ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.58 |
Resumo: | Endovascular treatment of juxtarenal aortic aneurysms is a complex challenge to the vascular surgeon. We present a case of an 83 year old man with a large juxtarenal aneurysm treated with an endovascular approach with chimneys to the left renal artery and superior mesenteric artery. Fenestrated aortic endovascular repair has been considered the preferred endovascular approach in juxtarenal aneurysms, however when the risk of rupture is considered high to wait for a manufactured device and/or when the anatomy is not suitable for a fenestrated repair, chimney endovascular repair is a viable and promptly available option. This case report is an example of the applicability of this treatment with a positive short-term outcome as shown here. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUETRATAMENTO ENDOVASCULAR DE UM ANEURISMA JUSTA-RENAL COM A TÉCNICA “CHIMNEY”Ch-EVARendoprótese Chimneyendoprótese SnorkelAneurisma juxta-renalReparação endovascular complexaCaso clínicoCh-EVARChimney graftsSnorkel graftsEVARJuxtarenal aortic aneurysmcomplex endovascular repairCase ReportEndovascular treatment of juxtarenal aortic aneurysms is a complex challenge to the vascular surgeon. We present a case of an 83 year old man with a large juxtarenal aneurysm treated with an endovascular approach with chimneys to the left renal artery and superior mesenteric artery. Fenestrated aortic endovascular repair has been considered the preferred endovascular approach in juxtarenal aneurysms, however when the risk of rupture is considered high to wait for a manufactured device and/or when the anatomy is not suitable for a fenestrated repair, chimney endovascular repair is a viable and promptly available option. This case report is an example of the applicability of this treatment with a positive short-term outcome as shown here.O tratamento endovascular dos aneurismas justa-renais é um desafio complexo para o cirurgião vascular. Os autores apresentam um caso de um doente de 83 anos com um aneurisma juxta-renal de grandes dimensões tratado com uma abordagem endovascular aórtica com recurso a “chimneys” para a artéria renal esquerda e artéria mesentérica superior. Nos aneurismas juxtarenais o recurso a endopróteses fenestradas tem sido reconhecida como a opção endovascular preferível, no entanto, em casos em que o risco de rotura é considerado elevado para aguardar pela produção de um dispositivo e/ou a anatomia é desfavorável o recurso ao tratamento endovascular com “chimneys” é uma opção viável e prontamente disponível. O caso apresentado é um exemplo da aplicabilidade deste tratamento, com resultado positivo conforme demostrado.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2017-06-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.58oai:ojs.acvjournal.com:article/58Angiologia e Cirurgia Vascular; Vol. 13 No. 1 (2017): March; 40-44Angiologia e Cirurgia Vascular; Vol. 13 N.º 1 (2017): Março; 40-442183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/58https://doi.org/10.48750/acv.58http://acvjournal.com/index.php/acv/article/view/58/40Copyright (c) 2017 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessGouveia e Melo, RyanFernandes e Fernandes, RuyM. Pedro, LuísSilvestre, LuísQueiroz e Sousa, GonçaloGarrido, PedroFernandes e Fernandes, J.2022-05-23T15:10:00Zoai:ojs.acvjournal.com:article/58Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:28.290857Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE TRATAMENTO ENDOVASCULAR DE UM ANEURISMA JUSTA-RENAL COM A TÉCNICA “CHIMNEY” |
title |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
spellingShingle |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE Gouveia e Melo, Ryan Ch-EVAR endoprótese Chimney endoprótese Snorkel Aneurisma juxta-renal Reparação endovascular complexa Caso clínico Ch-EVAR Chimney grafts Snorkel grafts EVAR Juxtarenal aortic aneurysm complex endovascular repair Case Report |
title_short |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
title_full |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
title_fullStr |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
title_full_unstemmed |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
title_sort |
ENDOVASCULAR TREATMENT OF A JUXTARENAL AORTIC ANEURYSM WITH THE CHIMNEY TECHNIQUE |
author |
Gouveia e Melo, Ryan |
author_facet |
Gouveia e Melo, Ryan Fernandes e Fernandes, Ruy M. Pedro, Luís Silvestre, Luís Queiroz e Sousa, Gonçalo Garrido, Pedro Fernandes e Fernandes, J. |
author_role |
author |
author2 |
Fernandes e Fernandes, Ruy M. Pedro, Luís Silvestre, Luís Queiroz e Sousa, Gonçalo Garrido, Pedro Fernandes e Fernandes, J. |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Gouveia e Melo, Ryan Fernandes e Fernandes, Ruy M. Pedro, Luís Silvestre, Luís Queiroz e Sousa, Gonçalo Garrido, Pedro Fernandes e Fernandes, J. |
dc.subject.por.fl_str_mv |
Ch-EVAR endoprótese Chimney endoprótese Snorkel Aneurisma juxta-renal Reparação endovascular complexa Caso clínico Ch-EVAR Chimney grafts Snorkel grafts EVAR Juxtarenal aortic aneurysm complex endovascular repair Case Report |
topic |
Ch-EVAR endoprótese Chimney endoprótese Snorkel Aneurisma juxta-renal Reparação endovascular complexa Caso clínico Ch-EVAR Chimney grafts Snorkel grafts EVAR Juxtarenal aortic aneurysm complex endovascular repair Case Report |
description |
Endovascular treatment of juxtarenal aortic aneurysms is a complex challenge to the vascular surgeon. We present a case of an 83 year old man with a large juxtarenal aneurysm treated with an endovascular approach with chimneys to the left renal artery and superior mesenteric artery. Fenestrated aortic endovascular repair has been considered the preferred endovascular approach in juxtarenal aneurysms, however when the risk of rupture is considered high to wait for a manufactured device and/or when the anatomy is not suitable for a fenestrated repair, chimney endovascular repair is a viable and promptly available option. This case report is an example of the applicability of this treatment with a positive short-term outcome as shown here. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-03T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.58 oai:ojs.acvjournal.com:article/58 |
url |
https://doi.org/10.48750/acv.58 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/58 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/58 https://doi.org/10.48750/acv.58 http://acvjournal.com/index.php/acv/article/view/58/40 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 13 No. 1 (2017): March; 40-44 Angiologia e Cirurgia Vascular; Vol. 13 N.º 1 (2017): Março; 40-44 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799129848651710464 |