A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient
Abstract A 100-year-old male patient was admitted with a ruptured abdominal aortic aneurysm due to type IA endoleak. Given the proximity of the ruptured site to the superior mesenteric artery (SMA) and renal arteries, a ChEVAR was indicated. Catheterization of the target visceral vessels was a chall...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2023-11-01
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| Series: | Jornal Vascular Brasileiro |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492023000100506&lng=en&tlng=en |
| _version_ | 1797628754152914944 |
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| author | Francisco Leonardo Galastri Leonardo Guedes Moreira Valle Marcela Juliano Silva Cunha Bruno Pagnin Schmid Rodrigo Gobbo Garcia David Salomão Lewi Breno Boueri Affonso Felipe Nasser |
| author_facet | Francisco Leonardo Galastri Leonardo Guedes Moreira Valle Marcela Juliano Silva Cunha Bruno Pagnin Schmid Rodrigo Gobbo Garcia David Salomão Lewi Breno Boueri Affonso Felipe Nasser |
| author_sort | Francisco Leonardo Galastri |
| collection | DOAJ |
| description | Abstract A 100-year-old male patient was admitted with a ruptured abdominal aortic aneurysm due to type IA endoleak. Given the proximity of the ruptured site to the superior mesenteric artery (SMA) and renal arteries, a ChEVAR was indicated. Catheterization of the target visceral vessels was a challenging procedural step because of an intensely tortuous thoracic aorta. This hostile aortic anatomy also inhibited exchange for a super stiff guide-wire and selective cannulation with the diagnostic catheter was repeatedly lost when guidewire exchange was attempted. To overcome this issue, a 5 x 40 mm balloon catheter was placed 3cm into the target arteries. The balloon was then inflated below the nominal pressure limit enabling safe exchange for a super stiff guidewire and placement of three 90-cm long 7Fr guiding sheaths. The procedure was thus safely performed with deployment of an aortic extension and the bridging stents. |
| first_indexed | 2024-03-11T10:43:27Z |
| format | Article |
| id | doaj.art-01c9057f5ca74c27804e36199ef239d9 |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-03-11T10:43:27Z |
| publishDate | 2023-11-01 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-01c9057f5ca74c27804e36199ef239d92023-11-14T07:48:22ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012023-11-012210.1590/1677-5449.202300182A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patientFrancisco Leonardo Galastrihttps://orcid.org/0000-0001-9599-3778Leonardo Guedes Moreira Vallehttps://orcid.org/0000-0001-6255-340XMarcela Juliano Silva Cunhahttps://orcid.org/0000-0002-0886-8184Bruno Pagnin Schmidhttps://orcid.org/0000-0002-2297-504XRodrigo Gobbo Garciahttps://orcid.org/0000-0002-1968-9595David Salomão LewiBreno Boueri Affonsohttps://orcid.org/0000-0002-2940-9016Felipe Nasserhttps://orcid.org/0000-0002-3259-7142Abstract A 100-year-old male patient was admitted with a ruptured abdominal aortic aneurysm due to type IA endoleak. Given the proximity of the ruptured site to the superior mesenteric artery (SMA) and renal arteries, a ChEVAR was indicated. Catheterization of the target visceral vessels was a challenging procedural step because of an intensely tortuous thoracic aorta. This hostile aortic anatomy also inhibited exchange for a super stiff guide-wire and selective cannulation with the diagnostic catheter was repeatedly lost when guidewire exchange was attempted. To overcome this issue, a 5 x 40 mm balloon catheter was placed 3cm into the target arteries. The balloon was then inflated below the nominal pressure limit enabling safe exchange for a super stiff guidewire and placement of three 90-cm long 7Fr guiding sheaths. The procedure was thus safely performed with deployment of an aortic extension and the bridging stents.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492023000100506&lng=en&tlng=enendoleakabdominal aortic aneurysmendovascular procedureaneurysm, rupturedaged, 80 and overcase report |
| spellingShingle | Francisco Leonardo Galastri Leonardo Guedes Moreira Valle Marcela Juliano Silva Cunha Bruno Pagnin Schmid Rodrigo Gobbo Garcia David Salomão Lewi Breno Boueri Affonso Felipe Nasser A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient Jornal Vascular Brasileiro endoleak abdominal aortic aneurysm endovascular procedure aneurysm, ruptured aged, 80 and over case report |
| title | A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| title_full | A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| title_fullStr | A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| title_full_unstemmed | A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| title_short | A novel balloon-assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| title_sort | novel balloon assisted technique to secure visceral catheterization during a chimney endovascular repair of a ruptured abdominal aortic aneurysm in a centenarian patient |
| topic | endoleak abdominal aortic aneurysm endovascular procedure aneurysm, ruptured aged, 80 and over case report |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492023000100506&lng=en&tlng=en |
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