title: Scallop technique of urgent endovascular repair for symptomatic throacoabdominal aortic aneurysm with a ready-made device.
abstract: A 72-year-old woman had a large thoracoabdominal aortic aneurysm (TAAA) with abdominal pain. This aneurysm involved the celiac artery and the superior mesenteric artery (SMA). The risk of open surgery was very high due to severe comorbidity, and there was no appropriate distal attachment for thoracic endovascular repair (TEVAR) with ready-made devices. Therefore, TEVAR with the scallop technique was performed in this urgent setting. A scallop was created in a Talent thoracic stent graft. The aneurysm was successfully excluded, and perfusion in the SMA was preserved using this scalloped endograft. The scallop technique with a ready-made device may be one of the treatment options for urgent TAAA.
authors: Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
authors: Masashi
authors: M
authors: Kawamura
authors: Toru
authors: T
authors: Kuratani
authors: Yukitoshi
authors: Y
authors: Shirakawa
authors: Kei
authors: K
authors: Torikai
authors: Kazuo
authors: K
authors: Shimamura
authors: Keiwa
authors: K
authors: Kin
authors: Yoshiki
authors: Y
authors: Sawa
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D002445:Celiac Artery / Q000000981:diagnostic imaging; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome