Successful endovascular repair of juxtarenal and suprarenal aortic aneurysms with a branched stent graft

Journal of Vascular Surgery
H HosokawaK Inoue

Abstract

This case report describes a new technique for repairing pararenal aortic aneurysms with a transluminally placed triple-branched stent graft with sidearms extending into the superior mesenteric artery and renal arteries. Endovascular repair with the branched stent graft was attempted in two patients with a pararenal aortic Aneurysm. Stent grafting was technically successful in both patients. Although postoperative transient renal function impairment and paralytic ileus occurred in patient 2, these complications were gradually resolved in the perioperative period. A substantial shrinkage of the aneurysm was revealed by means of computed tomographic measurements in patient 1. In both patients, complete exclusion of the aneurysm and patency of the bilateral renal arteries and the superior mesenteric artery were confirmed by means of follow-up computed tomographic images at 2 years. This minimally invasive approach for pararenal aortic aneurysms appears to be a viable therapeutic option for patients who are at high risk for open surgery.

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Citations

Jan 30, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Oct 26, 2005·Journal of Vascular Surgery·John L AndersonDavid E Hartley
Feb 14, 2006·Journal of Vascular Surgery·Timothy A M Chuter
Aug 16, 2005·Techniques in Vascular and Interventional Radiology·Timothy A M Chuter
Jan 8, 2011·Journal of Vascular Surgery·Kevin J BruenW Anthony Lee
Apr 28, 2004·Journal of Vascular Surgery·Enrique Criado, Antonios Gasparis
Jul 5, 2003·Journal of Vascular Surgery·Peter H LinAlan B Lumsden
Apr 23, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M ImaiK Inoue
Oct 15, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Y TshombaR Chiesa
Dec 13, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Zhonghua SunMichael M D Lawrence-Brown
Apr 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A W F VosJ A Rauwerda
May 17, 2006·Vascular and Endovascular Surgery·Mireille A MoiseJeffrey P Carpenter
Dec 21, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Matteus A M LinsenWillem Wisselink
Jun 18, 2021·Vascular Specialist International·William J YoonCheong Jun Lee

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