Endovascular repair of a juxtarenal saccular aneurysm using the Multilayer Flow Modulator: report of the first case performed in a Public Hospital in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
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. |
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Repositório Institucional da UNESP |
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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 |