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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Main Authors: Jiang Xiong, MD, PhD, Zhongzhou Hu, MD, PhD, Hongpeng Zhang, MD, PhD, Huanming Xu, MSc, Duanduan Chen, PhD, Wei Guo, MD
Format: Article
Language:English
Published: Elsevier 2017-06-01
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.
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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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