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Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment
Joint Authors
Giribono, Anna Maria
Vitale, Gaetano
Narese, Donatella
Santini, Gianpaolo
del Guercio, Luca
Bracale, Umberto Marcello
Source
Case Reports in Vascular Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The purpose of this paper is to report a salvage maneuver for accidental coverage of both renal arteries during endovascular aneurysm repair (EVAR) of an infrarenal abdominal aortic aneurysm (AAA).
A 72-year-old female with a 6 cm infrarenal abdominal aortic aneurysm was treated by endovascular means with a standard bifurcated graft.
Upon completing an angiogram, both renal arteries were found to be accidentally occluded.
Through a left percutaneous brachial approach, the right renal artery was catheterized and a chimney stent was deployed; however this was not possible for the left renal artery.
A retroperitoneal surgical approach was therefore carried out with a retrograde chimney stent implanted to restore blood flow.
After three months, both renal arteries were patent and renal function was not different from the baseline.
Both endovascular with percutaneous access via the brachial artery and open retroperitoneal approaches with retrograde catheterization are feasible rescue techniques to recanalize the accidentally occluded renal arteries during EVAR.
American Psychological Association (APA)
Bracale, Umberto Marcello& Giribono, Anna Maria& Vitale, Gaetano& Narese, Donatella& Santini, Gianpaolo& del Guercio, Luca. 2014. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment. Case Reports in Vascular Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1035015
Modern Language Association (MLA)
Bracale, Umberto Marcello…[et al.]. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment. Case Reports in Vascular Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1035015
American Medical Association (AMA)
Bracale, Umberto Marcello& Giribono, Anna Maria& Vitale, Gaetano& Narese, Donatella& Santini, Gianpaolo& del Guercio, Luca. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment. Case Reports in Vascular Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1035015
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1035015