Endovascular treatment of thoracic aortic aneurysms [Torasik aort anevrizmalarinda endovasküler tedavi]

The morbidity and mortality rates of conventional surgery for the extensive distal aortic lesions are relatively high. Stent-grafting has been widely used for the diseases of the distal thoracic and abdominal aorta. However, endoleaks, and visceral and spinal cord ischemia due to coverage of critical branches of the distal aorta are major concerns related to this technique. The outcome mostly depends on the proper placement of the proximal part of the graft. Anatomical features of the aneurysmal aorta are the main cause of complications of the stent-grafts

Endoleaks after endovascular aortic aneurysm repair: Definition and treatment [Endovasküler aortik anevrizma tamiri sonrasi görülen kaçaklar (endoleak): Tanim ve tedavi]

Endoleak is a common phenomenon after endovascular aneurysm repair for abdominal or descending thoracic aortic aneurysms. Some types of endoleaks are totally innocuous that they have the potential of spontaneous recovery and therefore do not require intervention. However, some endoleaks might cause aortic rupture. Type 1 and type 3 endoleaks are technical failures of endovascular treatment that should be treated immediately first by endovascular means. Type 2, 4 and 5 endoleaks can be monitored for aneurysm growth with appropriate imaging techniques. Five different type of previously defined endoleaks will be reviewed and their appropriate treatment methodologies will be discussed in this manuscript

Endovascular transcatheter occlusion for traumatic vertebral artery pseudoaneurysm

WOS: 000166488400013PubMed ID: 1113659

Chimney technique for solitary pelvic kidney

PubMed: 32888009The combination of solitary pelvic kidney and abdominal aortic aneurysm is extremely rare. In this report, we present chimney graft implantation in a patient with solitary pelvic kidney. A 63-year-old man had the diagnosis of infrarenal abdominal aortic aneurysm made incidentally. Preoperative computed tomography illustrated a fusiform abdominal aortic aneurysm accompanying a solitary ectopic kidney in the pelvis with aberrant renal artery. A bifurcated endograft was implanted, and a covered stent graft was placed into the renal artery by use of the chimney technique. Good patency of the chimney graft was documented with early postoperative and first month scans. To the best of our knowledge, this is the first report of the chimney technique used in a solitary pelvic kidney. © The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved