Tratamento endovascular de urgência do aneurisma justarrenal utilizando técnica de stents em paralelo
Urgent endovascular treatment of juxtarenal aneurysm using a parallel grafts technique
Fábio Augusto Cypreste Oliveira; Bruno Campos Coelho; Marina Balestra; Juliana Caetano Barreto Cypreste Oliveira; Maria Cunha Ribeiro Amorelli; Davi Douglas Heckmann; Carlos Eduardo de Sousa Amorelli; Fábio Lemos Campedelli
Resumo
Palavras-chave
Abstract
Abdominal aortic aneurysms can constitute a therapeutic challenge in several anatomical scenarios, making endovascular treatment more complex. A juxtarenal abdominal aortic aneurysm (JR-AAA) is defined by the absence of a proximal landing zone in the infrarenal segment and, therefore, techniques must be used to obtain an adequate neck for fixing the endoprostheses without provoking occlusion of renal arteries and visceral branches. The parallel grafts technique, physician-modified stent-graft, industry customized endoprostheses, and off-the-shelf branched endoprosthesis are techniques used in abdominal aneurysms with inadequate proximal neck, but each technique has its indications, limitations, and risks. In this therapeutic challenge, we present a case of urgent endovascular treatment of a JR-AAA using a parallel grafts technique, with good medium-term results, and discuss the therapeutic options.
Referências
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Submetido em:
01/07/2019
Aceito em:
03/07/2020
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