Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil

Detalhes bibliográficos
Autor(a) principal: Jaldin, Rodrigo Gibin [UNESP]
Data de Publicação: 2014
Outros Autores: Sobreira, Marcone Lima [UNESP], Moura, Regina [UNESP], Bertanha, Matheus [UNESP], Mariaúba, Jamil Víctor de Oliveira [UNESP], Pimenta, Rafael Elias Farres [UNESP], Yoshida, Ricardo de Alvarenga [UNESP], Yoshida, Winston Bonetti [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/jvb.2014.036
http://hdl.handle.net/11449/136817
Resumo: Endovascular aortic aneurysm repair (EVAR) involving renal and visceral arteries remains a great challenge. Several techniques have been developed over the time to treat juxtarenal, pararenal and thoracoabdominal aneurysms, highlighting the fenestrated and branched endografts, parallel prostheses as Chimney, Periscope and Sandwich Techniques and the use of flow modulation by multilayer stent. We report a case of saccular juxtarenal aortic aneurysm with high surgical risk for complex airway access due to a history of radical laryngectomy for laryngeal neoplasm. Due to chronic aorto-iliac obstructive disease, ostial stenosis of renal artery and limited diameter of the suprarenal aorta, we discarded options involving fenestrated/branched endografts and involving parallel prostheses techniques. We present this case as a therapeutic challenge and a successful treatment option in the short-term evaluation.
id UNSP_15610f18574a0128065096b4fe6570ea
oai_identifier_str oai:repositorio.unesp.br:11449/136817
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in BrazilTratamento de aneurisma de aorta sacular justarrenal com Multilayer Flow Modulator: relato do primeiro caso realizado em Hospital Público no BrasilAortaAortic aneurysmEndovascular proceduresAortaAneurisma aórticoProcedimentos endovascularesEndovascular aortic aneurysm repair (EVAR) involving renal and visceral arteries remains a great challenge. Several techniques have been developed over the time to treat juxtarenal, pararenal and thoracoabdominal aneurysms, highlighting the fenestrated and branched endografts, parallel prostheses as Chimney, Periscope and Sandwich Techniques and the use of flow modulation by multilayer stent. We report a case of saccular juxtarenal aortic aneurysm with high surgical risk for complex airway access due to a history of radical laryngectomy for laryngeal neoplasm. Due to chronic aorto-iliac obstructive disease, ostial stenosis of renal artery and limited diameter of the suprarenal aorta, we discarded options involving fenestrated/branched endografts and involving parallel prostheses techniques. We present this case as a therapeutic challenge and a successful treatment option in the short-term evaluation.O tratamento endovascular de aneurismas de aorta abdominal (AAA), envolvendo a saída das artérias renais e viscerais, constitui ainda um importante desafio. Diversas técnicas foram desenvolvidas ao longo do tempo para contornar as dificuldades oferecidas por esta situação, destacando-se as endopróteses fenestradas ou ramificadas, as técnicas envolvendo próteses paralelas, como Chaminé, Periscópio e Sanduíche, e, mais recentemente, a utilização da modulação de fluxo por stent multicamadas Multilayer. Apresentamos um caso de AAA sacular complexo justarrenal e com alto risco cirúrgico pela avaliação cardiológica e por apresentar via aérea difícil, em decorrência de laringectomia total por antecedente de neoplasia de laringe. Devido à facilidade técnica do uso do Multilayer, à presença de doença obstrutiva crônica aorto-ilíaca, à estenose ostial renal e ao diâmetro limitado da aorta suprarrenal, descartaram-se as opções envolvendo endopróteses fenestradas/ramificadas ou técnicas envolvendo próteses paralelas, pela necessidade de diversos acessos para a execução. Diante do dilema imposto, apresentamos este caso como desafio terapêutico e com uma opção de tratamento bem sucedida, em curto prazo.Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Cirurgia e Ortopedia, Botucatu, SP, BrasilUniversidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Cirurgia e Ortopedia, Botucatu, SP, BrasilUniversidade Estadual Paulista (Unesp)Jaldin, Rodrigo Gibin [UNESP]Sobreira, Marcone Lima [UNESP]Moura, Regina [UNESP]Bertanha, Matheus [UNESP]Mariaúba, Jamil Víctor de Oliveira [UNESP]Pimenta, Rafael Elias Farres [UNESP]Yoshida, Ricardo de Alvarenga [UNESP]Yoshida, Winston Bonetti [UNESP]2016-04-01T18:42:43Z2016-04-01T18:42:43Z2014info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article235-243application/pdfapplication/pdfhttp://dx.doi.org/10.1590/jvb.2014.036Jornal Vascular Brasileiro, v. 13, n. 3, p. 235-243, 2014.1677-5449http://hdl.handle.net/11449/13681710.1590/jvb.2014.036S1677-54492014000300235S1677-54492014000300235-en.pdfS1677-54492014000300235-pt.pdf36138352316549303613835231654932361383523165493096093248325913824513014379461383Currículo Lattesreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Vascular Brasileiro0,136info:eu-repo/semantics/openAccess2024-08-14T14:19:18Zoai:repositorio.unesp.br:11449/136817Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:19:18Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
