thoracoabdominal.

Publication types

Case Reports