title: Coil Embolization-Assisted Thoracic Endovascular Aortic Repair for Multiple Saccular Descending Aortic Aneurysms with Insufficient Landing Zone.
abstract: We report a coil embolization-assisted thoracic endovascular aortic repair technique successfully applied to multiple saccular descending aortic aneurysms in a 74-year-old man. Because of the most distal aneurysm being located at the celiac trunk level and the distance between the superior mesenteric artery and the aneurysm being only 10 mm, a coil embolization of the distal saccular aneurysm was performed before stent delivery to secure a sufficient landing zone. Postoperative computed tomography showed an appropriate positioning of the endovascular devices without endoleak. This coil embolization-assisted technique may extend the indication of the endovascular aortic repair when a saccular aneurysm has an insufficient landing zone.
authors.affiliation: Department of Cardiovascular Surgery, Hitachi General Hospital, Ibaraki, Japan. Electronic address: imai_akito_0919@yahoo.co.jp.
authors.forename: Akito
authors.initials: A
authors.lastname: Imai
authors.affiliation: Department of Cardiovascular Surgery, Hitachi General Hospital, Ibaraki, Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Nakajima
authors.affiliation: Department of Cardiovascular Surgery, Hitachi General Hospital, Ibaraki, Japan.
authors.forename: Masataka
authors.initials: M
authors.lastname: Sato
authors.affiliation: Department of Cardiovascular Surgery, Hitachi General Hospital, Ibaraki, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Watanabe
authors.affiliation: Department of Cardiovascular Surgery, Iwaki City Kyoritsu Hospital, Fukushima, Japan.
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.affiliation: Department of Cardiovascular Surgery, University of Tsukuba Hospital, Ibaraki, Japan.
authors.forename: Motoo
authors.initials: M
authors.lastname: Osaka
authors.affiliation: Department of Cardiovascular Surgery, University of Tsukuba Hospital, Ibaraki, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Hiramatsu
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D015607:Stents; D016896:Treatment Outcome