Total Endovascular Therapy of Abdominal Aortic Aneurysm, Peripheral Artery Disease, and Chronic Mesenteric Ischemia: A Challenging Case
10.5758/vsi.2019.35.4.237
- Author:
Angelos MEGALOPOULOS
1
;
Christiana ANASTASIADOU
;
Konstantinos GALANOS-DEMIRIS
;
George TRELLOPOULOS
;
Stavros GALANIS
Author Information
1. Vascular Surgery Department, “Georgios Papanikolaou” General Hospital of Thessaloniki, Thessaloniki, Greece. an.xristiana@hotmail.com
- Publication Type:Case Report
- Keywords:
Chimney technique;
Inferior mesenteric artery;
Endovascular aneurysm repair
- MeSH:
Aneurysm;
Angioplasty;
Angioplasty, Balloon;
Aortic Aneurysm, Abdominal;
Extremities;
Humans;
Iliac Artery;
Ischemia;
Mesenteric Artery, Inferior;
Mesenteric Ischemia;
Peripheral Arterial Disease;
Prognosis;
Stents
- From:Vascular Specialist International
2019;35(4):237-240
- CountryRepublic of Korea
- Language:English
-
Abstract:
We presented a challenging case of a patient diagnosed with abdominal aortic aneurysm (AAA), peripheral artery disease, and chronic mesenteric ischemia (CMI). Herein, we describe the treatment in this high-risk patient diagnosed with CMI who also had critical limb ischemia and his AAA had rapidly expanded. First we performed angioplasty and celiac arterial stenting. Afterwards, we proceeded to perform balloon angioplasty of the iliac arteries and chimney endovascular aneurysm repair (Ch-EVAR) preserving the inferior mesenteric artery (IMA). The patient was discharged three days later and his IMA remained patent eighteen months post-operation. A thorough pre-operative assessment is essential in such challenging cases. Minimally invasive procedures like endovascular therapy and the chimney technique extend the prognoses in high-risk patients.
