Document Detail


Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation.
MedLine Citation:
PMID:  17543695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our experience with one patient with recurrent coarctation and aneurysm degeneration treated endoluminally. A novel technique was used combining balloon-expandable with self-expandable endografts. The balloon-expandable component expanded the area of stenosis and also created a neck to allow the implantation of the self-expandable endograft to exclude the aneurysm. Mismatch of diameters was solved with the creation of a new proximal neck, in which the distal end was progressively expanded to reach the appropriate diameter to implant the self-expandable endograft inside. Expansion of the narrow stenosis and complete exclusion of the aneurysm was achieved without a residual pressure gradient.
Authors:
Juan C Parodi; Luis Mariano Ferreira; Horacio Faella; Ricardo La Mura; Erik Ruslender; German Henestrosa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  45     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1263-7     Citation Subset:  IM    
Affiliation:
Vascular Surgery Division, FLENI, Buenos Aires, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty, Balloon*
Aortic Aneurysm, Thoracic / etiology,  pathology,  surgery,  therapy*
Aortic Coarctation / complications,  pathology,  surgery,  therapy*
Aortography / methods
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / instrumentation*
Humans
Male
Polytetrafluoroethylene
Prosthesis Design
Recurrence
Reoperation
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures / adverse effects*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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