Single superior mesenteric artery periscope grafts to facilitate urgent endovascular repair of acute thoracoabdominal aortic pathology.
(2011) In Journal of Endovascular Therapy 18(5). p.656-660- Abstract
- Abstract Purpose: To assess the use of periscope grafts to the superior mesenteric artery (SMA) in extending the distal sealing zone of thoracic stent-grafts. Case Reports: Three patients with ruptured Crawford type I thoracoabdominal aortic aneurysms (TAAA) and 1 patient with a symptomatic type B dissection underwent endovascular repair; the celiac trunk was intraoperatively occluded in all patients. The thoracic stent-graft was extended to immediately above the most cranial renal artery, and the SMA was simultaneously stented from a femoral approach (periscope graft). All 4 periscope grafts were successfully implanted. One patient with rTAAA and intraoperative hemodynamic instability died in the perioperative period with a patent SMA.... (More)
- Abstract Purpose: To assess the use of periscope grafts to the superior mesenteric artery (SMA) in extending the distal sealing zone of thoracic stent-grafts. Case Reports: Three patients with ruptured Crawford type I thoracoabdominal aortic aneurysms (TAAA) and 1 patient with a symptomatic type B dissection underwent endovascular repair; the celiac trunk was intraoperatively occluded in all patients. The thoracic stent-graft was extended to immediately above the most cranial renal artery, and the SMA was simultaneously stented from a femoral approach (periscope graft). All 4 periscope grafts were successfully implanted. One patient with rTAAA and intraoperative hemodynamic instability died in the perioperative period with a patent SMA. The other 3 patients had patent SMA periscope grafts and were free from abdominal symptoms at 14, 12, and 7 months; follow-up CT scans showed excluded aneurysms in the 2 TAAAs. The patient with type B dissection became asymptomatic but had persistent retrograde perfusion and expansion of the false lumen. Conclusion: Periscope grafts are a viable option for urgent endovascular repair of acute Crawford type I TAAA. In type B dissections, however, they are at most a bridging solution until more definitive exclusion of the false lumen is achieved. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2200567
- author
- Dias, Nuno LU ; Resch, Tim LU ; Sonesson, Björn LU and Malina, Martin LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Endovascular Therapy
- volume
- 18
- issue
- 5
- pages
- 656 - 660
- publisher
- International Society of Endovascular Specialists
- external identifiers
-
- wos:000295964400006
- pmid:21992635
- scopus:80054683953
- pmid:21992635
- ISSN
- 1545-1550
- DOI
- 10.1583/11-3611.1
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Unit for Clinical Vascular Disease Research (013242410)
- id
- 8cfd3c83-a05f-4d1c-8e31-584c0b3f4917 (old id 2200567)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21992635?dopt=Abstract
- date added to LUP
- 2016-04-04 08:25:57
- date last changed
- 2022-01-29 03:26:48
@article{8cfd3c83-a05f-4d1c-8e31-584c0b3f4917, abstract = {{Abstract Purpose: To assess the use of periscope grafts to the superior mesenteric artery (SMA) in extending the distal sealing zone of thoracic stent-grafts. Case Reports: Three patients with ruptured Crawford type I thoracoabdominal aortic aneurysms (TAAA) and 1 patient with a symptomatic type B dissection underwent endovascular repair; the celiac trunk was intraoperatively occluded in all patients. The thoracic stent-graft was extended to immediately above the most cranial renal artery, and the SMA was simultaneously stented from a femoral approach (periscope graft). All 4 periscope grafts were successfully implanted. One patient with rTAAA and intraoperative hemodynamic instability died in the perioperative period with a patent SMA. The other 3 patients had patent SMA periscope grafts and were free from abdominal symptoms at 14, 12, and 7 months; follow-up CT scans showed excluded aneurysms in the 2 TAAAs. The patient with type B dissection became asymptomatic but had persistent retrograde perfusion and expansion of the false lumen. Conclusion: Periscope grafts are a viable option for urgent endovascular repair of acute Crawford type I TAAA. In type B dissections, however, they are at most a bridging solution until more definitive exclusion of the false lumen is achieved.}}, author = {{Dias, Nuno and Resch, Tim and Sonesson, Björn and Malina, Martin}}, issn = {{1545-1550}}, language = {{eng}}, number = {{5}}, pages = {{656--660}}, publisher = {{International Society of Endovascular Specialists}}, series = {{Journal of Endovascular Therapy}}, title = {{Single superior mesenteric artery periscope grafts to facilitate urgent endovascular repair of acute thoracoabdominal aortic pathology.}}, url = {{http://dx.doi.org/10.1583/11-3611.1}}, doi = {{10.1583/11-3611.1}}, volume = {{18}}, year = {{2011}}, }