title: Chimney stent technique for treatment of severe abdominal aortic atherosclerotic stenosis.
abstract: Application of the "chimney" stent technique is described in a case of complex multilevel atherosclerotic disease involving the juxtarenal aorta. A patient with significant comorbidities was unsuitable for major open reconstructive surgery. He was treated with a combined procedure consisting of chimney stent placement in the juxtarenal aorta, iliac "kissing" stent placement, and right-sided common femoral artery (CFA) replacement. This case shows that the chimney stent technique can be a feasible alternative to leaving a safety wire in the renal arteries and observation during primary angioplasty in complex atherosclerotic lesions of the abdominal aorta.
authors.affiliation: Department of Vascular Surgery, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK. jc.ritter@web.de
authors.forename: Jens C
authors.initials: JC
authors.lastname: Ritter
authors.forename: Jonathan
authors.initials: J
authors.lastname: Ghosh
authors.forename: John S
authors.initials: JS
authors.lastname: Butterfield
authors.forename: Charles N
authors.initials: CN
authors.lastname: McCollum
authors.forename: Raymond
authors.initials: R
authors.lastname: Ashleigh
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D001018:Aortic Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D001027:Aortography; D050197:Atherosclerosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D003251:Constriction, Pathologic; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency; D014656:Vascular Surgical Procedures