Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney.

Turk Gogus Kalp Damar Cerrahisi Derg

Department of Cardiovascular Surgery, Health Sciences University, Okmeydanı Training and Research Hospital, Istanbul, Turkey.

Published: June 2019

AI Article Synopsis

  • A 68-year-old male was referred for treatment of an abdominal aortic aneurysm, which was found to be located near a horseshoe kidney and an accessory renal artery.
  • Endovascular repair was successfully performed using the chimney technique, allowing the preservation of the accessory renal artery without complications.
  • Post-surgery scans showed that the aneurysm was fully excluded with no leaks, and the chimney graft remained open.

Article Abstract

A 68-year-old male patient was referred to our clinic for treatment of an infrarenal abdominal aortic aneurysm. Computed tomography angiography revealed a horseshoe kidney overlying the aneurysm. The patient had an accessory renal artery arising from the anterior aspect of the aneurysm. Endovascular aneurysm repair was performed and the accessory renal artery could be revascularized successfully by chimney technique without any morbidity. Postoperative computed tomography angiography revealed complete exclusion of the aneurysm with no endoleak and a patent chimney graft.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298381PMC
http://dx.doi.org/10.5606/tgkdc.dergisi.2020.18795DOI Listing

Publication Analysis

Top Keywords

chimney technique
8
abdominal aortic
8
aortic aneurysm
8
horseshoe kidney
8
computed tomography
8
tomography angiography
8
angiography revealed
8
accessory renal
8
renal artery
8
aneurysm
6

Similar Publications

Objective: Paravisceral aortic lesions present significant challenges for endovascular treatment. This retrospective analysis of consecutively treated patients from April 2017 to June 2021 aimed to analyse the outcome of primary intra-operative embolisation of aortic complicated pseudoaneurysms and gutter channels during parallel graft (PG) repair of paravisceral symptomatic aortic pseudoaneurysms.

Methods: Patients with symptomatic pseudoaneurysms of the paravisceral aorta treated with PGs using chimney or periscope configurations were included.

View Article and Find Full Text PDF

The Effect of Aneurysm Diameter on Perioperative Outcomes Following Complex Endovascular Repair.

J Vasc Surg

January 2025

Divisions of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address:

Objectives: Endovascular aneurysm repair (EVAR) for large infrarenal abdominal aortic aneurysms (AAA) has been associated with worse outcomes compared to EVAR for smaller AAAs. Whether these findings apply to complex AAAs (cAAA) remains uncertain.

Methods: We identified all intact complex EVAR (cEVAR) from 2012-2024 in the Vascular Quality Initiative.

View Article and Find Full Text PDF

Background: Thoracic aortic endovascular repair (TEVAR) is the most commonly employed method for treating type B aortic dissection (TBAD). One of the primary challenges in TEVAR is the reconstruction of the left subclavian artery (LSA). Various revascularization strategies have been utilized, including branch stent techniques, fenestration techniques, chimney techniques, and hybrid techniques.

View Article and Find Full Text PDF

: The parallel stent graft endovascular aortic repair (PGEVAR) technique is an off-the-shelf option used for elective complex abdominal aortic aneurysm repair with acceptable outcome results, as reported so far. The PGEVAR technique, using chimney or periscope parallel grafts, can also be used for patients with ruptured complex abdominal aortic aneurysms. However, only few data about the mid- to long-term outcomes are available.

View Article and Find Full Text PDF

Introduction And Objective: The aim of the study was to investigate the effect of bee venom on the activity of two analgesics: ketoprofen (a non-steroidal anti-inflammatory drug) and tramadol (an opioid drug) in the acute thermal pain model (hot-plate test) in mice.

Material And Methods: Linear regression analysis was used to evaluate the dose-response relationship between logarithms of drug doses and their resultant maximum possible anti-nociceptive effects in the mouse hot-plate test. Doses that increased the anti-nociceptive effect by 20% (ED values) for bee venom, ketoprofen and tramadol, and their combination were calculated from linear equations.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!