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Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks


Rancic, Z; Pfammatter, T; Lachat, M; Hechelhammer, L; Frauenfelder, T; Veith, F J; Criado, F J; Mayer, Dr (2010). Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks. Journal of Vascular Surgery, 51(5):1293-1296.

Abstract

Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal neck, no technique has been described that solves the problem of a short distal neck. We present the "periscope technique," which allows extension of the distal landing zone and complete endovascular treatment of ruptured thoracoabdominal aneurysms with short distal necks using devices already stocked in most centers performing EVAR procedures.

Abstract

Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal neck, no technique has been described that solves the problem of a short distal neck. We present the "periscope technique," which allows extension of the distal landing zone and complete endovascular treatment of ruptured thoracoabdominal aneurysms with short distal necks using devices already stocked in most centers performing EVAR procedures.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:May 2010
Deposited On:17 May 2010 10:20
Last Modified:05 Apr 2016 14:06
Publisher:Elsevier
ISSN:0741-5214
Publisher DOI:https://doi.org/10.1016/j.jvs.2009.11.076
PubMed ID:20299176

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