Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000300008
Jornal Vascular Brasileiro
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Tratamento endovascular da oclusão de ramo ilíaco de endoprótese bifurcada de aorta abdominal: trombectomia rotativa e aspirativa seguida de angioplastia com stent primário

Endovascular treatment of iliac limb occlusion of a bifurcated abdominal aortic stent graft: rotational and aspiration thrombectomy followed by primary angioplasty and stenting

Fabio Augusto Cypreste Oliveira; Fabio Lemos Campedelli; Carlos Eduardo de Sousa Amorelli; José Eduardo da Costa Filho; Daniel Resende Gibbon; Juliana Caetano Barreto; Philippe Moreira da Silva

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Resumo

A oclusão de ramo ilíaco de endoprótese bifurcada de aorta surge como complicação decorrente da correção endovascular do aneurisma de aorta abdominal e várias abordagens terapêuticas têm sido empregadas para o tratamento dessa complicação em casos de isquemia de membro inferior. Apresentamos dois casos de tratamento totalmente percutâneo da oclusão de ramo ilíaco de endoprótese de aorta abdominal com dispositivo de trombectomia rotativa e aspirativa seguida de angioplastia com stent primário, sem complicações operatórias.

Palavras-chave

oclusão de enxerto vascular, trombectomia, aneurisma

Abstract

Iliac limb occlusion of bifurcated aortic stent graft appears as complication of endovascular repair of abdominal aortic aneurysm and several therapeutic approaches have been used to treat this problem in cases of lower limb ischemia. In two cases a totally endovascular approach was used to treat the limb occlusion by means of rotational and aspiration thrombectomy, followed by stenting. In both cases there were no postoperative complications.

Keywords

graft occlusion, vascular, thrombectomy, aneurysm

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