Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm
Surgeon-modified retrograde branched extension limb assembling technique and bridged endografts were successfully used to exclude an asymptomatic pararenal abdominal aortic aneurysm and to reconstruct the superior mesenteric artery and bilateral renal arteries in a case with high-grade celiac artery...
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Format: | Article |
Language: | English |
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Elsevier
2017-06-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428717300126 |
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author | Jiang Xiong, MD, PhD Zhongzhou Hu, MD, PhD Hongpeng Zhang, MD, PhD Huanming Xu, MSc Duanduan Chen, PhD Wei Guo, MD |
author_facet | Jiang Xiong, MD, PhD Zhongzhou Hu, MD, PhD Hongpeng Zhang, MD, PhD Huanming Xu, MSc Duanduan Chen, PhD Wei Guo, MD |
author_sort | Jiang Xiong, MD, PhD |
collection | DOAJ |
description | Surgeon-modified retrograde branched extension limb assembling technique and bridged endografts were successfully used to exclude an asymptomatic pararenal abdominal aortic aneurysm and to reconstruct the superior mesenteric artery and bilateral renal arteries in a case with high-grade celiac artery stenosis, nondilated aorta above the superior mesenteric artery, and large lumen below the renal arteries. In patient-specific models for hemodynamics analysis, enhanced flow diversion to visceral arteries up to 6-month follow-up confirmed treatment feasibility; however, endograft configurations could be improved to avoid sharp corners at bifurcations, thereby ensuring smooth flow transport and possibly reducing risk for endograft narrowing or the development of thrombosis. |
first_indexed | 2024-12-22T12:20:02Z |
format | Article |
id | doaj.art-432160dc1db74ef9bdd727fbf5ce8a08 |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-22T12:20:02Z |
publishDate | 2017-06-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-432160dc1db74ef9bdd727fbf5ce8a082022-12-21T18:26:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872017-06-0132909410.1016/j.jvscit.2017.02.005Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysmJiang Xiong, MD, PhD0Zhongzhou Hu, MD, PhD1Hongpeng Zhang, MD, PhD2Huanming Xu, MSc3Duanduan Chen, PhD4Wei Guo, MD5Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, ChinaDepartment of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, ChinaDepartment of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, ChinaSchool of Life Science, Beijing Institute of Technology, Beijing, ChinaSchool of Life Science, Beijing Institute of Technology, Beijing, ChinaDepartment of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, ChinaSurgeon-modified retrograde branched extension limb assembling technique and bridged endografts were successfully used to exclude an asymptomatic pararenal abdominal aortic aneurysm and to reconstruct the superior mesenteric artery and bilateral renal arteries in a case with high-grade celiac artery stenosis, nondilated aorta above the superior mesenteric artery, and large lumen below the renal arteries. In patient-specific models for hemodynamics analysis, enhanced flow diversion to visceral arteries up to 6-month follow-up confirmed treatment feasibility; however, endograft configurations could be improved to avoid sharp corners at bifurcations, thereby ensuring smooth flow transport and possibly reducing risk for endograft narrowing or the development of thrombosis.http://www.sciencedirect.com/science/article/pii/S2468428717300126 |
spellingShingle | Jiang Xiong, MD, PhD Zhongzhou Hu, MD, PhD Hongpeng Zhang, MD, PhD Huanming Xu, MSc Duanduan Chen, PhD Wei Guo, MD Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm Journal of Vascular Surgery Cases and Innovative Techniques |
title | Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
title_full | Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
title_fullStr | Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
title_full_unstemmed | Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
title_short | Successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
title_sort | successful use of retrograde branched extension limb assembling technique in endovascular repair of pararenal abdominal aortic aneurysm |
url | http://www.sciencedirect.com/science/article/pii/S2468428717300126 |
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