• Je něco špatně v tomto záznamu ?

Complex endoleak treatment after failed endovascular aortic repair

J. Raupach, J. Masek, S. Venugopal, O. Renc, M. Lesko, M. Radovan

. 2023 ; 6 (1) : 35. [pub] 20230705

Status neindexováno Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23015779

BACKGROUND: Endovascular aneurysm repair (EVAR) has created new possibilities for patients with abdominal aortic aneurysms (AAAs), and in recent years it has become tremendously popular. Use of EVAR in selected groups of patients allows mortality and morbidity to be reduced in comparison to open repair. However, complications such as endoleaks (ELs) can be of great concern and warrant urgent therapy to prevent sac rupture. CASE PRESENTATION: The case report presents urgent endovascular treatment of a high-risk type IA EL in a polymorbid 68-year-old patient 7 years after primary EVAR. The principle of treatment was parallel implantation of the proximal SG extension with the renal SG into the right renal artery (chimney technique). The subsequent type II collateral EL was treated by direct transabdominal AAA sac puncture and thrombin embolization. CONCLUSION: EL can be a cause for urgent intervention, but specific anatomic features often require specialized SG types which are not readily available. The chimney technique allows the use of immediately available stent grafts to address endoleak in the setting of impending abdominal aneurysm rupture.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc23015779
003      
CZ-PrNML
005      
20231020093623.0
007      
ta
008      
231010s2023 sz f 000 0|eng||
009      
AR
024    7_
$a 10.1186/s42155-023-00381-y $2 doi
035    __
$a (PubMed)37405522
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a sz
100    1_
$a Raupach, Jan $u Department of Radiology, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove, 50005, Czech Republic. jan.raupach@fnhk.cz $u Faculty of Medicine in Hradec Kralove, Radiology, Charles University, Hradec Kralove, Czech Republic. jan.raupach@fnhk.cz $1 https://orcid.org/0000000215292355 $7 xx0070763
245    10
$a Complex endoleak treatment after failed endovascular aortic repair / $c J. Raupach, J. Masek, S. Venugopal, O. Renc, M. Lesko, M. Radovan
520    9_
$a BACKGROUND: Endovascular aneurysm repair (EVAR) has created new possibilities for patients with abdominal aortic aneurysms (AAAs), and in recent years it has become tremendously popular. Use of EVAR in selected groups of patients allows mortality and morbidity to be reduced in comparison to open repair. However, complications such as endoleaks (ELs) can be of great concern and warrant urgent therapy to prevent sac rupture. CASE PRESENTATION: The case report presents urgent endovascular treatment of a high-risk type IA EL in a polymorbid 68-year-old patient 7 years after primary EVAR. The principle of treatment was parallel implantation of the proximal SG extension with the renal SG into the right renal artery (chimney technique). The subsequent type II collateral EL was treated by direct transabdominal AAA sac puncture and thrombin embolization. CONCLUSION: EL can be a cause for urgent intervention, but specific anatomic features often require specialized SG types which are not readily available. The chimney technique allows the use of immediately available stent grafts to address endoleak in the setting of impending abdominal aneurysm rupture.
590    __
$a NEINDEXOVÁNO
655    _2
$a časopisecké články $7 D016428
700    1_
$a Masek, Jan $u Department of Radiology, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove, 50005, Czech Republic
700    1_
$a Venugopal, Sindharta $u Department of Radiology, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove, 50005, Czech Republic
700    1_
$a Renc, Ondrej $u Department of Radiology, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove, 50005, Czech Republic $u Faculty of Medicine in Hradec Kralove, Radiology, Charles University, Hradec Kralove, Czech Republic
700    1_
$a Lesko, Michal $u Department of Surgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic $u Faculty of Medicine in Hradec Kralove, Surgery, Charles University, Hradec Kralove, Czech Republic
700    1_
$a Radovan, Maly $u The 1st Department of Internal Medicine - Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic $u Faculty of Medicine in Hradec Kralove, Internal Medicine, Charles University, Hradec Kralove, Czech Republic
773    0_
$w MED00203270 $t CVIR endovascular $x 2520-8934 $g Roč. 6, č. 1 (2023), s. 35
856    41
$u https://pubmed.ncbi.nlm.nih.gov/37405522 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20231010 $b ABA008
991    __
$a 20231020093616 $b ABA008
999    __
$a ok $b bmc $g 1997259 $s 1202141
BAS    __
$a 3
BAS    __
$a PreBMC-PubMed-not-MEDLINE
BMC    __
$a 2023 $b 6 $c 1 $d 35 $e 20230705 $i 2520-8934 $m CVIR endovascular $n CVIR Endovasc $x MED00203270
LZP    __
$a Pubmed-20231010

Najít záznam

Citační ukazatele

Možnosti archivace