title: Chimney and periscope technique for emergent treatment of spontaneous aortic rupture.
abstract: Aortic rupture comprises a potentially fatal condition necessitating emergent treatment. Endovascular sealing of the rupture site is often combined with the use of chimney- and periscope stent placement to preserve perfusion of aortic branches. We present a case of successful endovascular management of contained aortic rupture in a 78-year-old patient. The left brachial access facilitated stenting of the celiac and superior mesenteric arteries, whereas the left femoral route served stenting of the renal artery. One-month follow-up confirmed complete sealing, stent patency, and absence of endograft migration. The combined periscope and chimney technique is feasible and effective in the emergency setting.
authors: First Surgical Clinic, General Hospital "G. Papanikolaou" Exohi, Thessaloniki, Greece.
authors: George
authors: G
authors: Trellopoulos
authors: Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece. Electronic address: efstratiosgeorg@gmail.com.
authors: Efstratios
authors: E
authors: Georgakarakos
authors: First Surgical Clinic, General Hospital "G. Papanikolaou" Exohi, Thessaloniki, Greece.
authors: Dimitrios
authors: D
authors: Pelekas
authors: Laboratory of Interventional Radiology, General Hospital "G. Papanikolaou" Exohi, Thessaloniki, Greece.
authors: Athanasia
authors: A
authors: Papachristodoulou
authors: Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
authors: Christos
authors: C
authors: Argyriou
authors: Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
authors: George S
authors: GS
authors: Georgiadis
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000295:instrumentation*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012422:Rupture, Spontaneous; D015607:Stents; D014057:Tomography, X-Ray Computed