title: Transcarotideal access for endovascular repair of descending thoracic aortic aneurysm with intentional coverage of celiac artery.
abstract: Endovascular treatment of thoracic and thoraco-abdominal aortic aneurysm with celiac artery ostium coverage, seems to be safe according to the literature. We present a case in which the endograft deployement was achieved through a right common carotid artery access because four years before the patient was submitted to an axillo-bifemoral bypass with aortic graft removal and aortic stump ligature for infection. After endovascular repair the patient suffered from spinal cord ischemia, acute pancreatitis and spleen infarction. Probably, the new pancreatic event has been triggered by temporary visceral ischemia, acting on a pancreas damaged by a previous acute hemorrhagic pancreatitis.
authors.affiliation: Department of Vascular Surgery, Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy. federico.faccenna@fastwebnet.it
authors.forename: F
authors.initials: F
authors.lastname: Faccenna
authors.forename: R
authors.initials: R
authors.lastname: Gattuso
authors.forename: A
authors.initials: A
authors.lastname: Alunno
authors.forename: M M G
authors.initials: MM
authors.lastname: Felli
authors.forename: A
authors.initials: A
authors.lastname: Castiglione
authors.forename: L
authors.initials: L
authors.lastname: Irace
authors.forename: P L
authors.initials: PL
authors.lastname: Antignani
authors.forename: B
authors.initials: B
authors.lastname: Gossetti
mesh_terms: D000208:Acute Disease; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D010195:Pancreatitis / Q000209:etiology; D020760:Spinal Cord Ischemia / Q000209:etiology; D013159:Splenic Infarction / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome