title: Treatment of a Juxtarenal Aneurysm with a Parallel Graft in the Left Renal Artery and Polymer-Based Technology to Seal the Entire Aneurysmal Sac.
abstract: BACKGROUND
  Presenting the treatment of a juxtarenal aneurysm using a Nellix device combined with a chimney stent in a renal artery.
  
  
  METHODS
  A 72-year-old woman was diagnosed with a 5.5-cm bilobed juxtarenal aneurysm. She underwent successful aneurysm repair with the Nellix system combined with a chimney stent in the left renal artery. Angio computed tomography control showed complete sealing of the aneurysm sac and patent chimney stent.
  
  
  CONCLUSIONS
  Endovascular aneurysm sealing combined with chimney may be a valid way to treat juxtarenal aneurysms, and the conformable polymer-filled endobags may provide a durable seal around the chimney-graft preventing gutter formation.
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy. Electronic address: albanmalaj@hotmail.com.
authors: Alban
authors: A
authors: Malaj
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Ombretta
authors: O
authors: Martinelli
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Mauro
authors: M
authors: Fresilli
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Veronica
authors: V
authors: Picone
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Alessandra
authors: A
authors: Giglio
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Cristina
authors: C
authors: Belli
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Jamila
authors: J
authors: Ben Hamida
authors: Department of Vascular Surgery, Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
authors: Bruno
authors: B
authors: Gossetti
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D011108:Polymers; D012077:Renal Artery; D015607:Stents
chemical_list: D011108:Polymers