title: Endovascular treatment of a symptomatic thoracoabdominal aortic aneurysm by chimney and periscope techniques for total visceral and renal artery revascularization.
abstract: Conventional endovascular therapy of thoracoabdominal aortic aneurysm with involving visceral and renal arteries is limited by the absence of a landing zone for the aortic endograft. Solutions have been proposed to overcome the problem of no landing zone; however, most of them are not feasible in urgent and high-risk patients. We describe a case that was successfully treated by total endovascular technique with a two-by-two chimney-and-periscope approach in a patient with acute symptomatic type IV thoracoabdominal aortic aneurysm with supra-anastomotic aneurysm formation involving the renal and visceral arteries and a pseduaneurismatic sac localized in the left ileopsoas muscle.
authors: Department of Diagnostic Sciences, San Carlo Borromeo Hospital, Via Pio II, 3, 20153, Milan, Italy, cariati.maurizio@sancarlo.mi.it.
authors: Maurizio
authors: M
authors: Cariati
authors: Pietro
authors: P
authors: Mingazzini
authors: Raffaello
authors: R
authors: Dallatana
authors: Umberto G
authors: UG
authors: Rossi
authors: Alberto
authors: A
authors: Settembrini
authors: Davide
authors: D
authors: Santuari
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D061330:Multidetector Computed Tomography; D015641:Radiography, Interventional; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014654:Vascular Patency; D014781:Viscera / Q000098:blood supply* / Q000000981:diagnostic imaging
chemical_list: D003287:Contrast Media