Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200120
Jornal Vascular Brasileiro
Therapeutic Challenge

Resultado imediato do tratamento endovascular com stents paralelos do aneurisma roto justarrenal

Immediate outcome of endovascular treatment of ruptured juxtarenal aneurysm with parallel stents

Claudia Guimarães Agle; César Amorim Pacheco Neves; Flávia Dórea Carneiro Abbehusen; Tainã Lemos Andrade; Filinto Marques de Cerqueira Neto; Dejean Sampaio Amorim Filho

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Resumo

Resumo: A ruptura do aneurisma de aorta abdominal é um evento com alta mortalidade, e o seu tratamento nesses casos é uma emergência médica. O tratamento endovascular desses aneurismas tem se estabelecido como uma alternativa minimamente invasiva à cirurgia aberta clássica, tornando-se a opção de primeira escolha. Contudo, 20 a 50% dos pacientes portadores de aneurisma de aorta abdominal não apresentam anatomia favorável para o tratamento endovascular devido à presença de colo curto ou pelo acometimento de ramos viscerais pelo aneurisma. Relatamos um caso de uma paciente de 70 anos submetida à correção endovascular de aneurisma roto justarrenal com implante de stents paralelos para as renais (técnica de chaminé). São apresentados dados clínicos e detalhes do procedimento. O sucesso técnico foi obtido e não houve relato de complicações pós-operatórias.

Palavras-chave

aneurisma roto, procedimentos endovasculares, aneurisma da aorta abdominal, stents, ruptura

Abstract

Rupture of an abdominal aortic aneurysm is an event with a high mortality rate and treatment is a medical emergency. Endovascular treatment of these aneurysms has become established as a minimally invasive alternative to classical open surgery and is now the first-choice option. However, 20 to 50% of patients with abdominal aortic aneurysms do not have anatomy favorable for endovascular treatment because of a short aneurysm neck or because visceral branches are involved by the aneurysm. We report the case of a 70-year-old patient who underwent endovascular repair of a ruptured juxtarenal aneurysm with deployment of parallel stents in the renal arteries (in a chimney technique). Clinical data and details of the procedure are reported. Technical success was achieved and there were no postoperative complications.

Keywords

ruptured aneurysm; endovascular procedures; abdominal aortic aneurysm; stents; rupture.

References

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Submitted date:
07/03/2020

Accepted date:
10/29/2020

604bc8c6a953955dac432583 jvb Articles

J Vasc Bras

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