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Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient

Standard

Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient. / Eleshra, Ahmed S; Panuccio, Giuseppe; Rohlffs, Fiona; Scheerbaum, Martin; Tsilimparis, Nikolaos; Kölbel, Tilo.

In: J ENDOVASC THER, Vol. 26, No. 5, 10.2019, p. 736-741.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Eleshra, AS, Panuccio, G, Rohlffs, F, Scheerbaum, M, Tsilimparis, N & Kölbel, T 2019, 'Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient', J ENDOVASC THER, vol. 26, no. 5, pp. 736-741. https://doi.org/10.1177/1526602819857601

APA

Eleshra, A. S., Panuccio, G., Rohlffs, F., Scheerbaum, M., Tsilimparis, N., & Kölbel, T. (2019). Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient. J ENDOVASC THER, 26(5), 736-741. https://doi.org/10.1177/1526602819857601

Vancouver

Eleshra AS, Panuccio G, Rohlffs F, Scheerbaum M, Tsilimparis N, Kölbel T. Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient. J ENDOVASC THER. 2019 Oct;26(5):736-741. https://doi.org/10.1177/1526602819857601

Bibtex

@article{fa315b452e19478a980fe2783e3c7db3,
title = "Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient",
abstract = "Purpose: To report a case of thoracoabdominal aortic aneurysm (TAAA) repair treated with a multibranched stent-graft including a prophylactic branch for a large intercostal artery in a Marfan patient at risk for spinal cord ischemia (SCI). Case Report: A 43-year-old man with Marfan syndrome presented with a type IV thoracoabdominal aortic aneurysm (TAAA) and history of multiple previous cardiac and aortic operations over the past 28 years. The maximum diameter of the aneurysm was 60 mm. The patient had 2 right renal arteries and 2 reimplanted segmental arteries (1 occluded). With the goal of preserving both right renal arteries and the large intercostal artery, a 6-branch, custom-made stent-graft was planned and manufactured. Bilateral femoral and right brachial artery access was used. The intercostal artery was catheterized and connected to the retrograde branch from a femoral access. Final angiography and predischarge computed tomography angiography (CTA) showed unimpeded flow to all 6 target vessels. The patient was discharged on postoperative day 10 without clinical signs of SCI. Six-month follow-up CTA demonstrated exclusion of the TAAA and patency of all 6 branches. Conclusion: Multibranched endovascular aortic repair with a branch to a large intercostal artery was technically feasible and clinically successful.",
keywords = "Adult, Aorta, Thoracic/diagnostic imaging, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Endovascular Procedures/instrumentation, Humans, Male, Marfan Syndrome/complications, Prosthesis Design, Stents, Treatment Outcome",
author = "Eleshra, {Ahmed S} and Giuseppe Panuccio and Fiona Rohlffs and Martin Scheerbaum and Nikolaos Tsilimparis and Tilo K{\"o}lbel",
year = "2019",
month = oct,
doi = "10.1177/1526602819857601",
language = "English",
volume = "26",
pages = "736--741",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "5",

}

RIS

TY - JOUR

T1 - Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient

AU - Eleshra, Ahmed S

AU - Panuccio, Giuseppe

AU - Rohlffs, Fiona

AU - Scheerbaum, Martin

AU - Tsilimparis, Nikolaos

AU - Kölbel, Tilo

PY - 2019/10

Y1 - 2019/10

N2 - Purpose: To report a case of thoracoabdominal aortic aneurysm (TAAA) repair treated with a multibranched stent-graft including a prophylactic branch for a large intercostal artery in a Marfan patient at risk for spinal cord ischemia (SCI). Case Report: A 43-year-old man with Marfan syndrome presented with a type IV thoracoabdominal aortic aneurysm (TAAA) and history of multiple previous cardiac and aortic operations over the past 28 years. The maximum diameter of the aneurysm was 60 mm. The patient had 2 right renal arteries and 2 reimplanted segmental arteries (1 occluded). With the goal of preserving both right renal arteries and the large intercostal artery, a 6-branch, custom-made stent-graft was planned and manufactured. Bilateral femoral and right brachial artery access was used. The intercostal artery was catheterized and connected to the retrograde branch from a femoral access. Final angiography and predischarge computed tomography angiography (CTA) showed unimpeded flow to all 6 target vessels. The patient was discharged on postoperative day 10 without clinical signs of SCI. Six-month follow-up CTA demonstrated exclusion of the TAAA and patency of all 6 branches. Conclusion: Multibranched endovascular aortic repair with a branch to a large intercostal artery was technically feasible and clinically successful.

AB - Purpose: To report a case of thoracoabdominal aortic aneurysm (TAAA) repair treated with a multibranched stent-graft including a prophylactic branch for a large intercostal artery in a Marfan patient at risk for spinal cord ischemia (SCI). Case Report: A 43-year-old man with Marfan syndrome presented with a type IV thoracoabdominal aortic aneurysm (TAAA) and history of multiple previous cardiac and aortic operations over the past 28 years. The maximum diameter of the aneurysm was 60 mm. The patient had 2 right renal arteries and 2 reimplanted segmental arteries (1 occluded). With the goal of preserving both right renal arteries and the large intercostal artery, a 6-branch, custom-made stent-graft was planned and manufactured. Bilateral femoral and right brachial artery access was used. The intercostal artery was catheterized and connected to the retrograde branch from a femoral access. Final angiography and predischarge computed tomography angiography (CTA) showed unimpeded flow to all 6 target vessels. The patient was discharged on postoperative day 10 without clinical signs of SCI. Six-month follow-up CTA demonstrated exclusion of the TAAA and patency of all 6 branches. Conclusion: Multibranched endovascular aortic repair with a branch to a large intercostal artery was technically feasible and clinically successful.

KW - Adult

KW - Aorta, Thoracic/diagnostic imaging

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/instrumentation

KW - Endovascular Procedures/instrumentation

KW - Humans

KW - Male

KW - Marfan Syndrome/complications

KW - Prosthesis Design

KW - Stents

KW - Treatment Outcome

U2 - 10.1177/1526602819857601

DO - 10.1177/1526602819857601

M3 - SCORING: Journal article

C2 - 31218926

VL - 26

SP - 736

EP - 741

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 5

ER -