Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis

Surgical treatment of thoracoabdominal aneurysms is a big technical challenge with a high rate of complications and mortality. It requires a large exposure and transient interruption of vital organ perfusion during its repair. Endovascular repair is a less invasive alternative available over the las...

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Autores principales:	Mertens M,Renato, Valdés E,Francisco, Krämer Sch,Albrecht, Mariné M,Leopoldo, Bergoeing R,Michel, Sagües C,Rodrigo, Huete G,Alvaro, Vergara G,Jeannette, Valdebenito G,Magaly
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Aortic aneurysm Endovascular stent-grafting
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000200002
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spelling	oai:scielo:S0034-988720070002000022007-03-28Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesisMertens M,RenatoValdés E,FranciscoKrämer Sch,AlbrechtMariné M,LeopoldoBergoeing R,MichelSagües C,RodrigoHuete G,AlvaroVergara G,JeannetteValdebenito G,Magaly Aortic aneurysm Endovascular stent-grafting Surgical treatment of thoracoabdominal aneurysms is a big technical challenge with a high rate of complications and mortality. It requires a large exposure and transient interruption of vital organ perfusion during its repair. Endovascular repair is a less invasive alternative available over the last decade. We report four male patients aged 44 to 76 years, with thoracic aortic aneurysms and involvement of visceral aorta, treated with a two stage procedure. During the first stage, a retrograde revascularization of the superior mesenteric and renal arteries from the infrarenal aorta was done, associated in two cases to a concomitant repair of an infrarenal aortic aneurysm. In the second stage, an endovascular graft was placed through the femoral artery, from the segment proximal to the aneurysm to the infrarenal aorta, above the origin of the visceral artery reconstructions, excluding the aneurysm from circulation. In one patient, both stages were concomitant and in three the second stage was delayed. One patient presented a postoperative bleeding that required reintervention without adverse consequences. No patient died, presented paraplegia or deterioration of renal function. After follow up of 6 to 20 months, there is no evidence of aneurysm growth or complications derived from the procedureinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.2 20072007-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000200002es10.4067/S0034-98872007000200002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic aneurysm Endovascular stent-grafting
spellingShingle	Aortic aneurysm Endovascular stent-grafting Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Sagües C,Rodrigo Huete G,Alvaro Vergara G,Jeannette Valdebenito G,Magaly Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
description	Surgical treatment of thoracoabdominal aneurysms is a big technical challenge with a high rate of complications and mortality. It requires a large exposure and transient interruption of vital organ perfusion during its repair. Endovascular repair is a less invasive alternative available over the last decade. We report four male patients aged 44 to 76 years, with thoracic aortic aneurysms and involvement of visceral aorta, treated with a two stage procedure. During the first stage, a retrograde revascularization of the superior mesenteric and renal arteries from the infrarenal aorta was done, associated in two cases to a concomitant repair of an infrarenal aortic aneurysm. In the second stage, an endovascular graft was placed through the femoral artery, from the segment proximal to the aneurysm to the infrarenal aorta, above the origin of the visceral artery reconstructions, excluding the aneurysm from circulation. In one patient, both stages were concomitant and in three the second stage was delayed. One patient presented a postoperative bleeding that required reintervention without adverse consequences. No patient died, presented paraplegia or deterioration of renal function. After follow up of 6 to 20 months, there is no evidence of aneurysm growth or complications derived from the procedure
author	Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Sagües C,Rodrigo Huete G,Alvaro Vergara G,Jeannette Valdebenito G,Magaly
author_facet	Mertens M,Renato Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Sagües C,Rodrigo Huete G,Alvaro Vergara G,Jeannette Valdebenito G,Magaly
author_sort	Mertens M,Renato
title	Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
title_short	Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
title_full	Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
title_fullStr	Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
title_full_unstemmed	Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
title_sort	tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000200002
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Tratamiento "híbrido" del aneurisma tóraco-abdominal: revascularización visceral extraanatómica e inserción de endoprótesis

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