Tratamento de aneurisma de aorta sacular justarrenal com Multilayer Flow Modulator: relato do primeiro caso realizado em Hospital Público no Brasil
title Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
spellingShingle Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
Jaldin, Rodrigo Gibin [UNESP]
Aorta
Aortic aneurysm
Endovascular procedures
Aorta
Aneurisma aórtico
Procedimentos endovasculares
title_short Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
title_full Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
title_fullStr Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
title_full_unstemmed Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
title_sort Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
author Jaldin, Rodrigo Gibin [UNESP]
author_facet Jaldin, Rodrigo Gibin [UNESP]
Sobreira, Marcone Lima [UNESP]
Moura, Regina [UNESP]
Bertanha, Matheus [UNESP]
Mariaúba, Jamil Víctor de Oliveira [UNESP]
Pimenta, Rafael Elias Farres [UNESP]
Yoshida, Ricardo de Alvarenga [UNESP]
Yoshida, Winston Bonetti [UNESP]
author_role author
author2 Sobreira, Marcone Lima [UNESP]
Moura, Regina [UNESP]
Bertanha, Matheus [UNESP]
Mariaúba, Jamil Víctor de Oliveira [UNESP]
Pimenta, Rafael Elias Farres [UNESP]
Yoshida, Ricardo de Alvarenga [UNESP]
Yoshida, Winston Bonetti [UNESP]
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Jaldin, Rodrigo Gibin [UNESP]
Sobreira, Marcone Lima [UNESP]
Moura, Regina [UNESP]
Bertanha, Matheus [UNESP]
Mariaúba, Jamil Víctor de Oliveira [UNESP]
Pimenta, Rafael Elias Farres [UNESP]
Yoshida, Ricardo de Alvarenga [UNESP]
Yoshida, Winston Bonetti [UNESP]
dc.subject.por.fl_str_mv Aorta
Aortic aneurysm
Endovascular procedures
Aorta
Aneurisma aórtico
Procedimentos endovasculares
topic Aorta
Aortic aneurysm
Endovascular procedures
Aorta
Aneurisma aórtico
Procedimentos endovasculares
description Endovascular aortic aneurysm repair (EVAR) involving renal and visceral arteries remains a great challenge. Several techniques have been developed over the time to treat juxtarenal, pararenal and thoracoabdominal aneurysms, highlighting the fenestrated and branched endografts, parallel prostheses as Chimney, Periscope and Sandwich Techniques and the use of flow modulation by multilayer stent. We report a case of saccular juxtarenal aortic aneurysm with high surgical risk for complex airway access due to a history of radical laryngectomy for laryngeal neoplasm. Due to chronic aorto-iliac obstructive disease, ostial stenosis of renal artery and limited diameter of the suprarenal aorta, we discarded options involving fenestrated/branched endografts and involving parallel prostheses techniques. We present this case as a therapeutic challenge and a successful treatment option in the short-term evaluation.
publishDate 2014
dc.date.none.fl_str_mv 2014
2016-04-01T18:42:43Z
2016-04-01T18:42:43Z
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 http://dx.doi.org/10.1590/jvb.2014.036
Jornal Vascular Brasileiro, v. 13, n. 3, p. 235-243, 2014.
1677-5449
http://hdl.handle.net/11449/136817
10.1590/jvb.2014.036
S1677-54492014000300235
S1677-54492014000300235-en.pdf
S1677-54492014000300235-pt.pdf
3613835231654930
3613835231654932
3613835231654930
9609324832591382
4513014379461383
url http://dx.doi.org/10.1590/jvb.2014.036
http://hdl.handle.net/11449/136817
identifier_str_mv Jornal Vascular Brasileiro, v. 13, n. 3, p. 235-243, 2014.
1677-5449
10.1590/jvb.2014.036
S1677-54492014000300235
S1677-54492014000300235-en.pdf
S1677-54492014000300235-pt.pdf
3613835231654930
3613835231654932
9609324832591382
4513014379461383
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Jornal Vascular Brasileiro
0,136
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 235-243
application/pdf
application/pdf
dc.source.none.fl_str_mv Currículo Lattes
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128180913963008