title: Safety maneuvers to prevent embolism complicating endovascular aortic repair.
abstract: The endoluminal approach of the diffusely atheromatous aorta (DAA) is an emerging tool to prevent further embolization. We treated one symptomatic patient with DAA. We designed a catheter with a balloon at the tip for occlusion of both common iliac arteries through which the antegrade flow was allowed by an iliac to femoral arterio-arterial shunt connected to an in-line filter. Filter wires were also placed in the superior mesenteric and both renal arteries' take-off, keeping their antegrade flow. The endograft was then introduced through these tubes. Endoluminal treatment of the primary source of atheromatous embolization is feasible, representing a new approach to be considered.
authors.affiliation: Vascular Surgery Department, Instituto Cardiovascular de Buenos Aires, Argentina. jparodi@dynamo.com.ar
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Parodi
authors.forename: Ricardo La
authors.initials: RL
authors.lastname: Mura
authors.forename: Luis Mariano
authors.initials: LM
authors.lastname: Ferreira
mesh_terms: D001011:Aorta / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation*; D017700:Embolism, Cholesterol / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged