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Endovascular treatment of thoracic aortic pseudoaneurysm through a subclavian approach in patient with aortoiliac occlusive disease: a case report

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dc.contributor.author Paredes-Mariñas, Ezequiel
dc.contributor.author Llort-Pont, Carme
dc.contributor.author Castro-Bolance, Francisca
dc.contributor.author Riambau-Alonso, Vicente
dc.date.accessioned 2019-04-05T08:39:37Z
dc.date.available 2019-04-05T08:39:37Z
dc.date.issued 2018
dc.identifier.citation Paredes-Mariñas E, Llort-Pont C, Castro-Bolance F, Riambau-Alonso V. Endovascular treatment of thoracic aortic pseudoaneurysm through a subclavian approach in patient with aortoiliac occlusive disease: a case report. EJVES Short Rep. 2018 Jun 5;39:47-49. DOI: 10.1016/j.ejvssr.2018.05.002
dc.identifier.issn 2405-6553
dc.identifier.uri http://hdl.handle.net/10230/37045
dc.description.abstract INTRODUCTION: Thoracic endovascular aortic repair (TEVAR) has become the preferred option for treatment of thoracic aortic pathology, but lack of vascular access options is a common contraindication to TEVAR. CASE REPORT: The authors report a case of a 67 year old male patient with multiple revascularisation procedures: bilateral axillofemoral bypass and thoracic aortofemoral bypass, both occluded. An anastomotic pseudoaneurysm of the thoracic aorta developed and detected on computed tomography angiography (CTA). A femoral artery approach could not be performed because of complete occlusion of both iliac arteries. A left subclavian artery approach was performed and through a Dacron prosthetic graft extension anastomosed to the proximal segment of the occluded axillofemoral bypass a distal component of a Zenith Alpha endograft (Cook®) was successfully deployed upside down. There was a good seal without endoleaks and no complications. CONCLUSION: In patients with aortic bypass systematic follow up is important to detect anastomotic pseudoaneurysm and prevent its related complications. TEVAR may be offered for the treatment of thoracic aortic aneurysm pathology even in patients with a lack of vascular access. In the absence of a standard iliofemoral approach, use of an alternative subclavian approach may be considered. The reduction of the carrier system profiles allows performance of TEVAR with safety and efficiency.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.rights Copyright © 2018 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.other Sistema cardiovascular -- Malalties
dc.title Endovascular treatment of thoracic aortic pseudoaneurysm through a subclavian approach in patient with aortoiliac occlusive disease: a case report
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.ejvssr.2018.05.002
dc.subject.keyword Aorta
dc.subject.keyword Access
dc.subject.keyword Pseudoaneurysm
dc.subject.keyword TEVAR
dc.subject.keyword Thoracic
dc.subject.keyword Vascular
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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