Melanie K. Rose, MD, Benjamin J. Pearce, MD, Thomas C

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Presentation transcript:

Outcomes after celiac artery coverage during thoracic endovascular aortic aneurysm repair Melanie K. Rose, MD, Benjamin J. Pearce, MD, Thomas C. Matthews, MD, Mark A. Patterson, MD, Marc A. Passman, MD, William D. Jordan, MD Journal of Vascular Surgery Volume 62, Issue 1, Pages 36-42 (July 2015) DOI: 10.1016/j.jvs.2015.02.026 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Postdeployment angiogram shows placement of a 34- × 15-mm endograft at the celiac artery (CA) origin, with collateralization from the superior mesenteric artery (SMA) and no evidence of endoleak (EL). GDA, Gastroduodenal artery. Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Left, A computed tomography angiogram (CTA) and (right) a three-dimensional rendered image demonstrate celiac coverage with collateralization from a gastroduodenal artery supplied by the superior mesenteric artery (SMA). Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 A patient with visceral ischemia and weight loss required a superior mesenteric artery (SMA) stent. Left, A selective SMA angiogram demonstrates the endograft migration down to the SMA ostium. Right, Postdeployment aortogram shows the SMA stent. Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Top, Computed tomography angiogram (CTA) shows patency of the superior mesenteric artery (SMA) stent just below the endograft. Bottom, CTA demonstrates a type Ia endoleak (EL). Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 5 Mortality (black bars) and surveillance (gray bars) follow-up over a medium follow-up of 38 months (range, 0.5-81 months). Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 6 Kaplan-Meier plot demonstrates the long-term survival. SE, Standard error. Journal of Vascular Surgery 2015 62, 36-42DOI: (10.1016/j.jvs.2015.02.026) Copyright © 2015 Society for Vascular Surgery Terms and Conditions