Stent-graft treatment of thoracoabdominal aortic aneurysms after complete visceral debranching.
Complex thoracoabdominal aortic aneurysm repair remains a difficult problem from both open and endoluminal approaches. The reduced morbidity and mortality rates reported to be associated with aortic stent-graft procedures makes this option more attractive, but it is hampered by the need for adequate proximal and distal seal zones. While branched and fenestrated aortic stent-grafts are being refined, an alternative is a two-stage surgical and endoluminal approach that is particularly useful for aneurysms involving the aortic visceral segment. The present report describes stent-graft repair in two patients after complete visceral artery revascularization or "debranching."
Peterson
Brian G
BG
Division of Vascular Surgery, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Suite 10-105, 201 East Huron Street, Chicago, Illinois 60611, USA.
Pearce
William H
WH
Resnick
Scott A
SA
Eskandari
Mark K
MK
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006085:Graft Survival; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D015607:Stents; D013525:Surgical Instruments