Total Endovascular Therapy of Abdominal Aortic Aneurysm, Peripheral Artery Disease, and Chronic Mesenteric Ischemia: A Challenging Case
Vascular Specialist International
;
: 237-240, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-786689
ABSTRACT
We presented a challenging case of a patient diagnosed with abdominal aortic aneurysm (AAA), peripheral artery disease, and chronic mesenteric ischemia (CMI). Herein, we describe the treatment in this high-risk patient diagnosed with CMI who also had critical limb ischemia and his AAA had rapidly expanded. First we performed angioplasty and celiac arterial stenting. Afterwards, we proceeded to perform balloon angioplasty of the iliac arteries and chimney endovascular aneurysm repair (Ch-EVAR) preserving the inferior mesenteric artery (IMA). The patient was discharged three days later and his IMA remained patent eighteen months post-operation. A thorough pre-operative assessment is essential in such challenging cases. Minimally invasive procedures like endovascular therapy and the chimney technique extend the prognoses in high-risk patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pronóstico
/
Stents
/
Arteria Mesentérica Inferior
/
Aneurisma de la Aorta Abdominal
/
Angioplastia
/
Angioplastia de Balón
/
Extremidades
/
Enfermedad Arterial Periférica
/
Isquemia Mesentérica
/
Arteria Ilíaca
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Vascular Specialist International
Año:
2019
Tipo del documento:
Artículo
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